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< Back Weight Gain and How to Avoid It Through the Menopause Diet, Exercise, Managing Weight, Menopause Advice, Stress 7 Nov 2023 We understand that hormonal changes can make it challenging to maintain a healthy weight. We have gathered some helpful tips to support you on your weight management journey. Let's explore them together. Weight gain is an issue that comes up regularly with women in the clinic and gaining weight through the menopause can increase our risk of developing type 2 diabetes and cardiovascular disease as well as increasing pressure on our joints, causing more pain. We understand that hormonal changes can make it challenging to maintain a healthy weight. We have gathered some helpful tips to support you on your weight management journey. Let's explore them together. Prioritise a Balanced Diet Adopting a balanced and nutritious diet is essential for managing weight during menopause. Focus on whole foods such as fruits, vegetables, lean proteins, whole grains, and healthy fats. Minimize processed foods, sugary snacks, and beverages high in added sugars. Pay attention to portion sizes and practice mindful eating to enhance awareness of your body's hunger and fullness cues. Aim to eat protein with each meal and it should account for 25% of our daily calorie intake. Watch Your Caloric Intake As our metabolism tends to slow down with age, it's important to be mindful of your caloric intake. Calculate your daily energy needs based on your age, weight, and activity level, and aim to consume a moderate caloric deficit to facilitate weight loss. This can be done by using smaller plates for your meals. However, avoid extreme dieting or drastically cutting calories, as it can have negative effects on your overall well-being. Stay Hydrated Drinking an adequate amount of water is vital for overall health and weight management. Stay hydrated throughout the day to support your body's functions and help maintain a feeling of fullness. Limit sugary drinks and alcohol, which can contribute to weight gain. Engage in Regular Physical Activity Regular exercise is key to managing weight and overall well-being during menopause. Incorporate a combination of cardiovascular exercises, strength training, and flexibility exercises into your routine. Aim for at least 150 minutes of moderate-intensity aerobic activity per week and include strength training exercises twice a week to maintain muscle mass. Focus on Strength Training Strength training is particularly important during menopause as it helps preserve muscle mass and increases metabolism. Engage in resistance exercises such as weightlifting, resistance bands, or bodyweight exercises. Consult a fitness professional or use reputable resources to learn proper form and techniques. Start with lighter weights and gradually increase as you build strength. Manage Stress Chronic stress can contribute to weight gain and make it more difficult to lose weight. Practice stress management techniques such as meditation, deep breathing exercises, or engaging in activities you enjoy. Prioritise self-care and create a lifestyle that supports emotional well-being. This can be easier said than done. Therefore, try to carve 10 minutes a day out for yourself. Get Enough Sleep Adequate sleep is crucial for weight management. Lack of sleep can disrupt hormones related to hunger and satiety, leading to increased food cravings and overeating. Aim for at least seven hours of quality sleep each night by establishing a relaxing bedtime routine and creating a sleep-friendly environment. Seek Professional Guidance If you're struggling with weight management during menopause, it may well be worth seeking guidance from a healthcare professional experienced in menopause. They can provide personalised recommendations, help you set realistic goals, and offer support throughout your journey. Remember, weight loss during menopause may be gradual, and individual results may vary. Focus on overall health and well-being rather than solely on the number on the scale. 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 Christmas Season with Menopause: Tips for Managing Stress, Sleep, and Symptoms Diet, Exercise, Alternative Therapies, Managing Symptoms, Mental Health, Menopause Advice, Perimenopause, Post Menopause, Self-Care, Stress, Wellbeing 1 Dec 2024 We all know that Christmas can be a joyous time filled with celebrations, family gatherings, and festive cheer. However, for women navigating menopause, the added stress and disrupted routines can exacerbate symptoms, making this period challenging. Here are some practical tips to help manage stress, sleep, and symptoms during the Christmas season: 1. Manage Stress with Mindfulness and Planning The festive season often comes with an array of responsibilities, from hosting gatherings to shopping for gifts. To manage stress: Plan Ahead : Create a schedule to spread out tasks over the weeks leading up to Christmas. This can help avoid last-minute rushes and reduce anxiety. Mindfulness Practices : Incorporate mindfulness exercises like deep breathing, meditation, or yoga into your daily routine to stay calm and centered. Delegate Tasks : Don’t hesitate to ask for help from family and friends. Sharing responsibilities can lighten your load and foster a sense of community. 2. Prioritise Sleep and Rest Adequate sleep is crucial, especially when dealing with menopause symptoms such as night sweats and insomnia. Here’s how to ensure better rest: Create a Sleep-Conducive Environment : Keep your bedroom cool, dark, and quiet. Consider using a fan or cooling mattress pad to help manage night sweats. Establish a Bedtime Routine : Stick to a regular sleep schedule, even on weekends. Develop a calming pre-sleep ritual, such as reading a book or taking a warm bath. Limit Stimulants : Reduce intake of caffeine and alcohol, particularly in the evening, as they can interfere with sleep quality. 3. Stay Active and Hydrated Physical activity and hydration play vital roles in managing menopause symptoms: Exercise Regularly : Engage in moderate exercise like walking, swimming, or yoga. Exercise can help reduce stress, improve sleep, and boost overall mood. Stay Hydrated : Drink plenty of water throughout the day to stay hydrated and help regulate body temperature. 