Promensil and menopause: what to know

Menopause is a natural stage when ovarian hormone production changes and periods eventually stop. Symptoms can include hot flushes, night sweats, vaginal dryness, sleep disruption, mood changes and lower sexual desire. Red clover contains plant compounds with oestrogen-like activity, but a supplement is not the same as prescribed hormone therapy and may not address every symptom. Pelvic symptoms also deserve assessment because pelvic organ prolapse has different causes and treatment.

Check the product ingredients and tell a clinician or pharmacist about every medicine and supplement you use. Discuss it first if you have had a hormone-sensitive cancer, unexplained vaginal bleeding, liver disease, a clotting problem, or an operation planned. Keep a brief record of flushes, sleep, bleeding and mood so you can judge whether symptoms are changing. Use evidence-based symptom care alongside, rather than replacing, medical review.

Arrange assessment for bleeding after periods have stopped, bleeding that is heavy or persistent, a new breast or pelvic symptom, severe mood changes, chest pain, breathlessness or one-sided leg swelling. Seek urgent help for sudden breathing difficulty or chest pain. A clinician can also review symptoms that are disrupting sleep, work or relationships.

Ask whether your symptoms fit menopause, whether red-clover products are suitable with your history, which treatment options target your main symptom, and how to review benefits or unwanted effects.