When to get help promptly

This website cannot assess an emergency and has no monitored clinical inbox. If there is immediate danger, call the emergency number where you are. Do not wait for an appointment, retreat booking or response from this site.

Urgent physical symptoms

Palpitations with chest pain, shortness of breath or fainting need emergency assessment. Sudden face weakness, arm weakness or speech difficulty can be signs of a stroke; seek emergency help even if they improve. [1] [2]

In the UK, call 999 for an emergency. Elsewhere, use your local emergency service. Do not assume a serious new symptom is simply menopause.

Mental-health crisis

In the UK, call 999 or go to A&E if you cannot keep yourself or someone else safe. In England, call NHS 111 and select the mental-health option for urgent help. Samaritans 116 123 offers listening support. [3]

In the United States, call or text 988, or use the 988 Lifeline’s official chat, for suicide and crisis support. Call 911 for immediate danger or a life-threatening emergency. [4]

Outside these jurisdictions, use local crisis or emergency services. This page is not a directory of every available service.

Bleeding after menopause

Vaginal bleeding after menopause should be checked by a clinician, even if it happens once or is only spotting. Arrange medical assessment rather than waiting for a retreat or routine wellness appointment. [5]

When the situation is not an emergency

If symptoms are persistent, worsening, new for you or interfering with life, arrange a healthcare appointment. You do not need a complete diary or a diagnosis before asking for help. Bring a short description of what changed and any medicines you take.