If you want to discuss Menopause and Hormone Replacement Therapy (HRT) options, we ask kindly that you complete two requests first:
1. Read / watch the below information from the British Menopause Society
WHC factsheets and other helpful resources – Women’s Health Concern (womens-health-concern.org)
Short videos on menopause and HRT
2. Complete a menopause questionnaire here
Please bring a copy of the completed questionnaire to your appointment if you have already been booked in.
Booking your appointment
After you have completed the above steps, please contact the practice and we will be in touch to book an appointment with a clinician.
Update on Testosterone Prescribing
Unfortunately, due to updated local NHS guidance, Lancaster Medical Practice is no longer able to prescribe testosterone on the NHS. Testosterone treatment must now be initiated and managed by a British Menopause Society (BMS) accredited advanced specialist under a shared care agreement. Our practice has not been funded to offer this specialist service or training, so we are not able to continue prescribing testosterone.
We will still be offering other types of HRT as normal.
If you would like to continue or explore testosterone treatment (only suitable for women already on optimal HRT treatment), you can either:
- Be referred to a specialist NHS menopause clinic (please note there may be long waiting times of up to a year), or
- Choose to see a private menopause specialist who meets the BMS criteria and can continue to prescribe testosterone for you.
Please look at the NHS menopause clinics listed below and let us know your preferred choice via Patchs. We will be happy to arrange the referral for you.
- Warrington & Halton NHS Hospitals – Gynaecology – Menopause Clinic (Telephone/Video Clinic)
- Southport & Formby District General Hospital – Adult Gynaecology Menopause Clinic
- St Mary’s Hospital, Manchester – Reproductive Medicine – Menopause & Gynaecology clinic
- Liverpool Women’s Hospital – Gynaecology Clinic
- Salford Royal – General Gynaecology Clinic
- Airedale NHS Trust – Gynaecology General Referral Assessment Service (Airedale)
Thank you for your understanding and support.
Injectable weight loss drugs and HRT
Weight loss medications such as Mounjaro (Tirzepatide) and Ozempic, Wegovy and Rybelsus (Semaglutide) work by slowing down how your stomach empties, which can affect how well other medicines (including HRT tablets) are absorbed by your body.
If your HRT includes progesterone tablets like Utrogestan, Norethisterone or Medroxyprogestone acetate (also called Provera), there is some concern that weight loss medication may reduce how well your HRT tablet is absorbed. This could lead to irregular bleeding and may affect the protection of your womb lining (potentially leading to an increased risk of endometrial cancer).
Other options are available for your HRT:
- Mirena Coil (IUS) – Progestrone cover for HRT for up to 5 years and a contraceptive for 8 years.
- Combined HRT patch – Can contain both hormones (oestrogen and progestogen) and bypasses the stomach.
- Increase oral progesterone dose – Your clinician or private specialist may recommend a higher dose for 4 weeks after starting or increasing the dose of your weight loss medication.
- Using progesterone oral capsules vaginally – Not licensed but is commonly used in other cases. You can start using this if already prescribed.
Injectable weight loss drugs may also impact contraception.