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FAQs

Here are the answers to the questions we get asked most frequently.

Appointments

We treat women over the age of 30 who are going through the menopause transition (perimenopause, menopause and postmenopause). Our doctors can help with:

  • Symptoms of the perimenopause, menopause, and postmenopause
  • Menopause as a result of surgery or cancer treatment
  • Premature menopause (premature ovarian insufficiency – POI)
  • Vaginal symptoms related to the menopause
  • Menopause sexual dysfunction

You book a consultation by visiting our website and clicking on the ‘book appointment’ button on the homepage or here. You can then enter your details, choose your preferred time, and pay for the appointment, after which you will receive an email confirming the appointment and explaining what you will need for it.

All of the doctors working at My Menopause Centre have been trained in general practice or gynaecology. All have a particular interest in the menopause and are very experienced in managing the menopause. See more on our team of doctors and their qualifications here.

 

In the event that you can’t find an appointment time that suits you, or we are fully booked, then please either email us at hello@mymenopausecentre.com or call us during office hours (9am to 5pm) on 0333 444 1067 and we will endeavour to find a time to see you as soon as we can.

At My Menopause Centre you will have consultations via a video link, or by phone. We do not have a physical clinic.

You do not need a referral letter from your GP or another doctor. If you have any letters or blood test results from previous, relevant medical consultations then please have them ready for your consultation.

Patients who were domiciled in the UK, the Channel Islands or the Isle of Man at the time of their initial treatment but who have now moved overseas can be seen at our clinic. Unfortunately, new patients who are domiciled outside the UK cannot be seen by us.

The cost of your menopause treatment is not generally covered by private medical insurance, but it’s worth checking with your insurance company.

Immediately after booking your appointment, you will receive a confirmation email. This email will contain:

  • A link to a pre-appointment questionnaire (for new patients only)
  • A link to start the video consultation

You can learn more about your treatment journey here.

As your patient notes can be accessed by all of our doctors, you don’t need to see the same doctor you saw last time, although many patients prefer to do so. If your previous doctor is unavailable at a time that suits you, you can safely book with any of our other practitioners.

Please bring photo ID from the following list, and your doctor will check this at the beginning of your appointment. Acceptable forms of photo ID are:

  • Passport
  • Driving licence/Provisional driving licence
  • UK Disabled Driver card
  • Military ID card
  • Police Warrant card

This information helps us confirm your identity and your appointment cannot proceed without showing this proof.

No, we will not save your ID.

Full details on the costs of a consultation from one of the doctors in our menopause clinic are here.

Please email us at hello@mymenopausecentre.com or call us on 0333 444 1067 during office hours (9am-5pm, Monday to Friday). As we are a very busy clinic any request we receive to reschedule a consultation will automatically result in the cancellation of the original one. This allows us to make these consultation slots available for patients on our waiting list.

Please note that if you would like to reschedule or cancel your appointment we have a 48-hour cancellation policy. This means that cancellations or changes made prior to this will not be charged. If any cancellations or changes are made with less than 48 hours’ notice, the full consultation fee will be charged.

To make the best use of our time together, please follow the instructions on your booking email to provide us with the following information, but don’t worry if you don’t have it all to hand:

  • Your blood pressure – you can check this with a calibrated home monitor, or visit your local pharmacy or GP practice
  • Your height and weight – so we can calculate your Body Mass Index (BMI)
  • A list of any HRT treatments you’ve already tried
  • Your medical history*
  • A brief family history of medical problems – particularly breast and ovarian cancer, heart disease, stroke, blood clots, and osteoporosis
  • A full list of medication you are currently taking
  • Your ID

*If you have a complicated medical history (for example previous blood clots, heart disease, autoimmune disease) or have had treatment for cancer, it’s sometimes necessary to see letters outlining the exact details of your medical issues. It’s helpful to have any information you have to hand if you have it. It may be that we need to write to your GP or consultant asking for this information (with your permission) to help us make the best-informed decision about treatment.

We would like to see you after three months if you have started HRT. This gives time for the HRT to work and for any side effects to settle. If you’d like to be seen before three months, then, of course, you can book an appointment at an earlier date. After the initial follow-up, we recommend an annual review. If you are prescribed testosterone you will need a follow-up appointment and blood test at three months and then 6 to 12 months thereafter to continue to get prescriptions.

Your doctor will email you a holistic menopause treatment plan outlining what you discussed during your consultation. This is usually sent within five working days. We will also email your GP a copy of your treatment plan unless you have said that you would prefer for your GP not to be contacted. If you have a complicated medical history, we may need to directly contact your GP, again with your permission.

