Feel like yourself again: menopause treatments, tailored to you.

Our doctors will check whether you may be in perimenopause or menopause during the consultation by asking certain questions. You can start the consultation even if you're unsure - we're here to help you work it out.

Common signs that you may be entering the (pre-)menopausal stage include:

• hot flushes and night sweats
• changes in mood or low energy
• feeling generally unlike yourself
• difficulty sleeping or brain fog
• vaginal dryness, reduced sex drive or irregular periods

If you're noticing several of these changes, it could be a sign that your hormones are shifting.

The benefits of HRT usually outweigh the risks.

Relieving menopause symptoms:

HRT can ease common symptoms like hot flushes, night sweats, poor sleep, low mood and vaginal dryness. Many women start to feel better within a few days or weeks.

Preventing osteoporosis:

Falling oestrogen after menopause can weaken bones. HRT helps protect against osteoporosis by restoring oestrogen levels, which is especially important if menopause begins before age 45.

Maintaining muscle strength:

Menopause can reduce muscle strength. HRT helps support muscle health, especially when combined with regular exercise.

The overall risks of HRT are very low, and for most women under 60 with menopause symptoms and no major risk factors, the benefits outweigh the risks. Older studies overstated dangers, and current evidence shows HRT is safe for most women when used appropriately.

Breast cancer:

Combined HRT slightly increases the risk, especially with long-term use, but the increase is small (around 5 extra cases per 1,000 women over 5 years). The risk drops again after stopping. Oestrogen-only HRT carries little to no increased risk. However, you should still regularly check your breasts.

Endometrial cancer:

If you have a uterus, you shouldn't take oestrogen on its own because it increases the risk of endometrial cancer. Sequential HRT is safe for up to five years or up to age 54, but after that, you should switch to continuous HRT to keep this risk low.

Ovarian cancer:

Long-term HRT may slightly increase the risk, but this returns to normal a few years after stopping.

Blood clots:

Tablet HRT slightly increases the risk of clots, but the risk is still low (around 5 extra cases per 1,000 women). Patches, gels and sprays, however, do not increase clot risk and are safer options for those at higher risk.

Stroke:

Tablets slightly increase stroke risk due to the elevated risk of blood clots. Patches, gels and sprays, on the other hand, do not. However, the overall risk is still very low, especially under the age of 60.

Other conditions:

HRT has little to no effect on heart disease risk in women under 65. It does not increase the risk of type 2 diabetes and may even slightly reduce it. Evidence about dementia is still unclear.

Our online menopause consultation is designed for women aged 45 to 65 who have menopausal symptoms and want to start HRT, or who are already using HRT (but not for more than 10 years).

There are some situations where we're unable to prescribe online because a face-to-face assessment or further tests are needed to ensure your safety. These include:

• a history of breast cancer, endometrial cancer or other hormone-sensitive cancers
• certain health conditions, such as cardiovascular disease, gallbladder or liver problems, or blood-clotting disorders
• strong family risk factors for cancer or cardiovascular disease

You can always complete our free online consultation to see if we can help you safely. If not, we'll guide you towards the right type of care so you know exactly where to get the support you need.

You just pay for the medication you choose. Your prescription and free next-day delivery are already included in the price.

Yes. If your current treatment isn't working for you, you can request a change through our online consultation. Just let us know that you want to switch, and our doctors will review your symptoms and recommend an alternative.