Private Menopause clinic in london

Yes. Dr Oudai Ali sees patients at LSDC Healthcare in London for perimenopause and menopause assessment, personalised treatment planning, and ongoing hormone management where clinically appropriate.

LSDC Healthcare is based in the City of London, close to Liverpool Street. We provide discreet, consultant-led menopause care with streamlined access to investigations and follow-up.

Perimenopause is the transitional stage leading up to menopause, when hormone levels fluctuate and symptoms can begin even while periods continue. Menopause is defined as 12 consecutive months without a period (not due to another cause).

Common symptoms include hot flushes, night sweats, sleep disturbance, anxiety or low mood, brain fog, fatigue, joint aches, changes in libido, vaginal dryness, urinary symptoms, and cycle changes. We take a structured approach to identify hormone-related causes and build a clear treatment pathway.

Often not. In many cases, menopause and perimenopause can be diagnosed clinically based on symptoms and menstrual history. Blood tests may be recommended in specific situations (for example, younger age, uncertain cycles due to contraception, or where other conditions need to be excluded).

Consider booking if symptoms are affecting sleep, work, relationships, or quality of life; if you have concerns about HRT suitability; if you have persistent vaginal or urinary symptoms; or if you suspect early menopause. The aim is clarity and a safe plan without delay.

For most women with menopause symptoms, the benefits of HRT usually outweigh the risks when prescribed appropriately. Safety depends on factors such as age, time since menopause, medical history, and individual risk factors. We discuss options clearly and tailor the plan to your profile.

Some types of HRT can slightly increase breast cancer risk, particularly combined HRT (oestrogen plus progestogen). The risk is influenced by the type of HRT and duration of use, and it reduces after stopping. Oestrogen-only HRT (used after hysterectomy) is associated with little or no increase in risk for many women.

Oral HRT tablets can slightly increase the risk of blood clots, while transdermal oestrogen (patches, gels, sprays) is generally preferred where clot risk is a concern. Your clinician will recommend the safest route based on your risk factors.

Stroke risk depends on age and overall health. Oral HRT tablets may slightly increase stroke risk, while transdermal oestrogen (patch, gel, spray) is not associated with the same increase at standard doses. We select the route and dose with risk reduction in mind.

Current evidence suggests HRT has little or no overall effect on coronary heart disease risk for many women, and decisions should be personalised. If you have cardiovascular risk factors, we focus on the safest formulations and a careful monitoring plan.

There is little evidence that most types of HRT cause weight gain. Weight changes are common during perimenopause and with ageing, regardless of whether you take HRT. We can also advise on lifestyle strategies that support long-term metabolic health.

Vaginal oestrogen is a low-dose, local treatment for vaginal dryness and genitourinary symptoms. Very little is absorbed into the bloodstream compared with systemic HRT, and it is generally considered safe for long-term use when clinically appropriate.

Yes. Menopause-related hormonal changes can contribute to urinary symptoms and recurrent UTIs in some women. Local vaginal oestrogen may be recommended as part of a targeted plan to improve vaginal and urinary comfort and reduce symptom recurrence.

Not necessarily. Unregulated compounded hormone preparations have uncertain quality, dosing consistency, and safety evidence. Where “bioidentical” options are appropriate, we prioritise regulated, evidence-based treatments and clear monitoring.

Many women notice improvement within days to weeks, though some symptoms take longer to settle. We schedule follow-up to review response, manage side effects, and optimise the regimen.

Yes. Where appropriate, HRT can be prescribed after a detailed medical assessment. Treatment is individualised based on symptoms, medical history, and risk factors, with planned follow-up to review response and safety.

HRT may be prescribed in different forms depending on your needs, such as patches, gels, sprays, or tablets. The best option depends on your symptoms, preferences, medical history, and risk considerations, which will be discussed during consultation.

If you still have a uterus (womb), oestrogen is usually prescribed alongside a progestogen/progesterone to protect the womb lining. If you have had a hysterectomy, oestrogen-only HRT may be suitable. Your clinician will explain the safest regimen for you.

Where clinically appropriate, regulated “body-identical” hormone options can be considered as part of a personalised plan. We focus on suitability, safety, and outcomes — not trends.

Testosterone may be considered in selected cases, particularly for persistent low sexual desire where other contributing factors have been assessed and standard HRT optimisation has not helped. If appropriate, treatment is monitored carefully.

Bleeding can occur during the first months of HRT or after regimen changes, but it should be reviewed—especially if it is heavy, persistent, occurs after being stable on treatment, or happens after menopause. Your clinician will advise whether monitoring, medication adjustment, or further investigation is needed.

Yes. Not everyone wants or can take HRT. Non-hormonal options may include lifestyle measures, targeted symptom treatment, and evidence-based therapies such as CBT for menopausal symptoms, depending on your needs and medical background.

Possibly. Pregnancy can still occur during perimenopause. Contraception needs depend on your age, bleeding pattern, and the method you use. This can be reviewed during your menopause consultation so your plan is both symptom-focused and practical.

Yes. If menopause occurs earlier than expected, specialist assessment is important. A tailored plan may include hormone replacement, symptom management, and longer-term health considerations such as bone and cardiovascular health, with appropriate monitoring.

You can book by completing the LSDC Healthcare enquiry form or calling our London clinic team. We will guide you to the most appropriate appointment and outline any recommended tests, results planning, and follow-up.