< Back HRT Explained: What the Latest Guidelines Really Say (2025 Update) HRT Confused about HRT? Get clear, evidence-based guidance on safety, dosing, benefits, and who is eligible according to the 2025 BMS and NICE updates. HRT Explained: What the Latest Guidelines Really Say (2025 Update) HRT is one of the most misunderstood treatments in women’s health. Many women are unsure whether it’s safe, whether they’re “allowed” it, or which type they need. Here’s the good news: the latest BMS and NICE guidelines confirm that HRT is safe and effective for most women under 60. Let’s break it down simply, clearly, and with zero scaremongering. H2: Key Facts Every Woman Should Know 1. Transdermal oestrogen is the safest option This includes patches and gels and carries the lowest clot risk. 2. Micronised progesterone is body-identical It is usually much better tolerated and has a favourable safety profile. 3. Testosterone can help some women It supports libido, energy and cognition in women with low levels. 4. A family history of breast cancer doesn’t always mean “no HRT” Most women can still use HRT safely with the right guidance. Practical Tips for Using HRT Well Apply gels/patches at consistent times Don’t be afraid of adjusting the dose - “low dose” isn’t always enough Review your treatment every 6–12 months Always use progesterone if you have a uterus Not sure which HRT is right for you? Book your HRT review with Bristol Menopause Clinic and get a personalised treatment plan. 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

Explore our women’s health services including menopause, PCOS, PMDD and POI consultations, hormone therapy, health screening, testosterone support and personalised midlife care. Our Services 20% OFF Platinum Wellwoman Check * 15% OFF Cervical Screening * 15% OFF Iron Infusion Treatment Package * Wellwoman Checks Access here Menopause Care Access here Testosterone Therapy Access here Premature Ovarian Insufficiency (POI) Access here PCOS/PMOS Access here Premenstrual Dysphoric Disorder (PMDD) Access here Blood Test Access here Iron Infusion Treatment Package Access here Coil IUD Access here Sexual Health Access here Prescriptions Access here Gift Vouchers Access here

Read the Terms and Conditions for our clinic services, appointments, payments, cancellations, and patient responsibilities. Terms & Conditions 1. Appointment Booking and Cancellation Policy: a. Booking Appointments: We welcome you to Bristol Menopause & Wellwoman Clinic, where we prioritise your health and well-being. To book an appointment, please contact our clinic through phone, email, or our website. b. Cancellation Policy: We understand that unforeseen circumstances may arise. If you need to cancel or reschedule your appointment, kindly provide at least 48 hours' notice to allow us to accommodate other patients. Appointments cancelled within 48 hours will not be refunded. Appointments cancelled earlier than 48 hours will be refunded subject to a £25 administration charge. 2. Complaints Policy: a. Patient Feedback: We value your feedback and strive to provide the best possible care. If you have any concerns or complaints about your experience at Bristol Menopause & Wellwoman Clinic, please follow these steps: b. Informal Resolution: In most cases, concerns can be resolved informally by speaking with our clinic staff or the healthcare provider involved. We encourage open communication to address your concerns promptly. c. Formal Complaint: If you feel your concern has not been adequately addressed, you may submit a formal written complaint to our Clinic Manager. Please provide details of your complaint, including the date of the incident and the names of any staff members involved. d. Complaint Review: Upon receiving your formal complaint, we will conduct a thorough review of the matter. We aim to acknowledge your complaint within five working days and provide a comprehensive response within 20 working days. We will keep you informed throughout the process. 3. Urgent Medical Attention: a. Emergency Situations: In case of a medical emergency, please dial 999 or seek immediate assistance at the nearest hospital. Bristol Menopause & Wellwoman Clinic is not equipped to provide emergency medical care. b. Urgent Concerns: If you have an urgent medical concern related to your menopause or women's health treatment, please contact our clinic during regular office hours. We will make every effort to address your concern promptly. 4. Third-Party Suppliers: a. Referrals and Services: Bristol Menopause & Wellwoman Clinic may refer patients to third-party suppliers for specialised services or diagnostics, such as laboratory tests or imaging. These referrals are made in your best interest and to enhance your care. b. Terms and Conditions: When using services provided by thirdparty suppliers, patients are subject to the terms and conditions of those suppliers. Bristol Menopause & Wellwoman Clinic is not responsible for the actions or policies of third-party providers. 