A menopause consultation is a chance to discuss how symptoms affect your daily life and what support might suit you. You do not need to arrive with a diagnosis or know which treatment you want. A short written summary can help you explain what has changed and what matters most to you.
Dr Timmal consults at Isipingo Hospital and St Augustine’s Hospital. When booking, explain that you would like to discuss menopause or perimenopause so the practice can advise you about the appointment.
Write down what has changed
Record the symptoms that concern you, when they began and how they affect work, sleep, relationships or exercise. Menopause symptoms vary: changes in periods, hot flushes, sleep difficulties and vaginal dryness are among the possible experiences. These symptoms can overlap with other conditions, so an appointment is an assessment rather than an automatic diagnosis.
- Note the date of your last period and any recent changes in bleeding.
- List medicines, supplements and treatments you have tried, including anything bought without a prescription.
- Bring relevant previous results and a brief medical and family history.
- Choose your two or three most important questions so they are discussed early.
Discuss options in the context of your health
Hormone replacement therapy, non-hormonal treatment and practical lifestyle changes may be discussed. Suitability depends on your symptoms, health history and preferences. Ask what a proposed treatment is intended to help, its possible risks, alternatives and how progress will be reviewed. Do not start or stop prescribed medicines on the basis of a blog article.
You could ask: “What changes should I expect, when should I contact you, and what happens if this option does not help?” If you are using contraception, include that in the discussion; HRT itself does not prevent pregnancy.
Leave with a clear next step
Before leaving, check whether any tests are needed, how results will be communicated and when a follow-up is recommended. Keep a note of the plan so you can compare it with your experience later. Report bleeding after menopause promptly rather than assuming it is part of the transition.
Read about our menopause service or contact the practice to arrange an appointment. For bookings and calls, use 060 971 1251.
Further reading
Sources checked on 18 September 2026. General patient information; individual assessment may lead to different advice.