4. Mindful Eating Holiday treats are tempting, but mindful eating can help manage menopause symptoms: Balanced Diet : Focus on a balanced diet rich in fruits, vegetables, lean proteins, and whole grains. These foods can help manage weight and stabilize mood. Limit Sugar and Processed Foods : Reduce consumption of sugary and processed foods, which can trigger hot flushes and mood swings. Smaller, Frequent Meals : Eating smaller, more frequent meals can help keep blood sugar levels stable and reduce the risk of overeating. 5. Self-Care and Relaxation Taking time for yourself is essential during the busy holiday season: Relaxation Techniques : Practice relaxation techniques such as deep breathing, progressive muscle relaxation, or aromatherapy. Pamper Yourself : Treat yourself to activities that bring joy and relaxation, whether it’s a spa day, a favorite hobby, or simply a quiet moment with a cup of tea. 6. Stay Connected and Seek Support Social connections and support can make a significant difference: Stay Connected : Reach out to friends and family for support. Sharing your experiences can provide relief and understanding. Support Groups : Consider joining a menopause support group, either in person or online, to connect with others going through similar experiences. The Christmas season doesn’t have to be daunting for women experiencing menopause. By implementing these strategies, you can manage stress, improve sleep, and alleviate symptoms, allowing you to enjoy the festivities to the fullest. Wishing you a happy and joyful Christmas time! I hope you find these tips helpful. If you need further support or have specific concerns, feel free to reach out! 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 Why Alex, our Nutritionist Is Your Secret Weapon for Thriving Through Menopause Alternative Therapies, Diet, Managing Weight, Wellbeing, Self-Care 9 Dec 2024 Menopause is a time of profound change—physically, emotionally, and mentally. For many women, navigating this transition can feel like an uphill battle with weight gain, disrupted sleep, mood swings, and declining energy levels. But it doesn’t have to be this way. Working with Alex, our nutritionist can provide you with tailored strategies to address these challenges head-on and empower you to thrive during this phase of life. Here’s why having Alex by your side can be transformative and how she can support your health across key areas: 1. Weight Management and Hormonal Balance One of the most common complaints during menopause is unexpected weight gain. Hormonal shifts, such as declining oestrogen, slow metabolism, and changes in fat distribution, make weight management challenging. A nutritionist can: Personalise Your Nutrition Plan : By assessing your unique needs, they create a diet plan that aligns with your body’s changing requirements, focusing on nutrient-dense, whole foods. Incorporate Metabolism-Boosting Foods : Certain foods like lean protein, healthy fats, and fibre-rich vegetables can help maintain muscle mass and boost metabolism. Address Insulin Resistance : Menopause increases the risk of insulin resistance, which can lead to stubborn belly fat. A nutritionist can guide you on managing blood sugar levels with the right combination of macronutrients and meal timing. Result : Improved energy levels, a healthier weight, and a more confident you. 2. Supporting Mental Health The emotional rollercoaster of menopause can be overwhelming, with mood swings, anxiety, and even depression becoming common. Food has a direct impact on mental health, and a nutritionist can help you use it to your advantage by: Enhancing Serotonin Production : Including foods rich in tryptophan, like turkey, eggs, and nuts, which promote serotonin (your happiness hormone). Balancing Blood Sugar Levels : Stable blood sugar reduces irritability and mood swings. Nutritional Psychiatry : A growing field, this focuses on foods and nutrients that support brain health, such as omega-3 fatty acids, magnesium, and B vitamins. Result : A steadier mood, reduced anxiety, and a brighter outlook on life. 3. Managing Insulin Resistance Insulin resistance becomes more common in midlife, contributing to fatigue, weight gain, and increased risk of Type 2 diabetes. A nutritionist can help by: Crafting Low-Glycaemic Meals : Teaching you how to choose and pair foods to avoid blood sugar spikes. Incorporating Fibre-Rich Foods : Supporting better digestion and glucose metabolism with vegetables, whole grains, and legumes. Encouraging Healthy Fats : Foods like avocado, nuts, and olive oil can reduce inflammation and support insulin sensitivity. Result : Better blood sugar control, reduced risk of diabetes, and sustainable energy throughout the day. 4. Improving Sleep Hot flushes, night sweats, and hormonal changes can wreak havoc on your sleep. A nutritionist can: Support Melatonin Production : Suggest foods rich in melatonin, like cherries and walnuts, and magnesium to relax your muscles and mind. Reduce Stimulants : Work with you to limit caffeine, alcohol, and sugar, which can disrupt sleep. Promote Hormonal Regulation : Balance your hormones through nutrition to reduce night-time symptoms like hot flashes. Result : Restful nights that leave you energized and ready to take on the day. 5. General Well-Being and Longevity Beyond symptom management, a nutritionist helps you focus on long-term health and quality of life. This includes: Optimising Bone Health : Recommending calcium and vitamin D-rich foods to support bone density. Enhancing Gut Health : Probiotic and prebiotic foods to improve digestion and nutrient absorption. Increasing Energy Levels : Through balanced meals that fuel your body and mind effectively. Building Sustainable Habits : Helping you develop simple, enjoyable routines to make healthy eating a way of life, not a chore. Result : A healthier, happier you—inside and out. Why Now Is the Time to Invest in Your Health Menopause is a new chapter—a chance to reset, refocus, and reclaim your health. A nutritionist doesn’t just help you manage symptoms; they empower you with the knowledge and tools to thrive. By addressing weight management, mental health, insulin resistance, sleep, and overall well-being, they offer a comprehensive approach tailored to YOU. With the right guidance, you’ll feel stronger, more balanced, and ready to embrace this new phase of life with confidence. Ready to take the first step? Book a consultation with a nutritionist today and discover how personalized nutrition can transform your menopause journey. Book here 