Clinically led. Personalised. Monitored.
Menopause & HRT consultations done properly
Longer appointments, clear options, and a safety-first plan that fits your symptoms, history, and goals.
Typical symptoms that can be controlled…
Tap a symptom to see what we cover in a Women’s Health consultation.
Hot flushes & night sweats
- Pattern, triggers, and impact on daily life
- Evidence-based options (including HRT where suitable)
- Review points and red-flag guidance
Brain fog & concentration
- Symptom timing + sleep, stress, workload
- Medication review where relevant
- Hormonal vs non-hormonal options
Low mood & irritability
- What’s driving symptoms (pattern + context)
- Options: hormonal, non-hormonal, supports
- Safety checks and follow-up plan
Poor sleep & fatigue
- Night sweats, anxiety, and routine factors
- Practical sleep plan + treatment options
- Review points to track progress
Weight changes
- Appetite shifts, cravings, energy changes
- Metabolic factors and realistic targets
- Support plan that fits your lifestyle
Non-hormonal options
- Alternatives if HRT isn’t suitable or preferred
- Pros/cons explained clearly
- Review points and safety checks
Safety-first monitoring
- Clear follow-up and red-flag guidance
- Checks only when they add value
- Documented, personalised plan
Ready for a plan?
Book a Women’s Health consultation for a personalised, evidence-based menopause plan in Derby.
Book nowTreatments
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..
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Best for: most women as a first option
Why it’s used: steady hormone levels; generally preferred where clot risk is a concern
Key notes: easy to adjust dose; often better tolerated than tablets
Examples: patches (Estradot, Evorel), gel (Oestrogel), spray (Lenzetto) -
Best for: selected women who prefer tablets or don’t tolerate transdermal
Why it’s used: simple, familiar dosing
Key notes: may not be suitable if higher clot risk, certain migraine patterns, or cardiovascular risk factors
Examples: Elleste Solo, Zumenon -
Best for: women with a uterus using oestrogen (for womb lining protection)
Why it’s used: reduces risk of endometrial thickening/bleeding problems
Key notes: options depend on bleeding pattern, tolerance, and contraception needs
Examples: Utrogestan (micronised progesterone), combined HRT (Femoston/Evorel), Mirena (LNG-IUS) -
Testosterone
Best for: selected women with persistent low libido despite optimised oestrogen
Why it’s used: may improve sexual desire for some women when appropriately assessed
Key notes: needs baseline assessment + monitoring; dosing is carefully tailored
Examples: Testogel (female dosing), Androfeme (where available) -
Best for: vaginal dryness, painful sex, urinary symptoms/recurrent UTIs (GSM)
Why it’s used: targets local symptoms with minimal systemic absorption
Key notes: can be used alone or alongside systemic HRT
Examples: Vagifem, Gina, Ovestin -
Best for: women who can’t use HRT or prefer not to
Why it’s used: can reduce hot flushes for some; plus sleep/stress strategies
Key notes: options depend on symptoms, comorbidities, and current medicines
Examples: selected SSRIs/SNRIs; sometimes gabapentin/clonidine; CBT-based approaches + lifestyle
Book an Appointment.
Booking your appointment is simple, and our team is ready to provide the attention, care, and expertise you deserve. Let’s get started—pick a time that works for you.