Patient advice and guidance
Where to get advice and guidance
We are a small team delivering a large in-demand service. Please note:
- Any and all appointment and general enquires should be sent to chelwest.gynaecology.admin@nhs.net
- All episodes of unscheduled bleeding must be referred to your GP or attend A&E
Our standard treatment pathway usually involves a single appointment, after which you will be discharged back to your GP with a detailed care plan outlined 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 all other enquires please ‘Your visit’ or for current patients only, email the gynaecology admin team. You must include your NHS or hospital number in all correspondence.
FAQs
Repeat prescriptions—for hospital only prescribed medication
Follow the link in the side menu on the left.
HRT implant shortages
The MHRA has indicated that there should be enough hormone implant stock to support all current patients until around Easter 2026. We will continue to offer the service whilst supplies last, but the long-term availability of implants remains uncertain.
Accessing results and letters
Most results (excluding BMD) and all correspondence is available via 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 to the 2WW gynaecology rapid access clinic by your GP. For out of hours services, phone 111 or attend A&E.
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 any 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 Advocacy and Liaison Service
Mental health or crisis support
As a specialist hormone service, we do not provide psychiatric support. If you are having suicidal thoughts or just finding it difficult to cope, please speak to a friend or family member, your GP, call NHS 111 or attend A&E.
- Call 116 123 to talk to the Samaritans, or email: jp@smaritans.org for a reply within 24 hours
- Text ’SHOUT’ to 85258 to contact the Shout Crisis text Line, or text ‘YM’ if you are under 19
- Mental health resources: Urgent NHS mental health services, Self-referral talking therapies
- Domestic abuse and safeguarding: Safeguarding adults and children