Menopause usually occurs in women between the ages of 45 - 55 and is characterised by a gradual decrease in the hormone oestrogen. 

Here, at Midland Health’s menopause clinic in Birmingham, you will have access to a team of menopause experts who can offer the support and advice you need to successfully manage both the emotional and physical symptoms of menopause. From hormone replacement therapy (HRT) to mental health support, such as cognitive behavioural therapy (CBT), and breast care, our state-of-the-art medical facilities house all necessary services under one roof. 

With us, you remain in control of your support. You get to choose between an in-person or online consultation, and you can select a date and time that best suits you. fspecialist women

woman experiencing symptoms of menopause

Menopause is a natural part of the ageing process, leading to the cessation of a woman's menstruation and ability to get pregnant. The hormonal changes are the ones that stop women from having periods. The ovaries will drop the number of hormones (oestrogen and progesterone) they produce. This change occurs over time and your period will stop eventually; however, going through menopause can be challenging for some. Many women have difficulty sleeping or may experience mild to moderate depression. The symptoms can last as long as 7-8 years in some women. 

Menopause and Its Physical and Emotional Effects

Early symptoms can include:

✔ poor sleep,
✔ vaginal dryness,
✔ lack of libido,
✔ hot flushes,
✔ irregular periods,
✔ mood changes and weight gain (caused by a slowing of the metabolism).

It is common to be emotionally affected by the menopause and most women will notice changes in how they feel. Common examples are anxiety or irritability, triggered by the amount of stress or lack of sleep. It is advised to see a doctor if you feel overwhelmed by the mood swings you experience or the depressive episodes. Our GPs will be able to help you and recommend a treatment that works for you.

Menopause Diagnostic & Treatment Services

At our private menopause clinic in Birmingham, you will have access to a team of specialists who can help you cope with the onset of menopause and the impact of its symptoms on your life. We offer a number of treatment options in line with the NICE Guidelines on managing menopause. 

Our services include:

  • GP consultations or Gynaecologist Menopause Consultation 
  • Menopause testing through blood tests and questionnaires. 
  • Hormone replacement therapy (HRT) administered by an HRT specialist near you, including various options, such as gels, patches, tablets, creams, intrauterine and intra-dermal implants  
  • Testosterone Prescribing for Women 
  • Menopause management, including lifestyle changes as such diet and exercises
  • Cognitive Behavioural Therapy (CBT) to manage the emotional impact of menopause

At Midland Health, you will not only have direct access to private menopause specialists but also to an experienced multidisciplinary team of medical experts who can guide you through menopause. Appointments are available at our advanced clinic or online from the comfort of your home, we are also able to arrange remote blood tests if necessary. 

Premature Menopause

Some women can also experience premature menopause, which can happen before they turn 40 years old. This can be a natural occurrence because your ovaries stop working or it can be a result of chromosomal and autoimmune disorders triggered by a hysterectomy or chemotherapy and radiotherapy that you might have had in the past.

Midland Health’s specialist menopause clinic can support younger women (under 40) who are suffering from ovarian inefficiency. Our team can help you manage the symptoms of premature menopause, as well as the long-term impact it can have on your health, including offering fertility advice.

Seeing one of our Menopause Specialists

If you think you may be experiencing symptoms of menopause, it may be helpful to book a check-up with a Midland Health GP or Gynaecologist at our menopause clinic in Birmingham. 

Your First Appointment

When you first come to see a private menopause specialist at Midland Health Birmingham, your initial appointment will usually last about 30 minutes. During that time, you will be given the opportunity to discuss your symptoms with your GP, undergo a general health exam and talk about further testing and/or treatment options. These appointments can be face-to-face in our state-of-the-art clinic or virtually through an online consultation. 

You can talk to our menopause doctors about any questions or concerns that you may have. Your doctor will go through your medical history, concerns and symptoms and also look at any risk factors you may have. Following your first consultation, you will agree to a shared treatment plan with your menopause doctor. The doctor will be able to prescribe and initiate the treatment required. 

Menopause Testing 

Sometimes, further testing may be required to confirm the menopause diagnosis and find the best management plan for you. Testing may include:

  • Blood tests to diagnose perimenopause/menopause (at our clinic or remotely arranged)
  • Arrange other tests such as ultrasound scans and bone density scans
  • Prescribing HRT
  • Prescribing medication to prevent the further thinning and weakening of bones (osteoporosis)
  • Discuss lifestyle measures to help you get through the menopause.
  • Medical history and lifestyle assessment
  • BP check and control if required
  • Access to a specialist dietician for weight gain in menopause
  • Height, weight and BMI check
  • Urine analysis, diabetes risk, anaemia risk and cardiovascular disease risk
  • Thorough blood analysis to look at thyroid risk
  • A detailed look at liver disease risk, kidney disease risk and cholesterol risk

At Midland Health, we aim to support you through these changes and are always on hand for expert advice and guidance. A consultation with one of our experienced GPs within our private menopause clinic can help to plan a pathway through your menopause; find ways to manage symptoms, prevent other conditions associated with menopause and move with confidence into later life.

It’s also an opportunity for you to discuss anything that may be worrying or concerning you. Our Midland Health GPs are great listeners and can offer you the right medical advice and help you live life better.


