TABLE OF CONTENTS
Introduction
This article explains how the Ardens Women's Health resources can support you in delivering structured, consistent Menopause and Hormone Replacement Therapy (HRT) care in primary care.
Background
Menopause is a natural life stage, usually between 45–55, when periods stop due to hormonal changes. Many women experience symptoms during the perimenopause, which can affect daily life and work, including hot flushes, night sweats, poor sleep, low mood, anxiety, brain fog, joint aches and vaginal dryness. Guidance from the National Institute for Health and Care Excellence (NICE)supports offering HRT to suitable women following an individual discussion of benefits and risks.
How Ardens Can Help
Ardens provides structured menopause and HRT resources embedded within the clinical system to support consistent, high-quality care across the full patient pathway. The resources include:
- Clinical templates: Structured templates to support assessment, diagnosis and ongoing review.
- Prescribing formularies: Guidance to support safe, evidence-based and accurate prescribing.
- Reports: Dashboard to monitor activity.
How to Access our Resources
Templates & Formularies
- Press F12 on your keyboard.
- Open the Ardens Launcher - Women's Health - Menopause template launcher (access this support article for instructions on using the Template Launchers).
- Alternatively, open a consultation and select Run Template and search for the Menopause & HRT - (Ardens NEW) template.


Consultation
The consultation focuses on structured clinical assessment, accurate coding and shared decision-making. The Menopause & HRT template guides clinicians through each required component to ensure best practice, comprehensive documentation and alignment with national guidance.
Initial Consultation
A clinical diagnosis of menopause or perimenopause is primarily clinical and based on the patient’s reported symptoms.
At the first presentation, clinicians are guided to use the Symptoms page to document the nature of the patient's symptoms. This is complemented by the Initial Consultation page, where relevant clinical findings and overall clinical impression are recorded.

Diagnosis
Clear diagnostic coding supports population health management, recall, audit and reporting. The menopause template enables accurate recording of menopause and perimenopause, plus considerations of repeat tests.

HRT Assessment & Counselling
The HRT Assessment and Counselling section provides a structured framework to support safe and consistent decision-making. It incorporates preset options, clinical prompts, scoring tools and a traffic light risk stratification system to guide clinical impression, management planning and personalised counselling.
- Impression: Based on the traffic light system, which categorises patient risk: green indicates low risk, amber indicates moderate risk, and red indicates high risk.
- Management: Depending on the patient's risk or severity, appropriate management options are displayed. The clinician can then record advice, treatment, and follow-up actions.

Review
Following an assessment or diagnosis, and once a condition or need has been identified, a structured management plan can be implemented. This plan may include discussion around treatment or follow-up arrangements.

Formulary
Clinicians can use the formulary to access prescribing guidance in line with the latest NICE recommendations. This supports safe, consistent, and effective prescribing across Menopause & HRT.
The Formulary section supports clinical decision-making by providing advice and guidance on which types of medications may be appropriate based on findings from patient consultations. It also ensures national prescribing policies are followed.

To issue medication:
- Press F12 on your keyboard.
- Open the Ardens Launcher - Women's Health - Menopause template launcher (access this support article for instructions on using the Template Launchers).
- Click Menopause & HRT - formulary and follow the prompts.


Referral
If a decision is made to refer the patient or if a clinician is uncertain about whether the patient meets the criteria for referral, the Referrals page can be used to assess and record criteria for referral according to the latest NICE guidance. This supports timely and appropriate escalation of care for patients.
