
How to Start Care
The Initial Assessment at WHI is called the Vital Blueprint Process


What the Vital Blueprint Process is
This first consultation is designed to clarify whether your symptoms fit perimenopause, menopause, GSM, midlife metabolic change, or another process, and to decide the safest appropriate next step.
Who it is for
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perimenopausal or menopausal symptoms
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hot flushes, night sweats, or sleep disruption
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vaginal dryness, GSM symptoms, or pain with sex
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low libido or sexual concerns
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fatigue with possible hormonal or metabolic overlap
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midlife weight gain or menopause-related metabolic change
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women already using HRT who need structured review
What to expect
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structured doctor-led review
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symptom and medical-history assessment
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review of prior blood tests if available
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targeted testing if needed
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discussion of treatment options where appropriate
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follow-up planning and monitoring
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onward referral if needed
What is reviewed
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symptoms and timeline
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cycle pattern or menopause status
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prior blood tests or reports
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current medication and supplement use
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vaginal, urinary, or sexual symptoms
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sleep, mood, and metabolic overlap
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bleeding history and uterus status where relevant
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fertility plans where relevant
Fees
Initial Assessment Process: €240
Follow-up Consultation: €120
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all consultations are online
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blood tests and medication are billed separately
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not every assessment leads to HRT
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follow-up depends on the clinical picture and treatment pathway
Not every woman with fatigue, weight gain, or low libido needs HRT.
HRT may be started at the initial assessment if clinically correct.

THE VITAL BLUEPRINT PROCESS (Starting Point for ALL WHI Programs and Services)
Every WHI patient starts with the Vital Blueprint Process (VB) - a full 60-minute medical assessment combining your medical history, hormone and metabolic labs, symptoms, lifestyle, and goals into a Personalised Therapeutic Plan (PTP).
We explore:
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Perimenopause & menopause symptoms
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Hormonal imbalances
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Metabolic resistance & weight issues
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Sexual vitality, libido, and mood
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Energy, sleep, stress, and cognition
Whether you’re struggling with hot flushes, “menopause belly,” low libido, or emotional flatness, the VB maps a clear next step - HRT, Metabolic Reset, Sexual Recovery, or a personalised blend.
What’s included:
Your €240 Vital Blueprint includes advance review of your completed intake questionnaire and available laboratory results or reports, a full one-hour online consultation with Dr Rui, and a personalised treatment plan prepared afterwards. Preparing that plan typically takes a further 20–30 minutes. Prescriptions and guides are provided where clinically appropriate. Follow-up consultations cost €120.
Book your Vital Blueprint first. We then advise which tests, if any, are needed before your consultation and provide a laboratory request form when needed. Laboratory tests and medicines are paid separately.
Still unsure?
👉 Watch the 2-min video on what happens in a VB

