Menopause Care Programme

Last updated: 16 April 2026

Menopause Care Programme

The menopause care programme provides structured symptom tracking, HRT monitoring, and review consultations for patients experiencing menopause.

Enabling the Programme

Navigate to App Store > Care Programmes > Menopause Care and toggle it on.

The configuration page includes a Questionnaires tab where you can select which questionnaires appear on the programme dashboard.

Intake Assessment

The intake questionnaire collects baseline information across five areas:

  1. Menstrual and reproductive history -- last menstrual period, cycle regularity, hysterectomy, oophorectomy
  2. Vasomotor symptoms -- hot flush frequency and night sweat severity (each scored 0-3)
  3. Psychological symptoms -- mood changes, anxiety, and brain fog (each scored 0-3)
  4. Urogenital symptoms -- vaginal dryness, dyspareunia, and urinary symptoms (each scored 0-3)
  5. Risk factors -- migraine with aura, VTE history, breast cancer history (red flags), smoking status, weight and height

Symptom Scoring

Symptoms are scored across three domains:

Domain Components Score range
Vasomotor Hot flushes + night sweats 0-6
Psychological Mood + anxiety + brain fog 0-9
Urogenital Vaginal dryness + dyspareunia + urinary 0-9
Total 0-24

The dashboard tracks these scores over time, with a trend chart that can toggle between total score and individual domain breakdowns.

Dashboard

After enrolment, the dashboard shows:

Summary cards:

  • Menopause status
  • Baseline symptom score and latest score
  • Score change since baseline
  • Last and next review dates
  • Programme duration

Symptom trend chart -- total score and per-domain breakdown over time

Current HRT treatment -- active estrogen and progestogen medications from the patient's prescription record

Observations snapshot -- latest blood pressure and BMI

Biomarker trends -- FSH, Oestradiol, LH, Testosterone, SHBG, Prolactin, TSH

Programme timeline -- chronological log of symptom scores, questionnaires, observations, findings, and reviews

Starting a Menopause Review

The dashboard has a Start Menopause Review button that launches a structured consultation:

  1. Click Start Menopause Review
  2. A new consultation is created with the Menopause Review template pre-loaded
  3. The current HRT summary is pre-populated from the dashboard
  4. The review template covers:
    • Treatment response (improved / unchanged / worse)
    • Medication adherence
    • Side effects (breast tenderness, breakthrough bleeding, nausea, headache)
    • Management decision (continue / adjust dose / switch preparation / stop HRT / lifestyle only)
    • Review interval and investigations needed
  5. After finalising the consultation, if a review interval was recorded, a follow-up task is automatically created

Tip: Use the symptom trend chart during reviews to show patients their progress visually. The domain breakdown helps identify which symptom areas are improving and which may need treatment adjustment.