Menopause Clinic at Med Fiore Aesthetic Clinic to better support women in their journey through menopause.

What is Menopause?

Menopause occurs on the day when you have not had a period for 12 consecutive months. The years leading up to this event are called ‘peri-menopause’ and the years after this are ‘post-menopause’. The menopause transition can last between 7 and 15 years.

Menopausal symptoms

Menopausal symptoms are linked to lower levels of circulating female hormones. During peri-menopause hormone levels can fluctuate, meaning that menopause symptoms can come and go. This makes detecting the onset of peri-menopause difficult. One of the first symptoms you may notice is a change in your menstrual cycle. Your periods usually become lighter or less frequent. Accompanying this change are a variety of different symptoms the most common of which are:

  • Hot flushes
  • Night Sweats
  • Mood swings
  • Insomnia
  • Brain fog

If you think you are experiencing menopausal symptoms, you can book a consultation with our Doctor resident expert in Menopause Health and specialist in Body Identical Hormones. You can find out more about Dr Donna-Lea Miller here.

At Med Fiore Aesthetic Clinic we would like to support our patients to reach an optimal hormonal balance and well-being during the menopause and manage their symptoms during this period.

Contact Us Today

For further information about Menopause Health Clinic you can call our Cheshire clinic in Altrincham, Hale and speak to an expert today on 0161 826 0201 or send us an email

What is Hormone Replacement Therapy

HRT is the most effective way of treating menopause symptoms, and, if started within 10 years of reaching menopause, it will also provide a protective effect on the cardiovascular system, bone health, and diabetes.

HRT is a treatment that includes the use of oestrogen, progesterone and sometimes, testosterone. The type of HRT you require will be individualised to your circumstances and medical health. However, if you still have a uterus then you will need to use progesterone in addition to oestrogen. This is because oestrogen acts to thicken the womb lining, thus increasing the risk of endometrial cancer. Progesterone keeps the womb lining thin, thereby negating this risk.

Testosterone is sometimes used if you are still having symptoms of low sexual desire despite having had HRT treatment for several months. Although testosterone isn’t licenced for this use within the UK it can still be safely prescribed and can provide an effective treatment for low sexual desire.


Treating The Menopause : Body Identical Vs Bio-Identical Hormones

Body-identical hormones are progesterone, oestrogen and if needed, testosterone which are exactly the same as the hormones your body produces naturally. These hormones are in the form of oestradiol and micronized progesterone (Utrogestan). Body identical hormones have been safety tested, are quality controlled and regulated by the Medicines Regulatory Agency.

Bio-identical hormones are hormones that are usually derived from plants and are tailored to the levels of hormone within your saliva. They therefore claim to be a ‘natural’ and safer alternative to standard HRT. However, the balance of hormones within your saliva has not been shown to be related to your symptoms. The Medicines Regulatory Agency do not regulate bio-identical hormones and they are therefore not recommended. In addition, there is no good evidence that they are safer than standard HRT and it is not known how safe they actually are. It is also not known how effective they are at reducing menopausal symptoms.

There are a different treatments for the menopause, that could include or not Hormone Replacement Therapy (HRT). Therefore, at Med Fiore Aesthetic Clinic the treatment we offer to help with your menopause symptoms is with Body-identical Hormone Replacement Therapy.
Our expert GP doctor specialised in menopause can advise you about which treatment will suit you best


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0161 826 0201

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    There are several treatment options available to women going through the menopause transition.

    At Med Fiore aesthetic Clinic, you will receive a bespoke treatment plan according to lifestyle, medical conditions, etc.

    After the patient has booked their appointment, they will receive a menopause symptom questionnaire. Our resident doctor specialist in Menopause and Hormones will look through the forms and determine if the patient is suitable for the treatment.

    After their assessment, our specialist doctor will formulate a patient-centred management plan, including the prescription of HRT if needed.

    The patient’s initial consultation can be remote (video or telephone) or face-to-face and it will last 45 minutes The consultation will cover their medical/gynaecological history and symptoms, what they want to get from the appointment, and some risk assessments. If needed, an examination will be conducted for face-to-face patients.

    During the initial consultation, blood tests are sometimes needed. This can be because a patient is being investigated for early menopause, because their CV risk needs assessing, or if testosterone therapy is being considered.

    Follow-up consultations can be remote or face-to-face. These should occur 3 months after their initial consultation

    Unfortunately, the levels of oestrogen, progesterone and testosterone remain low in the post-menopausal years unless they are replaced with HRT.

    All of these hormones play a role in non-reproductive functions within the body and these functions are also affected by reduced hormone levels.

    The main long-term effects of reduced hormone levels include:

    • Osteoporosis – Oestrogen plays a major role in keeping the bones strong. As a result of reduced oestrogen levels, it is estimated that women can lose up to 10% of their bone mass within the first 5 years of menopause. Thinning of the bones is called osteoporosis and this can lead to an increased risk of fractures.
    • Cardiovascular disease – Oestrogen receptors are present within the entire cardiovascular system. It also functions to control cholesterol levels within the blood, thereby protecting women from cardiovascular diseases including heart attacks. As a result of low oestrogen levels post-menopausal women are at increased risk of cardiovascular disease.
    • Diabetes – Oestrogen plays a role in maintaining blood sugar levels. Therefore, reduced oestrogen production can increase the risk of developing type 2 diabetes