Search Results

< Back Endometriosis and Early Menopause: What New Research Reveals Managing Symptoms, Perimenopause A new international study has found that women with endometriosis are significantly more likely to experience early or surgical menopause — a finding that could have lasting implications for how the condition is managed and treated. Published in Human Reproduction , the study analysed data from more than 279,000 women across the UK, Australia, Sweden, and Japan. It revealed that: Surgical menopause occurred on average 19 months earlier in women with endometriosis. Natural menopause happened 5 months earlier than in women without the condition. Women with endometriosis were 7 times more likely to undergo surgical menopause, and twice as likely to enter menopause before age 40. Surgical menopause, which involves the removal of both ovaries, is sometimes used to treat severe endometriosis when other methods fail. However, it brings an abrupt end to hormone production, often with significant side effects including hot flushes, mood changes, and increased risks of osteoporosis and cardiovascular disease. Endometriosis affects 1 in 10 women of reproductive age , and while its links to pain and infertility are well-known, this study sheds light on its lesser-known impact on the timing of menopause. Dr. Hsin-Fang Chung from the University of Queensland, who led the study, said the findings call for expanded endometriosis guidelines — ones that address not just immediate symptoms, but also long-term health outcomes like menopause. “Women with endometriosis should be aware that they may be at increased risk of early or induced menopause,” Dr. Chung said. She recommends that those affected regularly visit their GP to monitor and manage chronic disease risks. Experts also stress the importance of follow-up care post-surgery, especially for younger women who may need help managing menopause symptoms and protecting their bone and cardiovascular health. While these findings won’t change overnight how endometriosis is treated, they add a new layer of urgency to conversations about its management — and a reminder that reproductive health is a lifelong journey. https://www.theguardian.com/society/2025/may/01/people-with-endometriosis-more-likely-to-experience-early-menopause-study-finds 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 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. While PMDD often requires clinical support there’s robust evidence that what you eat, sometimes alongside nutrition supplements, can fundamentally stabilise your body’s response to hormonal shifts. PMDD is closely linked to systemic inflammation and dysregulated neurotransmitter response (the hormones such as serotonin and GABA that help you to feel calm and motivated). By making targeted diet changes, you can help soothe these underlying biological stressors which are having such a significant impact on how you feel. Here are the most practical, evidence-based steps you can take today to help manage the challenging symptoms that emerge in the days/weeks before your period. 1. The Foundational Diet : Stability is Key The primary goal of a PMDD diet is stability. When your blood sugar crashes, so does your mood, and this instability fuels inflammation. To help anchor blood sugar levels make high quality, real foods, especially protein the centrepiece of each meal. Base each meal around protein foods such as eggs, fish, meat, pulses, tofu and dairy. Be aware of when you are eating. Specifically, how often you eat and how much you snack in the evening. Eating later in the day causes our blood sugar levels to spike more intensely which can impact sleep and severity of symptoms the next day. Cravings may be magnified with hormonal f luctuations, especially in the evenings. To help with this ensure you have plenty of protein at each meal-it’s been shown having at least 30-35g of protein at breakfast can reduce cravings right through to the evening. Source your B Vitamins from Food. B vitamins are critical for supporting brain chemistry which becomes even more crucial premenstrually. Research strongly suggests that high consumption of B Vitamins like Thiamine and Riboflavin from food sources (like beef, pork, poultry, fish, dairy and almonds) is associated with a significantly lower risk of developing premenstrual symptoms. Women who had the highest intake of riboflavin had a 35% lower risk of developing PMS compared to those with the lowest intake 2. Reducing the agitators Certain substances are agitators that can amplify PMDD symptoms, particularly anxiety, tension, and physical discomfort Caffeine is a stimulant that amps up your nervous system. If you are dealing with PMS or PMDD symptoms like anxiety, feeling jumpy, tension, or trouble sleeping, caffeine can make those feelings much worse. Because of this it’s often recommended women with PMDD experiment with cutting back or completely stopping drinking caffeine. Sugar and alcohol are known to make PMDD/PMS symptoms much harder to handle. Sugar: Eating sugar causes your blood sugar to shoot up quickly, then crash. These steep drops can severely worsen your mood swings and irritability. Plus, the crash can leave you tired and interfere with getting deep, restorative sleep. Alcohol: Drinking alcohol can throw your hormones out of balance and often leads to dehydration. This combination makes emotional stress, physical tension, and mood swings much worse. Even though alcohol can make you feel sleepy at first, it actually fragments and disrupts your sleep cycle, leading to poor sleep quality which isn’t restorative. Consider a short term reduction of alcohol/sugar or both. To make it feel easier to make this change f ind alcohol free alternatives you enjoy such as Mother Root or Trip drinks and get stocked up with alternatives to chocolate or biscuits to make things easier. For example dark chocolate Brazil nuts or Greek yoghurt with shredded coconut-warm frozen raspberries in the microwave to make them slightly oozy and tip over the yoghurt. Avoiding dehydration - being dehydrated can elevate blood glucose levels increasing feeling of anxiety and stress. It can also lead to tiredness, headaches, poor concentration, increased pain perception and make sleep more difficult. Give yourself a target for your daily water intake and include foods such as broth and watermelon to help with hydration. 