If you need blood tests, your doctor will discuss how the results will be shared with you during your consultation:

  • By email, from your doctor, where the results will be explained to you
  • In some circumstances, you may need another appointment to discuss them

We will contact you directly if there are serious abnormalities needing urgent medical attention.

Your blood test results email will usually come at a different time to your treatment plan.

  1. Upon booking, you will receive an email confirmation with a link to start the video consultation.
  2. We recommend that you click on this and confirm that it’s all working a few minutes before the start of your consultation.
  3. After you have clicked the “Start video consultation” link you will be led to the My Menopause Centre screen, and you’ll be able to see your appointment details. You can mute your microphone, turn your camera on/off and also change the screen to full-screen mode using the toggles at the bottom of the call.
  4. You’ll then be joined by your doctor and a box will then appear with your video where you can see your doctor.
  5. If you are unable to join the video call, it may depend on the internet browser you are using.

Please note that the video consultation feature is not compatible with Internet Explorer and Microsoft Edge.

Please ensure the following has been done before your consultation:

Browsers and devices:

Please use browsers that support video calls. On computers, we support most browsers like Chrome and Firefox. For Apple mobile devices or iPads please use Safari and for Android mobile devices please use Chrome. If you are using a phone device, the video will end if you leave the browser, so kindly stay on the browser until your appointment has ended.

Please do not use Internet Explorer and versions of Microsoft Edge that are not Chromium based, as they do not support video technology.

Allow access to microphone and camera:

When joining the call your browser will ask you to allow both camera and microphone, please click allow.

  • For Google Chrome, click on “Allow” or click on the padlock icon next to your search bar to access settings.
  • For Safari also click “Allow” on the pop-up to accept the request. All browsers have settings where you can edit camera and microphone access.

Yes. Heydoc (the system we use) is secure. It uses a peer-to-peer connection and as such participants exchange media directly so that Media is encrypted end-to-end (E2E) using WebRTC security protocols.

We’ll switch to a phone call, and your doctor will call you.

Your doctor will call you on the number you provided at the time of booking your appointment.

Our team

All of the doctors working at My Menopause Centre have been trained in general practice or gynaecology. All have a particular interest in the menopause and are very experienced in managing the menopause. See more on our team of doctors and their qualifications here.

If your NHS GP works with us here at the clinic, you will not be able to see her privately and we will be happy to offer you a consultation with one of our other doctors.

You can read about what a menopause specialist is here.

Blood tests

Your doctor will discuss whether blood tests will be helpful for you during the consultation. For example, blood tests can be useful in helping to diagnose the menopause if you are under 45 and they are also an essential tool for some of our hormone therapy treatment options.

If a blood test is recommended by your doctor, they will arrange this for you with Medichecks.

  • During your appointment, you and your doctor discuss whether you’d prefer to self-administer, have a nurse come to your home or have the blood test taken at a location near you.
  • After your consultation we will send you an email requesting payment and, once payment has been confirmed for the blood test, Medichecks will be in touch with you to make the necessary arrangements

The results will be available 5-7 working days after your blood test.

Your doctor will discuss how the results will be shared with you during your consultation:

  • By email, from your doctor, where the results will be explained to you
  • In some circumstances, you may need another appointment to discuss them

If a follow-up consultation is needed, this should be booked by you immediately. We will contact you directly if there are serious abnormalities needing urgent medical attention.

Click here to see what the different types of blood tests cost.

Prescriptions

We do not charge for writing a prescription that is given at the time of the consultation. If you require further repeat prescriptions between appointments, there will be a £35 administration charge (regardless of the number of items on the prescription).

If medication is recommended by your doctor, your prescription will be handled by Pharmacierge (a pharmacy concierge that delivers straight to your door – General Pharmaceutical Council number 1093286):

  • For most HRT, we will email your prescription to Pharmacierge immediately after your consultation.
  • Pharmacierge will then get in touch with you by text or telephone by the next working day to confirm the details.
  • Once payment has been received, they will courier your medication directly to you, wherever you. All medication has to be signed for by an adult.

The prescription is valid for six months from the date that it is prescribed, however a prescription with schedule 4 controlled drugs (such as testosterone or gabapentin) is valid for 28 days only.

If you need a repeat prescription, please get in touch with us on 0333 444 1067 or clinic@mymenopausecentre.com. We’ll send you an email with a link to confirm payment for the repeat prescription administration fee and Pharmacierge will take it from there.

HRT (Hormone Replacement Therapy)

HRT stands for hormone replacement therapy. For most women, it’s an effective way of managing menopause symptoms and it can transform how you feel. Click here to learn more about HRT.

