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The MENOPAUSE is one of the most hotly debated issues in Gynaecology, especially now that far more of us are living so much longer.

From a medical perspective the menopause occurs when a woman’s periods finish and is only diagnosed with certainty when a woman has not had a period for 12 months. The average age of the menopause in the UK is 51 years.

Many women start to experience a variety of symptoms in the lead up to the menopause. We medics don't refer to this as the Menopause, we call this the Climacteric.


  • Irregular periods
  • Dry skin
  • Headaches
  • Hot flushes or sweats
  • Vaginal dryness or soreness
  • Changes in bladder function
  • Sleep disturbance
  • Memory loss
  • Mood change

Women vary in how they experience the physical and psychological changes of the menopause, whilst for some women it passes with minimal symptoms, for others, the impact on quality of life can be significant.

There are also physiological effects from lack of oestrogen such as Osteoporosis which will effect all women to varying degrees. 


Hormone Replacement Therapy (HRT) is the common treatment for the menopause symptoms, but is worth considering carefully. When we prescribe HRT we use BIO-identical hormones.

The decision ‘to take or not to take’ HRT is complex and the conflicting evidence and advice given regarding its risks and benefits seem to be ever changing and can be confusing. If you are considering taking HRT please feel free to come and see us to discuss it further. We will listen, do all the appropriate  blood tests and work out with you whether or not you want to give it a try.


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We are proud to offer you two of the best London based professionals in this field and the superb facilities, amenities and accommodation of The Portland Hospital and Harley Street.