Menopause & Bio-identical Hormone Replacement Therapy

Menopause, like adolescence, is a time of upheaval to your hormones and a transition to older age. We live a third of our lives post menopause and the effect on our physical, mental health and relationships with partners and work colleagues can be profound.
The British Menopause Society recommends women should start on HRT to treat menopausal symptoms within 5 years of their final period to derive maximum health benefits. Explore common symptoms, physical & psychological changes, pains and less common symptoms over in our symptom checker.
Hormones are messenger chemicals that have hundreds of functions communicating with organs and cells around your body. The second biggest receptor for oestrogen is your brain.
Oestrogen is vitally important for your heart, blood pressure, bone density, sleep, skin on your face, body and vaginal health. Progesterone is calming, it decreases anxiety and mood swings, fatigue and is so important for sleep. All women need testosterone for vitality, ambition, sharp mind, bone density, weight control and enjoyable sex. DHEA is your “joie de vivre” hormone it gives a sense of vitality, energy, drive, motivation and libido. Vitamin D is a hormone that is usually low in Northern Europe. It is important for mood, immunity, bone density it is thought to be vital to reduce the incident of auto-immune conditions.
BHRT (Bio-identical Hormone Replacement Therapy) is a personalised hormone therapy, used to balance your hormones for a healthier, happier life.

Dr Victoria has attended the famous Marion Gluck Academy in London to learn how to treat individuals therapeutically with bio-identical oestrogen, progesterone, testosterone, DHEA and vitamin D. Victoria also has a certificate in Menopause Care after attending the Menopause Special Skills Module run by the Faculty of Sexual & Reproductive Healthcare and the British Menopause Society. Victoria’s expansive credentials mean you can rest assured you are in knowledgeable hands.

Hormone therapy has a very POSITIVE impact on your health and happiness as you pass through Menopause and enter older age. Supported by recent international research, see the latest facts below:

  • Heart attack and stroke risk is reduced between 300 - 500 per 1000 women when you start HRT before 60.
  • Atherosclerosis (which increases blood pressure) is reduced.
  • Osteoporosis (risk of fractured hip and leg fracture) is reduced.
  • The risk of diabetes is reduced by 210 per 1000 women for under 70 year olds. There is a slight increase of 4 per 1000 women who develop breast cancer thought to be due to the synthetic progestogens which is NOT seen in women whom take bio-identical micronised progesterone.


“My doctor tells me HRT is not for me”

Your doctor is only trained to therapeutically prescribe oestrogen and balance with a synthetic progestin for protection of your womb lining. They are not taught to interpret blood tests and prescribe a balance to your hormones. The NHS provides a high dose “fits all” service that is only appropriate for post-menopausal women. Additionally, cost is a highly influential factor in what you may be offered.
This is why so many women do not feel well on standard HRT, because they do not get along with progestin which can cause bloating, weight gain, headaches and irregular bleeding.
Low dose personalised bio-identical hormones can change your life from existing to living. The British Menopause Society recommends micronised oestrogen and progesterone as the most effective and safest option.
Having attended a specialist menopause course, Dr Victoria has changed many women over to bio-identical creams or lozenges, which has had life enhancing improvements from mood and sleep to hair growth and smoother skin.

How do I get started?

If you’d like a personalized treatment plan which balances all the hormones, oestrogen, progesterone, testosterone, DHEA, and Vitamin D, book a full women’s hormonal assessment, during which Dr Victoria will get a thorough account from you about your symptoms and what is troubling you most.
This may be followed with a full female hormonal blood screen which can be taken at that initial appointment if you do not have regular periods, or it may be recommended to be taken on day 21/22 after the start of your last period.
A week later, your results will be discussed with you either in person or by FaceTime/phone if you live more than 30 miles away.
A mutually agreed plan of action involving BHRT, supplements, nutrition and lifestyle changes will be started. You will be reviewed at 6 weeks to assess any initial response to your treatment and if your plan needs adjusting.
A review after 6 months is recommended, and an annual assessment to adjust for your changing age, health and naturally declining hormonal levels. Once under our care you are welcome to come back at any time to discuss optimising your health, mood and relationships.

Specialist pharmacy

Personalised hormone creams/ lozenges or capsules are made especially for you by the Specialist Pharmacy associated with the Marion Gluck Clinic. Your prescription is made from micronised wild yam and soya that is pharmaceutical grade by a regulated compounded pharmacy. The only difference is you are not getting the same as everyone else and you know that what you are getting is tailored to what you need.
Unable to afford the specialist pharmacy creams? Dr Victoria can prescribe the best options available from your local pharmacy, which are standardised bio-identical oestrogen and progesterone hormones.

Aftercare instructions


Bio-identical Hormone Replacement Therapy £
BHRT initial assessment 150
BHRT blood test 250
BHRT followup assessment 75


BHRT - What is oestrogen?

Oestrogen helps to release eggs from the ovaries. It also regulates a woman’s periods and helps her to conceive. Oestrogen also plays a part in controlling other functions, including bone density, skin temperature and keeping the vagina moist.


BHRT - What is progesterone?

The main role of progesterone is to prepare the womb for pregnancy, helping to protect the lining of the womb. Progesterone also utilises fat for energy, normalises blood sugar levels and is important for cortisol / reducing the feeling of being overwhelmed.
Thyroid action and fatigue are also impacted by progesterone levels.

BHRT - What is testosterone?

Women’s ovaries make testosterone. Testosterone production starts to increase significantly during puberty, and begins to dip after age 30 or so. Testosterone is most often associated with sex drive, but it also affects bone and muscle mass. 

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Victoria Dobbie's picture

Menopause - What's happening to me?

Bio-identical Hormone Replacement Therapy (BHRT) at Edinburgh menopause medical clinic.1
I discuss the importance of hormonal balance and your quality of life. Understand & manage your menopausal symptoms with BHRT.

Covid19 Temporary Closure

To support the government and the country the clinic is temporarily closed. We plan to re-open on the 20th April 2020 if government advice allows. Our team are available to support you, between 1000 – 1230 Monday to Friday, via email and phone.

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