Female Menopause Health Check


Menopause Consultation with GP


(in person)

Menopause Consultation with GP


(online video appointment)

Gynaecology Consultation


(with Consultant Gynaecologist, Dr Das)

Menopause Consultation


(with Consultant Gynaecologist, Dr Das)

Our Specialist Menopause Team

We love having GPs with broad specialisms to provide excellent care for all our patients. Read our profiles to learn about our experience and qualifications.

Dr Rupa Parmar

Rupa is an experienced and devoted GP. Having served as an NHS GP Partner for slightly more than a decade, she continues to practice as a GP, demonstrating a distinct focus on Gynaecology within the NHS. On top of her professional journey, she is the Medical Director for Midland Health, playing a pivotal role includes serving as a Medical Director, where she played a pivotal role in setting up and supervising our extensive private GP service situated in the central area of Birmingham.

Dr Sarah Wright

As a GP with over 15 years in practice and a specialist interest in women’s health, Dr Wright finds supporting patients through the menopause incredibly rewarding. Her understanding and considerate approach puts your needs front and centre, delivering the respectful care you deserve.

Dr Kausik Das

With over 20 years of experience working within Gynaecology, Dr Das has a wealth of knowledge when it comes to helping his patients with their menopausal symptoms and concerns. In addition to this, he specialises in advanced laparoscopic and hysteroscopic surgeries.

Dr Par Hare

Dr Hare completed a BSc Honours in Psychological Sciences from Newcastle University in 2011 and graduated from the University of Leeds Medical School in 2013. She then trained in the West Midlands to become a member of the Royal College of General Practitioners in 2019.

Dr Rakhee Thaker

Having graduated from the University of Birmingham Medical School in 2003 and joined the Royal College of General Practitioners in 2009, Dr Thaker has a wealth of experience working as a GP throughout the UK. She has also lived, trained and worked in Sydney, Australia and Asia. 

Dr Pav Dhesi

Dr Dhesi completed her Medical Degree at the University of Manchester and has since rotated between various West Midlands hospitals and trained as a General Practitioner. What’s more, she has led educational programmes and taken additional leadership and management courses. 

Rely on Midland Health

When you place your care in the hands of our medical experts, you can experience:

  • Outstanding patient care and attention
  • Swift appointments with skilled specialists, even at short notice
  • Bypass lengthy waiting queues
  • No requirement for referrals from primary care physicians
  • Cutting-edge medical facilities

Locating Our Exclusive Women’s Health Clinic

Situated just off the A456 in the medical quarter of Birmingham, the clinic is accessible to drivers and a mere fifteen-minute walk from the Five Ways train station.


What is menopause?

Menopause is a natural process where a woman stops having her monthly menstruation due to age-related hormonal changes. If you have achieved menopause, you will no longer have monthly bleeding and you will not be able to have a baby naturally.

Most women will have achieved menopause by the age of 51-52. If that happens before the age of 45, it’s considered premature or early menopause.

What causes menopause?

Menopause is caused by a decrease in oestrogen production by the ovaries. This can happen as a result of ageing or it can be caused by a number of medical conditions and procedures, such as:

  • Ovaries removal (oophorectomy)
  • Chemotherapy or radiotherapy
  • Down syndrome
  • Addison’s disease

What are the signs of menopause?

You may begin to experience irregular periods for several months up to a year before menopause is fully achieved when menstruation cycles stop altogether. For some women, however, monthly bleeding can stop suddenly.

Are osteoporosis and menopause connected?

The lack of oestrogen is also one of the main causes of osteoporosis (softening of the bones), so women who have achieved menopause often develop osteoporosis too.

How long does menopause last?

Menopause causes a number of unpleasant symptoms, such as hot flashes, mood swings, low libido and difficulties sleeping which can last for several years after menopause has been reached. For most women, the symptoms gradually reduce and disappear within 4-5 years but they may last longer.

How do I treat menopause?

If you are suffering from severe menopause symptoms, you should consult with your GP to find the right solution for you. You may be referred to an HRT specialist near you to receive hormone replacement therapy (HRT). This involves taking female hormones, primarily oestrogen and progesterone.  Testosterone may also be beneficial to women as the levels of this can reduce in the peri-menopause and menopause.

Am I at risk of other conditions in menopause and beyond?

Your risk of cardiovascular disease such as heart attacks and strokes is increased after the menopause so taking oestrogen can reduce this risk.
Dementia has been shown to be linked to low oestrogen so taking this could well prevent the onset of dementia. The link with osteoporosis and low oestrogen has been known for some time so taking oestrogen can prevent this and reduce risk.
We know that oestrogen helps skin and hair and can increase the collagen in the skin giving a more youthful appearance.

We have translators available for your appointment.

Digital Prescription

Midland Health has partnered with a highly reputable online pharmacy provider, Cloud Rx to ensure you receive your prescriptions directly to your home address as a next-day service. This way, you can be sure the medicine is available and delivered directly to your home or nominated address. No need for paper prescriptions or to have to go to multiple pharmacies to find the medicine that has been issued by our Midland Health doctors to you. To find out more about our digital prescription service please click here.

Get in Touch Today

Ask us anything about this service, other services or
Midland Health and we'll get straight back to you.