Women deserve better

The effects of menopause are often not fully understood. As a result, women do not always get the help they need from their GP, nurse, practice or hospital specialist to manage their symptoms effectively.

Normalising the natural

Many women find this subject difficult to talk about and struggle to get proper advice, help and treatment. All women will experience a menopausal transition. It is a normal, natural phenomenon – not a disease.

Symptoms that are treatable

Although many women pass through this transition without problems, around 80% of women experience some symptoms, with 25% of them having very disabling symptoms.

About Me

Dr Imogen Shaw

MA MB Bchir MRCGP DRCOG DFSRH PG dip gynaecology

Dr Imogen Shaw is a national expert on the menopause. She qualified at Cambridge University and Westminster Medical school and has been a GP for 25 years, with particular focus on gynaecology, women’s health and the menopause.

Dr Shaw is co-author of the 2015 NICE (National Institute for health and care excellence) guidelines for menopause and has written a book for GPs on managing the menopause.

She is a member of The British, European and International Menopause Societies and The Royal College of Obstetrics & Gynaecology. She is also accredited by the British menopause society as one of their menopause specialists.

Dr Shaw has appeared on TV and radio and in national newspapers.

Current clinics

Hormone Health
92 Harley Street
London W1G 7HU
hormonehealth.co.uk
020 7034 1300

Cambridge Private Doctors
Nuffield Health Cambridge Hospital 4 Trumpington Rd
Cambridge CB2 8AF
cambridgeprivatedoctors.co.uk
01223 967995
enquiries@cambridgeprivatedoctors.co.uk

First appointment
45 minutes – £220

Follow up
20 minutes – £90

Smear test
£74.22

Female hormone profile
£65.00

Dr Shaw prescribes licensed & properly tested medications that are recommended by the British Menopause Society. Most of her prescribing consists of ‘Bioidentical hormones’  ie. ones which are precise duplicates of hormones such as estradiol, progesterone, testosterone and levothyroxine as produced by the human body.

A lot of these products are bio-identical, but not to be confused with Compounded bioidentical hormone replacement therapies. These are manufactured as creams, lozenges and vaginal preparations by ‘Specialist Pharmacies’. These products are not authorised by the regulatory authorities as they are marketed as natural supplements and hence do not require approval by the Medicines and healthcare products regulatory agency. As a result, they have not been through the rigorous process of drug development, which conventional medicines including hormones undergo, and have not been scientifically evaluated in clinical trials for effectiveness and safety.

Symptoms

Menopause symptoms affect nearly three quarters of all women. Symptoms can present in the time leading up to the menopause and persist for several years after. Symptoms may include:


  • HOT FLUSHES
  • MOOD CHANGES AND ANXIETY
  • DIFFICULTY WITH LIBIDO AND SEX LIFE
  • POOR SLEEP AND NIGHT SWEATS
  • VAGINAL DRYNESS, ITCHING AND BURNING
  • CHANGES TO SKIN AND APPEARANCE
  • PROBLEMS PASSING URINE – INCLUDING INCONTINENCE

The effects of a low estrogen state include:

  • INCREASED RISK OF CARDIOVASCULAR DISEASE
  • OSTEOPOROSIS

If you’re experiencing any of these symptoms or are worried about them, please schedule an appointment.

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Commencing treatment

The initial 45 minute appointment allows Dr Shaw and her patient the opportunity to discuss symptoms, quality of life and the impact of the menopause on existing medical conditions. Afterwards any relevant examinations will be undertaken and further tests will be discussed. The results of these will then be used to assess the most suitable, tailored hormone replacement therapy.


Tests may include:

Cardiovascular & osteoporosis risk profile.

Blood pressure and cardiovascular system checks. Pelvic and breast examination checks are only conducted where appropriate.

A cervical smear may be taken if required.*

Blood tests may be taken if necessary (though blood tests are not usually necessary to diagnose the menopause).*

A 20 minute follow up appointment after 3 months is recommended to assess the treatment and make any necessary adjustments to dosage.


*Denotes extra cost Book an Appointment