Menopause and Later Years

Menopause Specialist in Manchester

If you are looking for a menopause specialist, Manchester is home to one of the few consultant-led gynaecology practices in the North West built around hormonal health. Dr Edmond Edi-Osagie is a Senior Consultant Gynaecologist whose field is reproductive medicine and endocrinology, the branch of medicine concerned with how hormones govern women’s health. The menopause sits squarely in that territory, and so do the years either side of it.

MB.BS, MRCOG, MD

Consultant gynaecologist and Senior Lecturer in Reproductive Medicine

Seen within days

Appointments are usually available within days, not months

Self-referral welcome

You do not need a GP letter to arrange an appointment with us

Manchester and Cheadle

City centre clinic and The Alexandra Hospital in Cheshire

The menopause is a natural stage of life, not an illness. But natural does not mean easy, and it certainly does not mean you should put up with years of broken sleep, flushes, anxiety, joint aches or a mind that no longer feels like your own. Women should have full enjoyment of life and not be restricted on account of advancing years. Good specialist care exists, it is evidence based, and it can usually begin within days of your first appointment.

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    Support through perimenopause and the menopause

    Perimenopause: When Symptoms Begin Before Periods Stop

    Most women notice changes well before their final period. The perimenopause typically begins in the early to mid forties, sometimes earlier, and can last several years. Periods may become irregular, heavier or closer together. Sleep becomes fragile. Hot flushes and night sweats appear, along with mood changes, irritability, low energy and the frustrating fog that makes familiar words hard to find.

    Because periods are still happening, many women are told they are too young for the menopause and sent away. As a perimenopause specialist service we take a different view: it is the pattern of symptoms that matters, not the calendar. And where heavy or erratic bleeding is part of the picture, we investigate it properly rather than assuming hormones explain everything.

    HRT: An Honest Conversation, Not a Sales Pitch

    Hormone replacement therapy is the most effective treatment for menopausal symptoms, and for most women the benefits outweigh the risks. It is also not the right answer for everyone, and a responsible specialist will say so. What you can expect from us is a clear account of what HRT can and cannot do for you personally, based on your symptoms, your medical history and current national guidance rather than on whatever is being discussed online this month.

    Where HRT is the right choice, we talk through the options open to you and agree a plan you understand, then review how you respond rather than leaving you on a repeat prescription indefinitely. Where it is not suitable, or simply not wanted, we discuss the alternatives honestly, from non-hormonal medication to targeted treatment of the symptoms that trouble you most.

    When It May Not Be the Menopause

    The menopause explains a great deal after 45. It does not explain everything, and one advantage of seeing a consultant gynaecologist rather than a menopause-only service is that nothing gets filed under hormones by default.

    Bleeding after the menopause is never normal

    Any bleeding twelve months or more after your last period needs prompt assessment. In most cases the cause turns out to be benign, but the small number of serious cases are exactly the ones where early diagnosis changes everything.

    Assessment usually involves an ultrasound scan and, where indicated, a hysteroscopy, a short outpatient procedure that lets us examine the lining of the womb directly. We arrange these promptly, typically within days.

    Later Years Gynaecology: Prolapse, Urinary Symptoms and Pelvic Health

    Much of our work is with women whose quality of life is being quietly eroded by problems they have been told to expect at their age. Common is not the same as untreatable, and prompt intervention protects both independence and confidence.

    Pelvic organ prolapse

    A sensation of dragging, heaviness or a bulge. Pessaries, pelvic floor physiotherapy and local oestrogen resolve many cases without surgery.

    Urinary symptoms

    Leakage on coughing or exercise, or a sudden urgency you cannot ignore. Effective treatment exists and this is not something to accept.

    Pelvic masses and pain

    Persistent bloating, pressure or discomfort. Scanned and assessed properly, with keyhole surgery where an operation is needed.

    What Your First Appointment Involves

    Your first consultation is unhurried. We listen to what matters most to you, whether that is sleep, mood, intimacy, bleeding or simply an explanation, and we build the assessment around it.

    • A full history of your symptoms, your periods and your general health.
    • Examination and a pelvic ultrasound scan where these are needed, usually at the same visit.
    • Blood tests only where they genuinely change the picture. Over 45 the diagnosis is usually made on symptoms alone.
    • A plan you have agreed rather than one you have been handed, with a clear point of return if anything changes.
    Later years gynaecology care in Manchester and Cheshire
    Dr Edmond Edi-Osagie, Consultant Gynaecologist

    Why Women in Manchester and Cheshire Choose Dr Edi-Osagie

    Dr Edmond Edi-Osagie (MB.BS, MRCOG, MD) is a Senior Consultant Gynaecologist at Manchester University Hospitals and a Senior Lecturer at the University of Manchester. His field is reproductive medicine and endocrinology, which means hormonal health is not a sideline to his practice but the centre of it, supported by the full diagnostic and surgical range of a consultant gynaecology service. You can read more about his background and the wider team on our team page.

