Menopause case 1 - Ruth

Case 1 Ruth

47 year old patient complains of feeling tired, has trouble sleeping and night sweats. Patient came in requesting further tests.


Learning Objectives:


  • How to diagnose menopause and pre-menopause and when blood tests are indicated
  • Learn about the important considerations associated with menopause that may have treatment implications


Duration | 6 minutes 29 seconds


Menopause Case 1 - Ruth

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Dr Diana Mansour


Consultant in Community Gynaecology and Reproductive Health Care, FSRH Senior Vice President. New Croft Centre, Newcastle upon Tyne, United Kingdom.

Dr Diana Mansour

Dr Diana Mansour is a Consultant in Community Gynaecology and Reproductive Health Care and Associate Clinical Lecturer at the University of Newcastle since 1997. In addition Dr Mansour is the Senior Vice President for the Faculty of Sexual and Reproductive Healthcare.


Dr Mansour was the first accredited subspecialty trainee in Community Gynaecology and Reproductive Health Care of the Royal College of Obstetricians and Gynaecologists. Dr Mansour is first author to over 90 peer-reviewed publications and has most recently published in Contraception and the BMJ SRH.


Dr Mansour’s areas of expertise include acceptability of contraceptive methods, non-contraceptive benefits of contraception, development of long-term methods of contraception, changes in health service provision, medical management of menstrual disorders and management of the menopause.


Dr Sarah Gray


Dr Sarah Gray

Sarah Gray has spent over 30 years delivering Women’s Health in Primary Care. She is a GP in Cornwall and ran their menopause referral clinic for 15 years until decommissioned in 2016. She still works within the NHS. However, she provides most of her specialist menopause advice from the independent sector.


Sarah is considered a national opinion leader. She sat on the British Menopause Society Council for 10 years and was a member of the groups who developed NICE CG44 (updated and replaced with NG88) and Quality Standards for Heavy Menstrual Bleeding. She is an executive director of the Primary Care Women’s Health Forum and a Training Program Director for the FSRH. She has worked for the GMC and looks for competency assessment as the outcome of training. Sarah provides clinical governance to the public health arm of Cornwall Council. Her latest (international) textbook chapter was published in July 2020.


NICE guideline [NG88] Heavy menstrual bleeding: assessment and management Published: March 2018 (Last updated: May 2021) Available at:

NICE Quality standard [QS47] Heavy menstrual bleeding Published: September 2013 (Last updated: October 2020) Available at:

Dr Julie Oliver


Dr Julie Oliver

Julie Oliver works part time as a GP in Durham, she is a LARC trainer and educator and is commissioned to provide a community gynaecology service.


She has worked for different educational providers at local and national level teaching all aspects of women's health related to primary care. She is the Clinical Director of the Primary Care Women's Health Forum and runs her own business "Durham Gynae". When she isn't working she loves watching gymnastics and athletics.


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