Perimenopause & Menopause
Perimenopause and menopause
Waking at 3am, losing your words, and not feeling like yourself?
For a lot of women, perimenopause doesn't start with hot flushes. It starts with bad sleep, a short temper and feeling anxious about things you used to do without thinking. We go through everything that's changed and decide together what to start, including HRT if it's right for you.
Book your Menopause (HRT) ConsultationAbout the consultation
Online by video call, anywhere in the UK, or in the clinic in Milton Keynes.
Does this sound like you?
- You wake at the same time most nights and can't get back to sleep
- You lose words halfway through a sentence, or walk into a room and forget why
- Your shoulder is stiff and painful, your joints ache, and you're tired before the day has started
- Shopping, driving or plans you used to manage without thinking now make you anxious
- You get triggered easily and snap at people you love
- You've gone off sex, or it's become dry or painful
- Hot flushes and night sweats
- Your periods are heavier, closer together or all over the place
- You're already on HRT and something still isn't right
If one or two of these sound familiar, it's worth talking about. Contraception in your 40s can be part of the same appointment.
Testosterone and weight, in the same plan
Testosterone, at a woman's dose
Low sex drive, energy or strength?
Testosterone is 1 of the 4 body-identical hormones we use, and we ask about it from the first appointment. Trials show clear benefit for desire, arousal and orgasm, and in my practice it can also help energy, muscle strength, joint aches and brain fog.
HRT with weight-loss medicine
Weight changing too?
HRT and weight-loss medicines such as Mounjaro or Wegovy can be planned together, with one clinician. Women on HRT lost more weight on semaglutide than women who weren't, and keeping your hormones balanced protects muscle, bone and how you feel while the weight comes off.
How it works
Talk
Your Menopause (HRT) Consultation, 50 minutes. Your symptoms, your periods, your health and family history, and what you want to change.
Start
Where treatment is right for you, it can start after this first appointment.
Test
Blood tests when they help, to rule out things like your thyroid or low iron and to fine-tune your plan.
Review
A 25-minute Menopause (HRT) Review to see how you're getting on and change the dose or the plan.
Your appointments
Start here · 50 minutes · online or in clinic
Menopause (HRT) Consultation
We go through everything that's changed, your health and family history, and your options, including HRT, then decide together what to start. The fee counts in full towards the Women's Health Audit if you book it within 30 days.
If you're already being treated here · 25 minutes · online or in clinic
Menopause (HRT) Review
We check what's working, what isn't and any side effects, and change the dose or the plan.
2 consultations of 45 minutes and a blood test · online
Women's Health Audit
A first consultation, with treatment from that appointment where it's right for you. Then a blood test, and a second consultation where we go through your results and agree your plan.
90 days
Restored Programme
A plan from your first appointment, a full hormone and health blood test, 90 days of reviews where we adjust the plan as your body responds, and repeat bloods at the end. Your next appointment is booked before day 90.
Something else, like periods, PMOS (the new name for PCOS), weight, gut, skin or hair? Book a Women's Health Consultation.
Your fee counts towards the next step
Your Menopause (HRT) Consultation fee counts in full towards the Women's Health Audit if you book it within 30 days. Your Audit fee counts towards the Restored Programme if you join within 30 days of your Audit review.
Debora Tentis, Women's Health Pharmacist Prescriber.
Individual results vary and no outcome is guaranteed.