Menopause services

General Menopause Clinic

Clinical inclusion

Women requiring assistance with management of troublesome menopausal symptoms during the menopause transition or when post-menopausal.

 

Clinical exclusion

• Abnormal vaginal bleeding
• Pelvic / abdominal pain and bloating / distension
• Pelvic ultrasound scan showing thickened endometrium or adnexal mass

Patients who need assistance with fertility, or have pelvic pain, bloating, undiagnosed genital tract bleeding or urinary incontinence should be referred to the appropriate gynaecology clinic.

 

Frequency of clinic

Once per week on a Wednesday.

 

Referral to include

• Current Cervical Screening Test
• Mammogram
• Lipids and fasting glucose
• Thyroid function tests
• Record of current medications and supplements (including hormone therapy)
• If indicated: Bone Mineral Density, Vitamin D, Pelvic Ultrasound

 

Urgent referral

Contact the CNS Menopause Service to discuss urgent referrals.

 

Referral process

All referrals from GPs to this clinic are sent to the Central Referral Service WA (CRS) (external site). Ensure you provide the relevant information in the referral to enable appropriate triage, including required investigation results and letters from treating medical practitioners if relevant and request general menopause clinic at WNHS.

Referrals using GP software that include all the relevant history and information are also welcome using CRS referral form templates (external site).

Menopausal Symptoms after Cancer Clinic

Role of service

Women with a previous history of cancer may experience menopausal symptoms as a consequence of their treatment (surgery, chemotherapy, radiotherapy etc).  Menopausal hormone therapy may not be indicated in the management of these symptoms. The MSAC Clinic offers evidence-based therapeutic options to assist with symptom relief.

Complex cases are discussed at a monthly multi-disciplinary team meeting with specialist colleagues.

 

Clinical inclusion

Previous history of cancer and menopausal symptoms.

 

Referral to include

• Full medical history
• Cancer treatment summary
• Tumour histopathology results
• Details of cancer specialist
• Details of current medications and treatments

 

Frequency of clinic

Once a week on a Wednesday

Urgent referral:

Please ring CNS Menopause Service to discuss urgent referrals.

 

Referral process

All referrals from GPs to this clinic are sent to the Central Referral Service WA (CRS) (external site). Ensure you provide the relevant information in the referral to enable appropriate triage, including required investigation results and letters from treating medical practitioners if relevant and request menopause symptoms after cancer clinic at WNHS.

Referrals using GP software that include all the relevant history and information are also welcome using CRS referral form templates (external site).

Surgical Menopause Service

Role of service

A multidisciplinary service providing information and support for women with a planned surgical menopause. These women may experience sudden or more severe menopausal symptoms compared to a naturally occurring menopause.

 

Clinical inclusion

Surgical menopause.

 

Referral to include

• Relevant history and pathology (if available)
• Results of genetic testing (if available and relevant)
• Current medications
• Any other useful results e.g. Bone Mineral Density
• Women may be seen pre-operatively in clinic, pre-operatively as an inpatient (KEMH patients only) or post-operatively.  Please include date of planned procedure in referral.

 

Frequency of clinic

Once a week on a Wednesday.

 

Urgent referral

Please ring CNS Menopause Service to discuss urgent referrals.

 

Referral process

All referrals from GPs to this clinic are sent to the Central Referral Service WA (CRS) (external site). Ensure you provide the relevant information in the referral to enable appropriate triage, including required investigation results and letters from treating medical practitioners if relevant and request surgical menopause service at WNHS.

Referrals using GP software that include all the relevant history and information are also welcome using CRS referral form templates (external site).

Young Age at Menopause Services

Role of service

The YAMS clinic is a multidisciplinary service that assists women identified as having Premature Ovarian Insufficiency (POI), investigate possible causes of POI, manage their symptoms, and maintain their health and wellbeing.

Premature Ovarian Insufficiency (POI) is defined as “loss of ovarian activity before the age of 40”.  It affects approximately 1% of women and is characterised by menstrual disturbance (amenorrhoea or oligomenorrhoea of at least 4 months) with raised gonadotropins and low oestradiol (ESHRE Guidelines 2015).

 

Clinical inclusion

Onset of menopause symptoms before the age of 40.

 

Clinical exclusion

Women seeking assistance with reproduction should not be referred to this clinic

Please refer urgently to a Fertility clinic or fertility services if this is required.

 

Referral to include

• FSH testing results x 2 more than four weeks apart whilst not using combined hormonal contraception
• Current contraception (if using)
• Current Cervical Screening Test
• Lipids and fasting glucose
• Thyroid function tests
• If indicated - Bone Mineral Density, Vitamin D
• Record of current medications (including hormone therapy)
• Allergies
• Any other recent tests
• Information from other treating medical practitioners

 

Frequency of clinic

Once a fortnight on a Wednesday.

 

Urgent referral

Please ring CNS Menopause Service to discuss urgent referrals.

 

Referral process

All referrals from GPs to this clinic are sent to the Central Referral Service WA (CRS) (external site). Ensure you provide the relevant information in the referral to enable appropriate triage, including required investigation results and letters from treating medical practitioners if relevant and request young age at menopause service at WNHS.

Referrals using GP software that include all the relevant history and information are also welcome using CRS referral form templates (external site).