    That combination matters at this stage of life. The same consultant who advises you on the menopause can investigate unexpected bleeding, assess a prolapse and, where it is needed, operate. Nothing is referred onwards, repeated or lost between clinics, and you keep the same face throughout.

    Practical Details

    You do not need a GP letter. Self-referral is welcome, and appointments at our private menopause clinic are usually available within days rather than weeks. Consultations take place in Manchester city centre and at The Alexandra Hospital, Mill Lane, Cheadle, convenient for women across Manchester and Cheshire. Consultation and treatment fees are published openly on our costs page, and we work with all of the major private medical insurers.

    Frequently Asked Questions

    How do I know if I have reached the perimenopause?

    If you are over 40 and noticing changes in your periods alongside symptoms such as flushes, disturbed sleep, mood changes or brain fog, the perimenopause is the most likely explanation. A consultation is the reliable way to confirm it and to rule out other causes.

    Will I need blood tests to diagnose the menopause?

    Usually not. Over the age of 45 the diagnosis is made on your symptoms and period pattern, in line with national guidance. Hormone levels fluctuate so much during the perimenopause that a single blood test can mislead. Testing is reserved for younger women or where the picture is unclear.

    Is HRT safe?

    For most women, yes, and for many the benefits go beyond symptom relief. The honest answer is that safety depends on your individual history, which is exactly what the consultation is for. We will give you a clear, personal assessment of benefit and risk rather than a blanket answer.

    I have had bleeding since my periods stopped. How quickly can I be seen?

    Quickly, and please do not wait. Bleeding after the menopause always needs assessment. We can usually see you within a few days and complete the scan and any further investigation promptly.

    Can I refer myself, or do I need a GP letter?

    You can refer yourself directly, with no GP letter needed. If you plan to use private medical insurance, some insurers ask for a GP referral before authorising treatment, so it is worth checking your policy before you book.

    Book a Menopause Consultation in Manchester

    Whether you are in the thick of perimenopausal symptoms, weighing up HRT, worried about bleeding, or simply want a specialist to take the whole picture seriously, the next step is a conversation. Call 0161 244 8623 or 0161 495 7704, email enquiries@manchestergynaecologist.com, or book a consultation online today.

    What Our Patients Say

    I Would Recommend Him To Anyone

    Dr Osagie is the best doctor and I would recommend him to anyone. I have Stage 4 Endometriosis and no other doctor would carry out surgery but Dr Osagie has been great all throughout the consultations, pre operation and also his post care was second to none.

    Anon

    Manchester Gynaecologist
    5
    2018-03-08T15:59:16+00:00

    Anon

    Dr Osagie is the best doctor and I would recommend him to anyone. I have Stage 4 Endometriosis and no other doctor would carry out surgery but Dr Osagie has been great all throughout the consultations, pre operation and also his post care was second to none.

    An Absolute Professional

    An absolute professional dedicated to his career and a true gentleman, for me the attention to detail was 1st class. For any woman thinking of going to see this Dr, don't think about it, do it, you are in great hands. Thank you Dr Edi-Osagie for making my life full again.

    Angie B.

    Manchester Gynaecologist
    5
    2018-03-08T15:56:45+00:00

    Angie B.

    An absolute professional dedicated to his career and a true gentleman, for me the attention to detail was 1st class. For any woman thinking of going to see this Dr, don't think about it, do it, you are in great hands. Thank you Dr Edi-Osagie for making my life full again.

    Absolutely Amazing & Talented Professional

    An absolutely amazing & talented professional. Gave me more hope in a 1 hour consultation than others have given me in 18mths. Feeling so much better 1 week after my surgery both physically and mentally. Ladies if you have any Gyne issues and are not happy with what you’ve been told, don’t waste time go and see this Doc. He will listen and provide the best advice. I thank god every day that Dr Edi-Osagie came into my life.

    Sophie G.

    Manchester Gynaecologist
    5
    2018-03-08T15:55:53+00:00

    Sophie G.

    An absolutely amazing & talented professional. Gave me more hope in a 1 hour consultation than others have given me in 18mths. Feeling so much better 1 week after my surgery both physically and mentally. Ladies if you have any Gyne issues and are not happy with what you’ve been told, don’t waste time go and see this Doc. He will listen and provide the best advice. I thank god every day that Dr Edi-Osagie came into my life.

    Outcome Was Really Positive

    i had a large fibroid removed and the outcome was really positive. I'm fine now and can still have children! It's not often that someone makes a lasting difference to my life, but I think I will always remember Dr Edi-Osagie. The whole experience was a humbling one and I will always be grateful to him. I am well aware of how lucky I have been and won't avoid getting checked out again.

    Anon

    Manchester Gynaecologist
    5
    2018-03-08T16:02:49+00:00

    Anon

    i had a large fibroid removed and the outcome was really positive. I'm fine now and can still have children! It's not often that someone makes a lasting difference to my life, but I think I will always remember Dr Edi-Osagie. The whole experience was a humbling one and I will always be grateful to him. I am well aware of how lucky I have been and won't avoid getting checked out again.
    5
    4
    Manchester Gynaecologist
    RateMDs patient reviews

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