Women’s Health

Menopause and HRT clinic in Derby

My menopause and HRT clinic in Derby is built around time, listening and clear explanations. I work with women in perimenopause and menopause who are tired of feeling rushed, dismissed or confused about their options and risks.

Your appointment gives space to talk through symptoms, medical history, family history and your priorities, before we decide together whether HRT is right for you. I can prescribe body-identical HRT, review complex hormone regimens, consider testosterone where appropriate, and organise blood tests when they’re clinically useful.

Everything is Pharmacist-led, evidence-based and safety-first – but delivered in a calm, relaxed setting where you can ask questions and actually understand the plan. If you’re in Derby and looking for menopause support that goes beyond a 10-minute appointment, this clinic is for you.

Why choose Ph.?

Too many women feel unheard or rushed during short appointments, or even worse! They’re sent a text message review from their GP surgery with no way of having a meaningful conversation. This service is built differently.

You get:

  • Long, in-depth consultations to explore symptoms properly

  • A clinical pharmacist - independent prescriber specialising in hormone and metabolic health

  • A joined-up approach that looks at hormones, weight, heart health and long-term risks (blood pressure, cholesterol, diabetes, bone health)

  • Evidence-based treatment options, including HRT, non-hormonal therapies, lifestyle strategies and metabolic support

  • A calm, supportive space designed specifically for women’s health in Derby

This is modern, preventative women’s health, not generic advice or rushed reviews.

Diagram illustrating how hormones like estrogen and progesterone affect various aspects of women's health, including heart health, brain function, bone health, sleep quality, weight and metabolism, and diabetes risk, with menopause in the center.

What I help with?

A woman sitting at a kitchen table looking stressed, with her hands on her head, and a laptop in front of her. Above her head is a thought bubble listing symptoms such as hot flushes, night sweats, low mood, brain fog, poor sleep, low libido, fatigue, anxiety, vaginal dryness, weight gain, irregular periods, and brain fog.

Struggling with menopause or perimenopause symptoms like hot flushes, brain fog, low mood, poor sleep or weight gain? Most of these symptoms are highly treatable. Evidence shows that body-identical HRT can ease hot flushes, improve sleep, support mood, protect bone and heart health, and help you feel more like yourself again. Non-hormonal options are also available for women who can’t or prefer not to use HRT.

Every treatment has benefits and risks, and choosing the right option depends on your personal health, goals and symptom pattern.

Book a women’s health consultation to discuss whether HRT or alternative treatments are right for you, and get a personalised, evidence-based menopause plan from a pharmacist-led clinic in Derby.

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Treatments

Menopause symptoms like hot flushes, night sweats, brain fog, low mood, vaginal dryness and weight gain often respond extremely well to modern HRT and there are several safe, evidence-based options depending on your needs

Every type of HRT comes with its own benefits, considerations and safety profile, which is why personalised prescribing matters. Your medical history, symptoms, cycle stage, family history, and cardiometabolic risks all shape the best approach.

To explore which option is safest and most effective for you, book a women’s health & HRT consultation at Ph.

A personalised, evidence-based plan can transform how you feel day-to-day and your long-term health too..

  • Transdermal oestrogen (patch, gel, spray)
    ✔ Preferred first-line by NICE & British Menopause Society
    ✔ Steady absorption → fewer fluctuations
    ✔ No increased risk of blood clots (VTE) compared with oral oestrogen
    ✔ Easily titrated to symptoms
    Examples: Estradot, Evorel, Oestrogel, Lenzetto
    Clinical evidence: Reduces vasomotor symptoms by 75–90%; improves sleep and mood; protects bone density.

  • Sometimes used when transdermal isn’t tolerated.

    Not suitable for women with higher clot risk, migraines, or certain cardiovascular factors.

    Examples: Elleste Solo, Zumenon.

  • Progesterone options (needed if you have a uterus)

    • Micronised progesterone (Utrogestan) → body-identical, lower breast cancer risk profile than older synthetic progestins.

    • Combination patches/tablets → e.g., Evorel Conti, Evorel Sequi, Femoston.

    • Mirena coil (LNG-IUS) → provides endometrial protection and contraception; lasts 5 years; excellent bleeding control.

  • Testosterone therapy (for selected women)

    Used for low libido, fatigue, reduced motivation and cognitive fog when oestrogen alone isn't enough.
    Evidence: Improves sexual desire and energy; recommended only after proper assessment.

    Examples: Testogel (female-modified dose), Androfeme.

  • Vaginal (local) oestrogen
    Targets dryness, painful sex, urinary symptoms and recurrent UTIs.
    ✔ Extremely safe
    ✔ Minimal systemic absorption
    ✔ Can be used alongside systemic HRT or on its own

    Examples: Vagifem, Gina, Ovestin.

  • For women who cannot take HRT:

    • SSRIs/SNRIs such as venlafaxine, paroxetine for hot flushes

    • Gabapentin/clonidine (less commonly now)

    • Lifestyle, supplements, CBT, metabolic support
      Evidence: ~40–60% reduction in vasomotor symptoms (varies by drug).

Safety, evidence, and monitoring

Your care follows NICE and British Menopause Society guidelines. We assess:

  • Cardiovascular risks

  • Breast and endometrial cancer risk

  • Blood pressure

  • Weight & metabolic markers

  • Family history and relevant blood tests

Most women can safely use HRT, especially modern transdermal oestrogen + micronised progesterone, which is associated with lower clotting risk.

You’ll always know why a treatment is recommended and what to monitor.

Urgent help:
This clinic does not replace emergency care. Seek urgent attention if you develop chest pain, severe headache, unilateral leg swelling, heavy bleeding or sudden neurological symptoms.

Collection of medical and health products on a wooden table, including various boxes, bottles, a glass of water, and some informational pamphlets, with a small potted succulent plant in the background.