3. Fill crucial nutrient gaps There are specific nutrients which can be particularly helpful for supporting you if you have PMDD. Calcium There is clear evidence that calcium can help ease premenstrual symptoms. Large studies confirm that taking extra calcium can significantly improve how you feel: Emotional Relief : It helps calm symptoms such as depression, sadness, and mood swings. Physical Relief : It reduces physical discomforts like fatigue and bloating. Oestrogen acts as the body's manager for calcium, and when oestrogen levels naturally drop before your period, this disrupts the body's ability to regulate calcium. It causes the flow of calcium in and out of your nerve cells to become dysregulated, disrupting the smooth signalling of mood regulating chemicals and directly causing PMDD symptoms like anxiety and irritability. Use a calcium tool ( https://theros.org.uk/information-and-support/bone-health/nutrition-for-bones/ calcium/calcium-rich-food-chooser/) to gauge how much calcium you are having at the moment. Aim for a consistent daily intake of 1000-1200mg calcium, ideally sourced from whole foods to prevent the cyclical dip in serum calcium associated with mood symptoms. Some people may benefit from a small, split-dose calcium supplement to support their symptoms, but consult your healthcare provider first. Calcium works in a critical partnership with other key nutrients: Vitamin D is essential for ensuring calcium is properly absorbed from the gut into the bloodstream; Magnesium helps regulate this balance, working as a cofactor to activate Vitamin D and promoting nerve relaxation to reduce anxiety and cramps; and finally, Vitamin K2 acts as a safety guard by directing calcium toward the bones and actively away from the arteries, mitigating the cardiovascular risks sometimes linked to supplementation. Therefore, addressing PMDD symptoms requires not just consuming enough calcium, but also ensuring adequate intake of D, Magnesium, and K2 for optimal absorption, regulation, and safety. Some food suggestions to increase your calcium intake : • Make seeded crackers with flaxseed, mixed seeds, water and salt - delicious with hummus, cheese or avocado • Snack on edamame beans sprinkled with sea salt and chilli flakes • Have Greek yoghurt as part of your high protein breakfast or instead of a sugary snack • Stir fry kale, and dress with olive oil, lemon juice and sesame seeds - serve alongside your favourite curry or a piece of salmon. Omega-3 Omega-3 Fatty Acids are highly anti-inflammatory and therefore can be helpful to minimise PMDD symptoms like anxiety, depression, and poor concentration. The active form is EPA, which excels at reducing inflammation and stabilising mood. • Why EPA? Plant sources like flaxseeds contain ALA, but the body's conversion to active EPA is highly inefficient (often less than 5%). ◦ Prioritize Oily Fish: Consume salmon, sardines, or mackerel 2–3 times per week for EPA. ◦ Plant Boost: Use walnuts, ground flaxseeds, or chia seeds as secondary support, but not as the sole source. • Supplement Note: If you do not eat fish regularly, discuss a high-EPA fish oil supplement with your healthcare provider Saffron Saffron has been shown to be an effective herbal intervention, with clinical trials demonstrating that a 30mg daily dose (during the luteal phase) can significantly ease PMDD mood symptoms like irritability and anxiety.
 Vitamin B6 Vitamin B6 is critical for supporting PMDD mood symptoms because it is needed for the creation of serotonin, the brain's key mood-stabilising chemical. Ensuring adequate B6 supports the body's ability to produce serotonin, which is often dysregulated during the luteal phase-the second half of your cycle. Clinical evidence shows B6 can significantly reduce emotional symptoms like anxiety and irritability. • B6 is readily found in foods such as chickpeas, chickpeas, salmon, potatoes, and bananas. e.g: a coconut chicken and chickpea curry • Safety Note: Seek individual advice on supplements as long term daily use exceeding safe amounts can lead to nerve damage. Nutrition is a powerful foundational tool you can actively use every day to take charge of your PMDD. By focusing on whole foods, stabilising your blood sugar, and ensuring adequate levels of key nutrients like calcium and B6, you are building a powerful base for mood stabilisation and inflammation control. Before starting any new supplement, especially if you are already taking medication, always speak with your doctor or a registered dietitian. Your healthcare team can help you integrate these nutritional strategies safely and effectively into a comprehensive, personalised treatment plan Written By Dr Rebecca Hiscutt 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

