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Appointment TypePricing
Initial Consultation£240.00
Remote Consultation£120.00
Follow Up Appointment£150.00

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Understanding Perimenopause and Menopause

Perimenopause

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Perimenopause is the transitional phase leading up to menopause, during which a woman’s hormone levels—particularly estrogen and progesterone—begin to fluctuate. This stage can last several years and is characterised by changes in menstrual cycles, as well as physical, emotional, and cognitive symptoms associated with declining ovarian function

Physical Symptoms

Irregular or missed periods

Hot flashes and night sweats

Sleep disturbances or insomnia

Vaginal dryness or discomfort during sex

Fatigue or low energy

Headaches or migraines

Breast tenderness

Changes in hair or skin texture

Emotional and Cognitive Symptoms

Mood swings, irritability, or anxiety

Low mood or depression

Difficulty concentrating or memory lapses

Reduced motivation or increased stress sensitivity

Other Possible Changes

Weight gain or changes in body composition

Decreased libido

Joint or muscle aches

Urinary urgency or incontinence

Menopause

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Menopause is the natural stage of life when a woman’s periods stop permanently due to a decline in ovarian function and hormone levels. It is diagnosed after 12 consecutive months without a menstrual period, marking the end of fertility.

Common Symptoms

Hot flushes and night sweats

Irregular or stopped periods

Sleep disturbances and fatigue

Mood changes, anxiety, or low mood

Brain fog, memory or concentration difficulties

Vaginal dryness and discomfort during sex

Reduced libido

Urinary frequency, urgency, or recurrent UTIs

Weight gain or changes in body composition

Joint and muscle aches

Thinning hair or dry skin

Possible Side Effects of HRT

Some women may experience:

Irregular bleeding (especially early in treatment)

Breast tenderness

Bloating or fluid retention

Headaches

Nausea

Mood changes

Longer Term Considerations

HRT may also influence long-term health, including effects on:

Blood clot risk (higher with some oral forms, lower with patches or gels)

Heart health (benefits may depend on age and timing of starting HRT)

Breast cancer risk (varies depending on the type and duration of HRT)

Because every woman responds differently, HRT works best when it is carefully assessed, monitored, and tailored to individual needs.

Midlands Women’s Health supports women in recognising and understanding the symptoms of perimenopause and menopause, offering expert assessment, personalised guidance, and evidence-based treatment options, including tailored menopause management and HRT support.


How We’re Here to Support You

Assessment and Diagnosis

At Midlands Women’s Health, we offer a comprehensive, one-stop appointment to assess and diagnose perimenopause and menopause symptoms.

Management and Monitoring

At Midlands Women’s Health, we provide personalised management plans to help women navigate perimenopause and menopause effectively.

HRT Review and Personalised Adjustment

At Midlands Women’s Health, we understand that HRT can affect each woman differently.


Our expert specialists delivering personalised, comprehensive care for women through perimenopause and menopause.

Dr Ruchira Singh

Consultant Gynaecologist

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Ms Pallavi Latthe

Consultant Gynaecologist

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Dr Mamta Pathak

Consultant Gynaecologist

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Payment Options

We offer a variety of secure and convenient payment options, allowing you to pay anytime from the date of booking up to your appointment, so you can choose what works best for you

Please Note: In some cases, additional investigations or treatments may be recommended during your appointment. Any additional costs will always be discussed with you beforehand, so you can make an informed decision before proceeding.


Have Questions?

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Our friendly and experienced team is here to help.

If you have any questions about appointments, services, or what to expect, please get in touch and we’ll be happy to assist.

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