Menopause Clinic
Are you suffering from hot flushes, brain fog, period irregularities?
Are you thinking you could be suffering symptoms of the menopause or want to know more about your options?
Despite affecting 50% of the population and over 80% of women experiencing common symptoms, support can be difficult to come by.
We know that experiencing these symptoms can be worrying and confusing but we are here to ensure you receive the best care possible.
Here at our Harley Street menopause clinic we have a dedicated team of specialists led by our Women’s Health Lead Dr Elise Dallas who holds a British Menopause Society qualification in menopause care. Our comprehensive service is aimed at managing the menopause and screening for chronic diseases associated with midlife.
What is Menopause?
Menopause is a natural process that all women experience, and it can significantly affect their quality of life.
It occurs when the ovaries stop producing eggs, leading to a decline in hormone levels.
There are 4 stages:
- Premenopause is the stage before menopause, typically starting in a woman’s 30s or 40s. During this phase, hormone levels may fluctuate, and menstrual cycles remain regular.
- Perimenopause is the transitional phase leading up to menopause. It usually begins in a woman’s 40s, but can start earlier for some. Hormone production becomes more irregular, resulting in changes in menstrual patterns and the onset of menopausal symptoms.
- Menopause is defined as the point when a woman has not had a menstrual period for 12 consecutive months. It marks the end of the reproductive years, usually occurring between the ages of 45 and 55 with the average age in the UK being 51 years. Menopause prior to the age of 40 is defined as premature ovarian insufficiency. Oestrogen and progesterone levels decline significantly during this time, leading to various physical and emotional changes.
- Post menopause refers to the period after menopause has been reached. It encompasses the years following menopause throughout a woman’s life. During this stage, menopausal symptoms may gradually lessen, but it’s important to note that some symptoms can persist. Additionally, the decreased oestrogen levels may contribute to long-term health concerns such as osteoporosis and heart disease.
Menopause Symptoms
Symptoms of menopause can vary from woman to woman. Some may experience symptoms for only a few months, while others may endure them for many years. Around one in four women have no symptoms.
The first sign of menopause transition is usually a change in the normal pattern of your periods. They can become lighter or heavier with a change in frequency, until eventually the period stops altogether.
Common symptoms include changes in the normal pattern of periods, hot flushes, night sweats, vaginal dryness, reduced libido, joint pains, difficulty sleeping, and mood changes.
But there can be some unusual ones such as ringing in the ears or feelings of crawling on your skin. If you are unsure we recommend completing our LGP Menopause Symptom checker which can be sent to you so you can bring this to consult with our specialists to better understand and manage these symptoms.
If you are concerned that you may be suffering from Menopause symptoms and would like to make an appointment with one of our Menopause specialists please get in touch here.
Midlife-related changes and menopause
Midlife and menopause are associated with certain chronic health conditions. Lack of oestrogen can increase the risk of osteoporosis (weakening of bones), cardiovascular diseases, and certain cancers.
But symptoms for these conditions are silent, (such as high blood pressure, diabetes, thin bones) so to see if you’re at risk for these we have to screen. We will not only look at the menopausal transition but we also offer comprehensive health assessments and targeted screenings, to aid in the early detection and prevention of these conditions.
Hormone Replacement Therapy (HRT)
Read more
Menopause FAQs
Find answers to some of the most common menopause questions.
Menopause Treatment at The London General Practice
Initial Assessment:
Start with a 45-minute consultation with a menopause specialist GP, starting at £436. This includes a thorough physical exam, medical history review, and discussion of HRT options or non-hormonal treatments. The doctor may conduct breast, pelvic exams, or recommend further tests like blood work or screenings.
12-Week Programme:
You’ll receive a personalised lifestyle plan focusing on movement, nutrition, sleep, stress, and more, with expert recommendations if needed.
3-Month Review:
We’ll assess your progress, review HRT, and update your plan. Once stable, we suggest bi-annual reviews.
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Vital Observations
- Height & weight
- Blood pressure
- Body composition analysis
Blood Test
- Red cell, White cell count & Platelets
- Liver function
- Kidney function, Uric Acid, Electrolytes
- Full lipid panel (Total cholesterol, HDL/LDL/Triglycerides)
- ESR (Marker of inflammation)
- Ferritin (Marker of iron levels)
- Fasting glucose and HbA1c to identify diabetes mellitus
- Vitamin D
- Vitamin B12 + Folate profile
- Thyroid function panel (TSH & T4)
- AFP (Alpha Fetoprotein) (primary cancer of the liver)
- CRP
- Zinc
- Hormones
Additional Tests that may be recommended
- CA-125 – Ovarian cancer tumor marker
- HPV Cervical screening
- Mammogram / Breast ultrasound
- Pelvic / Transvaginal ultrasound
- DEXA bone density scan
Contact Our Menopause Clinic
For more information on the treatment options available and to schedule a consultation, please contact our Menopause Clinic.
