Changing cycles

Perimenopause symptom assessment

A structured review of cycle changes, hot flushes, sleep, mood and other possible causes.

Map symptoms and cycle changes
Consider thyroid, anaemia and other explanations
Discuss treatment preferences and risks

Women's health

Telephone or videoPrivate appointment

Evidence reviewedWhen continuing treatment

E-prescriptionOnly when appropriate

Safety firstClear escalation route

What the doctor will clarify

The questions that matter

Is a blood test always needed?

Not always. Age, symptoms, cycle pattern and uncertainty determine whether testing adds value.

Can symptoms start before periods stop?

Yes. Perimenopause commonly begins while cycles are still occurring.

The distinction that matters

What the review must establish

Swipe to the right to see the full comparison →

Clinical question	Why it matters
01Is a blood test always needed?	Not always. Age, symptoms, cycle pattern and uncertainty determine whether testing adds value.
02Can symptoms start before periods stop?	Yes. Perimenopause commonly begins while cycles are still occurring.

Two appointment routes

Choose the route that matches your situation

Starting treatment or something has changed

Use the doctor consultation for a new problem, new symptoms, side effects or a dose change.

Stable established treatment

Use the repeat review only when the medicine and dose are unchanged and you can provide evidence.

During the consultation

A clinical decision, not an automatic prescription

The doctor checks whether the likely diagnosis, treatment history and safety information are clear enough for remote care. Examination, testing or a local referral is recommended whenever that is the safer next step.

After the consultation

A plan you can act on

You receive advice, follow-up timing and—only when clinically appropriate—an electronic prescription by email for dispensing at a pharmacy in Spain.

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