HRT, Menopause Advice
Empowering advice for making the most of your NHS appointment
If you're experiencing symptoms like hot flushes, anxiety, poor sleep, low mood, or changes to your cycle, you may be wondering: Is this menopause? And more importantly, how do I talk to my GP about it especially when appointments feel rushed or overwhelming?
You’re not alone. Many women find it difficult to bring up menopause with their doctor or feel unheard when they do. But you deserve support, and with a little preparation, your NHS appointment can be the first step toward getting it.
At Bristol Menopause Clinic, we often meet women who’ve struggled to navigate the system. So, here’s your guide to making your GP appointment work for you with clarity and confidence.
Why It Matters
Menopause isn’t just a phase it’s a significant life transition that can impact your physical, emotional, and cognitive wellbeing. Yet, it’s still under-discussed in many healthcare settings. The good news? Awareness is growing, and GPs are increasingly trained to offer menopause support.
But to get the most from your appointment, a little planning goes a long way.
Step 1: Recognise the Symptoms
Perimenopause (the phase leading up to menopause) can begin in your late 30s or 40s and may include:
Irregular or heavier periods
Hot flushes and night sweats
Difficulty sleeping
Low mood or anxiety
Brain fog or forgetfulness
Vaginal dryness or discomfort
Reduced libido
Joint aches and fatigue
If any of these sound familiar, it’s worth bringing them up.
Step 2: Track Your Symptoms
Before your appointment, keep a symptom diary for at least 2–4 weeks. This doesn’t have to be complicated just a simple record of:
How often symptoms occur
How they’re affecting your life (e.g. work, sleep, relationships)
Your menstrual cycle changes
Mood or energy levels
You can also use menopause symptom checklists or apps to keep track.
Bringing clear examples helps your GP understand the full picture especially if your blood tests appear normal (which they often do during perimenopause).
Step 3: Plan What You Want to Say
GP appointments are often short, so make a written list of the key points you want to cover. For example:
“I think I might be perimenopausal. These are my symptoms.”
“I’m struggling with sleep/mood/hot flushes and it’s affecting my daily life.”
“I’d like to understand my options, including HRT.”
“Can we talk about non-hormonal approaches if HRT isn’t right for me?”
Being direct and focused makes it easier to have a productive conversation.
Step 4: Understand Your Options
Your GP can support you in different ways, including:
Offering advice and reassurance
Prescribing HRT (hormone replacement therapy) if appropriate
Suggesting non-hormonal treatments
Referring you to a menopause clinic for specialist input
Not all GPs are menopause specialists, but most should follow NICE guidelines on menopause care. If you feel dismissed, it’s okay to:
Ask for a second opinion
Request a referral to a menopause specialist
Mention the NICE Menopause Guideline (NG23) as a framework for care
Step 5: Know What to Expect From HRT Conversations
If you're considering HRT, your GP will likely discuss:
Your medical history and any contraindications
Risks and benefits based on your age and symptoms
Different types and delivery methods (patches, gels, tablets, coil, etc.)
Don’t be afraid to ask questions or express concerns. You’re not being difficult, you’re being informed.
Step 6: Follow Up
If you're prescribed treatment, it’s important to follow up in 3 months to review how you're feeling. If symptoms persist or change, further adjustments may be needed.
If no treatment is offered, or symptoms worsen, don't hesitate to re-book, request another GP, or seek a private menopause consultation if you're able to.
You Deserve to Be Heard
Menopause can feel like an invisible transition but it’s very real, and it matters. You deserve support, clarity, and evidence-based care.
Your GP can be a great starting point, especially if you come prepared. And if you ever feel you’re not getting the help you need, there are specialist private services, like ours at Bristol Menopause Clinic, where you’ll be listened to, believed, and supported every step of the way.