5. Privacy and Data Protection: a. Confidentiality: Your p ersonal and medical information will be handled with the utmost confidentiality and in compliance with data protection regulations. For more information, please refer to our Privacy Policy. 6. Changes to Terms and Conditions: a. Updates: Bristol Menopause & Wellwoman Clinic reserves the right to update these terms and conditions periodically. Any changes will be communicated to patients through our website or other appropriate means. By scheduling an appointment and receiving care at Bristol Menopause & Wellwoman Clinic, you acknowledge that you have read, understood, and agreed to these terms and conditions. Thank you for choosing Bristol Menopause & Wellwoman Clinic for your women's health and menopause care. We are committed to providing you with the highest standard of care and service. If you have any questions or require further clarification on any aspect of these terms and conditions, please do not hesitate to contact us

< Back Testosterone in Women: Symptoms, Decline & Why It Matters in Menopause Discover the role of testosterone in women, symptoms of low levels, and why it matters in perimenopause and menopause. Expert guidance from a menopause specialist. Testosterone is often incorrectly described as a “male hormone.” In reality, it plays a significant and well-established role in female physiology across the lifespan. Despite this, its clinical relevance in women remains under-recognised, particularly in the context of perimenopause and menopause. This article, the first in a two-part series, outlines: The physiological role of testosterone in women The causes and timing of decline The clinical features associated with reduced levels The second article will address assessment, diagnosis, and prescribing within current UK guidance. Androgen Function and Clinical Relevance Testosterone is an androgen and represents the most abundant biologically active steroid hormone in women during both reproductive and post-reproductive life.¹ It is produced by: The ovaries The adrenal glands Peripheral conversion in tissues including adipose Testosterone exerts its effects through: Direct binding to androgen receptors Conversion to oestradiol via aromatisation Androgen receptors are widely distributed, including in: Central nervous system Bone and skeletal muscle Cardiovascular tissue Skin and hair follicles Vulvovaginal and urogenital tissues This distribution underpins the broad clinical impact of testosterone in women. Clinical Features of Low Testosterone in Women Reduced testosterone levels may present with a constellation of symptoms affecting multiple domains: Reduced sexual desire, arousal, and response Persistent fatigue and reduced motivation Low mood and diminished emotional resilience Impaired concentration, memory, and cognitive function Loss of muscle strength and reduced physical performance Reduced bone mineral density Changes in skin integrity, hair quality, and joint health Vulvovaginal and urogenital symptoms The 2019 Global Consensus Position Statement (endorsed by the British Menopause Society and other international bodies) identifies hypoactive sexual desire disorder (HSDD) as the primary evidence-based indication for testosterone therapy in women.³ However, in clinical practice, presentations are frequently multifactorial and extend beyond sexual function alone. Timing and Causes of Testosterone Decline Testosterone levels decline progressively from the late twenties onwards .⁴ While gradual, several factors may accelerate or exacerbate this reduction: Perimenopause and Menopause The most common cause of clinically significant androgen decline, reflecting changes in ovarian function. Surgical Menopause Bilateral oophorectomy results in an abrupt reduction of approximately 50% of circulating testosterone , often associated with significant symptom burden. Combined Oral Contraceptive Use Suppression of ovarian androgen production Increased Sex Hormone Binding Globulin (SHBG) Reduced free (bioavailable) testosterone Chronic Stress Sustained cortisol elevation may impact androgen synthesis and availability. Endocrine Disorders Including hypothyroidism and hyperprolactinaemia. Medications Including: Antidepressants Antihypertensives Long-term corticosteroids Surgical Menopause: A Clinical Gap Women undergoing surgical menopause experience a sudden and substantial reduction in androgen production . Despite this, testosterone replacement is not routinely incorporated into standard management alongside oestrogen and progesterone.