Private Consultant Physician-led menopause and perimenopause care
Menopause and perimenopause can affect how you feel day to day.
Menopause and perimenopause can change how you feel in ways that are easy to dismiss at first but can be harder to ignore over time.
For many women, the changes happen gradually. You may notice poor sleep, brain fog, anxiety, hot flushes, reduced confidence or simply feel that you’re not quite yourself anymore. It’s easy to dismiss these symptoms at first, but over time they can begin to affect your work, relationships and quality of life. If you’re left wondering whether your symptoms are “serious enough” to seek help, you’re not alone.
We offer Consultant Physician-led menopause and perimenopause clinics where our role isn’t simply to prescribe HRT. It’s to help you understand why you’re experiencing your symptoms and recommend the safest, most appropriate treatment for your individual circumstances.
You don’t need to wait until symptoms become severe
Many women wait months—or even years—before seeking advice because they aren’t sure whether their symptoms are related to menopause. You don’t have to wait until symptoms become overwhelming before asking for help.
You may benefit from specialist support if you’re experiencing:
- Poor or disrupted sleep
- Night sweats or temperature changes
- Brain fog or difficulty concentrating
- Mood changes or irritability
- Reduced confidence or emotional resilience
- Changes in energy or motivation
These symptoms may be associated with hormonal changes during perimenopause or menopause, and many women find that symptoms improve with appropriate treatment.
Specialist menopause care
Your consultation will be with an experienced UK Consultant Physician who will take the time to understand your symptoms, medical history and personal goals before discussing the treatment options that may be appropriate for you.
Your consultation includes:
- Comprehensive symptom review
- Medical history assessment
- Discussion of Hormone Replacement Therapy (HRT) and whether it may be suitable
- Personalised HRT options if appropriate
- Advice on risks, benefits and how treatment works.
- Time to ask questions and explore concerns
We understand how frustrating it can be when symptoms feel dismissed or only partially addressed. That’s why our consultations are structured to give you time to discuss your symptoms in detail.
Our goal is to help you feel informed and supported, not rushed through a checklist.
HRT and treatment options explained clearly
If appropriate, our consultant may discuss hormone replacement therapy (HRT) as part of your care.
You’ll receive information about whether HRT may be suitable for you as well as expected benefits and possible side effects.
Treatment decisions are made with you, based on clinical assessment and evidence.
When is the right time to book a consultation?
You don’t need to wait until symptoms feel unmanageable.
A consultation may help if:
- Symptoms are affecting your sleep, work or relationships
- You’re unsure whether it’s perimenopause or something else
- Previous support hasn’t fully answered your questions
- You want clear, medical guidance to help inform your decisions
- You want to understand your options properly
A consultation is about getting the information you need to make an informed decision about your next steps. It is not commitment to treatment.
Take the next step with confidence
Every woman’s experience of menopause is different. That’s why treatment decisions should never be based on symptoms alone or a one-size-fits-all approach. Xvera Medical is a private, Consultant Physician-led HRT and menopause clinic — built around clinical depth, not a quick prescription.
Book a confidential consultation to speak with one of our consultants about your symptoms and the treatment options that may be appropriate for you.
FAQs
HRT (hormone replacement therapy) replaces hormones that naturally decline during menopause, particularly oestrogen. This may help relieve symptoms such as hot flushes, night sweats, mood changes and brain fog.
HRT is widely used and considered safe for many women and is usually well tolerated. However, suitability depends on your individual health history. Your clinician will assess risks and benefits during your consultation.
Menopause and perimenopause are usually diagnosed from your age, symptoms and menstrual history rather than a blood test. During your consultation, your consultant will discuss your symptoms in detail and explain whether your symptoms are consistent with menopause or perimenopause and discuss the most appropriate next steps.
This is one of the most common concerns we hear, and it’s important that you receive clear, balanced information rather than relying on headlines or outdated studies. For most women with an average risk profile, any increase in risk associated with HRT is small, and much of the modern evidence is more reassuring than older studies suggested — particularly for the types of HRT most commonly prescribed today. Your individual risk depends on factors like your personal and family history, which your Consultant will discuss with you properly, so you can weigh the benefits and risks for your specific circumstances — not a generic statistic.