Welcome to Wells Menopause Clinic


The average age of the menopause for women in the UK is 51 but hormonal changes often start in your 40s or even earlier, long before periods stop. This leads to many different physical and psychological symptoms that can affect women to varying degrees. You (and your doctors) may worry that you are developing conditions such as dementia, a brain tumour, depression, heart disease, lymphoma, bladder disease, arthritis or fibromyalgia. You may be referred to lots of different specialists for investigations when in fact you may just need to replace your reducing oestrogen levels.

This symptom checker  (click to download or open)  may be useful to print off and fill in if you are having a GP consultation. If attending my clinic, we will go through these symptoms during the consultation. Completing it beforehand is optional. If you decide to complete it and send it to me you still need to book an appointment, I will not be able to respond to any queries via this form.

Why go private?

Ideally all menopause care would be available on the NHS but sadly this is not the case for many women at present. A private consultation can give you plenty of  time in a relaxed setting to discuss your symptoms and look at all your options for improving both how you are feeling now and improving your future health.

  • My aim is to spend time working out the right HRT options for you and to then get you back to your GP for ongoing NHS prescriptions and follow up if possible. Everything I prescribe is available on the NHS apart from testosterone which is currently not an option in some areas. Hopefully this will change soon.
  • I can also look at your lifestyle and how this can be improved. However it can be so much easier to make lifestyle changes once HRT has improved your debilitating symptoms.
  • Some women may request HRT from their GP but are told it is not safe for them to start or to continue it long-term due to underlying health conditions or their family history. In many cases certain types of HRT can be prescribed safely. Other women may have been told to stop HRT after 5 years or once they have reached 60 but would now like to restart it. If indicated I can write to your GP to advise them about the current evidence on the safety of HRT in your particular case. For most women, especially under the age of 60,  the benefits outweigh any risks and long-term HRT can significantly reduce the risks of cardiovascular disease and osteoporosis. 
Dr Juliet Balfour
Advanced Certificate in Menopause Care
BMS Menopause Specialist