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 7 Top Tips For Eating Well Over Christmas Alternative Therapies, Exercise, Diet, Self-Care, Wellbeing 3 Dec 2024 Eating well during the busy Christmas period can be a fine balance between enjoying festive treats and maintaining your overall health. We all know this time of year is associated with overeating, unhealthy food and excess alcohol. On Christmas day we consume, on average 6000 calories which is over three times an adult’s daily intake. So, it can be all too easy to put on half a stone over Christmas without really realising. Whether you are living an active lifestyle or not, Christmas can be a challenge for everyone, but it is possible to indulge without overdoing it or feeling like you’ve thrown your health goals out the window. Here are some tips on how to eat well during the Christmas period so that you start the new year without feeling bloated, sluggish and tired but energised, healthy, happy and ready to welcome in another year. Up your vegetable intake - Aim to fill half your plate with vegetables, whether it's roasted, steamed, or in a salad. They’re low in calories but high in nutrients, and they’ll help you feel satisfied without overloading on heavy foods. Also, keeping your digestive healthy and prevent you from feeling bloated and sluggish Portion control - This can be one of the easiest ways to help yourself and not overeat. So, try to avoid pilling your plate full, having seconds and instead of eating a whole serving of pudding or cake, have a smaller portion, and enjoy it slowly. A lot of force feeding goes on at Christmas so be sure to make mindful decisions yourself Prepare in advance - Before heading off to a party eat a protein-based snack beforehand so that you are less likely to overeat or make impulse choices Enjoy your indulgences and special treats, but in moderation - Avoid the all or nothing mindset, food guilt and don’t use Christmas as a license to eat everything that comes your way. Christmas treats like mince pies, Christmas pudding, or chocolates are part of the fun but try to limit sugary snacks to once or twice a day and enjoy them mindfully Stay hydrated - Drink plenty of water to stay hydrated. Even mild dehydration can leave you feeling sluggish, irritable, dry your skin, headaches to name a few. Make smart choices when drinking as alcohol is high in calories with zero nutritional value. Have a glass of water between each alcoholic drink can be a good way to pace yourself and reduce the amount of alcohol you are drinking Prioritise sleep and rest - Try to keep to regular sleep times when possible and ensure you have a couple of early nights over the holiday time. Lack of sleep can increase cravings for sugary foods, playing havoc with your hormones and we know good quality sleep is essential for digestion and overall well-being Get Moving and stay active - If possible, get outside for a winter walk, jog or cycle or play an active game with family. Exercise can help balance out extra calories, aid sleep and support your mental health. If you're stuck indoors why not try simple body weight exercises like squats, lunges or stretching to get your body moving. Do whatever you enjoy keeping your blood flowing! Aim for balance and moderation . All your healthy habits don’t have to go out the window. You don’t need to deprive yourself. The holidays are about enjoying time with loved ones, and food is just one part of the celebration. It’s important to keep yourself nourished, maintain your health and healthy immune system especially during the winter months. If you need help with your health goals, you’ve lost your mojo and need some support then why not put your health and well-being first and book in to see our Nutritionist? If you are struggling with your health, please do get in touch Or if you’re stuck for Christmas present ideas for yourself or that difficult-to-buy-for friend or relative, why not give a gift that will improve their health and inspire them to feel their best? You can find out more here 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 and Mental Health Diet, Managing Symptoms, Menopause Advice, Mental Health, Self-Care, Stress, Wellbeing 20 Mar 2024 By addressing the relationship between menopause and mental health, this blog post aims to offer insights and support to women experiencing these challenges. As I have mentioned constantly, menopause is a natural phase in a woman's life that brings about hormonal changes, leading to various physical and emotional shifts. Amidst the physical symptoms, the impact of menopause on mental health is an area that warrants attention and understanding. This article delves into the relationship between menopause and mental health, specifically addressing mood swings, anxiety, and depression. Menopause and Mood Swings One of the hallmark experiences during menopause is mood swings. Fluctuating hormone levels, especially oestrogen, can influence neurotransmitters in the brain, impacting mood regulation. Oestrogen helps in the production and regulation of serotonin, a neurotransmitter associated with mood. As oestrogen levels decline, serotonin levels can fluctuate, leading to mood swings characterised by sudden shifts in emotions, irritability, or feelings of sadness. Anxiety During Menopause Many women experience heightened anxiety during menopause. Hormonal changes can disrupt the balance of cortisol, the stress hormone, affecting the body's stress response. This imbalance might intensify feelings of anxiety, triggering symptoms such as restlessness, racing thoughts, or a sense of impending doom. Depression and Menopause The hormonal changes during menopause can also predispose women to depression. While not every woman experiences depression during menopause, the hormonal fluctuations, coupled with life changes and menopausal symptoms, can contribute to feelings of sadness, hopelessness, or a lack of interest in activities once enjoyed. Coping Strategies and Support Understanding these mental health challenges during menopause is crucial for seeking appropriate support. Lifestyle changes like regular exercise, stress management techniques, a balanced diet, and sufficient sleep can help alleviate mood swings, anxiety, and mild depression. Additionally, seeking support from healthcare professionals, therapists, or support groups can provide valuable guidance and assistance in managing these symptoms. Optimising Mental Well-being During Menopause Recognise and Acknowledge Acknowledge that mental health challenges during menopause are common and seek help if symptoms persist or significantly impact daily life. Holistic Approaches Explore holistic approaches such as mindfulness, yoga, or relaxation techniques to manage stress and promote mental well-being. Eating Well A diet high in sugar and processed food can worsen your mental well-being. Professional Support Consult healthcare professional to discuss treatment options, including hormone therapy or counselling, tailored to individual 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

