We provide specialist Menopause Clinics which also cover other gynaecological problems.
The clinic aim is to help women manage symptoms of the menopause. Most menopausal problems are relatively simple and can be managed with the right advice.
You will be given practical advice about how to cope with hot flushes, this may include:
- Keeping cool where possible and avoidance of possible triggers such as caffeine, smoking, spicy foods and stress.
- Regular exercise may help improve some symptoms of the menopause. Physical activity that stresses the bones, such as running and walking, can help prevent osteoporosis. Such activity can also help protect against heart disease and stroke.
- A healthy diet can help protect your body against some of the long-term effects of the menopause.
- Drinking a glass of cold water or fruit juice when a hot flush begins.
- Keeping a record of your symptoms to help determine what might trigger your hot flushes.
You will also be given detailed advice about hormone replacement therapy (HRT)
Since the menopause is caused by declining levels of the hormone oestrogen, the main medical treatment is to reverse this decline through hormone replacement therapy or HRT.
There are many different forms of HRT, which can be administered in many different ways, including creams, pills, skin patches or sub-cutaneous implants. It can take a little while to find the most effective HRT preparation for an individual woman and you may need to try 2 or 3 to find one that suits you best.
Due to the increased risks of breast and ovarian cancer, it is important to attend screening clinics both while taking HRT and in the post-menopausal years. Tests such as mammograms, breast examinations, ovarian cancer screening and cervical smears should begin around 3 months after the commencement of HRT and should be reviewed regularly.
Bone density scans are also recommended for post-menopausal women, since reduced oestrogen levels are known to accelerate the rate of bone density loss associated with osteoporosis.
There is also evidence to show that post-menopausal women have the same risk of cardiovascular disease as men of the same age as they are no longer protected by higher oestrogen levels.
It is therefore important that women who are at high risk of cardiovascular disease and who experience symptoms such as chest pain or other signs of angina or a heart attack should have cardiac screening.