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Learn more about the menopause and discover our top tips for managing symptoms from our healthcare professionals. Blog Below are some useful tips and insights from the team here at Bristol Menopause, acknowledged industry experts and trusted advisors, which will hopefully trigger some thoughts or ideas. Alternative Therapies Cardiovascular Advice Diet Exercise Gum Disease HRT Managing Symptoms Managing Weight Menopause Advice Mental Health Pelvic Organ Prolapse Perimenopause Polycystic Ovaries Post Menopause Self-Care Stress Wellbeing HRT Myths Debunked: What Every Woman Should Know Hormone Replacement Therapy (HRT) is the most effective treatment for menopausal symptoms, yet many women avoid it due to outdated fears and misconceptions. Let's separate fact from fiction. Read More Understanding Perimenopause: Why Your Body Feels Different If you're in your 40s and suddenly feeling like a stranger in your own body, you're not alone. Perimenopause— the transitional phase before menopause—affects every woman differently, but the confusion and frustration are universal. Read More Dry January & Women’s Health: A Powerful Reset for Your Body and Mind Dry January isn’t about restriction or punishment. It’s about pressing pause, giving your body time to reset, and noticing how you actually feel without alcohol in the background. Read More Menopause & Weight Gain — What’s Normal and What You Can Change Midlife weight gain is common but manageable. Discover the real reasons it happens and practical steps to support healthy, sustainable weight control. Read More When Menopause Anxiety Strikes — How to Feel More in Control Menopause anxiety can feel overwhelming. Learn why it happens and discover evidence-based strategies to regain calm and confidence. Read More HRT Explained: What the Latest Guidelines Really Say (2025 Update) Confused about HRT? Get clear, evidence-based guidance on safety, dosing, benefits, and who is eligible according to the 2025 BMS and NICE updates. Read More Why Perimenopause Symptoms Vary So Much And What You Can Do About It Perimenopause symptoms can be confusing and unpredictable. Learn why they vary so much and discover practical, specialist-approved strategies to feel more in control. Read More Healthy Ageing: Thriving Beyond Menopause Reframing Ageing Ageing is inevitable, but the way we age is not fixed. Healthy ageing is less about adding years to life and more about adding life to years. It means maintaining vitality, independence, and joy in the decades after menopause. Read More Simple Nutrition Strategies to Ease Your PMDD Symptoms If you experience Premenstrual Dysphoric Disorder (PMDD), you know the cyclical surge of symptoms such as anxiety, irritability, depression, and fatigue is debilitating. Read More Breast Cancer & Midlife: Why Stress and Lifestyle Matter More Than You Think As women reach midlife, we face a perfect storm, hormonal change, busy lives, and rising health demands. It’s no coincidence that this is also when breast cancer risk begins to increase. Read More 10 Page 1

Here at Bristol Menopause & Wellwoman clinic we understand the unique needs of women as they navigate various stages of life, including menopause. Supporting Women's Health & Lifestyle Nationwide What We Offer Our Services See the details Our Training See the details Our Events See the details FREE Resources See the details What we do Here at Bristol Menopause and Well Woman clinic we understand the unique needs of women as they navigate various stages of life, including menopause. Our mission is to provide holistic, compassionate, comprehensive and evidence-based healthcare services that support each woman's individual needs provided by British Menopause Society registered specialists. Our dedicated team of British Menopause Society accredited specialists are here to provide comprehensive and compassionate care in women's health, working with you through your individual journey. Our aim is to make menopause a positive experience. We offer face to face appointments at our clinic just 2 minutes off Junction 19 of the M5 or nationally we can offer video consultations. More about us Happy New Year As we step into the New Year, we want to thank you for being part of our community. Whether you are just beginning to explore your health concerns or have been working with us for some time, we are honoured to support you. A new year often brings reflection, renewed focus, and the desire to feel more like yourself again. At Bristol Menopause & Wellwoman Clinic, our commitment remains the same: to provide compassionate, evidence-based care that listens to you, believes you, and supports your individual journey through perimenopause, menopause, and wider women’s health. In the year ahead, we will continue to: Offer personalised, specialist-led women's health care Support both physical and mental wellbeing at every stage of life Provide clear, balanced guidance so you can make informed decisions about your health If this is the year you choose to prioritise your wellbeing, we are here to walk that path with you. We wish you a healthy, hopeful, and empowering year ahead. To play, press and hold the enter key. To stop, release the enter key.

