Hot flushes, sleepless nights and mood swings don’t have to be your “new normal.” Book a personalised menopause consultation at Liv & Harley Street Hospital and reclaim comfort, vitality and long-term health today.
Menopause Care at Liv & Harley Street Hospital
Adjust to Your New Era With Confidence
What is Menopause Care?
Menopause care at Liv & Harley Street Hospital guides you through perimenopause, menopause and the post-menopausal years with evidence-based therapies that relieve symptoms, protect long-term bone and heart health, and support emotional wellbeing. Our consultant-led clinic blends hormone-replacement therapy (HRT), non-hormonal medicines, lifestyle coaching and psychological support so every woman receives a bespoke plan—no two journeys are identical.
Who do we treat?
Who Should Book at Menopause Care?
Women in perimenopause (usually mid-40s) with cycle changes, hot flushes or “brain-fog”
Anyone suffering night sweats, sleep loss, mood swings or anxiety
Vaginal dryness or painful intercourse affecting intimacy
Unexplained weight gain, low libido or joint aches around mid-life
Women with early or surgical menopause (ovary removal, chemo)
Those concerned about bone density, heart health or family history of early menopause
Who Can Attend?
Most women aged 35 + including those who are post-menopausal
Patients with stable chronic conditions (e.g. controlled hypertension, hypothyroidism)
Women considering or already on HRT, or seeking non-hormonal alternatives
Who Might Need Alternative Pathways?
Current hormone-sensitive cancer (breast, endometrial) → oncology-approved options only
Active blood-clotting disorders or untreated severe hypertension
Uncontrolled liver disease or unexplained vaginal bleeding (investigate first)
Pregnancy (symptoms may mimic perimenopause but management differs)
Contact Us
Get in touch with our experienced team to book your consultation.
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Why Choose Us
Liv & HSH London
- Certified Menopause Specialists – GMC-registered gynaecologists with British Menopause Society accreditation.
- Personalised Risk Assessment – genetic, metabolic and cardiology screening before any hormone prescription.
- Full Spectrum Therapy – body-identical HRT, non-hormonal drugs, micronised vaginal oestrogen, CBT, nutrition and bone-health medication in one clinic.
- On-Site DEXA & Mammography – same-day bone-density and breast screening for complete safety monitoring.
What do we do?
Procedures and Treatments
Menopause Care Treatments
| Option | Key Use | How It’s Given | First Relief |
|---|---|---|---|
| Body-identical HRT | Hot flushes, night sweats, bone & heart protection | Oestrogel / patch + micronised progesterone or Mirena® IUS | 2–4 weeks |
| Non-Hormonal Rx | For women who can’t take oestrogen | SSRIs/SNRIs • Gabapentin • Clonidine | 2–6 weeks |
| Vaginal Oestrogen | Dryness, soreness, UTIs | Cream, pessary or ring | 1–2 weeks |
| Bone-Health meds | Osteopenia / osteoporosis | Bisphosphonates • Denosumab | 6–12 months (density scans) |
| Lifestyle & Nutrition | Weight, mood, sleep | Diet plan • resistance training • mindfulness | Continuous |
| Cognitive-Behavioural Therapy | Anxiety, insomnia, hot-flush coping | 6–8 sessions (individual / group) | Within weeks |
Key Benefits
Dramatic reduction in hot flushes, sweats and insomnia
Enhanced mood, memory and libido
Bone-density preservation and lower fracture risk
Better cardiometabolic profile (cholesterol, glucose) with appropriate HRT
Personalised programme means maximum benefit with minimal risk
Potential Risks & Limitations
HRT may slightly increase breast-cancer or clot risk in some women—mitigated by trans-dermal routes and annual screening
Non-hormonal drugs can cause nausea, dizziness or dry mouth
Bone agents may lead to heartburn, muscle pain or rare jaw issues
Cost and need for regular follow-up tests
After-Care & Monitoring
Review at 3 months, then every 6–12 months to tweak dose and check blood pressure, weight and symptom score
Annual mammogram, DEXA every 2 years if on bone-acting medication
Ongoing lifestyle coaching: calcium-rich diet, vitamin D, resistance exercise, stress management
FAQ
Frequently Ask Questions.
Everything you want to know about Menopause Care in London Liv & Harley Street Hospital.
For most healthy women under 60 or within 10 years of their final period, the benefits outweigh the risks—especially with trans-dermal oestrogen and natural progesterone.
There’s no strict limit; we reassess risks and benefits yearly. Many women continue low-dose therapy long-term for bone and heart protection.
Yes—CBT, paced-breathing, dietary phyto-oestrogens, exercise and targeted non-hormonal medicines can all help.
Evidence suggests HRT may actually prevent the central fat gain linked to falling oestrogen. Healthy eating and activity remain crucial.
Yes—until 12 months after your last natural period (< 50 yrs) or 24 months if you were over 50 when periods stopped.