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 adversely 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.


Scroll down for information about

appointments and clinic venues. 


I hope you will find my

Information 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
 
Woman Reading a Book

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.

There are many ways we can help ourselves through this change of life. Aditionally, the menopause is an indicator of a move to a different life stage and is an opportunity to
re-evaluate our health and lifestyle. This leaflet aims to provide top tips to help.

Many myths and misconceptions exist about the safety of HRT, possibly because it is more often prescribed to improve quality rather than quantity of life. This leaflet aims to give evidence based information about the pros and cons of HRT.

At least 50% of women experience vaginal and bladder problems in midlife and beyond but not all realise it may be linked to the menopause. Help is available but healthcare professionals don't always ask women about these problems. This leaflet informs on current treatment options.

Some women benefit from taking testosterone in addition to HRT, but many health care professionals are not confident about prescribing it for women because it is 'off label' prescribing.  This leaflet explains when testosterone can be helpful and how it can be used safely and effectively.

Some women cannot take HRT (eg women with breast cancer) and others would rather not. This leaflet aims to provide evidence based information about alternative non hormonal treatments.

We are often asked when contraception can be stopped or how to tell if periods have stopped because of the menopause or because of the effects of hormonal contraception. This leaflet aims to explain expert opinion on these issues.

Menopause Clinic Location

Avenue House Surgery, Chesterfield

109 Saltergate, S401LE

The surgery is located in central Chesterfield. On entering the reception area, please take a seat in the waiting room and Dr Amanda will call you.

The surgery car park is currently out of action due to building work. Alternative car parking is available next door (to the East) in the Bluebell Wood Hospice Charity Car Park at a

cost of 80p for one hour (please don't park in the Labour Club car park to the West). 

Avenue House.jpg
 
 

Information about Appointments

First appointment (50 minutes)

Phone, text, voicemail or email Dr Amanda to request an appointment. She will speak to you to arrange an appointment time and do a Covid risk assessment.

You will be sent a registration form and a questionnaire about your symptoms to complete before 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
(25 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 

service.


Health Insurance

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