Navigate menopause confidently with clinical guidance
MENO.pause is a free clinical decision-aid for healthcare professionals managing menopausal patients. It translates national menopause guidelines into clear, step-by-step guidance — covering natural menopause, early menopause, menopause following cancer treatment, and complications such as unscheduled bleeding on HRT.
Developed by a specialist clinical team at University College London NHS Trust and based on guidance from the British Menopause Society and NICE, it gives clinicians the confidence to manage complex cases and identify when specialist referral is needed.
Up to 13 million women in the UK are menopausal. Over 75% will experience symptoms that significantly affect their quality of life - and effective treatments exist. But many clinicians face real barriers: limited training, conflicting guidance, and concerns about the safety of HRT for complex patients.
The result is long waits, unequal care, and women who aren’t getting the support they need.
Why was meno.pause for Healthcare Professionals created?
MENO.pause was created to address this - giving clinicians the tools to manage menopause confidently, safely and efficiently, and to refer appropriately when specialist input is needed.
Why clinicians use meno.pause
Menopause management is complex, time-pressured, and rapidly evolving. MENO.pause gives you what you need to care for your patients well.
Clear, step-by-step guidance for natural menopause, early menopause, menopause following cancer treatment, and complications including unscheduled bleeding on HRT
Evidence-based support for complex and high-risk patients — including those with cancer histories where standard treatment options may not apply
Confidence to know when and where to refer, with tools to support that process
Content updated in line with the latest guidance from the British Menopause Society and NICE — so you’re always working from current recommendations
Free for all NHS clinicians, accessible on web, iOS and Android
How does meno.pause work?
1
Open the app and select the relevant pathway for your patient — natural menopause, early menopause, menopause following cancer treatment, or complications such as unscheduled bleeding on HRT.
2
meno.pause walks you through a series of clinical questions, drawing on your patient’s history and risk profile to generate clear, individualised guidance on the most appropriate management plan.
3
Where specialist referral is needed, the app indicates this clearly and generates an anonymised, patient-specific report to support that process.
4
All guidance is based on recommendations from the British Menopause Society and NICE, and is updated as guidelines evolve.
Who is meno.pause for?
MENO.pause is for any healthcare professional involved in the care of menopausal patients - across primary, secondary and tertiary care. This includes GPs, gynaecologists, oncologists, oncology surgeons, menopause specialists and accredited menopause practitioners.
You don’t need to be a menopause specialist to use it. It’s designed to help you make confident, evidence-based decision-making at every level of care.
MENO.pause provides guidance across the following areas:
Natural menopause
Early menopause (under 45) and Premature Ovarian Insufficiency (under 40)
Menopause following cancer treatment
Management for women with increased cancer risk
Unscheduled bleeding on HRT
Contraception during perimenopause
How do I use meno.pause?
MENO.pause is free for all NHS clinicians. Download the Clinibee app on web, iOS or Android and follow these steps:
Sign up with your name, organisation and work email - or log in if you already have an account.
Navigate to the Discover Libraries section of the app.
Follow MENO.pause and get instant access to the clinical content.
Who manages meno.pause?
The clinical content for meno.pause is developed and maintained by a specialist team at University College London NHS Trust, led by Dr Shibani Nicum, Associate Professor in Medical Oncology and Honorary Consultant Oncologist.
Steering commitee
Dr Gabriella Yongue
Sub-specialty trainee in gynaecological oncology, University College Hospital
Dr Vikram Talaulikar
British Menopause Society Advanced Menopause Specialist, University College London NHS Trust
The platform is powered by Clinibee, a health-tech company dedicated to building high-quality clinical tools for healthcare providers.
Dr Kristyn Manley
Consultant Gynaecologist and British Menopause Society Advanced Menopause Specialist
Professor Rebecca Bowen
Medical Oncologist specialising in breast and gynaecological cancers, Bath. Lead of a multidisciplinary oncology menopause service.