Does an obstetrics and gynaecology specialist perform hormone replacement therapy?

The consultation may cover hot flushes, night sweats, vaginal or urinary symptoms, sleep changes and menstrual changes. Your clinician will ask about your medical history, medicines, bleeding pattern and personal or family history that could affect treatment choices. Hormone replacement therapy may involve oestrogen alone or oestrogen with a progestogen, depending on whether you have a uterus. It can be given in forms such as tablets, patches, gels or local vaginal preparations.

Book an appointment with an obstetrics and gynaecology specialist and bring a list of medicines, previous diagnoses and your main symptoms. Ask which formulation and dose fit your goals, how treatment will be reviewed, and what non-hormonal options are available. Do not start, stop or change hormones without discussing the decision with the prescriber.

Arrange medical review for bleeding after menopause, bleeding that is heavy or persistent, or symptoms that are new and unexplained. Seek urgent help for severe chest pain, sudden breathlessness, fainting, or one-sided weakness. These symptoms need prompt assessment regardless of whether you use hormone therapy.

Ask: What symptoms is treatment expected to improve? Do I need a progestogen? Which delivery method suits my health history? What bleeding changes should I report? When should we review the plan?