< Back Why Many Women Are Misdiagnosed in Midlife (and How to Get the Right Care) HRT, Menopause Advice, Post Menopause 13 Mar 2025 The Silent Struggle of Women in Midlife. For many women, their 40s and 50s come with a cascade of mysterious health symptoms fatigue, anxiety, joint pain, brain fog, weight gain, and irregular periods. Yet, when they seek medical help, they’re often told: "It’s just stress." "You’re depressed, here’s an antidepressant." "It’s normal aging—nothing to worry about." But what if these symptoms are actually hormonal shifts linked to perimenopause and menopause? The truth is, many women in midlife are misdiagnosed or dismissed, leading to years of unnecessary suffering. This blog explores: Commonly overlooked conditions during perimenopause Why women’s symptoms are often misunderstood How to advocate for better healthcare. If you’ve felt unheard or misdiagnosed, you’re not alone—but with the right knowledge, you can take control of your health and life. Why Women in Midlife Are Often Misdiagnosed The Medical System Wasn’t Designed for Perimenopause Historically, women’s health research has been underfunded, and medical training often lacks education on perimenopause and menopause. Many doctors are trained to recognise menopause only when periods stop completely, but perimenopause can last 5-10 years before that. Symptoms of hormonal changes mimic other conditions (like depression, thyroid disease, or autoimmune disorders), leading to misdiagnosis. The Fix: Find a menopause specialist or doctor trained in hormonal health. Women’s Symptoms Are Often Dismissed as “Psychological” Did you know? Women are more likely than men to be prescribed antidepressants for unexplained symptoms—when the root cause is actually hormonal. Mood swings, anxiety, and brain fog are common symptoms of perimenopause due to fluctuating oestrogen and progesterone. Instead of investigating hormone levels, many women are told they have anxiety, depression, or burnout. The Fix: If your symptoms started in your 40s or 50s, ask your doctor: “Could this be perimenopause?” “Can we discuss hormone testing or HRT options?” Commonly Overlooked Conditions in Perimenopause Many women are misdiagnosed with other conditions when perimenopause is the culprit. Thyroid Disorders vs. Perimenopause Symptoms that Overlap: Fatigue, brain fog, weight changes, hair thinning Mood swings, anxiety, depression Irregular periods What’s Happening? Declining oestrogen impacts thyroid function, making perimenopausal women more likely to develop hypothyroidism. Thyroid disorders are often overlooked or not tested properly. What to Ask Your Doctor: “Can we check full thyroid function (TSH, Free T3, Free T4, thyroid antibodies)?” Depression & Anxiety vs. Hormonal Changes Symptoms that Overlap: Low mood, loss of motivation, increased anxiety Irritability, anger, panic attacks What’s Happening? Oestrogen and progesterone affect serotonin and dopamine (brain chemicals that regulate mood). Fluctuations in perimenopause can mimic depression or anxiety. Antidepressants may help some women but don’t address the root hormonal cause. What to Ask Your Doctor: “Could my mood symptoms be related to hormonal fluctuations?” “Can we discuss HRT as an option instead of (or alongside) antidepressants?” Fibromyalgia vs. Menopausal Joint Pain Symptoms that Overlap: Muscle and joint pain Fatigue and sleep disturbances Brain fog What’s Happening? Oestrogen supports joint lubrication and muscle recovery—low oestrogen increases pain sensitivity. Many women with menopausal joint pain are misdiagnosed with fibromyalgia. What to Ask Your Doctor: “Could my joint pain be hormone-related?” “Are there lifestyle or HRT options to help?” IBS (irritable bowel syndrome) vs. Oestrogen-Related Gut Issues Symptoms that Overlap: Bloating, constipation, diarrhoea Food intolerances Unpredictable digestion What’s Happening? Oestrogen and progesterone influence gut motility and microbiome health. Low oestrogen affects gut bacteria, leading to bloating and IBS-like symptoms. What to Ask Your Doctor: “Could my digestive symptoms be linked to perimenopause?” “Would probiotics or dietary changes help?” How to Work with Your Doctor for Better Care If you suspect perimenopause but aren’t getting the help you need, here’s how to advocate for yourself: Track Your Symptoms Keep a journal of: Changes in mood, sleep, energy, digestion Irregular periods or new symptoms Any triggers (stress, diet, sleep changes) Why? Having clear records makes it easier to discuss concerns with your doctor. Ask for the Right Tests Many doctors only check basic hormone levels, but in perimenopause, hormones fluctuate daily, making single tests unreliable. Recommended Tests for Midlife Women: Comprehensive Hormone Panel – Oestrogen, Progesterone, Testosterone, FSH, LH –these maybe difficult to get on the NHS. Thyroid Function – TSH, Free T3, Free T4, Thyroid Antibodies Vitamin Deficiencies – Vitamin D, B12, Iron, Magnesium Explore Treatment Options (Beyond Antidepressants) If your doctor immediately prescribes antidepressants or dismisses your symptoms, ask about: HRT (Hormone Replacement Therapy): Proven to relieve perimenopausal symptoms and protect long-term health Lifestyle changes: Strength training, diet adjustments, stress reduction Supplements: Magnesium, Omega-3s, adaptogens (like ashwagandha) Pro Tip: Find a BMS (British Menopause Society) Specialist or menopause-literate doctor who understands hormonal health. You Deserve the Right Diagnosis & Care Misdiagnosis in midlife is common—but it’s NOT normal. Your symptoms are real, and they deserve attention. If your doctor isn’t listening, seek a second opinion. Knowledge is power—track your symptoms, ask the right questions, and advocate for better care. Perimenopause is a natural transition, but you don’t have to suffer—there are treatments that work! Act Today: If you suspect perimenopause but feel unheard, book an appointment with a menopause specialist—because your health matters. 