When should you seek help for the menopause?

The menopause is a difficult and worrying time for many women. The menopause often comes with the symptoms of heavy bleeding or irregular bleeding, mood swings, feelings of depression and those dreaded hot and cold flashes that leave you wondering just what to wear. It is a time of great uncertainty and change, and for many women, this can be a frightening time in their life.

Should you see a doctor?

Many women wonder if they should see their doctor when going through the menopause. The simple answer is that this very much depends upon your symptoms and if you feel that medication or support could help you with these symptoms.

Hormone therapy

Hormonal therapy in the form of HRT (hormone replacement therapy) can be effective for women who have severe hot flashes. It involves being given additional estrogen, due to its lowered production during the menopause, together with progestin. A full medical history and family medical history will be needed during your consultation to check for suitability for HRT.

Vaginal estrogen

During the menopause, many women will suffer from vaginal dryness due to the loss of estrogen in the body. One treatment option is that of vaginal estrogen to ease this dry sensation and discomfort during sexual intercourse. This is usually administered in a cream, but a ring and tablet are also available.


Most commonly SSRIs (selective serotonin reuptake inhibitors) are used in helping to reduce the symptoms of hot flashes. These are usually given in a low dose for those women who are unable to take estrogen-based medications due to medical reasons. Low dose antidepressants can also help women who have a mood disturbance due to menopause.

Gabapentin for hot flashes

Finally, another treatment for hot flashes is that of Gabapentin. Although usually prescribed for treating seizures, it has been shown to help reduce hot flash symptoms, particularly during nighttime hours.

If you would like a consultation with a female gynaecologist in London about your menopause symptoms and the possible treatments available, then please don’t hesitate to get in touch with us today.