Understanding Premature Ovarian Insufficiency (POI), with expert care from Bristol Menopause & Wellwoman Clinic. Personalised support for managing health challenges. Premature Ovarian Insufficiency (POI) Premature Ovarian Insufficiency (POI), also known as premature ovarian failure, is a condition where a woman's ovaries stop functioning normally before the age of 40. This can lead to irregular or absent periods, fertility issues, and a range of symptoms due to hormonal imbalances. Diagnosis Diagnosing POI involves a combination of medical history, physical exams, and blood tests. Doctors will look for irregular menstrual cycles, low levels of oestrogen and high levels of follicle-stimulating hormone (FSH), which indicate decreased ovarian function. Sometimes additional tests, such as ultrasound or genetic testing, may be done to rule out other conditions. Management While there is no cure for POI, there are effective ways to manage its effects on fertility and overall well-being. Managing With Lifestyle Changes Healthy Diet: Focus on a balanced diet rich in nutrients like calcium, vitamin D, and iron to support bone health and overall wellness. Regular Exercise: Engage in regular physical activity to promote cardiovascular health and manage stress. Bone Health: POI can increase the risk of osteoporosis due to decreased oestrogen levels. Calcium and vitamin D supplementation, weight-bearing exercises, and avoiding smoking and excessive alcohol can support bone health. Potential Hormonal Treatment Hormone Replacement Therapy (HRT): This involves taking oestrogen and often progesterone to manage symptoms like hot flashes, vaginal dryness, and bone health. Birth Control Pills: Birth control pills can help regulate hormone levels, provide symptom relief, and protect against osteoporosis. Fertility Preservation: For those who wish to have children, options like egg freezing may be considered before ovarian function diminishes completely. Emotional Support POI can have emotional effects due to changes in fertility and hormonal shifts. Joining support groups, therapy, or seeking guidance from mental health professionals can provide emotional well-being. Consulting Specialists Regular Health Checkups Regular checkups help monitor bone density, cardiovascular health, and overall well-being. Discuss any concerns with your healthcare professional. Consulting endocrinologists, gynaecologists, fertility specialists and menopause specialists can help tailor treatment plans to individual needs. For support with Premature Ovarian Insufficiency (POI), explore our services Explore our services