Discover upcoming events at Bristol Menopause & Wellwoman Clinics, offering expert guidance, resources, and support for wellwoman health and wellness. Join workshops, talks, and interactive sessions designed to empower and educate. EmpowerHER: Women’s Health in Focus Women’s Health & Wellbeing Event – An Inspiring Day of Connection, Knowledge & Empowerment Sunday 8th March 2026 10am-5pm Kings Weston House, Bristol Book Here Join us for a unique women’s health and wellbeing event designed to educate, empower, and uplift women at every stage of life. This inspiring day brings together leading women’s health experts, lived-experience speakers, and restorative wellbeing workshops, creating a supportive and energising experience you won’t want to miss. Whether you are navigating menopause, perimenopause, menstrual health challenges, PMDD, or simply want to invest in your long-term wellbeing, this event offers expert guidance, meaningful connection, and practical tools you can take away and use. From the moment you arrive, you’ll feel welcomed and cared for. Enjoy drinks and pastries on arrival, receive a beautifully curated goody bag, and settle into a day designed entirely around women’s physical, emotional, and hormonal health. Get your ticket here What’s Included on the Day Expert Women’s Health Talks Hear from respected specialists covering key areas of women’s health, including: Menopause and perimenopause Menstrual health and PMDD Nutrition, diet, and metabolic health Sleep, stress, and mental wellbeing Pelvic floor health Cancer awareness and recovery These evidence-based talks are practical, reassuring, and designed to help you better understand your body and health choices. Real-Life Experiences & Panel Discussions Honest conversations and lived-experience panels offer reassurance, validation, and connection—reminding you that you are not alone in your health journey. Wellbeing Workshops & Immersive Sessions Enjoy a range of nourishing wellbeing experiences, including: Yoga and gentle movement Breathwork and relaxation Sound bath therapy Strength training for women and midlife health Ikigai and purpose-finding workshops A hands-on chocolatier experience Nutritious Light Lunch A delicious, carefully chosen lunch to support energy, balance, and wellbeing throughout the day. This is more than a women’s health conference, it’s a day to pause, reconnect, learn, and prioritise yourself, surrounded by expert guidance and a like-minded community of women. You’ll leave feeling informed, empowered, supported, and re-energised, with new knowledge, practical strategies, and meaningful connections to support your ongoing health and wellbeing. ✨ Spaces are limited. Book your place today and be part of an unforgettable women’s health and wellbeing experience. Join us here Hosts Jinty & Lou Founders of Women Kind Collective Podcasters and Founders of #wheresmyclinic Campaign for an NHS Menopause Clinic for Devon. Gender bias in healthcare advocates and keynote speakers Expert Speakers: Hazel Hayden – Founder, Bristol Menopause & Wellwoman Clinic Dr Jo Burgin – Clinical Lead, Bristol Menopause & Wellwoman Clinic Dr Alice Thomas - Women's Health Specialist Dr, Bristol Menopause & Wellwoman Clinic Diane Danzebrink – Founder, Menopause Support & Make Menopause Matter Campaign Dr. Rebecca Hiscutt – Dietitian Gabz & Anna – Founders, Menstrual Health Project Dr. Caitlin Chasser – The Sleep Project Liz Brown – Women’s Health Physiotherapist Menopause & Cancer - Support those affected by menopause after cancer Claire – The Menopause Stylist The PMDD Project - Supporting those living with PMDD More incredible speakers to be announced soon! Wellbeing sessions & Workshops Yoga - Bloom Yoga Breathwork - Vicky Denning Sound Bath - Piccha Sound Bath Strength Training - Jenergy Ikigai - Discover your Bounce PMDD PCOS Endometriosis POI Menopause Fertility Real life Story Panels Enjoy a delicious light lunch, connect with like-minded women, and take time for yourself in a welcoming, supportive space. You’ll leave feeling empowered, informed, and inspired, plus receive a complimentary goody bag filled with wellness treats to continue your journey at home. Book Here

< Back HRT Myths Debunked: What Every Woman Should Know Hormone Replacement Therapy (HRT) is the most effective treatment for menopausal symptoms, yet many women avoid it due to outdated fears and misconceptions. Let's separate fact from fiction. The 2002 Study That Changed Everything Much of the fear surrounding HRT stems from a 2002 study that made alarming headlines about breast cancer and heart disease risks. However, subsequent analysis revealed significant flaws in that research, and the findings have since been reinterpreted. The women in that study were predominantly over 60 and more than a decade past menopause when they started HRT. We now know that timing matters enormously—starting HRT around the time of menopause is very different from starting it years later. Myth #1 : HRT Causes Breast Cancer The Reality: The relationship between HRT and breast cancer is more nuanced than headlines suggest. Oestrogen-only HRT (for women without a uterus) shows no increased breast cancer risk and may even offer slight protection. Combined HRT (oestrogen plus progesterone) shows a small increased risk, but it's considerably less than the risk associated with drinking two units of alcohol daily or being overweight. For perspective, out of 1,000 women taking combined HRT for five years, approximately four extra cases of breast cancer might be diagnosed. The risk returns to baseline within a few years of stopping HRT. Body-identical progesterone