For most women, HRT is an effective way of managing the menopause symptoms, that can provide long-term health benefits. However, some women will prefer not to take HRT and others will not be able to take it for medical reasons – there are alternative treatments available and these will be discussed on an individual basis during your consultation.

It can take up to three months for HRT to become effective, though many will experience an improvement in their symptoms before this time.

Costs for a month’s supply of HRT will vary depending on the type of medication prescribed and the dosage.

To give you an idea, for most types of HRT the range is around £10 to £35 a month. We appreciate that the range is wide, but it depends on the medication prescribed and the current cost at the pharmacy – which can vary according to supply.

Testosterone costs around £80 for a tube of cream that lasts 3-4 months. 

A dispensing fee of £35 will be charged for a repeat prescription between appointments (the charge is included in the appointment fee if the prescription is made as part of the consultation). Your prescription will cover a supply of 3 months.

Testosterone is an important hormone for women as well as men. Replacing it can increase your sexual desire and pleasure, and, for some women, it can improve energy levels, wellbeing, cognitive function, and joint pains.

We prescribe testosterone off-licence for use on women. This is endorsed by the National Institute of Clinical Excellence Guidelines Management of the Menopause NG23 2015. We usually prescribe it as a cream called AndroFeme, which is a preparation for women made in Western Australia.

It’s important to discuss your medical history fully and frankly with a doctor before thinking about starting HRT. There are some medical conditions that could mean HRT is too risky for you. We aren’t going to list all the medical conditions here, but they include uncontrolled high blood pressure, active liver disease, active medical conditions where the risk of blood clotting is very high, after certain (but not all) cancers, and where you have abnormal vaginal bleeding that hasn’t been investigated.

Absolutely. If you go through the menopause before you reach 40 – either spontaneously or as a result of medical or surgical treatment – it’s important to talk to your healthcare professional about HRT. Experiencing the menopause before reaching this age has significant health risks of its own, such as:

  • Cardiovascular disease
  • Osteoporosis
  • Loss of cognitive function

HRT can significantly decrease these risks, and it’s important to take it until you are 51, the average age for reaching the menopause in the UK.

In case you’re concerned that it will mean you’ve been on HRT for years, it’s worth remembering that all you are doing is replacing the oestrogen your body would produce naturally at that age.

You may have come across the terms bioidentical and body identical hormones. They both refer to hormones that are biochemically the same as the hormones made by your ovaries. Bioidentical means that the hormone is the same as that made by your body. They are extracted from soy and yams. Estradiol, progesterone, and testosterone are all available in this format.

Most of the HRT we prescribe is bio-identical, all of it is regulated, and the oestrogen and progesterone usually available on the NHS. We don’t prescribe compounded bioidentical HRT.

All of the HRT we prescribe is regulated and the oestrogen and progesterone usually available on the NHS. We don’t prescribe compounded bioidentical HRT.  Here’s a quick explanation of both:  

Regulated bioidentical hormones (rBHRT) 

These are derived from plants and are available on a standard, regulated prescription – they can be prescribed by our clinic or your GP/specialist in the NHS. 

Compounded bioidentical hormones (cBHRT) 

These are made by private clinics in a process known as compounding. Compounded bioidentical hormones are not regulated and not available on the NHS. They are marketed as precise duplicates of the hormones from your ovaries after blood test analysis. The hormone combination is then made up by a private pharmacy. These combinations do not follow the same regulations as conventional HRT and haven’t been through the same strict testing processes for effectiveness and safety. The blood tests and hormones are also very expensive – significantly more than the cost of private or NHS prescriptions. More expensive does not mean better. We don’t prescribe these. 

Premarin is a type of HRT derived from horse urine, so it’s ‘natural’ but contains several different types of oestrogen. Available in tablet form, it’s not commonly prescribed in the UK.

Other services

The Mirena coil can be used to protect the lining of your womb as part of hormone replacement therapy (HRT) and can be in place for up to five years. Unfortunately, as we are an online clinic we cannot fit Mirena coils. Many GPs and nurses fit Mirena™ and you can usually get this done at your GP practice or a local sexual health clinic. Learn about Mirena coils.

Pricing

Full details on the cost of a consultation from one of the doctors in our menopause clinic are here.

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Contact My Menopause Centre

  • General enquiries: hello@mymenopausecentre.com
  • Book appointments online: Log into your account and go to 'My appointments'
  • Book appointments by phone: 0333 444 1067
  • Website: https://www.mymenopausecentre.com