Menopause

Our team

You may meet members of our core team, including:

Consultant gynaecologist
Senior specialist pharmacist
Clinical midwife specialist

You may also meet trainees, researchers or other clinical staff as part of your care.

Where to find us

Queen Charlotte’s Hospital
Gynaecology Clinic, Ground floor
Du Cane Road, W12 0HS
Nearest Tube: East Acton or White City (Central line)

St Mary’s Hospital
Gynaecology Clinic, 2nd Floor, Winston Churchill Wing
Praed Street, W2 1NY
Nearest Tube: Paddington

Appointments and referrals

All patients must be referred by their GP.

We prefer to offer telephone consultations for most patients. These are convenient, private and effective — allowing us to support you quickly without the need to attend in person.

For many people, one telephone consultation is all that’s needed. We’ll work with you to stabilise your symptoms, then return you to your GP with a clear treatment plan they can continue to support.

Face-to-face appointments are available if needed based on clinical need or patient preference.

GPs can contact us directly via NHS secure email for advice or support.

Telephone consultations

Please allow a 1-hour window for your call and ensure:

• your contact number is up to date
• you can receive unknown or withheld number
•  you’re in a quiet space to talk

If we cannot reach you after two attempts, you may be discharged and will need a new referral.

What to expect at your first appointment

• Expect to be with us for 30 minutes to one hour.
• We’ll check your details and welcome you to the service.
• You’ll have time to share your experiences and symptoms.
• We’ll work with you to shape a treatment plan that feels right for you.
• Your care will be confidential and focused on what matters to you.
• Once your treatment plan is in place and your symptoms are stable, you’ll be referred back to your GP.

Examinations: These are not usually needed at your first visit. If one is required, we will explain why and ask for your consent.

After your appointment

• You’ll receive a letter summarising your consultation, treatment, and next steps.
• A copy will also be sent to your GP.
• If results are outstanding, we’ll follow up with your GP or in a future letter.
• If you do not receive a summary, please contact us.

Research and studies

We periodically invite patients to join research studies or complete surveys. Current studies include:

• E4 COMFORT: *Estetrol treatment for vasomotor symptoms
• SOJOURNIX-653-006: Safety and effectiveness of Sjx-653
• OPTIMISE: Oral vs transdermal hormone therapy and cardiovascular risk

Contact our research team for more info:
Sarah Hamilton – 020 3313 5281 / sarahamilton@nhs.net
Dr Sophia Tsiligiannis – 07562 742055 (for OPTIMISE)

GP referral criteria

Patients should be referred if:

• GP-led treatment hasn’t worked
• The case is too complex for primary care
• There is premature ovarian failure (<40) and fertility concerns
• HRT is being sought after age 55 or >10 years post-menopause
• There’s a history of VTE, cancer, or other complex conditions

Further resources

Patient support:

• The Daisy Network – Premature ovarian insufficiency
• Menopause Matters
• Women’s Health Concern 
• Fertility Network UK 
• NHS Talking Therapies

Clinical guidelines:

• NICE NG23: Menopause – diagnosis and management
• British Menopause Society (BMS)
• International Menopause Society (IMS)
• ESHRE – European POI Guidelines
• RCOG Green-top Guidelines – PMS