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Marion gluck reviews?

(12 Posts)
Thomasina2505 Sat 17-Sep-16 09:21:18

Hi everyone
I was wondering if anyone has been to the Marion Gluck clinic or to any other menopause specialists who can offer bio-identical hormone treatment? I have read some of the reviews and they are somewhat dated and mixed, so if you have had a recent experience in this field could you please let me know? I'm at the end of my tether trying to decide what to do about my severe menopausal symptoms and don't have much financial room to spend on trying private treatement if it's going to be a bad experience... I am very sensitive to medications so I'm apprehensive about normal HRT and have had a bad experience with it a few months ago. Many thanks.

PollyPerky Sat 17-Sep-16 15:06:20

Hi there
Sorry you are suffering.

Bio identical HRT is available on the NHS from your GP. ALL oestrogen except those starting with 'Pre' (Premarin) is bio (or the correct term is 'body') identical. If you want a body (bio) identical progesterone then you need Utrogestan ( micronised progesterone) also available from your GP if they are happy to prescribe, if you ask for it.

What isn't available on the NHS are 'compounded' hormones. These are hormones that are made up in a private lab according to your 'saliva' profile (which is something Gluck does along with blood tests.)
These are unregulated and, according to the top consultant gynaes in the country, not effective or worthwhile. The reason is that when you are tested, your hormone profile is a snapshot on that day; it will vary from day to day in peri meno.

You can find information on this in the media- Nick Panay who was the former Chairman of the British Menopause Society is quoted in a Daily Mail feature on compounded HRT and explains why ( I've paraphrased it above!)

If you use something like Oestrogel rather than pills, you can adjust the dose yourself, just the same as if it was 'compounded'- you adjust the dose to relieve symptoms.

Hope this helps. I do have a private consultant, and have used bio HRT for many years, but personally, I'd not bother with Gluck who is more expensive that many Harley St consultants (and she's 'only' a GP- not a consultant or gynae.)

haineshighpoint Fri 25-Nov-16 17:07:48

Hi I'm currently under the care of Marion Gluck Clinic. I am peri-menopausal so have been prescribed progesterone. From my experience I feel a lot better - much calmer (mostly!) and a lot less anxious - was definitely not feeling myself before. It is expensive - blood tests, prescriptions - but for me I am happy with how I am being looked after. I went to the GP and had blood tests and told everything was normal - but I felt anything but normal - so thought I was going mad. Was offered anti-depressants and just knew this wasn't the right route for me. I read the book by Marion Gluck - It Must Be My Hormones - which was really interesting hence my visit to the clinic. Two years on - am happy - it's taken a little bit of tweaking along the way but we've got there - and I'm sure it'll need further tweaking as I go into menopause - whereas I really didn't feel my GP was very interested and only wanted to get me out of the door with a prescription for anti-depressants. Good luck you're not alone!

Chewingthecrud Fri 25-Nov-16 17:15:56

Haine certain antidepressants can be very useful in the (peri)menopause for both psychological and vasomtor symptoms and are well worth a trial for women who wish to avoid hormones

I wholeheartedly second the advice posted by PollyPerky.
A huge range of treatment is available on the NHS
You may need to visit a couple of GPs to find one who has an interest in the menopause, GPs do vary in their skill set. And if you get no joy then consider referral to a menopause unit again on the NHS.

I am a doctor and require HRT and also use oestrogel and uterogeston (I under his vaginally for half the month to cause a bleed which is to protect the womb lining from the effects of the oestrogen which make it get thicker). The oestrogen itself if what makes you feel better so with the pump gel you can go trial and error and vary it to suit you. It's a really good method of delivery and no one needn't know you are taking it as no patch to wear etc

Pls see your GP. Don't waste money on what is effectively a money extorting load of rubbish that isn't supported by pretty much any menopause specialist in the country.