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 Pause Live Menopause Event Alternative Therapies, Diet, Exercise, HRT, Managing Symptoms, Managing Weight, Menopause Advice, Perimenopause, Post Menopause, Self-Care, Wellbeing, Stress 19 Sept 2024 The Future of Menopause Treatment: Striving for Wellness, Vitality, and Confidence Last Saturday, I attended Pause Live with Kim and Jenna, where we explored a wide range of menopause-related businesses, both new and established. It was an eye-opening experience that highlighted the evolving landscape of menopause treatment. What struck me most during the event was not just the growing array of products and services, but the question that lingered in my mind: What will menopause treatment look like in the future? Menopause has long been treated with a focus on symptom relief—hot flushes, sleep disturbances, mood swings, and the like. But today, women’s expectations of their lives and their health are far more complex. Unlike previous generations, we are no longer content with merely managing symptoms; we seek to thrive. We want to feel fit, energetic, and mentally sharp, well into our later years. We aspire not only to feel good on the inside but also to look our best. A Shift in Perspective: Healthspan Over Lifespan Traditionally, menopause treatment has been somewhat reactive focused on addressing symptoms as they arise. However, with advancing science, a new paradigm appears to be emerging that focuses on healthy aging, the number of years we live in good health—rather than merely extending lifespan. This shift is pivotal because it encompasses not only symptom management but also prevention of future health issues like osteoporosis, cardiovascular disease, and cognitive decline, which tend to manifest more prominently after menopause. We are seeing the early signs of a future where menopause treatment is proactive. Hormone replacement therapy (HRT), which remains a critical component, is becoming more personalised with advancements in body identical hormones, new non hormonal treatments and tailored dosages. But it's not just about hormones anymore. The future will likely integrate advanced nutritional strategies, exercise regimens tailored to hormonal health, and cutting-edge supplements that focus on everything from cognitive function to skin vitality. Technology’s Role in the Future of Menopause Care One of the most exciting trends I noticed at Pause Live is the incorporation of technology in menopause treatment. From apps that help track symptoms and hormones to devices that support better sleep and stress management, technology is empowering women to take control of their health in ways previously unimaginable. I foresee even more advanced innovations in this space. Imagine wearable devices that continuously monitor hormone levels and adjust treatments in real time. Or artificial intelligence that can predict and mitigate potential health risks by analysing years of personal health data. The potential for technology to revolutionise menopause care is vast, offering more precise, timely, and individualized solutions than ever before. The Demand for Aesthetic and Physical Vitality Another crucial aspect of the future of menopause treatment is the growing demand for aesthetic and physical well-being. We want to feel good, yes, but we also want to look good. We seek to maintain our muscle tone, skin elasticity, and overall vitality well into our 50s, 60s, and beyond. This is driving a surge in treatments that focus on skin health, weight management, and physical fitness—all of which play a crucial role in how we feel about ourselves. In the future, I expect more integration of aesthetic treatments within the broader scope of menopause care. Whether it’s advanced skin treatments that focus on collagen production, or personalised exercise regimens that are informed by hormonal changes, the goal will be to provide women with the tools to feel and look their best as they age. A Holistic Approach to Well-being The days of treating menopause in isolation are numbered. The future is holistic—incorporating mental health, physical health, and emotional well-being. Lifestyle strategies like nutrition, mindfulness, and exercise will play a more central role alongside medical treatments. Cognitive-behavioural therapy for insomnia (CBT-i) and mindfulness practices will be commonplace in managing the psychological aspects of menopause, while nutritional interventions will address metabolic and cardiovascular risks. In many ways, the future of menopause treatment is already here—it’s just not evenly distributed. The businesses I saw at Pause Live are a testament to that. Some are pushing boundaries, offering innovative solutions that cater to the high expectations today’s women have for their health, well-being, and longevity. As we move forward, the challenge and the opportunity lie in creating more individualised, proactive, and holistic approaches to menopause care that meet the aspirations of a generation that refuses to settle. After all, thriving through menopause isn’t just about enduring the changes—it’s about embracing them and continuing to live life fully and confidently. With the future of menopause treatment in mind, we stand at the intersection of science, technology, and wellness, with limitless possibilities to redefine what aging looks and feels like. Here at Bristol Menopause, we are excited to be part of this journey, supporting women as they navigate this transformative time in their lives. We already encompass holistic care into the management of menopause and are always looking to the future. 