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

Initial Testosterone Consultation Package Overview | £255 This 45-minute consultation is designed for women already on a stable Hormone Replacement Therapy (HRT) plan who are considering testosterone supplementation to further optimise their health during menopause. The session is tailored to provide a comprehensive understanding of the role of testosterone in menopause, how it can be beneficial, and how it integrates with an existing HRT plan. What’s Included: Detailed Consultation: A thorough discussion about testosterone therapy, its uses, and how it can improve symptoms commonly experienced during menopause such as fatigue, low libido, mood swings, and decreased muscle mass. Private Prescriptions: If appropriate, your GP will provide a private prescription for testosterone to address your specific needs. Follow-up GP Letter: After the consultation and blood test results, a detailed letter from the GP will be sent outlining the recommendations and treatment plan, including any follow-up or adjustments to your HRT. Book here Benefits of the Appointment: Improved Energy and Vitality: Testosterone therapy can help reduce fatigue and increase energy levels, supporting overall well-being and enhancing day-to-day functionality. Enhanced Libido: Testosterone supplementation has been shown to improve sexual desire and response, which can be impacted by hormonal changes during menopause. Mood Stabilisation: Many women report improvements in mood and a reduction in irritability, anxiety, and depressive symptoms with testosterone supplementation. Increased Muscle Strength and Mass: Testosterone helps maintain muscle strength, tone, and bone health, which can be affected during menopause, promoting overall physical health and fitness. Cognitive Clarity and Mental Sharpness: Testosterone may help improve memory, focus, and mental clarity, often helping women feel more cognitively sharp and alert. Holistic Menopause Management: This appointment is a comprehensive part of managing your menopause symptoms, helping to ensure a balanced hormonal approach for both short-term relief and long-term health benefits. £255* * A blood test is required to assess your testosterone levels and confirm that treatment is appropriate. This must be carried out via a venous blood draw; finger-prick tests are not accepted. Finger-prick tests are not sufficiently accurate for clinical decision-making in menopause care. The blood test costs £110 in addition to the consultation.* 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 here

Accurate and efficient blood services at Bristol Menopause & Wellwoman Clinic. Supporting informed healthcare decisions for every woman. Blood Tests Hormone Profile | £110 - Oestradiol - Testosterone - Sex Hormone Binding Globulin (SHBG) Book Here Ultimate Hormone Profile | £125 - Oestradiol - FSH and LH - Progesterone - Prolactin - Testosterone - SHBG - Ferritin Book Here Fertility Blood Test | £225 Full Blood Count: - Renal Function - Liver Function - Lipid Profile - Diabetes - Iron Studies - Thyroid Function - Vitamin & Nutritional Status - Adrenal Function & Stress - Hormones - Hormone Profile Book Here Perimenopause | £175 - Thyroid Function - Hormone Profile - Full Blood Count - Iron Status Book Here General Menopause | £245 Full Blood Count: - Kidney Function - Electrolytes and Minerals - Liver Function - Lipid Profile - Thyroid Profile - Hormone Profile - Diabetes and Metabolism - Vitamins - Iron Studies Book Here Ultimate Wellwoman | £290 Full Blood Count: - Kidney and Electrolytes - Liver Function - Lipids and Metabolic Markers - Diabetes and Insulin - Thyroid Function - Vitamins and Nutrients - Inflammatory Markers - Hormone Profile Book Here IMPORTANT NOTES Please Do Not Apply Any HRT Gels or Sprays Until After Your Blood Test. If you are still experiencing regular periods and are NOT on any form of hormone medication (HRT or Contraception) please schedule your blood test between day 1-5 of your cycle

