Patient advice and guidance
Where to get advice and guidance
We are a small team delivering a large, in-demand service. Please note:
- All appointment and general enquiries should be sent to chelwest.gynaecology.admin@nhs.net.
- All episodes of unscheduled bleeding should be discussed with your GP or assessed in A&E where appropriate.
Our standard treatment pathway usually involves a single appointment, after which you will be discharged back to your GP with a detailed care plan in your clinic letter.
If a follow-up is needed, you will be advised to request it through the patient initiated follow-up process.
For other general information, please see Your visit. Current patients can also email the gynaecology admin team.
Please include your NHS or hospital number in all correspondence.
FAQs
Repeat prescriptions for hospital-only prescribed medication
Please use the repeat prescription link in the side menu.
HRT implant shortages
The MHRA previously advised that available hormone implant stock was expected to support current patients until around Easter 2026. The long-term availability of implants remains uncertain.
We will continue to offer the service while supplies are available.
Accessing results and letters
Most results, excluding BMD results, and all correspondence are available through the NHS App or our digital platforms.
For copies of missing clinic summary letters, email the gynaecology admin team.
Unscheduled bleeding or postmenopausal bleeding
Contact your GP for advice and guidance. All episodes of postmenopausal bleeding should be referred urgently by your GP to the 2WW gynaecology rapid access clinic.
For out-of-hours advice, contact NHS 111 or attend A&E where appropriate.
Testosterone replacement
Testosterone is a licensed medication that may be prescribed off-label for women already receiving hormone replacement therapy (HRT) who are experiencing significantly reduced libido that causes distress.
Although media interest in testosterone is increasing, there is currently no evidence to support its use for other health benefits.
We accept referrals to initiate testosterone treatment in line with the North West London (NWL) formulary. Once treatment is established, ongoing prescriptions should be managed by primary care, following the local formulary guidance for your area.
Patient Advice and Liaison Service (PALS)
Mental health or crisis support
As a specialist hormone service, we do not provide psychiatric support. If you are having suicidal thoughts or finding it difficult to cope, please speak to someone you trust, contact your GP, use NHS urgent mental health services or attend A&E where appropriate.
- Call Samaritans free on 116 123 or visit the Samaritans website.
- See NHS information about urgent mental health support.
- Find out about NHS talking therapies.
- For information about domestic abuse and safeguarding, see Safeguarding adults and children.