Alongside hormone therapy, your care may include:

• Bone health assessment and monitoring
• Lifestyle and nutritional guidance
• Vaginal oestrogen for local symptoms
• Psychological support where helpful

For most women with POI, hormone replacement therapy is recommended unless there is a medical reason not to. In POI, hormone replacement is considered protective and is usually advised until the average age of natural menopause.

Treatment helps manage symptoms and supports long-term bone, heart, and brain health.

Yes. Hormone replacement in POI is replacing hormones that the body would normally be producing at this stage of life. It is different from starting HRT at the usual age of menopause and is guided by national and international clinical recommendations.

Your treatment is tailored and reviewed regularly to ensure it remains safe and appropriate.

Fertility can be affected in POI, but ovarian activity may be intermittent. A small number of women with POI may ovulate occasionally, although spontaneous pregnancy is unpredictable.

Specialist clinicians can support discussions around fertility implications and refer you for fertility counselling or services where appropriate.

In most cases, no clear cause is identified. POI can sometimes be associated with genetic factors, autoimmune conditions, medical treatments such as chemotherapy, or surgery involving the ovaries.

A family history of POI may increase risk.

Yes. Living with POI can be emotionally challenging, particularly due to unexpected symptoms, uncertainty, or concerns about fertility and long-term health. Psychological support can be an important part of care, alongside medical treatment.

POI is considered a long-term condition, although ovarian function can fluctuate. Treatment and follow-up are reviewed over time to support both symptoms and long-term health needs.

No. You can book a private specialist consultation at Menopause Care without a GP referral. With your consent, clinic letters can be shared with your GP to support joined-up care.

You should consider seeking specialist advice if your periods stop or become irregular before age 40, if you have symptoms of low oestrogen at a younger age, or if POI has been mentioned but not fully explained.

Early assessment and specialist care can make a meaningful difference.

A new patient menopause specialist consultation is £295 for 45 minutes. Follow-up options are £225 for 30 minutes.

Yes. Our doctors at Menopause Care are British Menopause Society-accredited and appear on the BMS specialist register.

Yes. Online consultations provide access to experienced perimenopause clinicians across the UK, with the same clinical standards as in-person appointments.

Menopause Care has clinics across the UK, including locations in London (Mayfair, Barnes, and Wimbledon), as well as Manchester, Sheffield, and Glasgow.

Your clinician will take a full medical history, discuss your symptoms in detail, and assess your individual risk factors. You will receive a personalised treatment plan and clear next steps, including options for lifestyle support, non-hormonal treatment, and hormone therapy where appropriate.

That is completely fine. Many people want clarity first. The first appointment is designed to give you a clear clinical assessment and a personalised plan, even if you decide not to start treatment straight away.

Specialist input can be especially valuable if you have migraines, high blood pressure, a family history of breast cancer, or other health considerations. Your clinician will take a careful, personalised approach and discuss options that fit your situation.

This is common. Symptoms may persist if the dose, type, or balance of hormones is not quite right. A specialist review can help assess what is happening and adjust your plan safely.

Yes. Menopause Care can provide prescriptions directly through our in-house pharmacy, ensuring you receive your treatment safely, conveniently, and without delay. Our clinicians review your treatment regularly and tailor it to your individual needs, so you can feel confident that your care is both personalised and seamless.