Menopause

The diagnosis of menopause and the transitional process is dependent on the pattern of your periods and the symptoms experienced.
Measurements of hormone levels are not routinely done, but are most useful when early menopause or premature menopause is suspected, when fertility appears to be reduced or after hysterectomy with conservation of ovaries where there is no bleeding pattern to follow.
Common menopause symptoms and signs are:

• Irregular periods, absent periods, heavy bleeding
• Hot flushes
• Night sweats
• Tiredness
• Mood changes including low mood, anxiety, irritability
• Brain fog
• Low self esteem
• Decreased sex drive
• Poor sleep
• Bladder issues
• Vaginal problems including increase in infections
• Vaginal dryness and / or soreness
• Changes in skin and hair
• Joint pains

Lifestyle: A healthy lifestyle can help reduce the symptoms of menopause and ensure healthy bones and heart. This can be done through the following:

• Balanced Diet
• Regular exercise
• Reduction in caffeine and alcohol
• No smoking
• Reduction of stress levels

Complementary/Alternative Therapies: There are a number of therapies to consider including acupuncture, herbal remedies, aromatherapy, reflexology and homeopathy. These are becoming popular especially for symptomatic relief but there is limited scientific research to support their effect and safety.

Psychological therapies: Cognitive behavioural therapy (CBT) develops practical ways of managing problems and provides new coping skills and useful strategies for a range of menopausal symptoms including anxiety, hot flushes, night sweats and fatigue.

Symptoms can vary by individual, and can include: 

• Hot flushes and night sweats 

• Sleep disturbances 

• Mood changes and anxiety 

• Vaginal dryness or discomfort 

• Decreased libido 

• Brain fog or forgetfulness 

• Fatigue and joint pain 

• Weight changes 

Symptoms may begin in perimenopause and last 4 to 8 years on average, although for some women they may resolve sooner or persist longer. 

If menopause symptoms are disrupting your quality of life, sleep, relationships, or emotional wellbeing, it is advisable to seek support from a menopause specialist. Early intervention can significantly improve comfort and long-term health outcomes. We also advise individuals to have consultations to learn more about how they might be able to support their perimenopause early, even if your quality of life is not significantly impacted, as knowledge is power.  
 

There are many different options to treat menopause symptoms, and you may be worried about using HRT or someone who has been told you cannot use HRT – please do not worry, there are options to be discussed and we can help you take control of your health, both now and future-proofing too.  

Yes. Hormonal changes can contribute to low mood, anxiety, irritability, and poor concentration. Psychological symptoms are often the first symptoms to be felt. These symptoms are common and treatable. A supportive, individualised care plan can make a significant difference. 

Oestrogen decline, reduced muscle mass, and metabolic changes can contribute to weight gain, particularly around the abdomen. Nutrition, resistance training, and tailored support can help mitigate these changes. 

Yes. Lower oestrogen can lead to vaginal dryness, discomfort during intercourse, and reduced libido. Treatments such as local oestrogen therapy and lubricants can be helpful. We can also guide you through the option of testosterone if needed. 

Contraception remains important during perimenopause, as pregnancy is still possible until menopause is confirmed. In a consultation, we will discuss your current contraceptive method, any changes in your cycle, and how these relate to both your contraceptive needs and menopause symptoms. We'll explore options that can offer both effective contraception and additional benefits, such as helping with heavy periods or providing hormone support, ensuring the approach is safe, suitable, and tailored to your individual health and lifestyle.