Site index

Every page on Her Vitals in one place: 85 guides, reviews, tools and data pages. Looking for something specific? Try the search page.

Supplements and life stages

Best of: product round-ups

Evidence-led guides

Compare and explain

Free tools and calculators

Research and data

  • Research and data assets Her Vitals research: consolidated, citeable data assets on UK women\
  • UK Supplement Price-Per-Effective-Dose Index A consolidated UK index that prices eight common supplements by their effective daily dose of the active ingredient, not by the pack, with the NHS or EFSA basis and a primary source for every figure. Updated June 2026.

UK women's health statistics

  • Statistics Key statistics on UK women's life-stage health and supplements for , each linked to its primary source. Updated .

Editorial team

Accreditations

  • Accreditations and registrations The public registrations and identifiers for Best Business Loans Ltd, the company that operates Her Vitals, each linked to its primary register.

About, contact and policies

  • About Her Vitals Her Vitals is an independent UK women's health and supplement information service, operated by Best Business Loans Ltd, with a named editor, cited sources and an affiliate model disclosed upfront.
  • Contact How to contact Her Vitals: editorial corrections, data protection, and the registered operator.
  • Cookies How Her Vitals uses cookies and how to control them.
  • Her Vitals Data API and MCP server Free, read-only access to Her Vitals's index of UK women's supplement categories: a JSON REST API, an OpenAPI 3.1 spec and an MCP server. Information only, not medical advice. CC BY 4.0.
  • Privacy policy How Her Vitals handles data: who the operator is, the analytics we use, affiliate links, and your rights.
  • Terms of use The terms for using Her Vitals: information only, not medical advice, how our reviews and affiliate links work, liability and governing law.

Home

questions

  • Can a Mirena coil mask perimenopause? A Mirena coil can make periods lighter or stop them, so it can hide the change in your cycle that often signals perimenopause. It does not stop other symptoms such as hot flushes, and it can also be used as the progestogen part of HRT. Information only.
  • Can I get HRT over the counter? One low-dose vaginal oestrogen, Gina, can be bought from a pharmacy without a prescription for postmenopausal vaginal symptoms, after a pharmacist check. Whole-body HRT for hot flushes and other symptoms still needs a prescription. Information only.
  • Can my GP refuse HRT because of a family history of breast cancer? A family history of breast cancer is not an automatic bar to HRT under NICE NG23. It is one factor in a shared decision about benefits and risks, alongside your symptoms and history. The decision should be discussed, not simply refused. Information only.
  • Can you have perimenopause without hot flushes? Yes, perimenopause can arrive without hot flushes. The NHS lists many symptoms beyond vasomotor ones, and NICE NG23 lets a GP recognise perimenopause from a changing cycle and symptoms in women aged 45 and over. Information only.
  • Is irregular bleeding on HRT normal? Unscheduled bleeding is a common side effect in the first few months of HRT or after a change of dose. NICE NG23 says to mention it at your review, and to seek prompt advice if it carries on beyond the first months or starts later. Information only.
  • Is waking with anxiety at 4am a menopause symptom? Early waking and night-time anxiety can be part of perimenopause and menopause. The NHS lists sleep problems and anxiety among the common symptoms, often linked and worsened by night sweats. Information only, not medical advice.
  • My pharmacy is out of my HRT, what now? If your HRT is out of stock, ask the pharmacist about a Serious Shortage Protocol or an equivalent, try other pharmacies, and speak to your GP. Do not simply stop. A Serious Shortage Protocol lets a pharmacist supply an alternative without going back to your GP. Information only.

data

  • HRT prescribing in England: the numbers (2024/25) How much HRT England prescribes and who gets it: 14.7 million items to an estimated 2.8 million patients in 2024/25, up 11% in a year, with a striking deprivation gap. Sourced from NHS Business Services Authority data.

menopause-symptoms