Coombe Menopause Clinic
- 01.
Consultations
Your first consultation lasts around 45 minutes, I will ask you about your health, your menopause experience and allow you time to explain your needs. You can ask me lots of questions and together we will make a plan to move forward.I can assess for suitablity for HRT and for other treatments.I can help you work out if what you are experiencing is actually menopause related. Subsequent consultations are tailored to what you need. Blood tests available.
- 02.
HRT Check Ups
If you are already on HRT and want a check up, this is an opportunity to discuss latest research, find out if you are still on the most appropriate therapy and manage side effects. I can discuss coming off HRT, when and how best to do it.
- 03.
Post Menopausal Bleeding (PMB)
If you experience bleeding (even spotting) after one year without natural periods, this is called PMB. PMB should be investigated promptly by ultrasound and/or hysteroscopy. I do not have these facilities; so recommend that in the first instance you see a GP or Gynaecologist. Once bleeding is resolved, I can give you further menopause advice.
- 04.
Testosterone prescribing
If you are on HRT it may be appropriate to add testosterone therapy. I can discuss, prescribe and monitor testosterone treatment for women.
- 05.
Treatments
As a prescriber, I can offer HRT, testosterone, and non-hormonal therapies such as Fezolinetant and Elinzanetant. Prescriptions, if you choose them, will be private. With your permission, I will write to your General Practitioner to outline our discussions so that you can discuss further with him/her.