Menopause2022-06-12T23:02:47+00:00
  • Photo by Emma Simpson

Menopause Treatment

H3 Health offer specialist consultations for menopausal symptoms, led by our our menopause expert Dr Verity Biggs and her team of specialists.

The menopause and the perimenopause affect each woman differently with everything from brain-fog to hot flushes, tiredness to mood-changes.  Our team offers individual consultations and treatment plans that are designed to quickly alleviate symptoms.

Our doctors will discuss the best treatment options for you – this could include HRT (Hormone Replacement Therapy), but also alternative non-hormonal remedies.

Book an appointment today – no GP referral required

Appointments can be booked 24/7 using our secure online checkout

Book Initial Consultation – £250
  • Concentrates on solving issues with the menopause in women
  • Consultation with a female doctor specialising in this clinical subject matter
  • Remote or face-to-face appointments available
  • 60 minutes initial consultation (subsequent blood tests/prescriptions/consultations may come at an additional charge – any treatments and their costs will be clearly explained to you by your Doctor )
  • 18+ only
  • 82% of respondents to our Patient Satisfaction Query Rated their ‘Overall Experience with H3 Health’ as very good (June 2022)
  • 100% of respondents to our Patient Satisfaction Query would ‘recommend us to a friend’ (June 2022)

If you have a query you’d like to discuss before booking, then please get in touch using this contact form and one of our team will get back to you at a convenient time

Introducing our specialist menopause team

Dr Verity Biggs

Women’s Health Lead and Doctor Specialising in Menopause

Dr Verity Biggs is our Women’s Health Lead.

She has worked as GPs in the NHS since qualifying from Leicester Warwick Medical School.  Since then, she has undertaken further training in Women’s Health, focusing on:
  • Contraception for all ages
  • Genital Prolapse treatment in primary care
  • Menopause Care
  • PMT
  • Mental Health
  • Well-woman checks

Dr Biggs has studied the Special Skills Modules with the British Menopause Society and the Faculty of Sexual and Reproductive Healthcare, as well as advancing her knowledge with the International Menopause Society and West Midlands Menopause Society.  She has worked at a private menopause clinic and gained experience with local Gynaecologists.  She is actively involved with training GP trainees, Clinical Pharmacists and Physician Associates.

“My two appointments with Dr Verity Biggs have been a real eye-opener into my personal health. As a fit, healthy woman just into my 50s, I had a few niggles – some straightforward, others more personal. Verity’s knowledge as an experienced GP & women’s health specialist, combined with her supportive & straightforward manner was excellent. Like many of my friends in the 45+ age bracket, I didn’t know that my symptoms were a) peri-menopausal & b) could be improved! Verity explained the options clearly, answered all my questions, organised my prescription extremely efficiently & I am exceptionally grateful for her advice & expertise. Highly recommend.”

Recent Women's MOT and Menopause Patient, Warwickshire

“A few months ago I underwent a total hysterectomy. I had no follow up from the hospital and trying to get an appointment with my GP was very difficult and then met with limited and dated information. I hit the surgical menopause wall like a train crash and was left to pick up the pieces myself. After about 3wks I was a blubbering wreck and really didn’t know where to turn. This is where Dr Verity Biggs stepped in. The only words I can use to describe her is my ‘guardian angel’. She is compassionate, empathetic but most importantly extremely knowledgeable. Her approach is accessible and warming. I can truly say without her I do not feel I’d be getting myself back on track. The follow up has gone beyond any of my expectations and been thorough. I’d have absolutely no hesitations in recommending her to anyone who feels they maybe suffering either from peri menopause or menopausal symptoms.”

Recent Menopause Patient, West Midlands

What is the menopause?

Menopause simply means that you have had no periods for 12 months but unfortunately going through menopause isn’t simple for many. You many have symptoms for many years before your period stops (Peri-menopause) and for many years after (Post-menopause).

