
Perimenopause, the years of hormonal change before periods stop, can begin in your early forties and sometimes younger. Yet many women spend years attributing its symptoms to stress, age or 'just life' before anyone joins the dots.
Any one of these has other possible causes. Together, in the right age range, they deserve a proper conversation, not a prescription for antidepressants by default, and not being told to come back in a year.
At our Hitchin clinic, a perimenopause consultation means time: a full symptom history, discussion of your priorities, blood tests where genuinely useful (hormone levels fluctuate, so testing is used thoughtfully), and an honest conversation about options. That means HRT where appropriate, alternatives where it isn't, and lifestyle measures with real evidence behind them.
Hormonal treatment usually needs adjustment over the first months. Seeing the same GP at each review, someone who remembers where you started, makes that process considerably smoother. If symptoms are affecting your work, sleep or relationships, that's reason enough to book.
Often not. In the typical age range, diagnosis is usually based on symptoms. Hormone levels fluctuate significantly, so your Hitchin GP will use blood tests thoughtfully, where they genuinely add information.
Yes, where clinically appropriate. Your GP will discuss benefits and risks for your individual situation, prescribe where suitable, and review regularly to get dose and preparation right.
There are alternatives, both prescription and lifestyle-based, with genuine evidence. Your GP will build a plan around your health history and preferences, not a one-size-fits-all answer.
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3rd Floor Mayfield House
256 Banbury Road
Oxford
OX2 7DE
