• Photo by Emma Simpson


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).

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Appointments can be made via our contact team, who will be happy to arrange either a face to face or online appointment.

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What is 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.


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?

Our team of experts can advise on the best course of treatment for your individual circumstances.

Meet some of our medical team

Dr Verity Biggs
Dr Verity BiggsWomen's Health Lead
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Jane Anderson
Jane AndersonConsultant Urological Surgeon
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Dr Varad Baskar
Dr Varad BaskarConsultant Endroconologist
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Mrs Radhae Raghavan
Mrs Radhae Raghavan Consultant Obstetrician and Gynaecologist
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Frequently Asked Questions about our Menopause service

Can I get repeat prescriptions?2021-07-30T12:56:49+00:00

When it is safe to do so and you are stable on your medication, we can issue a set quantity, or allow you to order your medication as needed.  Some medication requires monitoring, such as blood tests, and you will be reminded of this. Failure to complete these monitoring requirements will mean we will not be able to issue your prescription for safety reasons.

Can I have an appointment remotely (via telephone or video)?2021-07-30T12:58:54+00:00

If you are already known to the clinic or if you have had your ID confirmed through other contacts with us, for example during a home visit for bloods and other physical tests, then yes.

Can my GP surgery do my blood tests?2021-08-01T23:58:29+00:00

We have partnered with a national phlebotomy service, Nationwide Pathology, who offer accredited blood tests all over the U.K. As such, we would request that, where possible, you do not obtain blood tests elsewhere. For those patients that have already had blood tests, we are happy to use them provided they were obtained from a reputable source, such as your NHS GP. However, we ask that you do not expect your NHS surgery to do further testing for you as you have chosen to seek private health care.  If you do obtain blood tests from other clinics, they may need to be repeated (especially if via finger prick).

Do I need a GP referral letter?2021-06-28T17:27:37+00:00

No, a GP letter is not needed.  However, you are welcome to send us a letter, or a summary, if you feel it would help.

Do you treat patients living overseas?2021-06-28T17:25:11+00:00

Unfortunately, we can only see and treat patients who are residing in the UK.  We are unable to treat anyone who lives, or is temporarily, overseas.

How do I book a consultation?2021-06-28T18:36:13+00:00

You can call 03309120769 (national rate) to speak to one of our team or use the online web contact form.  You can also email

Alternatively, a number of our services can be booked online – you’ll see a Book Now button on the appropriate service pages.

How do I make a complaint?2021-06-14T18:06:59+00:00

Please see – we take all complaints very seriously and will investigate your issues in a customer-centric way.

How much are prescriptions?2021-08-02T00:03:23+00:00

The cost of the prescription varies depending on what you need.   Charging is very different from NHS treatments where the prices are subsidised and you only pay £9.35 per drug regardless of how many packs you need. Some items are more expensive – Female Testosterone, for example, is £80 per tube, but this will last 3-4 months.

How much do blood tests cost?2021-08-02T00:00:20+00:00

The cost of blood tests vary. We will recommend the most appropriate group of tests to suit your requirements.  We can test for one thing alone, or a group.

For example, a single testosterone blood test is £35 and a full well man screen is £190.

How will I get my prescription?2021-08-02T00:04:10+00:00

We send your prescriptions via electronic prescribing to our pharmacy partner, CloudRx. They will prepare them for you, and deliver the medication to your door within 72 hours, and often sooner.

How will I get my results?2021-06-28T18:55:20+00:00

It can take up to 7 days for the processing of your blood tests and for us to receive notification from our partner, Nationwide Pathology.  Once we have received them your doctor will be notified, and they will review them.  Your doctor will then email them to you with any comments, via a secure link.

Depending on your chosen service, you may have a follow-up consultation to discuss your results.

If I need to contact you, how do I do it?2021-06-28T18:52:17+00:00

You can call 03309120769 (national rate) to speak to one of our team or use the online web contact form.  You can also email

Please note that we do not provide urgent care or assistance, and in these cases, you need to contact NHS 111, or 999 if an emergency.  Or contact your own GP for other matters.

Is H3 Health regulated?2021-06-28T17:40:25+00:00

H3 Health is regulated by the Care Quality Commission who are the independent regulator of health and social care in England – you can find out more about the CQC at their website.

Is there anyone you don’t treat?2021-08-02T00:01:49+00:00

We do not treat anyone under the age of 18 years.

We do not provide urgent care or treatment of acute conditions.

If you have a medical emergency we request you call 999 or urgent care service via your NHS GP or 111 service.

What does the cost of the consultation include?2021-06-28T17:46:08+00:00

The consultation costs include the appointment with the GP only.  It does not cover prescriptions, follow up appointments, or monitoring blood tests or further investigations.

General health appointments are charged at £175 for up to 30 minutes.

First female health appointments are £250 for up to 1 hour.

All follow up appointments are £175.

If you think you might need a longer appointment, you can book an hour for £250.

What happens after my appointment?2021-06-28T18:50:30+00:00

After you have seen the doctor, they will send a letter to your normal GP advising of any new diagnosis, treatments and plans.

What other costs might there be?2021-06-28T21:05:21+00:00

You might need further blood tests or investigations, or a referral to a specialist.  We will explain the cost prior to undertaking any work.

You will be charged £30 per email to the clinical team after your consultation if you require further time.

Where can I access reliable information about the menopause?2021-07-30T12:59:54+00:00
Where do I get my blood tests done?2021-07-30T13:02:45+00:00

After you have your pre-appointment assessment, if you require a blood test we will arrange a convenient time and location for one of our trained healthcare specialists to visit you to take bloods and carry out any other physical tests that may be required.

Where will my face-to-face appointment be?2021-06-28T17:17:05+00:00

If you are seen in person, then this will be at Warwick Nuffield Hospital,  The Chase, Old Milverton Lane, Leamington Spa, CV32 6RW.

Who will I see at my appointment?2021-08-01T23:56:40+00:00

All of our consultations are doctor-led. You will see a practicing GP, all of whom work within the NHS also, and have a dedicated interest in either Men’s or Women’s Health. For example, for testosterone deficiency you will see a male GP who has a specialist interest and understanding of this condition. For menopause, we have female GPs who have a specialist interest in Women’s Health. Where additional support or treatment is required, we can also refer you to our other specialists such as hospital consultants.

Why do I need to provide my GP details?2021-06-28T17:38:28+00:00

We want to practice as safely as we can and involve your normal GP.  We will notify your GP of treatments we provide so that they can update their systems and ensure that there are no concerns highlighted over other treatment you might be receiving from them.  For example, some medications cannot be taken alongside others, or you might need more monitoring with some.

For that reason, we ask that you provide your GP’s details before your first appointment using the email address.

Latest Menopause related advice

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By the time we hit forty, being tired is a condition that for many people, seems to be virtually engrained in us. Certainly, the limitless energy my children display is something I now look on in awe and envy. Being tired all the time, or lacking in energy is in fact, so common, that it has filtered down into every aspect of life. But there may be a reason behind your tiredness.

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