Menopause clinics

Menopause service for women

This is a multidisciplinary service led by Miss Lynne Robinson with recognised national expertise in the field.

The clinic provides a holistic approach to the management of the menopause and associated health conditions, with a focus on the personalised benefits and risks associated with using, hormone replacement therapy (HRT), alternative and complimentary therapies.

Treatment and advice incorporate the best evidence and uses the framework of the NICE guideline (2015) Menopause: Diagnosis and Management and British Menopause Society guidance. It is individualised according to personal health risks and benefits. The advice is aimed at relieving symptoms and promoting long-term health.

This includes symptomatic women with complex or high-risk conditions:

• breast cancer, familial breast cancer, cardiovascular disease or osteoporosis
• fibromyalgia, chronic fatigue syndrome or multiple sclerosis
• hormonal headache, migraine or asthma
• hormonal depression or anxiety
• Premature ovarian insufficiency / Early Menopause
• Previous personal history / high risks for thromboembolism

It is important to note that risks associated with HRT use in postmenopausal women over the age of 51 are not always applicable to women under the age of 51. HRT should be taken up to the average age of the menopause to avoid premature cardiovascular disease or osteoporosis.

The clinic also has expertise in the management of women with premature ovarian insufficiency under the age of forty. These younger women have specific needs. This includes consideration of possible long-term health implications and fertility advice. Find out more at The Daisy Network (support network). There is a direct link to the fertility service for women also seeking fertility treatment.

Birmingham Women's Hospital is fortunate to have direct access to the wider multidisciplinary team of specialist services within the building: weight management, psychosexual counselling, physiotherapy, urogynaecology, and fertility services.

Specialist Nurse Led HRT Implant clinic

Led by Nikkita Carden (Clinical Nurse Specialist).

Implant appointments are every 4 to 6 months. Blood levels are used to guide therapy. You will be given individualised guidance about the need for a blood test before the implant appointment.