During the Appointment
1. Powerful Opening Scripts
Option A — Clear and Direct
“I’d like to start by outlining my main concerns so we can make good use of our time today.”
Option B — If You're Nervous
“I’ve written down my symptoms so I don’t forget anything important; would it be okay if I read from my notes?”
2. What To Say If You Feel Dismissed
The Re-Centre Script
“I hear what you’re saying, but these symptoms are significantly affecting my quality of life, and I’d like us to explore them fully.”
The Clinical Responsibility Script
“If we aren’t doing X today, can you document the clinical reasoning for that decision?”
Clinicians take documentation seriously.
3. Asking for Tests
Hormone Testing Script
“Given my symptoms, I’d like a hormone panel including FSH, LH, oestradiol, prolactin, thyroid function and AMH if clinically appropriate.”
If They Decline
“I understand, but these tests would provide clarity and peace of mind. Can you document the reason for declining in my notes?”
4. Asking for Referrals
Direct Referral Script
“I'd like to be referred to a reproductive endocrinologist/menopause specialist for further evaluation.”
If They Push Back
“A specialist opinion would really help me understand my symptoms. Could we arrange that today?”
5. Clarifying Plans
Before you leave:
“Can we summarise the plan so I know exactly what to expect next?”
If you don’t feel listened too during your consultation…
1. Emotional Regulation Line
“I’m feeling a little overwhelmed because these symptoms have been affecting me for a long time—could we slow down for a moment?”
Pauses often shift the dynamic.
2. The Reset Script
“I feel like we may have gotten off track. My main concern is ____. Can we return to this?”
3. The Escalation Script
“I’d like a second opinion, please.”
It is totally within your right to seek a second opinion, you need no justification.
4. Your Right to Change GP or Speak to Another Clinician
Not all doctors have menopause or POI training. You are allowed to seek someone who does.
