World Menopause Day occurred earlier this month, a timely prompt to normalise conversations and tighten up pathways for patients navigating peri- and post-menopause. The day is coordinated by the International Menopause Society and focuses on practical, evidence-based support that women can access locally and online.

Across the UK, training and information around menopause diagnosis, symptom management, and treatment options remain inconsistent. The British Menopause Society continues to expand professional education, so clinicians feel confident with diagnosis, shared decision-making, and treatment options (including non-hormonal routes). Developing this capability within practices helps make menopause care a routine part of everyday primary care, rather than a specialist service.

Access to hormone replacement therapy (HRT) also varies significantly between regions, creating what is often referred to as a postcode lottery in care. This variation can lead to delays, inconsistent prescribing, and avoidable gaps in patient support.

Five quick wins for practices:

• Review your menopause and hormone replacement therapy pathways: Make sure they are up to date with current NICE and British Menopause Society recommendations. Include structured follow-up appointments and clear processes for reviewing treatment effectiveness and safety.
• Promote team-wide learning: Short e-learning sessions or in-house training can boost confidence in identifying menopause symptoms, managing treatment options, and signposting specialist services.
• Empower your wider team: Reception and care coordinators often act as the first point of contact for patients and ensuring they understand available services, appointment types, and how to triage sensitively can make access smoother and more inclusive.
• Create safe spaces for discussion: Consider holding informal “menopause cafés” or awareness sessions to encourage open dialogue between patients and staff.
• Review equity of access: Ensure that information and care are inclusive for all patients who may experience menopause.

Menopause care is a key part of improving long-term health outcomes in primary care – from cardiovascular prevention to mental health and quality of life. These themes, including practical approaches to closing training gaps and strengthening access, will be explored further at Best Practice London 2026, where clinical experts will share tools and insights for delivering more consistent, evidence-based menopause support.