Menopause & Women’s Longevity Care in London — Dr Stavy
Targeted, evidence-based menopause care to protect brain, bone, heart, and metabolic health.
Book a comprehensive assessment and a plan tailored to your stage of menopause and your long-term goals.
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Women’s hormonal longevity, led by Dr Stavy
Menopause is a natural transition—yet its impact on sleep, mood, focus, metabolism, and bones can be profound. At our Longevity Centre in London, Dr Stavy provides medical menopause care that goes beyond symptom control. We look at the big picture: biological ageing, cardiometabolic risk, cognition, bone strength, and quality of life.
We support women in perimenopause, menopause, premature ovarian insufficiency (POI), and surgical menopause. Your plan may include bioidentical HRT, targeted testing, nutrition and recovery strategies, resistance training guidance, and follow-up to keep you well over time. If you’re building a longer-term plan, explore our integrated Longevity Programmes.
Menopause and biological ageing
Falling oestrogen and progesterone affect mitochondrial efficiency, inflammation, vascular tone, bone remodelling, and neurotransmission. That’s why hot flushes, sleep disruption, brain fog, mood changes, and weight redistribution often cluster together.
We map your current stage and trajectory:
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Perimenopause: cycle variability, fluctuating hormones, emerging symptoms
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Menopause: 12+ months without periods; vasomotor symptoms often peak
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Post-menopause: ongoing bone, metabolic, and urogenital considerations
By intervening early—clinically and lifestyle-wise—we can shift your health curve for cognition, heart–metabolic risk, muscle and bone. For a broader endocrine overview, see our hub on Hormonal Health.
Symptoms we assess
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Vasomotor: hot flushes, night sweats, sleep disruption
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Neurocognitive: brain fog, reduced focus, memory lapses, headaches
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Mood: anxiety, low mood, irritability
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Somatic: joint pains, skin/hair changes, vaginal dryness, libido changes, urinary symptoms
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Modulators: stress load and sleep, thyroid status, iron/B-vitamin status, alcohol, shift work
Not sure if you’re perimenopausal? Read more about signs and timing in Perimenopause
Vasomotor: hot flushes, night sweats, sleep disruption
Neurocognitive: brain fog, reduced focus, memory lapses, headaches
Mood: anxiety, low mood, irritability
Somatic: joint pains, skin/hair changes, vaginal dryness, libido changes, urinary symptoms
Modulators: stress load and sleep, thyroid status, iron/B-vitamin status, alcohol, shift work
Not sure if you’re perimenopausal? Read more about signs and timing in Perimenopause
Female hormones & longevity testing
Your work-up is tailored to stage, symptoms, and risk profile. Typical components include:
Core sex-steroid context
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Oestradiol, progesterone, testosterone, SHBG, DHEA-S, prolactin
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Cycle-timed sampling in perimenopause when needed
Thyroid and adrenal context
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TSH, free T4/T3 where indicated
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Morning cortisol or diurnal patterning when relevant
Longevity biomarkers
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Fasting glucose and insulin, HbA1c
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Lipid profile (with advanced fractions where appropriate), Lp(a) if indicated
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hs-CRP, homocysteine, vitamin D, ferritin/B12/folate
Bone & body composition
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DEXA for bone density and fracture risk modelling
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Bone-turnover markers
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Visceral adiposity and sarcopenia risk assessment
We unify clinical findings with your goals to build a precise plan. For deeper detail, see Female Hormone Testing and our broader Health Assessments.
Bioidentical HRT (BHRT): what to expect
Purpose. Bioidentical HRT can relieve symptoms and help protect bone, metabolic, and urogenital health. It may also support sleep, mood, and cognition in appropriate cases.
Formulations & routes.
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Transdermal oestradiol (patch or gel) for steady levels
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Micronised progesterone (oral or vaginal) for endometrial protection when needed
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Vaginal oestrogen (estriol) for genitourinary symptoms
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Testosterone may be considered for specific indications such as low libido after careful assessment
Safety & suitability. We review personal and family history (e.g., VTE, breast cancer, migraine with aura), current medications, and blood pressure/weight to choose an appropriate route and dose. If you have a uterus, progesterone is used alongside oestrogen for endometrial protection. If you’ve had a hysterectomy, oestrogen alone may be suitable.
