Background: Menopause consultations are often complex, time-intensive, and variable in quality, leading to inconsistent documentation, missed clinical details, and reduced efficiency. Baseline data from a menopause clinic demonstrated prolonged consultation times and incomplete history-taking, with only 44% of consultations capturing ≥80% of key history elements and 58% missing two or more key components.

Aim: To improve efficiency, standardization, and patient-centred care in menopause consultations through implementation of a structured history-taking pro forma and pre-consultation questionnaire.

Methods: A Quality Improvement Project using the Plan–Do–Check–Act (PDCA) methodology was conducted in a GOPD menopause clinic. Baseline data were collected from 50 consultations. A structured proforma aligned with British Menopause Society guidance was introduced, alongside a patient-completed pre-consultation questionnaire. Outcome measures included consultation duration, completeness of history, documentation of red flags, patient understanding, satisfaction, and clinician experience. Post-intervention data were collected from a further 50 consultations.

Results: Following implementation, mean consultation time reduced from 23.6 to 18.4 minutes, and time spent on history-taking decreased from 14.2 to 9.1 minutes. Completeness of key history elements improved from 44% to 86%, while missed key elements reduced from 58% to 16%. Documentation of red flags improved to 100%. Patient-reported understanding increased from 46% to 76%, and satisfaction improved from 68% to 84%. Clinician satisfaction rose significantly from 28% to 74%, and reports of excessive waiting time decreased from 40% to 22%.

Conclusion: Implementation of a structured menopause history-taking proforma is a feasible, low-cost intervention that significantly improves consultation efficiency, documentation quality, and patient experience. This approach supports standardised, guideline-aligned care and has strong potential for wider adoption and scalability across women’s health services.

Mouli Nandi is currently working as a Senior Registrar in the Department of Obstetrics and Gynaecology at Luton and Dunstable University Hospital, United Kingdom. She holds an MBBS with honours, an MS in Obstetrics and Gynaecology, and has attained Membership of the Royal College of Obstetricians and Gynaecologists (MRCOG), successfully completing all parts of the examination in her first attempt. Her clinical training includes a comprehensive senior residency at Lady Dufferin Victoria Hospital, where she gained extensive experience in managing a wide spectrum of obstetric and gynaecological cases. She has independently performed and assisted in numerous procedures, including high-risk deliveries and complex surgeries. Prior to her current role, she worked as an Associate Consultant at Apollo Multispeciality Hospital, Kolkata. She has consistently demonstrated academic excellence, receiving multiple gold medals and distinctions during her medical education. She is actively involved in research and academic activities, with publications in peer-reviewed journals, presentations at national and international conferences, and participation in panel discussions and teaching sessions. She is committed to delivering evidence-based, patient-centred care and remains dedicated to advancing women’s health through continuous learning, clinical practice, and academic contribution.