⁷ This may contribute to persistent symptoms such as: Fatigue Reduced libido Mood disturbance Cognitive changes This remains an area where clinical awareness and practice continue to evolve. Relevance in Perimenopause and Menopause Hormone Replacement Therapy (HRT) effectively addresses many symptoms related to oestrogen deficiency, including: Vasomotor symptoms Sleep disturbance Vaginal dryness However, some women report ongoing symptoms despite appropriate oestrogen therapy, including: Reduced libido Persistent fatigue Cognitive symptoms Reduced sense of wellbeing In such cases, androgen insufficiency may be a contributing factor. Clinical Importance The focus of women’s hormonal health has traditionally centred on oestrogen. While appropriate, this approach does not fully reflect the complexity of endocrine physiology. The evidence base supporting testosterone therapy in women has expanded , with international consensus recognising its role within defined clinical indications.³ However: Awareness among patients remains limited Training in prescribing testosterone for women is variable Access to specialist assessment is inconsistent Next Steps The second article in this series will address: Clinical assessment of suspected androgen insufficiency Appropriate use of blood testing Prescribing considerations in line with NICE and British Menopause Society guidance Monitoring and safety Testosterone is a physiologically important hormone in women, with effects across multiple systems. Declining levels, particularly during midlife or following surgical menopause, may contribute to a range of symptoms affecting quality of life. Recognition of its role is essential to ensure a comprehensive and evidence-based approach to women’s health. 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 Fatigue and Menopause: When Exhaustion Isn’t Just in Your Head Alternative Therapies, Managing Symptoms, Self-Care, Wellbeing Are you constantly running on empty, even after a full night’s sleep? Do you feel like your energy has vanished, and no amount of coffee or rest seems to help? If you’re in your 40s or 50s and feeling this way, you’re not alone—and you’re not imagining it. Fatigue is one of the most common (and most overlooked) symptoms of perimenopause and menopause. At Bristol Menopause Clinic, we support women through every stage of hormonal change, helping you understand your symptoms, regain your energy, and feel more like you again. Why Am I So Tired All the Time? Fatigue during menopause is different from regular tiredness. It’s often described as a bone-deep exhaustion, affecting both mind and body. You might feel foggy, irritable, and unable to focus. Tasks you once handled with ease suddenly feel overwhelming. This isn’t laziness or burnout—it’s hormonal. How Hormones Affect Your Energy During perimenopause and menopause, your reproductive hormones—especially oestrogen, progesterone, and testosterone—fluctuate and decline. These hormones play a vital role in everything from sleep to stress response, brain function, and mood regulation. Here’s how the changes affect your energy levels: Oestrogen Helps regulate mood, sleep, and body temperature When it drops, you may experience night sweats, poor sleep, low mood, and brain fog—all of which contribute to fatigue Progesterone Has a calming, sleep-promoting effect Its decline can lead to anxiety, restlessness, and disrupted sleep Testosterone Supports stamina, drive, and muscle mass Low levels can leave you feeling flat, unmotivated, and physically weak It’s not just hormonal changes, either. Many women are also dealing with busy careers, parenting teenagers, or caring for ageing parents—all while their bodies are going through major shifts. Fatigue or Something Else? It’s easy to chalk fatigue up to stress or ageing, but it’s important to rule out other causes such as: Thyroid dysfunction Iron-deficiency anaemia Vitamin B12 or D deficiency Long COVID Sleep apnoea Depression or anxiety At Bristol Menopause Clinic, we take a full health history and offer advanced blood testing to uncover all possible causes—not just hormonal ones. What Can You Do About Menopausal Fatigue? The good news? You can get your energy back. Here’s how we support our patients: Hormone Replacement Therapy (HRT) Tailored HRT can help balance your hormones, improve sleep, reduce brain fog, and restore vitality. It’s safe for most women and can be life-changing when prescribed correctly. Sleep Support We help address sleep disruption through: Sleep hygiene strategies CBT-i (Cognitive Behavioural Therapy for Insomnia) Melatonin or other sleep aids if appropriate Lifestyle & Nutrition Guidance Blood sugar balance and protein-rich meals to avoid energy