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 Histamine Intolerance Diet, HRT, Perimenopause, Wellbeing, Managing Symptoms, Alternative Therapies 3 Sept 2024 Understanding Histamine Intolerance in Perimenopause: A Guide for Women As a menopause specialist, I see many women struggling with symptoms that seem to intensify during perimenopause—headaches, anxiety, digestive issues, and skin reactions. While these symptoms are often attributed to hormonal changes, there's another factor at play that many women (and even some healthcare professionals) may overlook: histamine intolerance. In this post, we'll explore what histamine intolerance is, how it relates to the hormonal shifts of perimenopause, and what lifestyle changes and treatment options, including hormone replacement therapy (HRT), can help you manage these symptoms effectively. What is Histamine Intolerance? Histamine is a naturally occurring compound that plays a crucial role in your body’s immune response, digestion, and communication within the brain. However, when your body is unable to break down histamine effectively, it can accumulate and cause a range of symptoms that mimic allergic reactions. This condition is known as histamine intolerance. Common symptoms of histamine intolerance include: Migraines or headaches Nasal congestion or sinus issues Fatigue and brain fog Digestive problems like bloating and diarrhoea Skin issues such as hives or itching Heart palpitations or rapid heartbeat Anxiety and mood swings How Perimenopause Affects Histamine Levels Perimenopause is the transitional period leading up to menopause, marked by fluctuating hormone levels, particularly oestrogen and progesterone. These hormonal shifts can significantly impact histamine levels in your body. The Role of Oestrogen Oestrogen is known to stimulate the release of histamine from mast cells, which are immune cells responsible for allergic responses. It also inhibits the enzyme diamine oxidase (DAO), which is crucial for breaking down histamine in your gut. When oestrogen levels rise, as they often do in perimenopause due to irregular ovulation, histamine levels can increase, leading to more pronounced symptoms. The Role of Progesterone Progesterone, on the other hand, helps to stabilise mast cells, reducing the release of histamine. It also supports the activity of DAO, helping your body to break down and clear histamine more effectively. During perimenopause, as progesterone levels decline, the protective effect against histamine diminishes, exacerbating histamine intolerance. Lifestyle Guidance to Manage Histamine Intolerance Managing histamine intolerance, especially during perimenopause, requires a holistic approach that includes dietary changes, stress management, and lifestyle modifications. 1. Dietary Changes Certain foods are high in histamine or trigger the release of histamine in the body. Avoiding or limiting these foods can help manage your symptoms: High-Histamine Foods : Aged cheeses, smoked meats, fermented foods (e.g., sauerkraut, kimchi), alcohol, and certain fish (e.g., tuna, mackerel). Histamine-Releasing Foods : Tomatoes, spinach, aurbergine, avocados, strawberries, and citrus fruits. Additionally, fresh foods tend to have lower histamine levels, so focusing on a diet rich in fresh fruits, vegetables, and unprocessed foods can be beneficial. 2. Stress Management Stress can increase histamine release and worsen symptoms. Incorporate stress-reducing activities into your daily routine, such as: Mindfulness and Meditation : Practicing mindfulness or meditation can help reduce stress levels and improve overall well-being. Regular Exercise : Moderate physical activity, such as walking, yoga, or swimming, can help lower stress and improve mood. Adequate Sleep : Prioritize getting 7-8 hours of quality sleep each night, as poor sleep can exacerbate both stress and histamine-related symptoms. 3. Gut Health Supporting gut health is crucial in managing histamine intolerance. Consider the following: Probiotics : Certain strains of probiotics, such as Lactobacillus rhamnoses, may help break down histamine in the gut. However, some probiotics can produce histamine, so it's important to choose the right strains. Anti-Inflammatory Diet : An anti-inflammatory diet can help heal the gut and reduce symptoms. This includes foods rich in omega-3 fatty acids, like fatty fish, flaxseeds, and walnuts, as well as plenty of fruits and vegetables. Treatment Options: Hormone Replacement Therapy (HRT) For women experiencing significant symptoms of histamine intolerance during perimenopause, hormone replacement therapy (HRT) can be an effective treatment option. HRT helps to balance the fluctuating levels of oestrogen and progesterone, which can in turn help to manage histamine levels. How HRT Can Help Balancing Oestrogen : HRT provides a controlled amount of oestrogen, which can prevent the spikes in histamine release associated with fluctuating natural oestrogen levels. Supporting Progesterone : Including progesterone in your HRT regimen can counterbalance the effects of oestrogen, helping to stabilise mast cells and reduce histamine release. Types of HRT Oestrogen-Only HRT : Typically prescribed for women who have had a hysterectomy, this type of HRT provides oestrogen without progesterone. In women with histamine intolerance, it’s crucial to monitor symptoms closely, as unopposed oestrogen can increase histamine levels. Combined HRT : This type of HRT includes both oestrogen and progesterone, which is ideal for women with histamine intolerance as it helps to maintain a balance between these two hormones. Personalised Approach It’s important to work with a healthcare professional who understands the complexities of histamine intolerance and hormonal balance. A personalised approach to HRT, tailored to your specific symptoms and hormone levels, can provide relief while minimising potential side effects. 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 Understanding Polycystic Ovaries and PCOS: What’s the Difference? Polycystic Ovaries, Diet, Exercise, Managing Weight, Wellbeing 21 Jun 2024 Today, we're diving into a topic that often causes confusion but is incredibly important to understand—Polycystic Ovaries (PCO) and Polycystic Ovary Syndrome (PCOS). Despite their similar names, these two conditions are distinct in terms of their symptoms, diagnosis, and treatment. Let's break it down and explore lifestyle tips to help manage these conditions. What Are Polycystic Ovaries? Polycystic ovaries refer to the presence of multiple small, fluid-filled sacs, known as cysts, on the ovaries. These cysts are essentially immature follicles that have not released an egg. Having polycystic ovaries is relatively common; in fact, many women have them without experiencing any significant health issues or symptoms. Key Points about Polycystic Ovaries: No Definite Symptoms: Women with polycystic ovaries might not have any symptoms at all. It's often discovered incidentally during an ultrasound for unrelated reasons. Not Always a Cause for Concern: Having