PollyPerky Fri 25-Nov-16 17:24:55

But NICE has stated quite strongly that ADs have no place in treating women without depression, and who can take HRT (which is almost all. I heard recently that some oncologists are allowing some women who've had BC to use HRT)

There is a fashion for giving ADs to shut women up (imo) rather than deal with loss of oestrogen .

I agree with all you say about the person being discussed.

Chewingthecrud Fri 25-Nov-16 17:59:12

I don't think or at least my experience isn't that women are shut up. That benefits no one.

Some of the menopausal symptoms are depressive in form such as lethargy and low mood, anxiety, loss of confidence.

That doesn't mean for one bit that I think HRT isn't the gold standard. But due to media misrepresentation of the evidence many women are terrified of HRT and it can take time and trust to discuss the evidence properly. HRT isn't risk free, not many things in life are but it is important decisions are informed obviously. Sometimes a trial of ADs can help whilst time is spent gathering information. I have absolutely had situations where the symptoms have been attributed to the peri and then vastly improved with ADs.

I'm a huge fan of HRT and am fully in agreement that women need to be listened to properly and signposted to information and evidence and then supported in their choice.
Telling someone if you want help it is this or nothing isn't usually popular and backs women into a corner perhaps?

PollyPerky Fri 25-Nov-16 19:01:09

I know, Chewing, but NICE has said ( can't be arsed to link yet again but as a dr you'll have read them) that they are not appropriate for low mood and suggest lifestyle changes, CBT and talking stuff if HRT isn't wanted.

I think the downside and risks of ADs are underplayed, as if they are all without side effects and risks, and HRT overplayed, by many GPs.

Chewingthecrud Fri 25-Nov-16 20:14:07

NICE is basing its opinions on cost effectiveness in populations and menopause and perimenopause is absolutely one of those times when management needs to be very individualised. I don't for one minute think ADd are an easy answer nor always useful nor suit everyone nor without their side effects. But the can be effective if targeted at the right people. Mental health issues also occur in web of menopausal age and also do exist alongside more classical symptoms of oestrogen withdrawal.

GPs can't win. They are always accused of either over or under prescribing anti depressants.

And whilst I would whole heartedly agree that lifestyle changes are key to many issues, you try pushing that one home without getting the 'all I got was fobbed off and told to exercise' complaints.

All I was saying is don't assume the doctor was being useless by suggesting ADs.

And HRT can be life changing. But not right for everyone.

Chewingthecrud Fri 25-Nov-16 20:15:13

Women of menopausal age and also co exist

Sorry

PollyPerky Sat 26-Nov-16 08:44:17

If only all GPs were like you, Chewing!

I think the issue with the NICE guidelines is not so much cost/ effectiveness but they are trying to address the reluctance of some GPs to prescribe HRT, based on old data from almost 20 years ago.

And whilst I would whole heartedly agree that lifestyle changes are key to many issues, you try pushing that one home without getting the 'all I got was fobbed off and told to exercise' complaints.

Surely this depends on how the 'message' is conveyed? If a dr is enthusiastic about the benefits of lifestyle changes, and can point to evidence, women should be accepting.

I'm not for a minute saying that women aged 45+ can't have MH issues but I thought NICE had said that a diagnosis of depression per se was necessary for ADs to be prescribed (and if it didn't exist before peri meno / post meno it was likely in some women to be hormonal.)
And I appreciate that in a 10 minute consultation it is very hard to arrive at a sound diagnosis of depression v effects of loss of oestrogen.

I don't think we're disagreeing really, I'm just saying that from what I've read on forums, many GPs still avoid prescribing HRT - sometimes because of their own prejudices (you'll ride this out, dear...menopause is natural.....HRT causes cancer...) but are happy to give ADs instead.

babybarrister Sun 27-Nov-16 21:22:34

Any recommendations then for who to see in London as have tried HRT and frankly although month one seemed to give me a "lift" month two has been bloody awful and I have had a period every 12 days ....hmm?

I am on Femoston [a low dose AFAIK]

babybarrister Mon 28-Nov-16 20:04:10

sorry but nag but I could really use a MN recommendation!

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