The Condition
Menopause and perimenopause are a natural part of a woman’s life, caused by a fall in hormone levels usually between the ages of 45 and 55, but it can happen earlier. Perimenopause begins when your periods become irregular and menopause is when your periods stop for a period for 12 months (and you’re not using hormonal contraception.)
The Effects
Symptoms are different for everyone, and can occur during perimenopause, menopause and even post-menopause. Some women have to deal with a huge impact on their physical health, emotional wellbeing and quality of life, while others have no symptoms at all.
In addition to changes in the frequency and heaviness of periods, common symptoms include hot flushes and night sweats when the face, neck and chest feel very hot or cold, sleep problems, mood changes, memory problems, weight gain around the stomach and upper body, vaginal dryness, irritation and/or itching, and urinary tract infections.
The Solution
There’s no routine test for perimenopause and menopause, which is why it is important to see a doctor who may diagnose it based on your age and symptoms. They will then be able to recommend treatments, the most well-known being Hormone Replacement Therapy, or HRT.
There are also non-hormonal treatments such as antidepressants, as well as herbal remedies and complimentary medicine that a lot of people find useful.
Menopause Care at AccessU
At AccessU, we are committed to delivering evidence-based menopause care that reflects current UK best practice. Our menopause advice and HRT prescribing are aligned with the latest guidance from the National Institute for Health and Care Excellence (NICE) and recognised standards of the British Menopause Society (BMS).
We believe that safe prescribing is an essential part of menopause care. At AccessU, prescribing HRT is carefully tailored to each individual patient following a comprehensive assessment and discussion of benefits, risks, and treatment options.
AccessU’s Menopause Clinics are expert-led by Dr Clarke, whose background includes experience in gynaecology and obstetrics, general practice and a specialist interest in women’s health and menopause care.
The Action
Dr Clarke’s clinics are recognised for their thorough, compassionate, and patient-focused approach. At AccessU, the aim is to create a supportive environment where patients feel listened to, respected, and involved in decisions about their care.
Appointments are designed to provide enough time to explore symptoms properly, discuss concerns openly, and review treatment options in detail. Dr Clarke focuses on understanding each woman’s individual experience, medical history, lifestyle, and personal goals.
By booking an appointment with AccessU’s Menopause Clinic, you will gain clarity, support and a personalised plan — you don’t have to navigate this alone.