I was able to speak openly and she was able to put my mind at ease.
I would definitely recommend a review with Susan.
was very informative and I learned so much on our online appointment and found her so helpful, professional and totally invested in helping women to navigate the minefield that is the menopause.
Then I had a consultation with Aly at the menopause clinic, and it was a wonderful experience. For the first time in over a decade, I genuinely felt listened to and understood.
Aly was simply fantastic—incredibly knowledgeable, empathetic, and she took the time to tailor advice that made sense for my unique situation. I felt totally understood, which is something I haven't felt with other healthcare professionals.
It’s still early days in my treatment plan, so fingers crossed for the future, but the initial consultation alone has been worth every penny. I highly recommend this clinic and Aly to anyone going through menopause. Money well spent!
I was able to speak openly and she was able to put my mind at ease.
I would definitely recommend a review with Susan.
was very informative and I learned so much on our online appointment and found her so helpful, professional and totally invested in helping women to navigate the minefield that is the menopause.
Then I had a consultation with Aly at the menopause clinic, and it was a wonderful experience. For the first time in over a decade, I genuinely felt listened to and understood.
Aly was simply fantastic—incredibly knowledgeable, empathetic, and she took the time to tailor advice that made sense for my unique situation. I felt totally understood, which is something I haven't felt with other healthcare professionals.
It’s still early days in my treatment plan, so fingers crossed for the future, but the initial consultation alone has been worth every penny. I highly recommend this clinic and Aly to anyone going through menopause. Money well spent!
The menopause is a normal part of the ageing process, not an illness or a disease and will happen to ALL women at some point in their lives, if they live long enough. The average age of the menopause in the UK is 51, and with life expectancy in the UK at 83 years, women potentially spend 1/3 of their lifespan postmenopausal. Menopause is when a woman has gone 12 whole months without a period so, in fact you have a menopause day as the following day, you will be postmenopausal. Perimenopause is the time leading up to the menopause when hormones start fluctuating and symptoms can begin. On average this starts in your early 40’s and symptoms can last anything from several months to several decades with the average length of symptoms being 7 years.
While the average age of the menopause is 51, it can happen at any age. 1:100 will reach the menopause at 40. 1:1,000 will reach the menopause at 30 and 1:10,000 women will reach the menopause at 20, so you are NEVER TOO YOUNG to be menopausal, and certainly never too young to understand it. Of course, there are other causes of the menopause too. Surgical menopause is when a woman has her ovaries removed and so she can go straight into menopause, without the fluctuations experienced during the perimenopause. Chemical menopause is when a woman is prescribed some medications, including chemotherapy, radiotherapy or gonadotrophin.
Many people start experiencing symptoms years before their periods stop. Perimenopause can cause changes such as irregular cycles, anxiety, poor sleep, brain fog, hot flushes, or changes in mood even if periods are still coming.
Menopause is diagnosed retrospectively after 12 months without a period, but symptoms often start well before this point. Because symptoms vary widely, a clinical assessment that looks at your history, symptoms, and overall health is often more helpful than blood tests alone.
If you’re unsure whether your symptoms are hormone-related, a menopause consultation can help clarify what’s happening.
While many menopause symptoms are common, that doesn’t mean you have to tolerate them, assume they’re harmless or suffer in silence. Symptoms such as persistent anxiety, disrupted sleep, heavy or irregular bleeding, low mood, joint pain, Fatigue, vaginal dryness to name a few can significantly affect quality of life.
Some symptoms also overlap with other conditions (such as thyroid issues or burnout), which is why proper assessment matters.
A consultation can help determine what’s normal, what needs investigation, and what treatment options may help.
HRT can be very effective for managing menopause symptoms and long term health benefits, but it isn’t the right choice for everyone. The decision depends on your symptoms, medical history, risk factors, and personal preferences. During a consultation, treatment options are discussed individually.
There’s no one-size-fits-all approach, menopause care should be personalised.
An initial 45 minute menopause consultation is a focused appointment that looks at the whole picture, not just hormones. This gives plenty of time for a detailed discussion of your symptoms, menstrual history, general health, medications, and lifestyle factors. If needed, investigations or referrals may be recommended, and a personalised management plan is discussed. Many people find this appointment reassuring, clarifying, and empowering.
The goal is to help you understand your options and feel supported in your decisions.
If symptoms are affecting your sleep, mood, relationships, work, or overall wellbeing, it’s a good time to seek advice. You don’t need to wait until symptoms become severe or until periods stop completely. Early assessment can often prevent symptoms from worsening and help you feel more in control during this transition.
If you’re wondering whether it’s “too early” or “bad enough,” that uncertainty alone is a good reason to book.
Some people continue to experience symptoms such as low libido, reduced energy, low motivation, or ongoing brain fog despite being established on oestrogen (with or without progesterone). In these cases, testosterone therapy may be worth exploring.
Testosterone plays a role in sexual desire, energy levels, and overall well being, and levels can decline during perimenopause and menopause. However, testosterone therapy is not suitable or necessary for everyone, and symptoms can have multiple causes.
Before considering testosterone, it’s important to:
Ensure oestrogen therapy is optimised
Review symptoms carefully
Consider other contributing factors such as stress, sleep, mental health, or medical conditions
During a menopause consultation, your current HRT, symptoms, and overall health can be reviewed to determine whether testosterone therapy is appropriate and safe for you. Testosterone is recommended in NICE guidelines for women with low libido who have not responded to oestrogen therapy alone. However, although it’s recommended in NICE guidelines, there is not currently a testosterone license for women available on the NHS.
If you’re already using HRT and still don’t feel like yourself, a personalised menopause review can help explore whether testosterone therapy or another adjustment may be beneficial.