Quite simply, menopause means that your periods have stopped for 12 months or more.  All women go through menopause, but menopause affects us all differently.  The average age of menopause in the UK is 51 years but the symptoms we experience start long before your periods stop.  This phase is called perimenopause.

Perimenopause:

The average length of perimenopause is about 4 years.  In the perimenopausal time, women can experience varying symptoms, and some can come and go and often therefore it can be difficult to know what is happening to you.

During the perimenopause your normal hormone levels fluctuate greatly and sometimes even day to day, this often feels like you are on a rollercoaster of emotions and symptoms.  You may go through weeks or months feeling ok, but then symptoms can come back again.

What signs and symptoms can you look out for?

Symptoms aren’t just hot flushes and night sweats, and can include:

  • Mood changes, irritability, anxiety
  • Poor sleep
  • Fatigue
  • Brain fog
  • Worsening migraines
  • Joint and muscle pains
  • Vaginal dryness and urinary symptoms
  • Low libido
  • Skin, hair and nail changes
  • Hot flushes
  • Night sweats
  • Period changes

Do you need investigations?

Generally, no if you are aged 45 years or over.  You can start treatment based on symptoms alone, but some symptoms may mean that you need investigation for other conditions first.

If you are younger, and certainly if you are aged less than 40, then investigations are required first.

What are the treatment options and HRT?

The most effective way to treat your symptoms is to replace the hormones that are falling in levels, this is called hormone replacement therapy – HRT.  The hormones used are oestrogen, progesterone and sometimes testosterone.

Oestrogen is the main hormone need which will relive the symptoms.  Oestrogen is produced by your ovaries, and as they are shutting down, our levels fall.  The dose can be adjusted depending on your need.  Oestrogen replacement comes in the form of gels, patches, spray and tablets.

Progesterone is needed to protect your womb (if you have had a hysterectomy, then generally this is not needed).  Taking oestrogen alone will cause the lining of your womb to thicken and will cause bleeding problems and will increase the risk of cancer – Endometrial cancer.  Progesterone is given as a capsule, tablets, or the IUS / hormone coil.

Testosterone can be supplemented also when HRT alone has not relieved symptoms such as low libido, brain fog, and energy levels.  Not all women will require testosterone.  Testosterone is given as cream or gel.

Alternatives to hormones

Some women will choose not to take hormones or may wish to try without initially.  There are other medications and natural remedies to help alleviate symptoms, but they don’t change hormone levels.  Not all remedies are evidence based or have had their safety approved.

Benefits of HRT

  • Resolve symptoms and quality of life.
  • Cardiovascular protection
  • Bone protection
  • Brain protection

Risks of HRT

  • Initial side effects usually short-lived, breast tenderness, bleeding problems, bloating.
  • Breast cancer – only 4 extra cases per 1000 women over 5 years! Not as high as we have been scared into thinking!

So how can we help?

As GPs, women’s health is hugely important to us.  It is highly rewarding to be able to help women during their transition into Menopause and optimising a woman’s health and wellbeing during this time.

Book a consultation with one of our menopause team who’ll take time to understand your situation and take a holistic approach to your treatment options. We have both remote consultations (think zoom or MS Teams, but using our secure video conferencing technology) and face-to-face ones available.

Please note that there is no need for you to request a referral from your GP – you can simply book an appointment.

Book Initial Consultation – £250

Meet some of our medical team

Dr Verity Biggs
Dr Verity BiggsWomen's Health and Menopause Lead
More Info
Jane Anderson
Jane AndersonConsultant Urological Surgeon
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Dr Varad Baskar
Dr Varad BaskarConsultant Endocrinologist
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Mrs Radhae Raghavan
Mrs Radhae Raghavan Consultant Obstetrician and Gynaecologist
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Dr Louise Cox
Dr Louise CoxWomen's Health and Menopause
More Info

Frequently Asked Questions about our Menopause service

Book Initial Consultation – £250

Latest Menopause related advice

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