Our dedicated team of specialists is here to provide you with the support and guidance you need during this transformative phase of life.
Menopause Management Options
Our dedicated team at our Central London Menopause Clinic takes the time to listen to your concerns, discuss your symptoms, and perform a thorough risk assessment.
Medical Intervention
Based on the latest evidence, we offer individualised treatment plans that may include Hormone Replacement Therapy (HRT) options (including testosterone therapy) if suitable. HRT has been shown to alleviate menopausal symptoms, improve quality of life and reduce associated health risks. HRT is also recommended for women who have gone through an early menopause and should take it until around the time of natural menopause. We also provide non-hormonal treatments tailored to your needs. We offer evidence-based advice and treatment in line with guidance from the British Menopause Society and NICE (National Institute of Clinical Excellence).
Lifestyle Approach
Beyond medical interventions, we emphasise a holistic approach to women’s health. Our comprehensive service addresses lifestyle factors such as nutrition, exercise, well-being, and sleep. By empowering you to take charge of your overall health, we aim to reduce the risk of chronic diseases, improve your quality of life, and enhance long-term well-being. We collaborate closely with other specialists to ensure a comprehensive and personalised approach.
Long-Term Support
By addressing menopause holistically, we prioritise your long-term health. We offer regular health check-ups, continuous monitoring, and personalised follow-up plans to maintain optimal health and minimise the risk of future health complications.
Helpful Menopause Advice
Navigating menopause can be a transformative journey, and we are here to make this transition a little smoother.
First and foremost, prioritise self-care and listen to your body. If you’re having hot flushes, Improve day-to-day comfort such as wearing lighter clothing, keeping the bedroom cool, using a fan, taking cool showers, or having a cold drink. Stay active with regular exercise, as it can improve mood, sleep quality, and overall well-being. A well-balanced diet rich in fruits, vegetables, whole grains, and lean proteins can support hormonal balance and reduce symptoms.
Following a healthy lifestyle, reducing alcohol consumption, quitting smoking, engaging in weight-bearing exercises, and ensuring safe sun exposure for Vitamin D production are all beneficial in protecting against osteoporosis and supporting overall well-being.
Lastly, surround yourself with a strong support system, whether it’s friends, family, or support groups, as they can provide encouragement, support and understanding during this chapter of your life.
If you would like to make an appointment with one of our Menopause specialists please get in touch here.
Our Menopause Blog Posts:
A Guide to Hormone Replacement Therapy
A Guide to Hormone Replacement Therapy (HRT) Health & Fitness 2023 Dr. Elise Dallas, Menopause Specialist at The London General Practice, provides some insight into HRT (Hormone Replacement Therapy) as a...
Midlife Health and Menopause
Midlife Health and Menopause Health & Fitness 2023 Dr Elise Dallas, private Harley Street GP and Menopause specialist, discusses midlife, menopause and the treatment options available. Midlife, spanning...
Low Testosterone in Women
Low Testosterone in Women Liz Earle Wellbeing October 2023 Dr Elise Dallas, private GP and women’s health specialist, provides insight into the symptoms and possible treatment options for issues caused by...
Menopause Treatment Options
Menopause Treatment Options Health & Fitness 2023 Dr. Elise Dallas, Private Harley Street GP at The London General Practice, specialises in women’s health and menopause care. With training from The British...
The Menopause Clinic Team
Dr Elise Dallas
DR ANGELA RAI
DR NATALIA BOGATCHEVA
DR CATRIN BEVAN
Dr Katy Kasraie
At the London General Practice we offer comprehensive health screen packages that cover a wide range of screens including well-woman and well-man assessments. Our genetic testing panels can also help you understand if you have an increased genetic risk of developing any one of vast number of hereditary conditions.
Enquire now
Web Enquiry LGP: Web Enquiry
Phone: 020 7935 1000
Email: info@thelondongeneralpractice.com
The London General Practice offers a number of screening services. To find out more about all screening services available at The London General Practice click below.