may carry even lower risk than older synthetic progestogens, which is why it's now the preferred option for most women. Myth #2 : Everyone Gains Weight on HRT The Reality: HRT itself doesn't cause weight gain. Studies show that women on HRT tend to gain less weight than women not on treatment. The weight gain many women experience during menopause is primarily due to hormonal changes, aging, and lifestyle factors—not the treatment designed to address those hormonal changes. In fact, by improving energy levels, mood, and sleep, HRT often helps women maintain more active lifestyles and better eating habits. Myth #3 : HRT Increases Your Risk of Blood Clots The Reality: The type of HRT matters significantly. Transdermal HRT (patches or gel) carries no increased risk of blood clots, unlike oral tablets which do slightly increase risk. This is why most menopause specialists now prescribe transdermal oestrogen as first-line treatment. For most healthy women, the absolute risk remains very small, but using transdermal HRT eliminates even this minimal concern. Myth #4 : You Shouldn't Start HRT After 60 The Reality: While it's true that starting HRT within 10 years of menopause offers the most benefits and lowest risks, being over 60 doesn't automatically rule out HRT. Each woman's situation is individual, and for those with persistent debilitating symptoms, HRT may still be appropriate with careful assessment. The key is individualized care based on your health history, symptoms, and personal circumstances. Myth #5 : You Can't Take HRT If You Have a Family History of Breast Cancer The Reality: Family history requires careful consideration but doesn't automatically exclude HRT. The decision depends on several factors: how many relatives were affected, their ages at diagnosis, whether they carried genetic mutations, and your personal risk assessment. Many women with family history can safely take HRT, particularly transdermal oestrogen-only HRT. A menopause specialist can help you understand your individual risk-benefit profile. Myth #6 : You Should Only Take HRT for a Few Years The Reality: There's no arbitrary time limit for HRT. Some women need it for a few years, others benefit from longer-term treatment. The decision should be based on ongoing symptom control and individual health considerations, reviewed regularly with your clinician. For women who start HRT early (before age 45) due to premature ovarian insufficiency or surgical menopause, continuing until at least the average age of natural menopause (51) is recommended for bone and cardiovascular health. What Modern HRT Looks Like Today's body-identical HRT bears little resemblance to the hormones used in that 2002 study. Current best practice involves: Transdermal oestrogen (patches or gel) to minimize clot risk Body-identical (micronized) progesterone for uterus protection Individualized dosing based on symptoms and needs Testosterone for women experiencing low energy, libido, or motivation Regular review and adjustment as needed Making an Informed Decision Every treatment carries both benefits and risks. The question isn't whether HRT is completely risk-free—no medication is—but whether the benefits outweigh the risks for your individual situation. For most healthy women experiencing menopausal symptoms, the answer is yes. HRT effectively relieves symptoms, protects bone health, and may offer cardiovascular benefits when started around the time of menopause. At Bristol Menopause Clinic, we provide comprehensive consultations to help you understand your personal risk-benefit profile and make informed decisions about your menopause management. Our approach is evidence-based, individualized, and focused on helping you achieve optimal wellbeing. Don't let outdated myths prevent you from accessing treatment that could transform your quality of life. British Menopause Society accredited. Evidence-based, personalised menopause care in Bristol. Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us

Our dedicated team of British Menopause Society accredited specialists are here to provide comprehensive and compassionate care in women's health, tailored to your individual journey. Partnering with Corporates and Charities for Menopause and Women’s Health in the Workplace At Bristol Menopause Clinic, we support businesses and charities in creating inclusive workplaces that prioritise women’s health, with a special focus on menopause. From developing tailored workplace policies to delivering expert training sessions and offering onsite or virtual health clinics, we provide comprehensive solutions to empower women at work. Our services help organisations foster a culture of understanding, reduce stigma, and boost employee wellbeing and productivity. By addressing key issues like menopause through education, policy, and personalised care, we enable workplaces to thrive. Partner with us today to make a lasting impact on women’s health in your organisation. NHS HMP - Eastwood Park Old Down Estate Amazon Broadway Lodge BT Group Sirona Healthcare Stroud High Shcool Unison Pro Cook We Work Burton Bradstock C of E Primary school University of Bristol Portishead Town Counsil Silverback Film Tribe Associates Clifton College Brunel GKN Bristol Women's Voice If you would like more information about our corporate services, please do not hesitate to reach out to us. You can contact us via email at hello@bristolmenopause.com or by phone at 0117 4525747. Our dedicated team is available to assist you with any inquiries, provide tailored solutions, or discuss how we can best support your organisation’s needs. We look forward to hearing from you!

