Menopause Services

The menopause is a natural process that most women navigate without major problem.

However there is a wide variation in the length of time symptoms last and how severe symptoms are.

About 25% of women have severe symptoms which can adversly affect their personal, professional lives and or relationships.

One in every 100 women have a premature menopause under the age of 40 and are at higher risk of significant health problems such as cardiovascular disease and osteoporosis.

Information about appointments and clinic venues can be found below. 

I hope you will find the leaflets below

and links to other sources of information

helpful in planning what you would like to discuss at your appointment.

Woman in the Nature

Menopause Information Leaflets


This leaflet aims to explain what happens  in our bodies during the menopause, what effects it might have and when it might happen.

Information about Appointments

During these times of social distancing or self isolation related to Covid19,

Dr Amanda is providing consultations online using Zoom secure video conferencing software or telephone 

First appointment (50 minutes)

Until online booking is available (soon), appointments can be arranged by emailing or telephoning Dr Amanda E. Smith.

You will be sent a questionnaire about your symptoms to complete and bring to your appointment.

At your appointment you will be asked information about your medical history, family history, lifestyle and social circumstances. Please also bring information about any prescribed or over the counter medication / supplements you are taking, plus information about any recent menopause/PMS related blood tests and consultations. 

We will assess your body mass index, blood pressure and risk factors for cardiovascular disease and osteoporosis. Depending on your symptoms, analysis of urine and / or vulval / vaginal examination can be offered. A chaperone is available on request.

Blood tests can be arranged (additional cost).

We will discuss with you the benefits and risks of available management options including hormonal and non hormonal and develop a management plan with you tailored to your individual needs.

We will send you a written summary of your assessment and management plan which you can share with your GP.

If you wish, Dr Amanda can provide private prescriptions for recommended treatment.

Follow up appointments
(30 minutes)

These are generally to review issues and symptoms discussed at your first appointment and assess how you are responding to any treatments tried.
We usually advise trying a treatment option for 3 months but sometimes may feel its necessary to arrange an earlier appointment.
A written summary of your follow up appointment discussion will be sent to you which you can share with your GP.
Its difficult to generalise about the number of follow up appointments needed because everyone has individual needs. For example some might be happy with the first treatment tried and their GP may be happy to take over prescribing after one follow up appointment whilst others may wish to try a few different treatment options before finding what suits them best.

Important information about appointments

In occasional circumstances,  Dr Amanda may advise you to see a different specialist. For example if your main problem is new menstrual bleeding a year after your periods have stopped at the menopause you will be advised to see your GP first.

Dr Amanda is not able to fit intrauterine devices or systems in this 


Health Insurance

Private health insurers may not pay for menopause consultations so if you have private health insurance its best to check with them.


Clinic Venues

During these times of social distancing  / self isolation

related to Covid19,

Dr Amanda is providing consultations online using Zoom secure video conferencing software or telephone 

Avenue House Surgery, Chesterfield

109 Saltergate, Chesterfield,

The surgery is located in central Chesterfield. The car park is currently unavailable due to building work. Alternative car parking is available next door (to the East) at the previous North East Derbyshire District Council building at a cost of 80p for one hour (please don't park in the Labour Club car park to the West). 
On entering the reception area, please take a seat in the waiting room and Dr Amanda will call you.

Barlborough Treatment Centre

2 Lindrick Way, Barlborough, S434XE

The centre is just off junction 30 of the M1 and has ample free parking. On entering the reception area, take a seat in the waiting room and Dr Amanda will call you.



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