- Menopause
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Welcome to the St Joseph's Hospital Menopause  page.

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The menopause, often referred to as ‘The Change’, is an inevitable part of a woman’s life.

It refers to the time when a woman reaches the end of her reproductive capacity. This commonly occurs between the ages of 45 and 55, the average age being 51. At this time in life, women are often struggling to juggle a demanding job, child care and elderly parents.

Every woman’s experience of the menopause is different. Most women (8 out of 10) experience some symptoms lasting about 4 years after the last period. 10% of women experience symptoms for 12 years.

Symptoms include:


  • hot flushes
  • low mood or anxiety
  • lack of interest in sex
  • aches and pains
  • vaginal dryness
  • poor sleep
  • stress incontinence

Menopause can also bring an increase in the risk of long-term health problems. These include:

  • Breast Cancer
  • Osteoporosis
  • Cardiovascular Disease
  • Urinary incontinence

The advice and support available for menopausal women is variable regarding the safety of HRT and has been confusing to both health professionals and patients.

At St Joseph’s Hospital, we appreciate that every woman is different and we understand what a challenging time the menopause can be. We offer a bespoke service to guide you through menopause.

Coordinated by our experienced GPs, our female multi-disciplinary team delivers your care within a quiet, reassuring and relaxing environment within the heart of our hospital.

We promise to provide:

  • time - to listen, understand and support you
  • continuity - to develop strong relationships between patient and doctor
  • relief - from short-term menopausal symptoms
  • advice - about ways to improve health and wellbeing
  • information - about staying well. Up-to-date, evidence based information in a format to suit you

Our services include:

Initial GP consultation

This holistic consultation aims to get to know you and your medical history. Our GPs will clarify what symptoms are bothering you and what worries, and concerns, you may have about your health.

After a targeted examination, your doctor will provide suggestions on how our team can help you and will follow the consultation up with a report setting out our recommendations and further information.

Following this, you may choose to access other menopausal services detailed below or simply arrange a follow-up at your convenience.

Musculoskeletal physiotherapy assessment (30 minutes)

Joint aches commonly occur, often affecting neck, wrists and shoulders, but since other causes such as osteoarthritis are very common at this age, they may not be recognised as being associated with the menopause. As well as the possible effect of lack of estrogen affecting the ligaments around joints, research has also shown that this hormonal lack is involved in the development of osteoarthritis.

Our physiotherapists will address all the ‘aches and pains’ you’ve been experiencing, offer a full musculoskeletal physiotherapy assessment along with advice and strategies to manage your symptoms.

Gym or pool based exercise programme

Exercise is an integral part of the strategy. The benefits are many, most important being maintenance of muscle mass and thereby the bone mass and strength. An exercise program for postmenopausal women will be tailored to suit you, including endurance exercise (aerobic), strength exercise and balance exercises.

Pelvic Health physiotherapy assessment (60 minutes)

Pelvic Health physiotherapy is a specialist area that focuses on the assessment, treatment and management of bladder and bowel weakness or over activity.

  • full bladder and bowel dysfunction screen
  • assessment for prolapse symptoms
  • assessment of sexual function, vaginal dryness and atrophy
  • pelvic floor muscle range of functional movement, strength, endurance and activation synergy


Cardiovascular screening

Cardiovascular disease is the leading cause of death in women in the UK. Although not curable, cardiovascular disease is largely preventable. Menopause is a good time to identify risk factors and modify them through lifestyle changes and medication to reduce the risk of cardiovascular disease in later life.

Our Elite Heart Bronze Assessment involves assessment of lifestyle and family history, blood pressure, body mass index, ECG, lipid profile and screening for diabetes. We are then able to calculate your risk of having a stroke or a heart attack over the next 10 years and advise you on how to reduce the risk.

Our Elite Heart Health Assessments are designed to help detect heart conditions such as cardiomyopathy or an abnormality in your heart rhythm. Using state-of-the-art equipment and techniques we will help you understand your risk of developing coronary heart disease.

We use tests and procedures recommended by the British Cardiovascular Society, the American Heart Association, the European Society of Cardiology, the International Olympic Committee and FIFA.

Click here to see our full range of Elite Health Assessments.



There is strong evidence that the optimal interval for breast screening is every 18 months. Our BreastCare Centre has top of the range diagnostic systems to offer high quality mammograms to asymptomatic women as well as further 3D mammograms and the Tomosynthesis/Stereo biopsy system for when there is clinical indication for extra assessment.

We have experienced Consultant Radiologists reporting all mammograms; some of whom also work with Breast Test Wales. We also have well-known and respected Breast Specialist Consultant Surgeons working with us, who can provide consultation and surgical expertise, should it be required.

Click here to find out more about our BreastCare Centre .

Quantitative Computed Tomography (QCT)

QCT is a fast, non-invasive exam that is safe and effective for the evaluation of Bone Mineral Density and, consequently, diagnosis of osteoporosis.

It produces measurements that are the same as DXA, the test offered by the NHS, however QCT is likely to detect low bone mass in the spine earlier as QCT measures the interior bone which is affected earlier and to a greater degree.

Contraceptive services

The pregnancy rate in women at 45 years is 10-20 per 100 women and at 50 years is 5 pregnancies per 100 women.

We are able to clarify your fertility status and subsequently discuss and arrange contraceptive options to suit. Dr Isabel Echeveste has 15 years’ experience of coil insertion, including the Mirena coil which is a useful contraceptive and also a treatment for heavy periods.


Terry Hay has over 16 years’ counselling experience. Through a range of therapeutic approaches, she is able to help women develop practical ways of coping with the psychological effects of the menopause and develop coping strategies to manage symptoms now and through the rest of their life.

Our prices


Initial GP consultation (40 minutes) £140
Follow-up GP consultation   £50
Musculoskeletal physiotherapy assessment (30 minutes) £50
Pelvic Health physiotherapy assessment (60 minutes) £70
Elite Heart Bronze Health Assessment   £340
Elite Heart Silver Health Assessment   £780
Elite Heart Gold Health Assessment   £1,160
Elite Heart Platinum Health Assessment   £1,530
Elite Heart Platinum Plus Health Assessment   £2,010
Mammography   £225
QCT (Bone Density Scan)   £375
Insertion of Mirena IUS   £275
Counselling (60 minutes)   £70


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