Our dedicated team of British Menopause Society accredited specialists are here to provide comprehensive and compassionate care in women's health, tailored to your individual journey. ​ Expert Menopause Care Tailored to You At Bristol Menopause Clinic, we provide expert, evidence-based menopause care designed to support you at every stage of your journey. Whether you're experiencing perimenopause, menopause, or post menopause, our specialist-led appointments offer personalised guidance on hormone replacement therapy (HRT), lifestyle strategies, and symptom management. Our British Menopause Society-registered specialists take the time to understand your concerns, helping you navigate changes with confidence. From sleep disturbances and mood shifts to weight management and hormonal balance, we empower you with the knowledge and care you need to feel like yourself again. Book an appointment today and take control of your menopause journey with trusted medical support. Initial Menopause Consultation £225 Read More Menopause Package: Initial & Follow up Consultation Included - New Patient Only £350 Read More Menopause Follow-up Consultation *Existing Patients ONLY* £155 Read More Ongoing Menopause Support Package Read More

< Back Sleeping Better Through Menopause: Navigating Sleep Disturbances and Cultivating Healthy Habits Menopause Advice, Wellbeing Quality sleep is vital for overall well-being, yet menopause often brings about changes that can disrupt a woman's sleep patterns. Quality sleep is vital for overall well-being, yet menopause often brings about changes that can disrupt a woman's sleep patterns. Understanding these disturbances, adopting effective sleep hygiene practices, and seeking professional guidance can significantly improve sleep quality during this phase of life. Understanding Sleep Disturbances during Menopause Hormonal Changes Fluctuating hormone levels, particularly declining oestrogen and progesterone can contribute to sleep disruptions. These changes can lead to night sweats, hot flushes, and increased sensitivity to environmental factors, impacting sleep quality. Night Sweats and Hot Flushes : Episodes of sudden heat and sweating, especially at night, can awaken women, interrupting their sleep cycles and leading to fragmented and insufficient rest. Mood and Stress: Emotional fluctuations and increased stress levels experienced during menopause can also affect sleep, leading to difficulties in falling or staying asleep. Certain foods and drinks can promote better sleep by providing nutrients essential to sleep. Kiwi, cherries, milk, fatty fish, nuts, and rice have been found to aid in relaxation and sleep. Avoid caffeine, alcohol, and heavy meals 2 hours before bed so you are not still trying to digest food as you try to sleep. If you need to get up to the loo in the night, try not to drink for 2 hours before bed. If you are getting urge during the day as well speak to your Healthcare professional to discuss vaginal oestrogen replacement. Maintain a Consistent Sleep Schedule: Establishing a regular sleep routine by going to bed and waking up at the same time each day helps regulate the body's internal clock, promoting better sleep. Create a Relaxing Bedtime Ritual: Engage in calming activities before bed, such as reading, taking a warm bath, practicing relaxation exercises, or meditating to signal to your body that it's time to wind down. Optimise Your Sleep Environment: Ensure your bedroom is conducive to sleep by keeping it cool, dark, and quiet. Consider using blackout curtains, white noise machines, or earplugs if needed. No television or phone, social media scanning before bed. Limit Stimulants and Screen Time: Avoid caffeine and electronics at least an hour before bedtime, as these can interfere with your ability to fall asleep due to their stimulating effects. Practice CBT-i (Cognitive Behavioural Therapy for Insomnia): CBT-i is a structured programme that helps address underlying issues causing sleep disturbances. It focuses on changing negative thoughts and behaviours around sleep, promoting relaxation techniques, and restructuring sleep patterns. Seeking Professional Help for Sleep Issues Consulting Healthcare Professionals: If sleep disturbances significantly affect your quality of life, consulting a healthcare professional is crucial. They can assess your symptoms, recommend lifestyle changes, and discuss potential treatments, including hormone therapy if necessary. Developing Good Sleep Habits: CBT-i is an evidence-based approach that helps individuals develop good sleep habits, improve sleep quality, and manage insomnia. It involves setting consistent sleep schedules, stimulus control techniques, and relaxation strategies to retrain the mind and body for better sleep. Conclusion: Navigating sleep disturbances during menopause requires a multifaceted approach that includes adopting healthy sleep hygiene practices and seeking professional guidance when needed. Understanding the factors contributing to sleep disruptions and implementing strategies like CBT-i and good sleep habits can significantly improve sleep quality, allowing women to better manage this phase of life with improved rest and vitality. Remember, individual experiences with sleep during menopause can vary, so finding a personalised approach that works for you is key to achieving better sleep quality and overall well-being. Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us

< Back Menopause & Weight Gain — What’s Normal and What You Can Change Midlife weight gain is common but manageable. Discover the real reasons it happens and practical steps to support healthy, sustainable weight control. Menopause & Weight Gain, What’s Normal and What You Can Change If you’re eating the same, exercising the same, but gaining weight it’s not your imagination. Hormonal changes slow metabolism, alter insulin sensitivity, and encourage fat to settle around the middle. The good news? Weight gain is not inevitable and it is absolutely possible to feel strong, healthy and confident again. What’s Really Happening in Midlife Metabolism slows by around 200 calories per day Insulin resistance can increase, especially with poor sleep Muscle mass gradually drops Stress hormones encourage fat storage Practical Strategies That Actually Work 1. Strength train 2–3 times per week This is the single best thing you can do for your metabolism. 2. Increase protein Aim for 1–1.2 g/kg/day to retain muscle. 3. Cut back on alcohol It disrupts sleep and slows fat burning. 4. Consider a medical weight-loss review If lifestyle changes aren’t shifting weight, specialist support can. Want personalised guidance? Book a menopause and weight review at Bristol Menopause Clinic today. Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us

< Back Is It Burnout or Perimenopause? How to Spot the Difference Understanding the overlap and the key differences between stress burnout and hormonal change You’re exhausted. You can’t concentrate. Your mood is all over the place. Sleep is elusive, and your motivation has taken a nosedive. Is it burnout from the constant juggle of work, home, and life? Or is it perimenopause your body’s natural hormonal transition that can start in your 40s (or even earlier)? For many women, the symptoms look and feel alarmingly similar, and it can be hard to know what’s really going on. The good news? You’re not imagining it. And with the right knowledge, you can get the right support. At Bristol Menopause Clinic, we see this overlap all the time. Here’s how to start untangling the signs of burnout from perimenopause and why it matters. What Is Burnout? Burnout is a state of chronic stress that leads to emotional, physical, and mental exhaustion. It’s common in women who are juggling multiple roles career, caregiving, parenting, or managing a household. Common symptoms of burnout include: Constant fatigue, even after rest Difficulty concentrating (brain fog) Feeling emotionally drained or detached Low mood, anxiety, or irritability Trouble sleeping Physical symptoms like headaches, gut issues, or frequent illnesses Burnout is often triggered by external pressures but it’s not just “in your head.” Your stress hormones, particularly cortisol, are often out of balance. What Is Perimenopause? Perimenopause is the transitional phase before menopause, when hormone levels especially oestrogen and progesterone start to fluctuate. This stage can begin anywhere between your late 30s and mid-40s and may last several years before periods stop completely. Common symptoms of perimenopause include: Irregular periods or heavier bleeding Hot flushes and night sweats Mood swings, anxiety, or low mood Fatigue and brain fog Poor sleep Vaginal dryness, urinary changes, or reduced libido New onset of joint aches or weight gain around the middle Sound familiar? That’s because there’s often significant overlap with burnout. Why It’s Easy to Confuse the Two Burnout and perimenopause both affect the nervous system, sleep patterns, mental clarity, and emotional wellbeing. And in many cases, they co-exist making symptoms worse. You might be burning the candle at both ends and navigating shifting hormones without realising it. Adding to the confusion, blood tests in perimenopause are often normal, especially if taken at the wrong time in your cycle. And burnout isn’t always “diagnosed” as a medical condition. That’s why a holistic health check is so important. Key Questions to Ask Yourself To help