Bleeding After Menopause: Causes and Why It Should Always Be Checked
Why any bleeding after the menopause should be checked, the common benign causes, and what an assessment involves.
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Body-identical HRT and specialist menopause support, prescribed online by our clinical team.
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Utrogestan contains body-identical micronised progesterone, taken alongside oestrogen HRT to protect the womb lining.

Oestrogel is a body-identical oestrogen gel for HRT, rubbed into the skin to ease menopause symptoms such as hot flushes and night sweats.
AndroFeme and Testogel can only be prescribed after a one-to-one consultation with Jane, our British Menopause Society-accredited menopause specialist. They can't be added to your basket after completing the online consultation form. Book a consultation with Jane and, if suitable, she will arrange your prescription.
Consultations with Jane are £99. Use code LAUNCH30 for £30 off (limited time).

Only prescribed after a one-to-one consultation. It can't be added to your basket after the online form.
Book a consultation with Jane
Only prescribed after a one-to-one consultation. It can't be added to your basket after the online form.
Book a consultation with JaneYour clinician confirms which treatment and strength suit you. These prices are here so you know the cost before you start.
| Pack | Price |
|---|---|
| Strength: 100mgQuantity: 30 | £29.99 |
| Strength: 100mgQuantity: 60 | £45.99 |
| Strength: 100mgQuantity: 90 | £59.99 |
| Pack | Price |
|---|---|
| Strength: 750mcgQuantity: 80g | £24.99 |
| Strength: 750mcgQuantity: 160g | £45.99 |
| Strength: 750mcgQuantity: 240g | £64.99 |
| Pack | Price |
|---|---|
| AndroFeme 1% Cream (50ml) | £114.00 |
Consultation with Jane required. AndroFeme 1% Cream is only prescribed after a one-to-one consultation and can't be added to your basket after the online form. Consultations with Jane are £99. Use code LAUNCH30 for £30 off (limited time). Book a consultation with Jane →
| Pack | Price |
|---|---|
| Testogel | £53.99 |
Consultation with Jane required. Testogel for women is only prescribed after a one-to-one consultation and can't be added to your basket after the online form. Consultations with Jane are £99. Use code LAUNCH30 for £30 off (limited time). Book a consultation with Jane →
Menopause is a natural biological process marking the end of a woman's menstrual cycles, typically occurring between ages 45 and 55. It is diagnosed after 12 consecutive months without a menstrual period. During menopause, the ovaries gradually produce less oestrogen and progesterone, leading to various physical and emotional changes.
Common symptoms include hot flashes, night sweats, mood swings, sleep disturbances, and vaginal dryness. While menopause is a natural phase of life, its symptoms can significantly affect daily comfort and quality of life.
SwiftDoctor offers prescription HRT and menopause treatment online, assessed by UK-registered clinicians following a short consultation. Available as HRT gel or HRT tablets, treatment is tailored to your symptoms and delivered discreetly to your door.
Book a one-to-one consultation with Jane, an Advanced Clinical Practitioner and British Menopause Society-accredited menopause specialist. Together you'll discuss your symptoms and options, including HRT, and agree a plan that suits you.
Consultations with Jane are £99. Use code LAUNCH30 for £30 off (limited time).
Book nowAnswer questions about your health, symptoms and medical history online. It only takes a few minutes.
A UK-registered clinician checks your answers to make sure treatment is safe and suitable for you.
If treatment is right for you, your prescription is approved and prepared without delay.
Our own pharmacy dispenses your medicine and sends it in plain, discreet packaging.
Throughout your treatment, the SwiftDoctor clinical team is available to support you and answer your questions.
Start your consultationEvery consultation is reviewed by our own clinicians, and every prescription is dispensed by our own pharmacy.

GP with a special interest in obesity management. Qualified from the University of Nottingham in 2011.

Advanced Clinical Practitioner with experience across GP surgeries and digital health clinics. Oversees safe supply of every medicine we send.

Registered Nurse with 23 years' experience, now working as an Advanced Clinical Practitioner in general practice.
Hormone replacement therapy (HRT) works by replacing the oestrogen and, where needed, progesterone that the body produces less of during menopause. This helps relieve symptoms such as hot flushes, night sweats, mood changes, and vaginal dryness. HRT is available in several forms, including oestrogen gels applied to the skin and tablets taken daily. The most appropriate form and dose for you will be confirmed by your SwiftDoctor clinician during your consultation.
Oestrogel is an oestrogen gel applied daily to the skin, which delivers oestrogen through the body to relieve menopause symptoms. Utrogestan is a progesterone capsule taken alongside oestrogen by women who have a uterus, to protect the lining of the womb. They are often prescribed together as part of a combined HRT regimen. Your SwiftDoctor clinician will confirm which products are appropriate for your situation during your consultation.
Most women experiencing menopause or perimenopause symptoms are suitable for HRT. It is particularly beneficial for those with significant hot flushes, night sweats, mood changes, or other symptoms that are affecting quality of life. HRT is not suitable for everyone, however, and your medical history, including any personal or family history of certain cancers or blood clots, will be reviewed during your SwiftDoctor consultation to confirm whether it is appropriate for you.
Most women notice an improvement in symptoms such as hot flushes and night sweats within a few weeks of starting HRT, though it can take up to three months to feel the full benefit. Mood changes, sleep, and other symptoms may take a little longer to settle. Your SwiftDoctor clinician will review your progress and can adjust your prescription if needed.
HRT is considered safe and effective for the majority of women with menopause symptoms. Current evidence from NICE and leading menopause specialists suggests that the benefits of HRT outweigh the risks for most women under 60, and that body-identical HRT carries a lower risk profile than older synthetic versions. As with all medication, individual risk factors matter, and your SwiftDoctor clinician will review your full medical history before prescribing to ensure HRT is the right option for you.
Most menopause symptoms can be assessed and managed through a routine consultation. However, seek urgent medical attention if you experience unexpected vaginal bleeding after the menopause has been established, as this needs investigation. You should also seek prompt advice if you develop chest pain, shortness of breath, or swelling in a leg, as these can indicate serious conditions that may be relevant to your treatment. If in doubt, contact your SwiftDoctor clinician or GP.

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