Woman speaking with her GP about perimenopause

How to Talk to Your GP About Perimenopause

Struggling to discuss perimenopause with your GP? Dr Silas Gimba shares practical tips for a productive appointment.

How to Talk to Your GP About Perimenopause

By Dr Silas Gimba, Consultant O&G | BMS/MSCP Accredited Menopause Specialist

One of the most common frustrations I hear from patients is that they struggled to be taken seriously when they raised perimenopause symptoms with their GP. Some were told they were ‘too young’ for menopause. Others were offered antidepressants for what turned out to be a hormonal issue. Many simply didn’t know how to start the conversation.

The good news is that GP awareness of perimenopause has improved significantly. But a little preparation on your part can make a real difference to how productive your appointment is. Here is what I recommend.

1. Prepare Before You Go

A 10-minute GP appointment goes quickly. Preparation is essential.

  • Track your symptoms for 2–4 weeks before your appointment.
  • Note the date of your last period and any changes to your cycle.
  • Write down your top 3 most troublesome symptoms.
  • List your current medications, including supplements and contraception.
  • Note any relevant family history: breast cancer, blood clots, heart disease, osteoporosis.

2. Be Direct About Why You’re There

Start the appointment with a clear statement: “I’m here because I think my symptoms may be related to perimenopause, and I’d like to discuss this with you.” This immediately frames the conversation.

3. Know What to Ask

  1. Could my symptoms be related to perimenopause?
  2. Would HRT be appropriate for me?
  3. Are there any tests you’d recommend?
  4. If HRT isn’t suitable for me, what other options are there?
  5. Should I be referred to a menopause specialist?

4. If You Feel Dismissed

  • Ask to see a different GP within the practice.
  • Reference NICE guideline NG23.
  • Request a referral to an NHS menopause clinic.
  • Consider a private menopause specialist consultation.

5. When to See a Specialist

A GP consultation is an excellent starting point. However, you may benefit from a specialist if your symptoms are complex, you have a complicated medical history, or initial treatment hasn’t worked.

Medical Disclaimer: This article is for general information only. Always consult a qualified healthcare professional. MenoCareHealth is regulated by the CQC.