differentiate (or spot both), consider: Are my periods changing? If your cycle is irregular, heavier, or different than usual, this could indicate perimenopause. Did my symptoms come on after a period of extreme stress or pressure? If yes, burnout might be the primary driver. Do I feel physically hot, get night sweats, or feel flushed? These are classic signs of hormone shifts—not typically seen in burnout. Am I getting recurring infections, gut issues, or low immunity? This could point to long-term stress and adrenal dysfunction. Do I feel like I’m not myself even though nothing specific is ‘wrong’? This is a hallmark of both don’t ignore it. What You Can Do About It Whether it’s burnout, perimenopause, or both you deserve support. Here’s how to start: 1. Talk to Your GP or a Menopause Specialist Don’t downplay your symptoms. Keep a diary, ask about hormone changes, and explore HRT if appropriate. 2. Address Stress & Burnout Prioritise rest, say no where you can, and get help if you’re overwhelmed. Cognitive Behavioural Therapy (CBT), journaling, and stress management tools can make a big difference. 3. Nourish Your Body Midlife is not the time to under-eat or overwork. Choose whole foods, support your gut, and balance blood sugar with protein-rich meals. ️ 4. Move Gently, But Consistently Exercise helps regulate hormones, boost mood, and reduce stress but overtraining can backfire. Find the right pace for you . 5. Prioritise Sleep Like It’s Medicine Create a wind-down routine, reduce screen time, and consider magnesium, CBT-i strategies, or HRT if sleep issues persist. You’re Not Broken—You’re Evolving Whether you’re facing burnout, perimenopause, or both, the most important thing is this: You are not alone, and you are not weak. These are real, valid, and treatable challenges. At Bristol Menopause Clinic, we’re here to help you untangle the symptoms, explore your options, and find a path forward that works for you . Because midlife should be a time of power not survival. Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us

Testosterone Therapy Testosterone Therapy for Women on HRT We offer testosterone therapy for women already on a stable Hormone Replacement Therapy (HRT) plan who want to further optimise their health during menopause. Testosterone can support energy, libido, mood, and mental clarity, especially when standard HRT doesn’t fully relieve symptoms. Our expert-led sessions help you understand how testosterone works in menopause and how it can safely complement your current treatment. We provide personalised, evidence-based care to help you feel more like yourself again. Book a consultation today to explore if testosterone therapy is right for you. Initial Testosterone Consultation See the details Testosterone Follow-up Consultation *Existing Patients ONLY* See the details Initial & Follow up Consultation Initial Blood Test Included *New Patient ONLY* See the details Ongoing Testosterone Support See the details

Coil Retrieval Coil Retrieval - £195 Questionnaire and Pre-retrieval Requirements All patients are required to complete a pre-retrieval questionnaire at least 7 days prior to their appointment. Please note: For any coil fitting, removal, or change, patients must ensure reliable contraception has been used consistently for at least 7 days prior to the procedure. If you have experienced a failed coil removal or are unable to complete your screening forms, please contact the clinic prior to booking so that your situation can be reviewed by a clinician. Discussion & Options Review available coil options and the retrieval procedure. Offer a chlamydia/gonorrhoea test during the appointment (£85). Consultation Assess medical history, current medications, and allergies. Explain the Mirena/copper coil, including the removal and replacement process if applicable. Physical Examination Conduct a pelvic examination to determine the uterus's size, position, and suitability for a new coil if needed. Procedure Remove the Mirena/copper coil using a speculum and retrieval tools. If a new coil is fitted, insertion will be carried out using a speculum and inserter device. Some discomfort or cramping may occur during the procedure. Aftercare Provide guidance on post-procedure expectations, potential side effects, and aftercare advice. Book here

