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Practice notes

For the clinicians women trust with the conversation.

Most women with sexual symptoms in midlife never raise them. Most clinicians never ask. Practice notes help close that gap.

Two formats, published every two months. Research notes summarise new studies that change how we talk about sex and menopause. Case notes work through situations clinicians meet in practice, with the evidence and the words to use.

This issue
Research notes, October 2026

Testosterone after breast cancer, desire after retirement, and the menopause data gap

Four studies from the journal Menopause, summarised with what they mean for practice.

Read
Case notes, October 2026

She came in for hot flushes

Hot flushes are controlled. Sex hurts. She mentions it as she stands to leave.

Read
Who writes them

Hope is a sexual health educator and keynote speaker. She is not a medical practitioner. Her commentary covers communication, sexual health education and the patient's experience. Clinical content is drawn from published guidelines and peer reviewed studies, cited in full.

Hope also trains clinical teams. The allied professions unit and After the Prescription help practitioners raise sex and menopause with confidence.

Submit a case

Have a case that stumped you?

Send it in. Selected cases become case notes. Remove every identifying detail: names, dates, places and anything unusual enough to recognise.

By submitting, you confirm the case contains no identifying information.

For your patients

Menopause topics.

Plain language guides on perimenopause, symptoms, sexual health, hormone therapy and more. Share them freely.

Practice notes are education for healthcare professionals. They do not replace clinical judgement, local guidelines or specialist advice.