Mr Silas Gimba is a Consultant Gynaecologist and menopause specialist at HMT St Hugh’s Hospital in Grimsby, with over twenty years of NHS consultant experience. He is a Fellow of the Royal College of Obstetricians and Gynaecologists, appears on the British Menopause Society’s practitioner register, and holds Menopause Society Certified Practitioner status in the United States. His particular focus is complex menopause: the cases where standard treatment has not worked or where other medical conditions complicate the picture.

Menopause care has improved considerably, but the women who fall outside the straightforward path often find themselves stuck. A family history of breast cancer, a previous blood clot, migraines that hormones seem to make worse, or symptoms that have not responded to what was prescribed. None of those means nothing can be done. It means the decision needs someone who can weigh the specific risks in your case rather than apply a general rule.

About Mr Gimba

Mr Gimba is a Consultant Obstetrician and Gynaecologist with Northern Lincolnshire and Goole NHS Foundation Trust, with over twenty years of consultant experience. He holds MBBS, an MSc, an MBA and Fellowship of the Royal College of Obstetricians and Gynaecologists.

He holds menopause accreditation in both the UK and the United States. He appears on the British Menopause Society’s register of menopause practitioners, and he is a Menopause Society Certified Practitioner, an accreditation awarded by the Menopause Society in the United States following a formal certification examination. Relatively few UK clinicians hold the American credential.

His NHS special interests are menstrual and pelvic pain disorders, gynaecological ultrasound and infertility.

His menopause practice focuses on midlife health and hormonal change, and particularly on complex and higher-risk cases: women with a family history of breast cancer, heart disease or osteoporosis, those with a history of blood clots or a significant clotting risk, hormonal headaches and migraines, premature ovarian insufficiency and early menopause, and premenstrual dysphoric disorder. He treats symptoms holistically rather than in isolation, and his approach is to set out the options available in an individual’s specific circumstances.

Alongside his clinical work he is Director of Postgraduate Medical Education, with responsibility for the training of more than 250 doctors in training across all hospital specialties.

Areas of expertise

Menopause and perimenopause

• Perimenopause and menopause symptoms
• Hormone replacement therapy (HRT), including starting, reviewing and changing treatment
• Complex menopause where standard treatment has not worked
• Premature ovarian insufficiency and early menopause
• Hot flushes, night sweats and sleep disturbance
• Mood, memory and concentration changes in menopause
• Genitourinary symptoms of menopause
• Bone and heart health around menopause
• Second opinion on HRT

Higher-risk and complex menopause

• Menopause management with a family history of breast cancer
• Menopause management with a family history of heart disease or osteoporosis
• Menopause management with a history or significant risk of blood clots
• Hormonal headaches and migraine
• Menopause with other complicating medical conditions

Menstrual disorders

• Heavy menstrual bleeding
• Irregular or absent periods
• Painful periods
• Premenstrual syndrome (PMS)
• Premenstrual dysphoric disorder (PMDD)
• Hormonal irregularities

Pelvic pain

• Chronic pelvic pain
• Pelvic pain disorders

Sexual wellbeing

• Female sexual difficulties
• Low sexual desire
• Menopause-related changes in sexual wellbeing

Investigation

• Gynaecological ultrasound
• Hormonal and blood testing where clinically indicated
• Assessment of investigations already carried out

Mr Gimba treats adults aged 18 and over.