< Back Understanding Premature Ovarian Insufficiency (POI) and Its Implication HRT, Menopause Advice, Perimenopause This blog discusses a topic that’s incredibly important but often not widely discussed—Premature Ovarian Insufficiency (POI). This condition can be challenging and life-changing, so it’s crucial to understand what it is, its implications, and how to manage it What is Premature Ovarian Insufficiency (POI)? Premature Ovarian Insufficiency, also known as premature ovarian failure, occurs when a woman’s ovaries stop functioning normally before the age of 40. Unlike natural menopause, which typically happens around the age of 51, POI can occur much earlier, even in the teenage years. Women with POI may have irregular periods or stop having periods altogether, which can lead to a range of health implications. Key Characteristics of POI: Irregular or Absent Menstrual Periods: This is often the first sign of POI. Periods may become irregular, infrequent, or stop completely. Reduced Oestrogen Levels: Low oestrogen can cause symptoms like hot flushes, night sweats, as well as mood swings, low energy and vaginal dryness. Elevated Follicle-Stimulating Hormone (FSH): High levels of FSH in the blood can indicate reduced ovarian function. Causes of POI POI can be caused by a variety of factors, although in many cases, the cause remains unknown. Here are some known causes: Genetic Factors: Conditions like Turner syndrome or Fragile X syndrome can lead to POI. Autoimmune Disorders: The immune system may mistakenly attack the ovaries, impairing their function. Medical Treatments: Chemotherapy or radiation therapy for cancer can damage the ovaries. Infections or Surgery: Certain infections or surgical procedures can affect ovarian function. Health Implications of POI The implications of POI extend beyond the cessation of menstrual cycles. Here are some key areas of concern: 1. Fertility Challenges: Reduced Egg Production: Women with POI produce fewer eggs, which can make it more difficult to conceive naturally. Fertility Treatments: Options like IVF with donor eggs are available, but fertility treatments can be emotionally and financially challenging. 2. Osteoporosis and Bone Health: Low Oestrogen Levels: Oestrogen plays a crucial role in maintaining bone density. Women with POI are at an increased risk of osteoporosis and bone fractures. Bone Density Monitoring: Regular bone density tests are recommended for women with POI. 3. Cardiovascular Health: Increased Risk: Low oestrogen levels can also increase the risk of cardiovascular diseases, such as heart disease and stroke. 4. Emotional and Psychological Impact: Emotional Stress: The diagnosis of POI can be emotionally challenging, leading to feelings of grief, loss, and anxiety. Counselling and Support: Psychological support and counselling can be beneficial for managing these emotional challenges. Managing POI: Lifestyle and Medical Approaches While POI is a challenging condition, there are ways to manage its symptoms and implications. Here are some strategies. 1. Hormone Replacement Therapy (HRT): Oestrogen Therapy: HRT can help alleviate symptoms like hot flushes and reduce the risk of osteoporosis and cardiovascular disease. It’s important to discuss the risks and benefits with a healthcare professional who specialises in women's health and menopause. 2. Calcium and Vitamin D: Bone Health: Adequate intake of calcium and vitamin D is crucial for maintaining bone health. Foods rich in these nutrients include dairy products, leafy greens, and fortified foods. Supplements may also be necessary. 3. Regular Physical Activity: Weight-Bearing Exercise: Activities like walking, jogging, and strength training help maintain bone density and cardiovascular health. Aerobic Exercise: Supports overall cardiovascular health and can help manage weight. 4. Diet and Nutrition: Balanced Diet: A diet rich in fruits, vegetables, whole grains, and lean proteins supports overall health. Omega-3 fatty acids, found in fish, flaxseeds, and walnuts, are particularly beneficial for heart health. 5. Emotional Support and Counselling: Therapy: Speaking with a therapist or counsellor can help navigate the emotional aspects of POI. Support Groups: Connecting with others who have POI can provide a sense of community and shared understanding, the daisy network who support women with POI. ( https://www.daisynetwork.org/ ) 6. Fertility Counselling and Options: Fertility Treatments: Discussing fertility preservation options, such as egg freezing or IVF, with a specialist can help women make informed decisions about their reproductive future. Premature Ovarian Insufficiency is a complex condition with far-reaching implications for a woman’s health and well-being. While it can be a challenging diagnosis, understanding the condition and exploring management options can help women navigate their journey with greater confidence and support. If you suspect you have POI or have been diagnosed with it, it’s essential to work closely with healthcare professionals to develop a personalized plan that addresses your physical and emotional needs. Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us