crashes Magnesium, vitamin D, or iron supplementation where needed Stress reduction strategies (breathwork, journaling, boundaries) Movement That Works with Your Body You don’t need to “push through.” We help you find the right kind of exercise to boost energy gently—like walking, yoga, or strength training tailored to midlife. You’re Not Lazy. You’re Not Broken. You’re Hormonal. So many women come to us saying, “I just don’t feel like myself anymore.” They’ve been told to “get on with it” or “wait it out.” But struggling through menopause without support isn’t a badge of honour—it’s unnecessary. Fatigue doesn’t have to be your new normal. Let’s Find Your Energy Again At Bristol Menopause Clinic, we take a compassionate, medical approach to menopause and midlife health. We’ll help you: Understand what’s happening to your body Get personalised testing and care Create a realistic, tailored plan for more energy and better wellbeing You don’t have to figure this out on your own. 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

Give the gift of health. Purchase clinic gift vouchers for menopause and women's health consultations, and comprehensive health screenings. Gift Vouchers A thoughtful gift of expert care, reassurance, and wellbeing Give someone you care about the gift of time, understanding, and specialist women’s health support with a Bristol Menopause & Wellwoman Clinic Gift Voucher. Our gift vouchers can be used towards consultations, blood tests & wellwoman & wellbeing checks, delivered by experienced clinicians who take the time to truly listen. Whether supporting someone through menstrual health issues, perimenopause, menopause, hormonal changes, or broader women’s health concerns, this is a meaningful and empowering gift. £50 Gift Voucher Purchase Here £100 Gift Voucher Purchase Here £150 Gift Voucher Purchase Here £245 Menopause Consultation Purchase Here

< Back CBD for Menopause: Does It Really Work for Sleep, Pain, or Anxiety? Alternative Therapies, Managing Symptoms, Perimenopause, Post Menopause Menopause is a transformative stage of life that comes with a variety of physical and emotional challenges. Many women experience symptoms such as insomnia, chronic pain, and anxiety, which can significantly impact their quality of life. Recently, cannabidiol (CBD) has emerged as a potential natural remedy for these symptoms. But does it really work? Here, we explore the science behind CBD and its effectiveness in managing menopause-related symptoms, providing you with the insights you need to make informed decisions. What Is CBD? Cannabidiol (CBD) is one of over 100 cannabinoids found in the Cannabis sativa plant. Unlike tetrahydrocannabinol (THC), CBD is non-psychoactive, meaning it does not produce a “high.” CBD interacts with the body’s endocannabinoid system (ECS), which plays a key role in regulating functions such as sleep, mood, pain perception, and immune response. The Endocannabinoid System and Menopause The ECS helps maintain balance, or homeostasis, in the body. During menopause, declining oestrogen levels can disrupt the ECS, potentially contributing to symptoms like sleep disturbances, anxiety, and joint pain. CBD may help restore balance by interacting with ECS receptors, specifically CB1 and CB2 receptors, which are found throughout the brain and body. CBD for Menopause Symptoms: What Does the Research Say? 1. CBD for Sleep Insomnia is a common complaint among menopausal women, often caused by hormonal fluctuations and night sweats. CBD may help improve sleep by reducing anxiety and promoting relaxation. What the Research Shows : A 2019 study published in The Permanente Journal found that CBD improved sleep scores in 66% of participants within the first month of use. While this study wasn’t specific to menopause, the findings suggest that CBD’s calming effects could be beneficial for sleep disturbances. Potential Mechanism : CBD may interact with serotonin receptors and reduce cortisol levels, which are often elevated in individuals with insomnia. 2. CBD for Pain Joint pain and muscle aches are common during menopause, partly due to declining oestrogen levels, which can increase inflammation. What the Research Shows : A 2020 review in Frontiers in Pharmacology noted that CBD has anti-inflammatory and analgesic properties, making it a promising option for managing chronic pain. Potential Mechanism : CBD modulates inflammation and pain perception by interacting with CB2 receptors in the immune system. 