Menopause Training for Leaders Menopause can have a profound impact on employee wellbeing, confidence, and performance, yet many leaders receive little or no training on how to support staff experiencing menopausal symptoms. This specialised training equips managers, HR teams, and senior leaders with the knowledge and practical tools needed to foster a more inclusive, supportive workplace culture. This programme goes beyond awareness. Leaders will learn how menopause can influence retention, engagement, and team dynamics, as well as how to implement meaningful support systems that make a measurable difference to employees’ day-to-day experience at work. By addressing menopause openly and appropriately, organisations strengthen their commitment to diversity, equity, wellbeing, and psychological safety, ultimately enhancing performance, loyalty, and overall organisational resilience. What Your Leadership Team Will Learn Understanding Menopause, Recognising Symptoms, Stages & Challenges, Workplace Impact, Support & Adjustments, Lifestyle & Treatment Options, Building a Menopause-Inclusive Workplace. Site visits £2500 | Online £1600 Duration: 4 hours Understanding Menopause & Its Stages A detailed explanation of menopause, perimenopause, and postmenopause, including the wide range of physical and emotional symptoms that may affect employees differently. Recognising Symptoms & Key Challenges Insight into how symptoms can influence concentration, confidence, sleep, mental health, and productivity—helping leaders understand the real-life impact on work. Workplace Impact & Performance Considerations A deep dive into how menopause can affect: Attendance and absenteeism Engagement and communication Stress levels and workplace relationships Overall team performance This helps leaders identify early signs of struggle and intervene supportively. Support Strategies & Reasonable Adjustments Practical, evidence-based actions leaders can take to support menopausal employees, including: Environmental adjustments Flexible working considerations Workload and scheduling support Signposting to internal and external resources CONTACT US Key Training Modules 1. Menopause Awareness & Education Build foundational knowledge, reduce stigma, and empower leaders to have informed, constructive conversations about menopause in the workplace. 2. Legal Responsibilities & Risk Management Guidance on an employer’s legal duties under: The Equality Act Health & Safety legislation Employment law considerations Leaders will learn how to conduct risk assessments and ensure compliance while protecting employee rights and wellbeing. 3. Creating & Implementing Workplace Policies Support to develop or refine a robust, practical menopause policy that includes: Clear support pathways Confidentiality guidelines Guidance for managers Review and update cycles 4. Communication & Leadership Skills Practical training, including role-play where suitable, to help leaders: Hold sensitive, empathetic 1:1 conversations Respond confidently and appropriately Foster an open, supportive culture 5. Supporting Adjustments & Signposting Review of reasonable adjustments and internal support routes, plus signposting to: Occupational health Employee Assistance Programmes (EAPs) External specialist services CONTACT US Reviews & Feedback Deb Davis, HR Director "The Menopause Leadership Training Course with Hazel was insightful and practical, equipping me with the skills to confidently support colleagues through menopause. A must for any manager committed to building an inclusive, supportive workplace." Neil James, Operations Manager " Such a great course, really opened my eyes to how menopause can affect people at work. I feel much more confident having supportive conversations now. Highly recommend it for any manager!"

< Back Tia Brown Patient Care Coordinator & Social Media Lead Tia is one of our patient care team members. Tia is known for her exceptional organisational skills and warm, welcoming manner. As a Patient Care Coordinator, she ensures every patient receives the highest level of attention and support from the moment they contact us. Her dedication to providing outstanding customer care is unmatched, making each interaction smooth, informative, and personal. But Tia’s talents don’t stop there! She also serves as our Social Media Lead, where she shines by sharing valuable educational tools and resources to help our patients stay informed and empowered. You'll often find Tia online, engaging with our community, and providing content that makes healthcare both accessible and engaging. Whether in person or online, Tia’s passion for helping others and her proactive approach make her an integral part of our team.

Learn about PMDD at Bristol Menopause & Wellwoman Clinic. Expert care and compassionate for managing PMDD. Premenstrual Dysphoric Disorder (PMDD) Premenstrual Dysphoric Disorder (PMDD) is a severe form of premenstrual syndrome (PMS) that significantly affects mental health and daily functioning. It involves emotional, behavioral, and physical symptoms that occur during the luteal phase of the menstrual cycle (after ovulation and before menstruation). Symptoms of PMDD PMDD symptoms typically arise 1-2 weeks before menstruation and subside within a few days after the period starts. Common symptoms include: Emotional and Behavioral Symptoms: Severe mood swings Intense irritability or anger Depressed mood or feelings of hopelessness Anxiety or tension Marked changes in sleep patterns (insomnia or sleeping too much) Difficulty concentrating Decreased interest in usual activities Fatigue or low energy Feeling overwhelmed or out of control Physical Symptoms: Breast tenderness or swelling Headaches Joint or muscle pain Bloating or weight gain Changes in appetite, including overeating or food cravings Supplements Certain supplements like calcium, magnesium, and vitamin B6 have shown potential in alleviating PMDD symptoms. Consult a healthcare provider before starting any supplement regimen. PMDD Diagnosis Diagnosing PMDD involves: Symptom Tracking: Keeping a daily record of symptoms for at least two menstrual cycles. Clinical Evaluation: A healthcare provider will review symptom diaries and medical history. Exclusion of Other Conditions: Ruling out other mental health disorders or medical conditions that could cause similar symptoms. Causes and Risk Factors: The exact cause of PMDD is unknown, but potential factors include: Sensitivity to hormonal changes (particularly fluctuations in estrogen and progesterone) Genetic predisposition Serotonin deficiency, as serotonin levels can influence mood Management Strategies & Treatment PMDD treatment often requires a multi-faceted approach, including: Lifestyle Changes: Regular exercise Healthy diet (reducing caffeine, sugar, and alcohol) Adequate sleep Stress management techniques (yoga, meditation) Medications: Antidepressants: Selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed and can be taken daily or only during the luteal phase. Hormonal Treatments: Birth control pills, GnRH agonists, or hormonal therapy to stabilize hormonal fluctuations. Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): For pain relief. Diuretics: To reduce bloating and fluid retention. Cognitive Behavioural Therapy (CBT): CBT can help manage emotional symptoms by addressing negative thought patterns and behaviours. Individuals experiencing severe or disruptive PMDD symptoms should consult a healthcare professional. A thorough medical evaluation can determine the best approach for managing symptoms. Treatment plans should be tailored to individual needs, preferences, and the severity of symptoms. Explore our services

