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.
The clinic runs by appointment only and staffed by consultants, specialty doctors, GPs with a special interest in menopause, and specialist nurses.
Appointments are scheduled for Wednesday and Friday mornings at the Chalmers Centre and on Tuesday mornings at the Howden SRH (Sexual and Reproductive Health) clinic.
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/. Please also see our Management of Menopause page, which includes an FAQ section.
For postmenopausal bleeding in individuals NOT using HRT please see:
For unscheduled bleeding on HRT (both perimenopausal and postmenopausal) please see:
C.M. & S.H. 7-8-26
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, thrombophilia, cardiovascular disease, cerebrovascular disease, and severe endometriosis
- Individuals using HRT who have side effects or refractory symptoms
- Individuals using HRT who have unscheduled bleeding and have been investigated following the pathway at Unscheduled Bleeding on HRT – RefHelp, for whom you require guidance about optimising HRT
- Individuals with premature ovarian insufficiency (<40yrs) – spontaneous or iatrogenic
- Adults with Turner syndrome.
Who not to refer:
- Individuals who request addition of testosterone to HRT for loss of libido (or any other indication). Please see the East Region Formulary advice and further Lothian guidance is being developed and will be available shortly. If you require advice to support provision and monitoring of testosterone in primary care, please send a Sci Gateway advice request.
Manage in Primary Care:
- Individuals with uncomplicated medical history who request HRT – see East Region Formulary for HRT choices, and our RefHelp Menopause FAQs for further guidance. Individuals with new onset unscheduled bleeding in the first 3-6 months of use of HRT (see Unscheduled Bleeding on HRT – RefHelp).
Refer elsewhere:
- Individuals with premature ovarian insufficiency who wish to explore fertility options (please refer to Reproductive Endocrinology at Edinburgh Fertility Centre)
- Individuals who are not on HRT and have post-menopausal bleeding. Please see Post Menopausal Bleeding (No HRT) – RefHelp
- For individuals who have unscheduled bleeding on HRT please follow the pathway at Unscheduled Bleeding on HRT – RefHelp.
How to refer :
- GP referral via SCI Gateway to Chalmers Centre, Menopause Clinic. All referrals will be triaged by Chalmers Centre clinicians to receive either written guidance or an appointment. Secondary care referral by letter to Chalmers Centre, Menopause Clinic
- Clinicians requiring clinical advice to support an individual’s menopause management in Primary Care should send an advice request via SCI Gateway to Chalmers Centre, Menopause Clinic. All advice requests will be triaged by Chalmers Centre clinicians to receive either written guidance or an appointment.
- Please do not email menopause advice requests to Chalmers Centre or individual Menopause Clinic clinicians.
- PLEASE SEE THE RESOURCES AND LINKS ON THE ‘MANAGEMENT OF MENOPAUSE’ PAGE.
