Menopause Care
The average age of menopause in the UK is 51, and perimenopausal symptoms often begin four to eight years earlier. A private consultation gives you time, a clear diagnosis and a plan built around your symptoms.
At The Pelvic Clinic, Mr Broome offers a thorough menopause assessment in Manchester, evidence-based HRT alongside non-hormonal treatment, and ongoing care for your bone, heart and pelvic health.
Overview
The menopause clinic is a dedicated consultation for women in perimenopause, menopause or post-menopause. It covers symptom assessment, HRT options, non-hormonal treatment and a review of your long-term bone and heart health.
The consultation is unhurried and follows current NICE and British Menopause Society guidance. You leave with a written summary and treatment plan that we are happy to share with your GP.
Perimenopause and menopause are confirmed clinically in most women over 45, based on symptom pattern and menstrual history rather than routine blood testing. Where treatment is appropriate, HRT dose and delivery route are tailored to your individual risk profile and reviewed regularly to keep symptom control and safety in balance.
Most women stay on HRT for as long as benefits outweigh risks, sometimes for many years, with no fixed stop date. An annual review keeps the regimen appropriate as your health and priorities change.
Who It Suits
Sudden waves of heat, flushing and sweating that can disturb sleep, concentration and confidence during the day
Trouble falling asleep, waking frequently overnight, or feeling tired and unrefreshed even after a full night's rest.
New irritability, low mood, or anxiety that develops or worsens around perimenopause and menopause.
Dryness, discomfort or pain during sex linked to genitourinary syndrome of menopause, which often responds well to local oestrogen.
Difficulty concentrating, finding words or holding several tasks in mind, most noticeable during perimenopause.
A long-term look at osteoporosis and cardiovascular risk, and how HRT may help protect both.
What Causes It
Your first appointment usually takes 30 minutes, with follow-up reviews at around 15 to 20 minutes.
A structured discussion of your symptoms, menstrual cycles, medical history, medications and family history.
FSH, oestradiol, thyroid and other tests can be performed if likely to add useful information. However, they are usually not needed for women over 45 with typical symptoms.
A conversation about oestrogen route (patch, gel or spray), progestogen options including the Mirena coil, and non-hormonal alternatives where HRT is not suitable.
A first review at around three months, then annually, with dose or route adjusted based on your symptoms and response.
Treatments Available
From hormonal management to expert keyhole excision, treatment is built around your symptoms, your priorities and your plans for the future.
Tailored hormonal treatment settles endometrial deposits and reduces monthly bleeding and pain. Options include the combined pill, progestogens and the Mirena coil.
Meet Your Consultant
Mr Jonathan Broome is a consultant gynaecologist and urogynaecologist based in Manchester, with 26 years’ experience, including 16 years in full private practice. He was trained in medicine at the University of Birmingham before completing a fellowship in advanced endoscopic gynaecology at the Royal Hospital for Women in Sydney.
He then built his reputation treating complex pelvic floor cases as a consultant at Royal Bolton Hospital, and now consults privately at Spire Manchester and Spire Hale, seeing women from across Greater Manchester, Bolton and Cheshire.
He founded The Pelvic Clinic to give women the time to be listened to, to offer accurate diagnosis and a meaningful treatment plan individualised to each patient’s requirements, concerns and lifestyle goals.
In Our Patients’ Words
Verified reviews from patients seen by Mr Broome, shared through Doctify.
Real Patient Journeys
A snapshot of real patients that Mr Broome has treated across the range of conditions he specialises in.
A difficult labour left Alison with a uterine and vaginal wall prolapse. A keyhole sacrohysteropexy with Mr Broome lifted the…
Years of flooding periods and iron-deficiency anaemia caused by fibroids. A keyhole myomectomy with Mr Broome removed the…
Kate had been living with severe pelvic pain from endometriosis for over a decade. Laparoscopic excision surgery with Mr Broom…
After menopause, Kaye developed a bothersome vaginal vault prolapse that stopped her running and swimming. A…
For most women over 45 with clear symptoms, no. Blood tests are useful for younger women, unusual symptom patterns, or to guide dosing.
For most women, HRT is safe and provides significant symptom and long-term benefit. Modern transdermal oestrogen does not increase the risk of blood clots.
HRT does not cause weight gain. Many women find weight is easier to manage on HRT because sleep, energy and motivation improve.
Systemic HRT is not usually recommended after breast cancer, but non-hormonal options work well, and vaginal oestrogen is often safe.
Most women feel a clear difference within two to four weeks.
Yes, until 12 months after your last period if you are over 50, or 24 months if you are under 50. HRT is not a contraceptive.
HRT can be continued long-term where the benefits outweigh the risks, and is reviewed annually.
Testosterone is used off-licence for low sexual desire that has not responded to standard HRT. It is not licensed in women in the UK but is well established in specialist practice.
Yes. We provide a written summary and prescription plan, so your GP can continue prescribing safely once you are stable.
Common Questions
Answers to the questions patients ask most often about menopause care at The Pelvic Clinic.