3. CBD for Anxiety Anxiety is another prevalent symptom during menopause, often exacerbated by hormonal shifts and life changes. What the Research Shows : A 2015 review in Neurotherapeutics highlighted CBD’s potential as an effective treatment for anxiety disorders. Additionally, a 2021 study in The Journal of Clinical Psychology found that CBD reduced anxiety symptoms in clinical populations. Potential Mechanism : CBD’s interaction with serotonin receptors may help regulate mood and reduce anxiety levels. Is CBD Safe? CBD is generally considered safe, with most side effects being mild, such as fatigue, dry mouth, or changes in appetite. However, it’s important to: Choose High-Quality Products : Look for third-party tested CBD products to ensure purity and potency. Consult Your Doctor : CBD can interact with medications, including hormone replacement therapy (HRT), so discuss it with your healthcare provider before use. Limitations and Future Research While early studies are promising, more research is needed to fully understand CBD’s effectiveness for menopause symptoms. Current studies often have small sample sizes or focus on general populations rather than menopausal women specifically. However, the growing interest in CBD for women’s health suggests that more targeted research is on the horizon. Tips for Using CBD During Menopause Start Low and Go Slow : Begin with a low dose and gradually increase until you find a dose that works for you. Choose the Right Form : CBD is available in various forms, including oils, capsules, gummies, and topical creams. Choose one that fits your lifestyle and specific needs. Be Consistent : Regular use may enhance CBD’s benefits, as it builds up in your system over time. Monitor Your Symptoms : Keep a journal to track how CBD affects your symptoms and adjust your dose as needed. The Takeaway CBD shows promise as a natural remedy for sleep disturbances, pain, and anxiety associated with menopause. While the evidence is still emerging, many women have found relief using CBD alongside other lifestyle and medical interventions. At Bristol Menopause Clinic, we encourage women to explore all available options and make informed decisions about their health. 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 Package: Initial & Follow up Consultation Included - New Patient Only £350 Book Now About Comprehensive Menopause Support Package for New Patients – Just £350 Take control of your menopause journey with our comprehensive support package, designed for new patients. For just £350, you’ll receive both an initial consultation and a follow-up review appointment to ensure you have the expert care and guidance you need throughout this important life stage. Our experienced menopause doctor will provide personalised advice, treatment options, and continuous support to help you manage your symptoms and feel confident every step of the way. What's Included in the Comprehensive Menopause Support Package: Initial 45-Minute Consultation In-depth Consultation with an Experienced Menopause Doctor : Discuss your symptoms, concerns, and health history to receive tailored advice. Personalised Health Plan : Get a customised approach to managing your menopause, covering lifestyle adjustments, nutrition, and possible treatments. Private Prescribing (if needed) : If appropriate, our doctor will prescribe hormone replacement therapy (HRT) or other treatments. Letter to Your GP : A comprehensive letter to your GP, ensuring they are fully informed about your treatment and care plan. Review Appointment Progress Review : Check in with your doctor to review how you're feeling and assess the effectiveness of your treatment plan. Treatment Adjustments (if needed) : Based on your progress, we'll adjust your plan to ensure the best care moving forward. Ongoing Support and Advice : Receive expert guidance on any new symptoms or concerns, helping you continue managing your menopause with confidence. Private Prescribing (if required) : If further prescriptions are necessary, they will be provided during the review consultation. Letter to Your GP : A follow-up letter summarising your progress and any treatment changes will be sent to your GP for continued care. Benefits of Booking the Comprehensive Menopause Support Package: Expert Care Every Step of the Way : Receive specialised care from an experienced menopause doctor throughout your entire journey, from your initial consultation to your follow-up review. Tailored, Ongoing Support : We’ll ensure your treatment plan evolves with you, addressing any changes in symptoms or health, so you’re always receiving the best possible care. Cost-Effective Comprehensive Package : For just £350, you receive both your initial consultation and a follow-up review appointment—giving you complete support without the need for additional bookings or costs. Personalised Approach : Your treatment plan is designed around your specific needs, addressing your symptoms, health history, and goals for menopause management. Confidence in Managing Menopause : With ongoing guidance, adjustments, and support, you’ll feel empowered to manage your menopause symptoms effectively. Book Your Comprehensive Menopause Support Package Today For just £350, you’ll receive a complete menopause consultation and follow-up plan tailored to your needs. Follow link below to book now. Please note: In line with our policy, you are unable to book with a doctor who is your registered GP or a GP at the practice where you are currently registered. This includes Dr Jo Burgin (Bridgeview Medical Practice) and Dr Danielle Calandrini (Newbridge Surgery). Thank you for your understanding. Book Now Discover our range of menopause supplements, available to order today! Shop Now

