North Yorkshire spends nearly twice as much as other areas on Hormone Replacement Therapy for women aged between 45 and 60.

According to analysis by the BBC Shared Data Unit, North Yorkshire Clinical Commissioning Group spent a total of £621,387.40 on the drug between April 2021 and June 2022.

The figure amounts to £12.04 per woman aged 45 to 60 in the county — more than double that of the lowest spend in Leicester at £5.56.

However, it is lower than the highest area in West Suffolk NHS, which spent £14.09.

The data comes as experts said the decision-making of local health boards had contributed to a postcode lottery and that some women were not being offered the full range of options because their local health board did not fund them.

HRT replaces hormones that are at a lower level approaching the menopause. Not every patient will need or want HRT, and clinicians advise against it in some circumstances, including for patients with a history of certain types of cancer or blood clots.

Diane Danzebrink, of the Menopause Support charity, said GPs’ “hands were tied”.

She said:

“Often we will hear from women who are being prescribed oral tablets as a first line, and they’re not being offered options.

“Sometimes that is because those options are purely not available on their local CCG formulary. So that sort of ties the hands of their doctors to be able to offer them choices. But we do definitely see that it seems to be in some parts of the country rather than others.”

An NHS England spokesperson said:

“The NHS has a Menopause Pathway Improvement Programme, which includes increased learning for clinicians in how they can best support menopausal women, and working with clinical colleges and menopause organisations to improve awareness and understanding.

“A new Menopause Optimal Pathway will also guide clinicians and help women in the workplace during peri-menopause, menopause and post-menopause.”

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A new Harrogate menopause support group is set to hold a bigger event next week following the huge success of its launch.

Set up by Vic Smith-Dunn through her social enterprise MyLifePool, the group met for the first time at Oatlands Community Centre last month.

Due to demand, the next event, entitled Menopause Matters, will have an increased capacity of 150 and will take place at the Crowne Plaza hotel at 7.30pm on Tuesday, July 5.

It will feature a talk by Dr Sarah Hattam, a local GP and founder of wellbeing and performance consultancy Concilio Health.

She will cover the physiological aspects of menopause, along with ways to help stay healthy and understand more about hormone replacement therapy (HRT) and other options that are available. She will also be sharing how to get the most out of a GP appointment.

Ms Smith-Dunn said:

“At the launch we gathered lots of feedback. We discovered people were struggling to understand what exactly was happening to them, and what their options were, along with wanting to understand more about HRT. I was really keen to address this issue.

“Sarah is kindly donating her time. This means that profits from ticket sales can be donated to local charity Just B, which runs a helpline that is accessible to women who may be struggling through this change.

“Sadly, at our launch event we had to turn so many people away as the venue was too small. Thankfully for this event the Crowne Plaza, on King’s Road, has offered the use of a much larger space so we can accommodate more people.”

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Ms Smith-Dunn explained that as well as providing “good quality information”, the events also offered an opportunity to socialise.

She added:

“So many women going through the menopausal period are also ‘empty nesters’, which brings its own challenges.

“Friendship and peer support is so important for our mental well-being and having an opportunity to spend an evening with like-minded people is so valuable.”

Tickets costing £4 are available to book here.

For more information about the group, visit the MeNoPause website.

A proposal to set up a group for women dealing with symptoms of the menopause has received an “overwhelming” response from the community.

Vic Smith-Dunn, who runs Harrogate-based social enterprise MyLifePool, posted the idea on the group’s Facebook page this week.

Within just a couple of hours she had numerous comments from people saying it was desperately needed. With a date for its first meeting arranged, more than 25 people signed up straight away.

Vic said:

“When you go to your GP, they haven’t necessarily been given a full in-depth education about perimenopause. Being able to say, ‘is this a possibility?’ and ‘maybe I could do this or that?’ can be helpful, but where do you find the information in the first place?

“The idea of the group is to share information – it’s about women supporting women.”

The inspiration for the group came from Vic’s own experience of perimenopause, which she said left her worried about her health. However, speaking to other women going through the same thing gave her reassurance that hormonal changes were to blame for her symptoms, including loss of memory and depression.

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When the group first meets on May 25, biochemist and nutritionist Linda Le Floch from Quality Health Foods in the Westminster Arcade will give some tips on ways to manage symptoms.

There will also be opportunities for women to submit questions in advance or ask them on the night, and to share their own stories and advice about dealing with the impact of menopause.

The way the group operates will be guided by its members, who will be able to meet for coffee, nights out and other events as frequently as they wish.

Vic also hopes to put on a larger event in future, including information for husbands and partners supporting women through menopause. She said:

“My husband did a whole load of research and got to understand the hormone imbalance so he was able to explain to me what was going on. I just wasn’t able to do that at the time.

“Without that understanding, so many marriages break down because men don’t understand what their wives are going through – the women don’t always understand it themselves.”

To book a place at the event on May 25, click here.