HRT Reviews & Testosterone Consultations
Hormone replacement therapy (HRT) can make a significant difference to quality of life during perimenopause and menopause. However, finding the right treatment can take time, and your needs may change as you get older or your symptoms evolve.
At West Wales Women’s Wellbeing, our Consultant Gynaecologist offers personalised consultations to review your current HRT, discuss ongoing symptoms and side effects, and explore whether changes to your treatment may be appropriate.
We also offer consultations for women who would like to understand more about testosterone treatment, including whether it may be suitable for their individual circumstances.
Whether you are unsure if your HRT is working as expected, considering a change in treatment or seeking advice about testosterone, we can help you understand your options.
What can we help you with?
Our consultations may be helpful if you are:
Looking for an individualised treatment plan – ensuring your hormone treatment is reviewed in the context of your symptoms, medical history and personal circumstances.
Reviewing your current HRT – checking whether your treatment is meeting your needs and whether any adjustments may be appropriate.
Still experiencing menopause symptoms – discussing persistent hot flushes, night sweats, sleep difficulties, mood changes or brain fog despite treatment.
Experiencing side effects – exploring symptoms or concerns that you feel may be related to your current medication.
Considering a change in HRT – discussing different preparations, doses or ways of taking treatment.
Unsure how long to continue HRT – reviewing the potential benefits and risks of continuing treatment in the context of your health and preferences.
Experiencing concerns about libido – discussing changes in sexual desire and whether testosterone or other approaches may be appropriate.
Seeking advice about testosterone – exploring its potential role, suitability, benefits, limitations and monitoring requirements.
HRT reviews: is your treatment right for you?
There is no single HRT regimen that suits everyone. The most appropriate treatment depends on your symptoms, medical history, preferences and individual risk factors.
During your consultation, your consultant will review your current medication, how you are taking it, the benefits you have experienced and any symptoms or side effects that remain a concern.
Depending on your needs, your review may include discussion of:
- Your current HRT dose and preparation.
- Different ways of taking oestrogen, including patches, gels or tablets where appropriate.
- The role of progesterone or other progestogens in protecting the lining of the womb when required.
- Persistent symptoms and whether other causes should be considered.
- Potential benefits and risks of continuing or changing treatment.
- Any appropriate monitoring, investigations or follow-up.
Your consultant will help you consider the options and agree on a plan tailored to your needs. Any treatment changes will be guided by your clinical assessment.
Testosterone consultations
Testosterone is a hormone naturally produced by the body. In some women, testosterone treatment may be considered for persistent low sexual desire that causes distress, particularly when other contributing factors have been assessed and addressed.
Testosterone is not routinely recommended for every menopause symptom, and it is not a replacement for oestrogen or progesterone where these hormones are indicated.
During a testosterone consultation, your consultant can discuss:
- Whether your symptoms may warrant consideration of testosterone treatment.
- Other factors that can affect sexual desire, including menopause symptoms, medication, physical health and emotional wellbeing.
- The potential benefits and limitations of treatment.
- Relevant blood tests before treatment and monitoring if treatment is prescribed.
- Possible side effects and the importance of using an appropriate dose.
Treatment is considered on an individual basis. Your consultant will explain whether testosterone may be suitable for you and discuss alternative approaches where appropriate.
What happens during your consultation?
A review of your health and treatment
Your consultant will take a detailed history, including your symptoms, current medication, previous hormone treatments and relevant medical background.
Discussing your concerns
You will have time to explain what is working well, what is not and what you would like to achieve from your treatment.
Exploring your options
Your consultant will explain the available approaches, including potential benefits, risks and limitations, and whether further assessment or blood tests may be helpful.
Agreeing on a personalised plan
You will receive advice tailored to your individual circumstances, including any recommended treatment changes, monitoring or follow-up.
What should I bring to my appointment?
To help make the most of your consultation, it can be useful to bring:
- Details of your current HRT or other medication, including doses and preparations.
- Information about previous hormone treatments and any side effects.
- A note of your current symptoms and how they affect you.
- Details of any recent relevant blood tests or investigations, if available.
- Any questions or concerns you would particularly like to discuss.
You do not need to have everything prepared before booking. This information can simply help your consultant build a clearer picture of your needs.
Book an HRT review or testosterone consultation
If you would like your current HRT reviewed, are experiencing ongoing symptoms or want to explore whether testosterone treatment may be appropriate, our Consultant Gynaecologist can help you understand your options.
Appointment type: Face-to-face or Virtually