Complex Menopause Service

Welcome to the “Complex Menopause Service” at The NMH

The National Maternity Hospital is proud to have a Complex Menopause Clinic. Launched in January 2022 and supported by funding from the Department of Health and HSE’s National Women & Infants Programme, this service is dedicated to helping women with serious medical conditions to manage their Menopausal symptoms.

The clinic is staffed by GP Menopause Specialists, a full-time Nurse Specialist and a friendly administrative team.

Most patients, who are troubled by menopause symptoms, are able to receive advice and treatment in the community through their GP, Practice Nurse or Family Planning Clinic. Unfortunately, patients with certain medical conditions including thrombosis, cardiovascular disease, cerebrovascular disease, hormone sensitive cancers, etc. are advised to be seen by a “Menopause Specialist” to discuss management options.

We will be that Complex Menopause Service. Appointments can only be offered to suitable patients via GP referral. If you suffer from any of the conditions listed above and are a potential patient, please attend your GP first to see if you are eligible for referral.

A PDF of the appointment request form can be found in the blue bar below. Please ask your GP to download and complete this form on your behalf and send it back to the clinic for review. Our Complex Menopause Service administrator will get in touch with you directly if you are suitable.

We are currently accepting referrals from South Dublin, Kildare, Wicklow, Kilkenny and Wexford. There are additional specialist Menopause services provided in the Rotunda Hospital, Dublin, Cork University Maternity Hospital, Galway University Hospital, The Coombe Hospital and Nenagh Hospital, Tipperary.

Clinic Contact Details:

Telephone - 01 637 3100 and ask for The Menopause Clinic


GP Referral Letter for Complex Menopause Clinic

Information for GPs and Referring Doctors

The Complex Menopause clinic is open to patients in the Dublin, Wicklow, Kildare, Wexford and Kilkenny areas who have menopause disorder issues alongside co-morbidities that make it complicated to offer HRT treatment in primary care. Patients who are suitable include people with a past or current diagnosis of:

  • VTE
  • Immunological Diseases including HIV
  • Ischemic Heart Disease
  • Stroke
  • Cancer; particularly reproductive cancers
  • Serious Current Liver Disease

Please complete all sections of the application form fully as we will not be able to offer an appointment to your patient without this completed form.

Thank you. 

GP Referral Letter

Informational Documents - Complex Menopause Service

The Complex Menopause Service Team have prepared the following informational documents for you, we hope that you will find them helpful:

Document 1 - What is the Menopause? 

Document 2 - What is HRT?

Document 3 - The HRT Controversy

Document 4 - What is POI?

Document 5 - Menopause Symptom Checker

Document 6 - Understanding the Risks of Breast Cancer Pictograph 

Document 7 - Testosterone Therapy in HRT & using low dose male testosterone off label