The Marion Gluck Clinic
COVID-19 update

We would like to reassure you that with the ongoing COVID-19 pandemic, we will continue to ensure all your medical needs are cared for. For your safety, all consultations for the foreseeable future will be conducted over telephone or video, and blood testing will be available in the form of finger-prick tests. The COVID-19 virus impacts all of us, and we have structured our services to be with you at every stage of your treatment plan.

Read the full statement from our founder, Marion.


The term “perimenopause” refers to the time when the effects of hormonal change start to become evident, with indications such as the disappearance after menstruation. These terms are used to refer to the menopausal transition phase before the effects solidify completely when the levels of reproductive hormones become more variable and the effects of these fluctuations are significant.

What About Premenopause?

You may also hear the term ‘Premenopause’, which can last for 10 years or more. This refers to the whole period preceding menopause (encompassing perimenopause) where a woman will still have periods (irregular and regular) and is still considered to be in her reproductive years. During this time running up to perimenopause there is often no noticeable change, despite underlying hormone changes. This premenopause stage encompasses the perimenopause stage, where symptoms become noticeable and ends one year after the last menstrual cycle – which is the official date of menopause.

When To Expect This Change

Women begin to experience symptoms of the menopause transition, or perimenopause as early as the age of 35, although most don’t become aware of the transition until they reach their mid to late forties. Often the timing of this phase is similar to the time when a woman’s mother went through the same transition. However, the length of time and severity of menopause-related symptoms for any individual woman cannot be predicted, and every menopause is unique. Genetic and environmental factors are an important factor in determining when a woman may enter the menopause/.

What are the  Symptoms of Perimenopause?

Common symptoms during this phase of hormonal fluctuation can include:

  • Irregular periods
  • Periods that are heavier or lighter than usual
  • PMS
  • Fatigue
  • Mood swings
  • Insomnia
  • Anger and irritability
  • Anxiety
  • Heart palpitations
  • Memory loss
  • Hot flushes
  • Night Sweats
  • Dysfunctional uterine bleeding
  • Anaemia
  • Weight gain
  • Bloating
  • Fluid retention
  • Breast tenderness
  • Aches and painful joints
  • Frequent headaches
  • Urinary incontinence
  • Vaginal dryness
  • Dry skin
  • Low libido

How Do We Treat All Stages of Menopause?

As a woman moves through each phase of menopause, hormone levels can fluctuate significantly, however, these vital hormones, such as estrogen, progesterone and testosterone remain important for bones, vaginal and urethral health, skin, brain function and cardiovascular health. It is therefore important to effectively balance and replenish these hormones in order to maintain a woman’s health, energy, mood and brain function.

However, one size does not fit all and at the Marion Gluck Clinic we carry out a thorough consultation, together with appropriate tests, when symptoms begin displaying as this enable us to provide a bespoke treatment path, developed for the individual’s needs.

As every woman is unique, so are her hormones. Every woman has her ‘own’ menopause and thus every hormone solution is specifically designed for her.

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Book An Appointment Today

The Marion Gluck Clinic is a leading private medical clinic based in London and an initial consultation costs £300. Start your journey back to optimal health by booking a consultation with one of our expert doctors. To book, please call our Patient Care Team on 020 7191 2378, email secretary@mariongluckclinic.com or use our book an appointment form.

Once you have submitted your booking enquiry, a Patient Care Advisor will be in touch within 24 hours to arrange your consultation. Please note that there may be a waiting time for your preferred doctor.


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