Menopause & HRT: UK Online Doctor Guide
Educational information — not medical advice.
This article was prepared by the OnlineDoctor24 editorial team and reviewed for factual accuracy against UK clinical guidance (NHS and NICE). It is not written by a doctor and does not replace personal medical advice. For symptoms specific to you, book an online doctor consultation.
Key points
- Perimenopause symptoms can start in mid-40s; menopause averages age 51.
- HRT is the most effective treatment and is safe for most women.
- Modern HRT: transdermal oestrogen + progesterone (or Mirena IUD).
- Non-hormonal options exist for those who can't take HRT.
- An online GP can prescribe and review.
Symptoms
- Hot flushes, night sweats
- Sleep problems
- Mood changes, anxiety, low mood
- Brain fog, memory issues
- Joint aches
- Vaginal dryness, urinary symptoms
- Reduced libido
- Irregular periods (perimenopause)
HRT
- Oestrogen: usually transdermal (patch or gel) — lower clot risk than oral.
- Progesterone: needed if you have a uterus — micronised progesterone (Utrogestan) or Mirena.
- Vaginal oestrogen: for local symptoms; safe long-term, no systemic risks.
- Testosterone: for low libido not improved by oestrogen.
Non-hormonal options
- SSRIs/SNRIs (citalopram, venlafaxine) for hot flushes.
- Gabapentin for hot flushes and sleep.
- Clonidine.
- CBT for menopause.
- Lifestyle: weight, exercise, alcohol, sleep.
Frequently asked questions
Common questions UK patients ask about menopause.
How an online doctor can help
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This article is for general information only and does not replace personal medical advice from a qualified doctor. Content is reviewed against UK NHS and NICE guidance by the OnlineDoctor24 editorial team and is not authored by a medical doctor. If your symptoms worsen or you are unsure, please book a consultation with a GMC-registered GP.
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