< Back Testosterone Follow-up Consultation £155 *existing patients only* 30-Minute Menopause Review Appointment If you’ve already had your initial menopause consultation with us, this follow-up review appointment is the perfect way to check on your progress, adjust your treatment plan, and ensure you’re on track for managing your menopause effectively. Our experienced menopause doctor will guide you through any changes, improvements, or challenges, and provide ongoing support tailored to your evolving needs. What’s Included in Your 30-Minute Review Appointment: Progress Review with Your Menopause Doctor A detailed check-in to assess how you’ve been feeling since your initial consultation. We’ll review any symptoms, treatment effectiveness, and lifestyle changes. Treatment Adjustments if Necessary Based on your feedback and progress, we’ll adjust your treatment plan, whether it involves medication changes, lifestyle recommendations, or further investigations. Ongoing Support and Advice Receive expert guidance on any new symptoms or concerns that may have arisen, helping you continue managing menopause with confidence. Private Prescribing (if needed) If there’s a need for further medications, such as hormone therapy adjustments or new prescriptions, they will be issued during the consultation, ensuring you have the care you need without delay. Letter to Your GP A summary letter will be sent to your GP, outlining your progress and any changes to your treatment plan, ensuring seamless continuity of care. Benefits of Booking a 30-Minute Review Appointment: Continued Expert Care Stay on top of your menopause journey with ongoing support from a menopause specialist who knows your history and understands your unique needs. Tailored Adjustments Your treatment plan will evolve with you. We’ll make sure you’re getting the most effective care, whether through changes in medication, lifestyle adjustments, or other interventions. Peace of Mind Regular reviews ensure that you’re on the right track, helping you manage menopause symptoms effectively and minimize any discomfort. Seamless Communication with Your GP Your GP will be updated on your progress and any treatment changes, promoting collaborative care and ensuring your full healthcare team is aligned. Confidential and Convenient Have a private, supportive space to discuss your progress and concerns, allowing you to feel confident in your treatment and decisions moving forward. Book Your 30-Minute Review Appointment Today Stay on top of your menopause journey with expert care and ongoing support. Schedule your 30-minute review appointment to ensure your menopause management remains personalised, effective, and up to date. £155 Book here Please note: In line with our policy, you are unable to book with a doctor who is your registered GP or a GP at the practice where you are currently registered. This includes Dr Jo Burgin (Bridgeview Medical Practice) and Dr Danielle Calandrini (Newbridge Surgery). Thank you for your understanding. Previous Next

< Back HRT Explained: Myths, Benefits, and the Latest Research HRT, Managing Symptoms, Menopause Advice, Perimenopause The Confusion Around HRT For years, hormone replacement therapy (HRT) has been surrounded by confusion, fear, and misinformation. Women experiencing hot flushes, brain fog, joint pain, and mood swings often wonder: Is HRT safe? Does it cause cancer? Will it help with weight gain and brain fog? What are the risks versus the benefits? With conflicting headlines and outdated medical advice, many women are left struggling through menopause symptoms without proper guidance. As a menopause specialist, I want to clear up the myths, explain the science, and give you the latest research so you can make an informed decision about HRT. What is HRT? A Simple Breakdown HRT (Hormone Replacement Therapy) replaces the hormones that naturally decline during menopause—primarily oestrogen and, in some cases, progesterone and testosterone. Oestrogen – The key hormone that helps r elieve hot flushes, brain fog, joint pain, mood swings, and