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 at least 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:

  • 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 consultant, 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:

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.

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 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

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 .

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. 

We are able to clarify your fertility status and subsequently discuss and arrange contraceptive options to suit. Dr Fleming has over 30 years’ experience of coil insertion, including the Mirena coil which is a useful contraceptive and also a treatment for heavy periods.

Dr Leonie Jones has extensive experience as a Chartered Psychologist specialising in Health Psychology. 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.


Initial consultation with GP (40 minutes)


Follow-up consultation with GP


Initial consultation with Consultant Gynaecologist (40 minutes)


Follow-up consultation with Consultant Gynaecologist (20 minutes)


Initial consultation with Health Psychologist


Follow up consultation with Health Psychologist


Musculoskeletal physiotherapy assessment


Pelvic Health physiotherapy assessment (60 minutes)


Elite Heart Bronze Health Assessment


Elite Heart Silver Health Assessment


Elite Heart Gold Health Assessment


Elite Heart Platinum Health Assessment


Elite Heart Platinum Plus Health Assessment




QCT (Bone Density Scan)


Insertion of Mirena IUS


Counselling (60 minutes)


*The above prices are guide prices only and subject to change at any given time. Diagnostic scans and investigations are not part of the guide price. The guide price indicates the starting price for the treatment.

The cost of treatment will be made clear to you before you proceed with any tests, scans, consultations, or treatment. Please read our terms and conditions. If you have private medical insurance please follow the guidance here.

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