MENOPAUSE REFERRALS AND ADVICE QUERIES SHOULD BE DIRECTED TO THE MENOPAUSE CLINIC AT CHALMERS VIA SCI GATEWAY.
Services
The Edinburgh Menopause Clinic is based within the Chalmers Centre as a specialist clinic of NHS Lothian’s Sexual and Reproductive Health Service.
2A Chalmers Street, Edinburgh, EH3 9ES
Tel: 0131 536 1511
It is by appointment only and staffed by consultants, specialty doctors and a specialist nurse.
Appointments are available on Friday mornings at the Chalmers Centre and at West Lothian SRH (Sexual and Reproductive Health) clinics by arrangement.
See also post menopausal Bleeding page
The British Menopause Society (BMS) has developed a range of useful resources for healthcare professionals to summarise the NICE Guideline, provide guidance on HRT prescribing and other treatment options, and to clarify some of the most common myths and misconceptions of menopause.
https://thebms.org.uk/publications/tools-for-clinicians/
Who can refer:
We accept referrals from GPs and from secondary care.
Who to refer:
- Individuals with medical conditions that complicate or contraindicate use of hormone replacement therapy (HRT) – this includes (but is not limited to) breast cancer, estrogen-responsive gynae cancers, venous thromboembolism, cardiovascular disease, severe endometriosis
- Individuals using HRT who have bleeding problems, side effects, or refractory symptoms
- Individuals with premature ovarian insufficiency (<40yrs) – spontaneous or iatrogenic
- Adults with Turner syndrome
Who not to refer:
Manage in Primary Care:-
- Individuals with uncomplicated medical history who request HRT – see the Lothian Joint Formulary for HRT choices, and our FAQs for further guidance
- Individuals with new onset unscheduled bleeding in the first 3-6 months of use of HRT
Refer elsewhere:-
- Individuals with premature ovarian insufficiency who wish to explore fertility options (please refer to Reproductive Endocrinology at Edinburgh Fertility Centre)
- Individuals established for ≥6 months on an HRT preparation who develop new or worsening unscheduled bleeding (please refer urgently via the PMB pathway )
How to refer :
- GP referral via SCI Gateway to Chalmers Centre, Menopause Clinic
- Secondary care referral by letter to Chalmers Centre, Menopause Clinic
- https://www.daisynetwork.org/Support group which offer support and advice to women with premature menopause
- NHS Inform Menopause Platform www.nhsinform.scot/menopause
- NHS Inform Menopause Personal Stories Film https://www.youtube.com/watch?v=BbP8Eel5Uu0
- NICE Guideline Menopause: diagnosis and management https://www.nice.org.uk/guidance/ng23
- British Menopause Society https://thebms.org.uk/
- Lothian Joint Formulary
- Menopause Matters https://www.menopausematters.co.uk/
- www.womens-health-concern.org/ Women’s Health Concern offers email and telephone support for women’s health including menopause available on tel. 01628483612
- A guide to HRT and Menopause for Women in Lothian’ – updated information on HRT generally, vaginal symptoms, use of Mirena, testosterone and diet
- NICE Quality Standard on Menopause – helpful guide to diagnosis and management
- FSH Testing for Menopause Contraception – click here