vaginal dryness. Progesterone – Given to women who still have a uterus to protect against endometrial (womb) cancer. Testosterone – Sometimes prescribed to boost libido, brain function, and energy in menopausal women. Fact: The body still needs oestrogen after menopause to protect the brain, bones, and heart. Myth vs. Fact: Debunking Common HRT Misconceptions Myth 1: HRT Causes Breast Cancer Fact: The link between HRT and breast cancer has been exaggerated and misunderstood. The Science: The 2002 Women’s Health Initiative (WHI) study caused fear around HRT, but later analysis showed: Oestrogen-only HRT (for women without a uterus) does NOT increase breast cancer risk. The small risk linked to combined HRT (oestrogen + progesterone) is the same as drinking 1 glass of wine per day . The absolute risk increase is minimal (4 additional case per 1,000 women per year) . Takeaway: HRT is not the primary cause of breast cancer, and the benefits often outweigh the risks for most women. Myth 2: HRT Increases the Risk of Heart Disease Fact: Oestrogen actually protects the heart —when taken early in menopause. The Science: Women who start HRT before the age of 60 or within 10 years of menopause have a lower risk of heart disease. HRT helps maintain healthy cholesterol levels and reduces inflammation in the arteries. The British Heart Foundation recognises oestrogen’s protective effects on cardiovascular health. Takeaway: HRT can r educe heart disease risk if started at the right time. Myth 3: HRT Causes Weight Gain Fact: HRT does NOT cause weight gain —in fact, it may help prevent midlife weight gain. The Science: Oestrogen supports metabolism and prevents fat accumulation around the abdomen. Muscle mass declines without oestrogen, making weight gain more likely in women who don’t take HRT. Women often gain weight due to aging and lifestyle changes, not HRT itself. Takeaway : Staying active and eating a balanced diet will support weight management—HRT can help by maintaining muscle and metabolic health. Myth 4: HRT Only Helps with Hot Flushes Fact: HRT benefits almost every system in the body, not just thermoregulation. HRT’s Benefits Beyond Hot Flushes: Brain Health: Reduces brain fog and lowers dementia risk in early menopause. Bone Health: Prevents osteoporosis by reducing bone loss. Heart Protection: Helps maintain arterial flexibility and circulation. Mental Health: Supports mood stability and anxiety reduction. Skin & Hair: Improves collagen production, reducing wrinkles and hair thinning. Takeaway : HRT is a full-body support system, not just a fix for hot flushes. The Latest Research: What We Know in 2024 HRT research has come a long way, and today’s approach is personalised and safer than ever. 1. The "Window of Opportunity" for Maximum Benefit Starting HRT early (within 10 years of menopause) has the best protective effects on the brain, heart, and bones. Delaying HRT past 60 doesn’t mean it’s unsafe, but benefits may be lower. What This Means: If you're struggling with menopause symptoms, don’t wait—early treatment provides the best long-term health benefits. Body-Identical vs. Synthetic HRT: What’s the Difference? Body-Identical HRT (Recommended in the UK) – Derived from plant-based sources and chemically identical to natural hormones. Examples: Oestrogen gel (e.g., Oestrogel ) Oestrogen patches (e.g., Evorel ) Micronised progesterone ( Utrogestan ) Synthetic HRT (Older Formulations) – Used in the past but linked to higher risks of side effects. The NHS and the British Menopause Society now recommend body-identical HRT as the safest option. Can HRT Reduce Dementia Risk? Recent research suggests that oestrogen plays a major role in brain health, reducing Alzheimer’s risk in women who start HRT early. The Science: A Lancet Neurology study found that women who take HRT have better cognitive function. Oestrogen supports brain plasticity, reducing the risk of memory loss. Takeaway: More research is ongoing, but HRT could be a powerful tool for brain health in midlife women. Who Should NOT Take HRT? While HRT is safe for most women, it may not be suitable if you have : A history of breast cancer or oestrogen-sensitive cancers or a very strong family history or any BRACA genes. Uncontrolled high blood pressure (needs to be managed first) Severe liver disease or rare blood clotting disorders If you’re unsure, consult a menopause specialist to discuss personalised options. Final Thoughts: Is HRT Right for You? HRT is one of the most effective treatments for menopause symptoms and offers long-term health benefits, but the choice is personal. If you’re struggling with hot flushes, brain fog, low energy, or mood swings, HRT could be life changing. The latest research confirms its safety when started early. If you can’t take HRT, lifestyle strategies (strength training, diet, stress management) remain crucial for menopause health. Next Step: Speak to a BMS (British Menopause Society) Specialist for personalised menopause care . 