Monitoring. Symptom scorecards, blood pressure, anthropometrics, targeted blood tests, and periodic DEXA where indicated. Plans are adjusted based on response and goals.
If HRT isn’t chosen or isn’t suitable, we offer alternative symptom and risk-reduction strategies. Learn more in our dedicated page: Bioidentical Hormone Therapy.
Cognitive and mood aspects
Hormonal shifts interact with neurotransmitters and sleep architecture. We address the whole loop:
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Stabilising sleep (light/circadian strategies, CBT-i referrals when helpful)
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Considering HRT’s role in mood, vasomotor symptoms, and sleep continuity
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Targeted nutrients and lifestyle tactics for stress resilience
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Collaborative care with mental health specialists where appropriate
For endocrine context, visit Hormonal Health. For nutrition strategies that support the brain–sleep axis, see Nutrition.
Weight, metabolism, and bone health
Perimenopause and menopause can increase insulin resistance, reduce NEAT (non-exercise activity), and accelerate sarcopenia and bone loss. We intervene on the drivers:
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Personalised protein targets and a practical meal framework
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Progressive resistance training and bone-loading exercise prescription
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Sleep hygiene and stress modulation to support appetite and glucose control
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Vitamin D, calcium, and creatine where indicated
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Alcohol and ultra-processed food strategy
Dive deeper in Menopause & Metabolism and our clinic-wide approach to Nutrition.
Your personalised care pathway
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Pre-visit questionnaire
Symptom inventory, history, goals, and current medications. -
Menopause Assessment
Consultation, examination where appropriate, and targeted testing (including DEXA when indicated). -
Your plan
A clear, written plan covering BHRT (if appropriate), lifestyle and training recommendations, nutrition, and supplements with specific dosages and timelines. -
Follow-up & optimisation
Review at 8–12 weeks, then at agreed intervals. Annual “longevity audit” to reassess risks and adjust targets.
Prefer bundled ongoing care? Explore our integrated Longevity Programmes.
Related guides & subpages
FAQs
How do I know if it’s perimenopause and not thyroid?
Symptoms can overlap. We assess timing (cycle changes), temperature instability, and check thyroid and iron/B-vitamin status alongside sex-steroid patterns. See Perimenopause and Female Hormone Testing.
When is the best time to start HRT?
It’s individual. Many women benefit when therapy is initiated around the menopausal transition after proper assessment and risk stratification. We’ll discuss timing and options with you.
Do I need HRT if I mainly want to protect bone and brain?
HRT is one option within a broader plan that includes resistance training, protein targets, vitamin D and calcium where indicated, sleep, and metabolic risk control. We’ll outline pros and cons for your situation.
Is transdermal oestradiol different from oral?
Transdermal delivery avoids first-pass liver metabolism and is often considered when individual risk assessment favours it. We’ll explain the rationale for your case.
How long should I stay on HRT?
There’s no one-size-fits-all answer. We review benefits and risks annually and adjust based on symptoms, goals, and changing risk profile.
What tests do I need before starting?
Typically blood pressure, BMI/waist, targeted bloods (as above), and sometimes DEXA. Your clinician will tailor this.
What if I’ve had a hysterectomy, POI, or surgical menopause?
Protocols differ (e.g., oestrogen alone after hysterectomy). We’ll personalise your plan and coordinate with your other specialists as needed.
Can I use HRT after breast cancer?
This requires specialist input. We’ll discuss alternatives and, if appropriate, co-manage with your oncology team.
Regain Control of Your Energy and Wellbeing
Andropause doesn’t define ageing — it’s a signal that your body needs balance.
With modern diagnostics and precise treatment, you can restore strength, energy, and mental clarity.
Start your transformation today.
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About Dr Stavy
Dr Stavy leads our women’s hormonal longevity service in London. Her approach combines medical menopause care with prevention-focused strategies for metabolism, bone, and brain health—so you feel better now and protect your future self.
This page is for information only and does not replace personalised medical advice. Decisions about HRT and other therapies should be made with a qualified clinician after assessment.