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Hormone Replacement Therapy at Oshun · Kingston, Jamaica

Hormone replacement therapy
in Kingston, Jamaica.

HRT replaces the hormones that fall at the menopause. It is the most effective treatment for hot flushes and night sweats, and it helps menopause-related sleep and mood problems, vaginal dryness and thinning bones. It also carries real risks, which depend on the type, your age and how long you take it. At Oshun you start with a consultation with Dr. Charles Rockhead, from J$11,000.

Chat with the Oshun care team on WhatsApp Call (876) 676-6297

No obligation · Every consultation is in-person with Dr. Rockhead.

Hormone Replacement Therapy at a glance

Dr. Rockhead

Your consultation is with him

In person

Consultation before anything is booked

From J$11,000

Your consultation

9 Devon Road

Kingston, Jamaica

No obligation

You decide after the consultation

WhatsApp

Questions answered privately

Every visit, without exception

Four things that are true of every visit

Care by an OB/GYN

Dr. Rockhead is a board-certified obstetrician and gynaecologist.

30 years caring for women

More than 30 years as a practising obstetrician and gynaecologist.

Written plan first

You leave with a written plan: the type, the dose, and when it is reviewed.

Your choice

Options in plain language, including none, and you decide at every step.

Treatment Details

One thing to know first.

If you are 45 or over, otherwise healthy and have menopause symptoms, Britain's national guidance (NICE) says your symptoms and periods are enough: no blood test is needed. Hormonal contraception can make it harder to tell. A hormone blood test is considered only if you are younger. Not sure it is your hormones? Read where to start with hormone health.

Medical Director: Dr. Charles Rockhead · Last updated: · Sources: Britain's NICE and NHS, The Menopause Society and the US National Academies. Prices: Oshun's own price list.

01HRT 101

What is HRT, and what does it help?

HRT replaces oestrogen, which falls as you approach the menopause. If you still have your womb, you also take a progestogen (progesterone or a similar hormone), because oestrogen alone raises the risk of womb cancer. Together they are "combined" HRT. It comes as tablets, patches, gels or sprays, and as a vaginal form for dryness.

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What it helps
Hot flushes and night sweats most of all, and sleep problems, anxiety and low mood caused by the menopause. It helps prevent osteoporosis (thin bones), which matters most if your periods stopped before 45.
How soon
Symptoms should improve after a few days or weeks. Any side effects usually ease with time: the NHS suggests carrying on for at least 3 months if you can.
An early menopause
If your periods stop before 40, NICE advises hormone treatment until at least the age the menopause would usually come.
What it is not for
NICE says HRT should not be offered to prevent heart disease or dementia. It is not a contraceptive either: you can still get pregnant while taking it.

Know the risks

HRT has real risks, and they are not the same for everyone.

Combined HRT raises the risk of breast cancer: around 5 extra cases in every 1,000 women who take it for 5 years, the NHS says. The risk rises the longer you take it.

NICE adds that the extra risk lasts at least 10 years after stopping. Oestrogen alone, taken after a hysterectomy, causes very little or no increase, NICE says.

02Medical Leadership

Who will you see?

Dr. Charles Rockhead, in person, at 9 Devon Road in Kingston. He goes through your symptoms, your periods, your medicines, and your own and your family's health before anything is prescribed. Recent mammogram and Pap smear results are normally expected, so bring them.

Dr. Charles Rockhead, board-certified Obstetrician and Gynaecologist, Medical Director of Oshun Cosmetic Services in Kingston, Jamaica

Dr. Charles Rockhead, Medical Director — Oshun Cosmetic Services, Kingston.

Dr. Charles Rockhead

Medical Director · Board-Certified OB/GYN · 30+ years of practice

Dr. Charles Rockhead is a board-certified Obstetrician and Gynaecologist with more than thirty years of practice in Kingston. He is the Medical Director of Oshun Cosmetic Services and the founding physician of Amadeo Medical Group, the parent clinical practice.

Read the clinic story · View Dr. Rockhead's LinkedIn

03Starting HRT

How does starting HRT work?

i.

Consultation

Dr. Rockhead asks about your symptoms and your periods and explains your options, including treatments without hormones. Nothing is prescribed until you have talked it through.

ii.

Your plan

Your written plan sets out the type, the dose and how you take it. Most women start on a low dose.

iii.

