How to talk to your GP about menopause

Female doctor with stethoscope writing "Ask your doctor"" . Hand holding pen isolated on white. Medical background.

If you’re suffering from menopausal symptoms to the point they’re getting in the way of you enjoying life, it’s time to talk to your doctor.

Female doctor with stethoscope writing "Ask your doctor"" . Hand holding pen isolated on white. Medical background.But sometimes that’s easier said than done. We all know how difficult it can often be just to get an appointment, and then it’s ten minutes if we’re lucky. And talking about symptoms can be hard, let alone if you feel rushed or unprepared.

So, what can you do? We’ve put together some helpful, straightforward tips to help you get the best from your appointment.

Don’t wait

It’s all too common for women to feel they must simply ‘put up’ with menopausal symptoms as a part of life, but if they are affecting you then there are things you can do and support available. There’s no need to wait until symptoms feel unbearable.

Read the NICE guidelines

Nice guidelines for the treatment of menopause symptoms for GPs and patientsThis stands for National Institute for Health and Care Excellence and these guidelines are what your doctor will use to determine the type of conversations to have with you and treatments to offer.

There are guidelines for patients which are really useful to read before you see your GP so you know what to expect. Print them off and take them with you if that helps.

Prepare for your appointment

It’s easier for your doctor to understand what’s going on if you provide them with all the information. That may sound obvious, but blood tests to say where you are on the menopause transition aren’t always available or accurate – your hormones can fluctuate daily during this time. So your doctor will be thinking about what to recommend for you based on your symptoms.

Keep a list of your symptoms, your menstrual cycle, hot flushes, how you’re feeling, any changes you’ve noticed. It’s also worth talking to friends and family, if you can – they may have noticed changes that you aren’t aware of.

Write them down and take them to your appointment. Your doctor will thank you for it and it’s more likely that together you’ll find the right solution faster.

And, if you have any preferences about how to manage your symptoms and long term health, tell them that too e.g. do you want to try hormone replacement therapy (HRT), herbal approach, changes in your lifestyle. It’s your choice and you’ll want to ask your GP about their opinion based on your medical history.

Ask the receptionist which doctor is best to talk to about menopause

They are often the font of all knowledge at a surgery and can help you find the best person to speak to – it might not be your usual GP, it could be someone who has had special training in the subject e.g their practice nurse.

Ask for a longer appointment

If you don’t think your standard appointment will be long enough then see if you can book a double appointment. Some surgeries do.

Don’t be afraid to ask for a second opinion

If you don’t feel you’ve received the help you need, ask to speak to someone else. Don’t be put off, you know how you’re feeling and how it’s affecting you.

Ask if there is a menopause clinic in your area

Occasionally, there are regional clinics specifically devoted to menopause. If there is one in your area and you think this would be helpful, ask for a referral. Unfortunately due to funding some clinics are closing but it’s still worth asking where your nearest one is.

Take your partner or a friend with you

The chances are you spend your life supporting others and during menopause, it’s your turn to ask them for support. Your partner or a friend will know how the symptoms are affecting you, they could support you at the appointment and also find out how they can continue supporting you.

What to expect from your doctor

There are certain things a GP should – and should not – do during your appointment.

They should: 

They should not: 

  • Tell you that it’s just that time of your life. Yes menopause is a natural stage but please don’t feel that means you should have to put up with every symptom without help.
  • Tell you they don’t prescribe HRT. It’s up to you what you want to try and for them to say whether it could be right for you, depending on your medical history.
  • Impose unnecessary time restrictions e.g. they’ll only prescribe this once or for a year or two. This is an ongoing conversation and if your symptoms persist, you’ll still need help to manage them.

Shortage of certain HRT treatments

You may have seen in the media that there’s currently a shortage of some HRT treatments. Not all treatments are affected and there are alternatives for those that are either currently unavailable or in short supply. This is largely resolved now.

Your GP is there to help and support you, and you should feel comfortable and confident in talking to them about your symptoms and help you need. Don’t think you have to  struggle through menopause when there is help and support available.


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