Dr. Preeti Tandon
(Specialist Obstetrics & Gynaecology Laparoscopic & Robotic Surgeon. )

MBBS, MD(Obs/Gynae), F.MAS(Laparoscopic Surgeon), FICOG
Diploma in Adv Gynae Endoscopy (France), Certified Robotic Surgery Training (USA).

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Menopause And HRT Clinic

A significant no of women are facing problems with menopause, in figures it is about three-quarters. Dr Preeti Tandon can help you to deal with these complicated and unpredictable symptoms.

The experience of every women with the menopause is quite different, so to manage with the complications, one size fits all approach not works. The age at which these symptoms arises with their complications and duration it can take to pass through the menopause will vary greatly from woman to woman. In medical language, the menopause is the time, when a woman stops producing eggs and which pave the way for some hormonal imbalance. Symptoms can appear like include flushes, sweats, tiredness, sleepless nights, severe headaches, memory and cognitive changes, mood lability and anxiety, vaginal dryness and sexual problems.

Innovative HRT regimes are extremely effective and can control these complications and this can be life-changing for the patients.

Services provided:

  • Assessment through advice.
  • Treatment of particular menopausal symptoms.
  • Advice pertinent to the attributes and associated risks of HRT.
  • Advice on the alternative treatments (non-hormonal) for menopausal symptoms.
  • Tests namely as – blood tests, bone scan, ultrasound to comprehend every complicacy with the symptoms.

When the excretion of oestrogen falls to a low level, then uterus stops responding, periods stops, this is called the menopause. In the tentative period of ten years before or after the menopause, decrease in oestrogen production can pave the way for many severe symptoms as well as heavy menstrual bleeding.

What are the symptoms?

Symptoms varies person to person, sometimes it is because of low levels of oestrogen and sometime low level of testosterone. This can be seen in active women as well .

The most common symptoms are:

  • hot flushes
  • night sweats
  • unprovoked palpitations and/or panic attacks
  • disturbed or poor quality sleep
  • tiredness/chronic exhaustion
  • mood swings
  • reduced short-term memory/ poor concentration
  • depression
  • dry itchy skin
  • thinning hair and nails
  • headaches
  • leg cramps
  • weight gain in abdominal region



HRT (Hormone Replacement Therapy) replaces the oestrogen that was produced by the ovaries before the menopause cycle. The desired level of oestrogen in HRT is designed to reduce or sometimes stop the symptoms with menopause. Though it doesn’t restore the level of oestrogen levels to the pre-menopause stage.

Unlike the contraceptive pill, oestrogen replacement in HRT mimics the natural oestrogen molecule in a same manner to thyroid replacement.

It is a well- known fact that the contraceptive pill is much stronger, like 50 to 100 times stronger than HRT in all its effects as unlike HRT it is synthetic, and usually takes a long time to be cleared from the body and stays for a longer course in the body

What are the benefits or HRT?

  • A great relief from the severe symptoms if the menopause and improved the metabolism cycle.
  • Using HRT from your menopause in late fifties can significantly decrease the risk of osteoporosis.
  • Reduces the great risk of heart ailments, like – attacks and stroke.

What are the risks of HRT?

Some women have many concerns regarding the associated risks because of the bad and sometimes inaccurate publicity in the press, this paves the way for vague understanding of the advice and treatment.

Is there a risk of breast cancer?

Some recent studies about the effect of some HRT preparations increasing the risk of breast cancer means that for many the risks of HRT are not worth the beneficial. However, many detailed studies have shown that oestrogen-only users do not have a significantly increased risk of developing breast cancer, although the addition of a progestogen can increase the risk significantly. The risks of breast cancer may also be smaller than many women think. It is however always sensible to be breast aware and to have regular mammograms.

Is there a risk of cancer of the cervix and/or ovaries?

There is no evidence that HRT causes cancer of the cervix or ovaries.

How is HRT tailored to the individual?

This will often mean prescribing the oestrogen and progestogen separately, building up the dose until the symptoms have disappeared. This way, the lowest dose required for each individual is given after which the blood levels are checked

Some women find that natural treatments are adequate in obtaining symptom relief and some of them are also shown to provide some benefit in protecting the bone and heart

They can also be used for example in conjunction with vaginal oestrogen local treatment where HRT is not wanted but where bladder and vaginal symptoms or poor sensation or low libido problems exist.

Dr Preeti Tandon wants to ensure that her patients obtain a good understanding of the menopause whilst tailoring and individualising their treatment to deliver the best quality of life without compromising safety. The benefit of attending a menopause clinic means that your specific case can be assessed and the HRT preparation altered according to the your response.


Her clinic also offers screening for uterine, ovarian, cervical cancer, breast cancer and pre-cancer. Bone density and cardiovascular screening are also available where increased problems are observed after the menopause.