Menopause Services

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 are sent to Central Referral Service (CRS) for triage

Phone: 1300 551 142

Fax: 1300 365 056

Healthlink Secure Messaging: crefserv

Contact information:

CNS Menopause Service : Ms Shavita Patel-Brown

Monday and Tuesday ONLY

Telephone: (08) 6458 2222 and ask for pager 3358

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 are sent to Central Referral Service (CRS) for triage

Phone: 1300 551 142

Fax: 1300 365 056

Healthlink Secure Messaging: crefserv

Contact information:

CNS Menopause Service : Ms Shavita Patel-Brown

Monday and Tuesday ONLY

Telephone: (08) 6458 2222 and ask for pager 3358

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 are sent to Central Referral Service (CRS) for triage

Phone: 1300 551 142

Fax: 1300 365 056

Healthlink Secure Messaging: crefserv

Contact information:

CNS Menopause Service : Ms Shavita Patel-Brown

Monday and Tuesday ONLY

Telephone: (08) 6458 2222 and ask for pager 3358

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 are sent to Central Referral Service (CRS) for triage

Phone: 1300 551 142

Fax: 1300 365 056

Healthlink Secure Messaging: crefserv

Contact information:

CNS Menopause Service : Ms Shavita Patel-Brown

Monday and Tuesday ONLY

Telephone: (08) 6458 2222 and ask for pager 3358