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 Navigating the Festive Season: Self-Care Tips for Menopausal Women Menopause Advice, Stress, Wellbeing As the festive season approaches, we understand that this time of year can bring added stress for menopausal women. As the festive season approaches, we understand that this time of year can bring added stress for menopausal women. Hormones can become unbalanced due to the increase in stress and our own expectations can lay heavy on our health and emotional wellbeing. Acknowledging Stress Triggers Identify Stressors: Recognise the factors that contribute to stress during the Christmas period. Whether it's family gatherings, financial pressures, or increased social commitments, understanding these triggers is the first step. Setting Boundaries: Learn to say no when necessary. It's okay to decline invitations or commitments that might overwhelm you, prioritizing your well-being. Prioritising Self-Care Mindful Time Management: Plan and organise your days and weeks thoughtfully. Allow time for rest, relaxation, and self-care amidst the Christmas rush. Healthy Eating Habits: Amidst the festive indulgences, aim for a balanced diet. Incorporate nutritious meals to maintain energy levels and support overall well-being. Stay Active: Regular physical activity can alleviate stress. Engage in activities you enjoy, whether it's a brisk walk, yoga, or dancing to your favourite tunes. Managing Menopausal Symptoms Temperature Management: Layers can be your best friend! Dress in layers to manage temperature fluctuations caused by hot flashes. Stress Reduction Techniques: Practice relaxation exercises like deep breathing, meditation, or mindfulness to manage stress and anxiety. Seeking Support Reach Out: Connect with friends, family, or support groups. Sharing experiences and feelings can provide relief and a sense of camaraderie during this time. Professional Guidance: If stress becomes overwhelming or menopausal symptoms significantly impact daily life, seek guidance from healthcare professionals. Embracing Self-Compassion Remember, it's okay to prioritise your own wellbeing during this time. Self-care isn't selfish; it's essential for navigating the demands of the festive season while managing peri-menopausal symptoms. Conclusion: As the festive spirit fills the air, remember to fill your own cup first. By acknowledging stress triggers, prioritising self-care, and seeking support when needed. Please share your thoughts or questions in the comments below. Remember, self-care is a gift you deserve this Christmas season. If you’re looking for compassionate, specialist support through perimenopause or menopause, the team at Bristol Menopause is here to help. 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 Dr Alice Thomas Menopause Doctor Alice is a dedicated healthcare professional with a diverse background in general practice, women's health, and mental health assessment. Her journey began with her medical education at the University of Liverpool School of Medicine, where she laid the foundation for her career. After graduating in 2004, she embarked on her career in medicine, initially working as a GP in Merseyside. However, it was her move to Sydney, Australia, in 2010 that proved pivotal in shaping her professional interests. There, she discovered her passion for women's health and particularly for managing the menopause, while working in a bustling family practice. This experience ignited her dedication to providing comprehensive care for women during the perimenopause and menopause stages. In 2013, Alice returned to the UK and settled in North Somerset. She continued her work as a menopause doctor, now complemented by a role as a mental health assessor. Alice is committed to offering evidence-based and personalised advice to her patients, recognising the significance of lifestyle factors in managing symptoms. She approaches her practice with empathy and support, valuing the opportunity to empower women through education and guidance during this transitional phase of life. Beyond her professional endeavors, Alice cherishes her time with her two young boys and embraces a love for the countryside. She finds solace in outdoor activities such as running and walking in the fields, and enjoys embarking on family adventures, including road trips in their campervan. In summary, Alice exemplifies a healthcare professional who is not only dedicated to her patients' well-being but also finds balance in her personal life through nature and family time.