Bristol City Council In Partnership with Bristol Menopause & Wellwoman Clinic We are committed to prioritising women’s health in the workplace, creating a supportive environment where every woman feels valued, empowered, and cared for! Exclusive 15% off Initial Consultations Initial Menopause Consultation Your consultation will include: Health assessment Review current lifestyle Provide advice and guidance on treatment options Prescribe appropriate treatments Discuss supplements and lifestyle changes Personalised management plan Letter Informing GP of consultation £216.75 Book here Initial Testosterone Consultation Your review will include: Review Current Symptoms & Assess Needs Review Health Assessment Review Current Lifestyle Adjust Treatment if Necessary & Prescribe Update Your GP Personalised management plan Please note: A blood test will be required to assess current testosterone levels and ensure that the therapy is suitable for you, at an additional charge of £110. £216.75 Book here

Ongoing Menopause Support Standard Plan 3 month review & Hormone Profile Blood Test 6 month review 12 month review & Hormone Profile Blood Test £53.65 per month, saving of 10% over 12 months Book here Please note: Our support packages are available for existing patients only. If you have not yet had your initial consultation, please ensure this is completed before signing up for any support package. Premium Plan 3 month review & Hormone Profile Blood Test 6 month review 9 month review & Hormone Profile Blood Test 12 month review £66 per month, saving of 10% over 12 months Book here Please note: Our support packages are available for existing patients only. If you have not yet had your initial consultation, please ensure this is completed before signing up for any support package. Platinum Plan 3 month review & Hormone Profile Blood Test 6 month review 9 month review & Hormone Profile Blood Test 12 month review & Ultimate Wellwoman Blood Test £87.75 per month, saving of 10% over 12 months Book here Please note: Our support packages are available for existing patients only. If you have not yet had your initial consultation, please ensure this is completed before signing up for any support package. 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. What's included in your Blood Tests: Ultimate WellWoman Blood Test Full Blood Count: Kidney and Electrolytes Liver Function Lipids and Metabolic Markers Diabetes and Insulin Thyroid Function Vitamins and Nutrients Inflammatory Markers Hormone Profile Basic Hormone Profile Oestradiol Testosterone Sex Hormone Binding Globulin (SHBG)

Ongoing Testosterone Support Support Plan 1 3 month review & Hormone Profile Blood Test 6 month Hormone Profile Blood Test 12 month review & Hormone Profile Blood Test £49.50 per month - this offers 10% Saving over 12 months Book here Support Plan 2 (post 12 months) 6 month Hormone Profile Blood Test 12 month review & Hormone Profile Blood Test £28.80 per month - this offers 10% Saving over 12 months Book here 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. What's included in your Blood Test: Basic Hormone Profile Oestradiol Testosterone Sex Hormone Binding Globulin (SHBG)