Reviews

NICE advises a review 3 months after you start or change HRT, or sooner if there are side effects or problems, then once a year.

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Keep up your screening
Keep having your breast screening and Pap smears while you take HRT.
04On HRT

What is normal, and when to get help.

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Bleeding
Some irregular bleeding is common in the first 6 months of HRT, and for 3 months after a dose change. After that, any unexpected bleeding, or bleeding that gets heavier, needs checking promptly. Any bleeding after a hysterectomy needs checking too.
Go to a hospital at once
For chest pain with breathlessness, or if you have trouble speaking or moving an arm or leg, or your face drops on one side. These can be signs of a blood clot in the lung, heart problems or a stroke.
Call a doctor straight away
For pain, redness or swelling in one leg, usually the calf: it can be a clot. Redness can be hard to see on dark skin. See a doctor straight away; you can also call us on (876) 676-6297.
See a doctor about
A lump or any change in your breasts.
05Is HRT for you

Who should not take HRT, and what changes the risk?

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Who should not
The NHS says HRT may not be suitable if you have had breast, ovarian or womb cancer, have liver disease, or are pregnant. The Menopause Society adds bleeding from the womb that nobody has explained, and heart or blood-vessel disease. With a past stroke or coronary heart disease, NICE says a menopause specialist should decide. Untreated high blood pressure must be controlled before you start.
After a blood clot
A past clot can rule HRT out. Patches, gels or sprays may still be possible, as they do not raise clot risk, but only once a specialist has advised you.
Stroke
Tablets slightly raise the risk of stroke, the NHS says; patches, gels and sprays are unlikely to, NICE says. NICE notes the risk from tablets may be greater in Black people.
When you start
The balance of benefit and risk is best if you start before 60, or within 10 years of the menopause, The Menopause Society says.
"Bioidentical" hormones
Custom-mixed (compounded) hormones are often sold as "bioidentical". The NHS does not recommend bioidentical hormones of this kind, because they are not regulated and it is not clear how safe they are. The US National Academies raise particular safety concerns about pellets placed under the skin. Body-identical hormones in regulated HRT are tested and regulated.
Without hormones
If you cannot take HRT, or would rather not, a talking therapy (CBT) can help with hot flushes, and NICE lists a medicine without hormones for when HRT is unsuitable. Regular exercise, a cool room, and less caffeine, alcohol and spicy food can help too.
06Cost & booking

How much does HRT cost in Jamaica?

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What it costs
The consultation with Dr. Rockhead starts at J$11,000. Follow-up visits are priced separately, and the medicine itself is bought from a pharmacy.
Consultation times
Monday and Wednesday, 1 to 6 PM, and Tuesday and Thursday, 1 to 4 PM.
Paying
Cash, debit card, credit card or approved financing. Whether a health plan pays depends on the plan.

If this sounds right

The next step is a conversation, not a commitment.

Start with a consultation, in person, with Dr. Rockhead.

Chat with the Oshun care team on WhatsApp Call (876) 676-6297

No obligation · Every consultation is in-person with Dr. Rockhead.

The honest answers

Before you book.

Open either.

Can I take HRT after breast cancer?
Usually not, the NHS says. For vaginal dryness after breast cancer, NICE puts non-hormonal moisturisers first, and considers vaginal oestrogen only if they are not enough, with your cancer specialist.
How do I book a consultation about HRT?
WhatsApp +1 (876) 676-6297 or schedule a consultation with Dr. Rockhead, from J$11,000.
Patient Stories

A real story, on the record.

The story below is a real Oshun patient who agreed to share her experience publicly. Oshun does not buy reviews, write reviews on behalf of patients, or publish anonymous five-star strings. Real or nothing.

Real patient · Hormone Replacement Therapy at Oshun

Often considered alongside

Three treatments patients ask about in the same conversation.

Menopause Management

Care through the menopause, including treatments without hormones.

Read about it →

Metabolic Testing

Tests that look at how your body uses energy.

Read about it →

Medical Weight Loss

A doctor-led weight-loss plan, decided at an in-person consultation.

Read about it →
Two paths from here

One conversation away.

Hot flushes and broken sleep are worth a doctor's time.

Chat with the Oshun care team on WhatsApp Call (876) 676-6297

No obligation · Every consultation is in-person with Dr. Rockhead.

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