polycystic ovaries does not necessarily mean you have PCOS or will have difficulty conceiving. What Is PCOS? Polycystic Ovary Syndrome (PCOS) is a more complex condition that involves a combination of symptoms related to hormonal imbalances. PCOS is a metabolic disorder that affects the ovaries, causing irregular menstrual cycles, an excess of androgen (male hormones), and sometimes, polycystic ovaries. Key Symptoms of PCOS: Irregular Periods: This could mean fewer periods, no periods, or periods that are very heavy or very light. Excess Androgens (Male Hormone, testosterone): High levels of androgens can lead to symptoms like acne, excessive hair growth (hirsutism), and male-pattern baldness. Polycystic Ovaries: While this can be a symptom, it's not required for a PCOS diagnosis. Some women with PCOS do not have polycystic ovaries. Diagnosis of PCOS: To diagnose PCOS, healthcare providers generally look for at least two of the following three criteria, known as the Rotterdam criteria: Irregular Ovulation: This leads to irregular menstrual cycles. High Levels of Androgens: This can be measured by a blood test or observed through symptoms. Polycystic Ovaries: Seen on an ultrasound – not always. It’s crucial to understand that having polycystic ovaries doesn’t automatically mean you have PCOS. PCOS involves a broader range of symptoms and health implications, including insulin resistance, metabolic issues, and increased risks for conditions like type 2 diabetes and cardiovascular disease. Lifestyle Tips for Managing PCOS Managing PCOS often involves a combination of medical treatments and lifestyle changes. Here are some practical tips: 1. Balanced Diet: Low-Glycaemic Diet: Focus on whole grains, lean proteins, vegetables, and healthy fats. A low-glycaemic diet can help manage insulin levels. Low GI means food that do not spike sugar levels so a good example is high fibre foods, vegetables, wholegrain foods. Avoid Refined Sugars and Carbs: These can cause insulin spikes and exacerbate symptoms. 2. Regular Exercise: Cardio and Strength Training: Both are important. Cardio helps with weight management, while strength training improves insulin sensitivity. Consistency: Aim for at least 150 minutes (about 2 and a half hours) of moderate exercise per week. This means 20 minutes of exercise daily. 3. Stress Management: Mindfulness and Relaxation: Practices like yoga, meditation, and deep-breathing exercises can help manage stress levels, which in turn can help regulate menstrual cycles. Adequate Sleep: Ensure you’re getting enough sleep, as poor sleep can exacerbate symptoms. 4. Regular Medical Check-ups: Monitor Symptoms: Regular check-ups can help monitor symptoms and adjust treatment plans as needed. Screen for Other Conditions: Women with PCOS are at higher risk for diabetes, hypertension, and high cholesterol, so regular screening is important. 5. Medication and Supplements: Medication: Your doctor might prescribe medications to regulate menstrual cycles, manage symptoms, or address insulin resistance. Supplements: Some women benefit from supplements like inositol, which can help improve insulin sensitivity and reduce androgen levels. Always consult with a healthcare professional before starting any new supplement. 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 How can pelvic physiotherapy support perimenopause? Alternative Therapies, Exercise, Managing Symptoms, Pelvic Organ Prolapse, Wellbeing 16 Jan 2025 Like puberty, menopause transition involves a complex cascade of hormonal changes. We spend on average over 40% of our lives in post-menopause, so it is crucial to understand and get ahead of these changes to optimise our long term well-being. Poor pelvic health, such as bladder, bowel and sexual dysfunction, is a leading barrier to continuing exercise and can be detrimental to our mental health. For much of our lives, oestrogen is our power house - it’s what keeps muscles, tendons and connective tissue stretchy, subtle and strong, our joints healthy and lubricated. It keeps the vaginal and urethral walls moist and elastic, with capacity for distention and constriction. We go through life not fully appreciating the wonderful things oestrogen does for us. A reduction in oestrogen levels can cause local changes to the vaginal and vulvar tissues and muscles which we call Genitourinary Syndrome of Menopause (GUSM). This describes a collection of symptoms which are all caused by this hormonal shift. Symptoms of GUSM include: Vaginal dryness, burning or sandpaper-like feeling Pain with sex and decreased lubrication Vaginal and vulvar itching - Changes in odor and discharge UTI’s or vaginal infections Skin irritation Change in orgasm Reduced strength or takes longer to achieve Smear tests or tampon insertion (if still using) become uncomfortable Symptoms of prolapse, such as heaviness or pressure - Increased frequency and urgency to empty bladder Leaking urine with exertion or not making it to toilet on time Firstly, bringing attention to our vulvar skin care, and use of lubricants, vaginal moisturisers (like YesYesYes ) and a prescription for vaginal oestrogen could be instrumental for managing these symptoms. Depending on the person, HRT can also play a role in improving these issues, too. Pelvic floor Physiotherapy can be a game changer, and is actually a gold standard treatment for managing GUSM symptoms. So how does physio work? Leaking urine on coughing, running or jumping (called stress urinary incontinence or SUI) is extremely common. If the pressure in our tummy is less than the pressure created by the muscles surrounding the urethra, then we are protected from leaking. This urethral closure pressure is created in two ways: 1. Like the vaginal walls, the urethral walls fold in on themselves to allow for considerable expansion when emptying the bladder, and creating a leakproof closure pressure when at rest. 2. Abdominal pressure presses down onto the bladder neck, and compresses it - stopping the flow of urine, like stomping on a garden hose. Any changes to tissue quality, like GUSM, can alter this mechanism, as the plump urethral walls become drier and thinner, and the connective tissue supporting the bladder weakens. However, learning how to fully contract and relax the pelvic floor muscles has been shown to increase blood flow, tissue elasticity and muscle bulk, improving tissue quality and often improving or resolving SUI. Pelvic organ prolapse (POP) symptoms may also begin or worsen during perimenopause or post-menopause. This is where there is an excess of downwards movement in the vaginal walls and connective tissue that provide support for your pelvic organs, causing descent to or past the entrance of the vagina. Childbirth, pregnancy, hypermobility and chronic straining are all examples of risk factors for pelvic organ prolapse, and declining oestrogen levels and tissue quality could contribute to an increase in symptoms. Types of pelvic floor prolapse Thankfully, we can use pelvic floor muscle training to create a hammock of support from underneath to manage prolapse symptoms. A pelvic floor physiotherapist will also look at your whole body biomechanics to help you optimise support from below and minimise pressure from above, as well as optimising bowel habits and toileting postures to minimise straining. Keep exercising! Pelvic health concerns should never be a barrier to exercise. Exercise and keeping muscles strong is especially crucial during this stage of life, as it also helps body weight, bone density, cardiovascular health, and supports mental well-being by managing anxiety and depression. Exercise has even been shown to improve vasomotor symptoms like hot flushes! If you’re experiencing pelvic floor symptoms or want to protect your pelvic floor for the future, reach out to a pelvic floor physiotherapist for support. Alma Physiotherapy offer a Menopause Pelvic Floor Assessment & Treatment appointment with their specialist physios, and you can get 10% off the first session with code BM10 . Meg is a sports (MSK) and pelvic health physiotherapist based at Alma Physiotherapy, 25 Lower Redland road, Bristol, BS6 6TB. Book via: www.almaphysiotherapy.co.uk/book-online Email her PA Zainab pa@almaphysiotherapy.co.uk or call 07942 494506 for help booking. References: Russo et al. Management of urinary incontinence in postmenopausal women: An EMAS clinical guide. Maturitas. 2021 Jan;143:223-230. doi: 10.1016/j.maturitas.2020.09.005. Epub 2020 Sep 30. PMID: 33008675. Mercier et al. Pelvic floor muscle training: mechanisms of action for the improvement of genitourinary syndrome of menopause. Climacteric. 2020 Oct;23(5):468-473. doi: 10.1080/13697137.2020.1724942. Epub 2020 Feb 27. PMID: 32105155. Mercier et al. Pelvic floor muscle training as a treatment for genitourinary syndrome of menopause: A single-arm feasibility study. Maturitas. 2019 Jul;125:57-62. doi: 10.1016/j.maturitas.2019.03.002. Epub 2019 Mar 29. PMID: 31133219. 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 Journey of Menopause: Symptoms, Treatments, and Lifestyle Changes Perimenopause, Post Menopause 29 Aug 2023 In this blog post, we'll explore the different stages of menopause, discuss common symptoms, delve into treatment options, and highlight lifestyle changes that can help manage menopause symptoms with grace and confidence. As women, we undergo a remarkable journey throughout our lives, and one significant phase is menopause. From perimenopause to post menopause, this transition can bring about a range of physical and emotional changes. At Bristol Menopause and Well Women Clinic, we understand the unique challenges women face during this time. In this blog post, we'll explore the different stages of menopause, discuss common symptoms, delve into treatment options, and highlight lifestyle changes that can help manage menopause symptoms with grace and confidence. Perimenopause: The Prelude to Change Perimenopause typically begins in a woman's late 30s to early 40s, marking the gradual decline of reproductive hormones. During this phase, irregular periods, mood swings, and changes in menstrual flow may occur. Hot flushes, night sweats, and sleep disturbances may also make their debut, causing discomfort. While this phase can be challenging, it's important to remember that you're not alone. Menopause: Embracing a New Chapter Menopause itself is defined by a full year without a menstrual period. Oestrogen and progesterone levels continue to decline, often leading to common symptoms such as vaginal dryness, decreased libido, and changes in bone density. Mood changes and cognitive shifts are also possible, but rest assured that there are strategies to manage these shifts. Post Menopause: A New Normal Once you've reached post menopause, some symptoms may subside, but others may persist. It's essential to address any lingering issues and continue to prioritize your health and well-being. Treatment Options for Managing Menopause Symptoms Hormone Replacement Therapy (HRT): HRT can help alleviate a range of menopause symptoms by restoring hormone levels. Our clinic offers personalized HRT plans to suit your specific needs and health history. Non-Hormonal Treatments: For those who can't or prefer not to use hormones, various non-hormonal options like antidepressants, blood pressure medications, and vaginal moisturizers can be effective. Lifestyle Changes for Enhanced Well-Being: Healthy Eating: A balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats can support overall well-being. Regular Exercise: Engaging in physical activity helps manage weight, improve bone health, and reduce mood swings. Mindfulness and Stress Management: Practices like meditation, yoga, and deep breathing can help reduce stress and promote emotional balance. Adequate Sleep: Prioritize restful sleep to counteract the disruptions often associated with menopause. Stay Hydrated: Proper hydration supports overall bodily functions and can help manage some symptoms like hot flushes. Connect and Communicate: Share your experiences with friends, family, or support groups to foster a sense of community and understanding. The journey through perimenopause, menopause, and post menopause is uniquely yours. Remember, menopause is just one chapter of your life story, and we're here to help you make it a vibrant and fulfilling one. Don't hesitate to reach out for support, answers, and a helping hand as you embrace this remarkable phase of womanhood. 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 5 Ways to Manage Menopause Symptoms Naturally Alternative Therapies, Exercise, Diet, Managing Symptoms, Menopause Advice 10 Oct 2024 Menopause is a natural phase of life, but its symptoms—like hot flushes, night sweats, mood swings, and sleep disturbances can feel overwhelming. While hormone replacement therapy (HRT) is a popular option, many women are looking for natural alternatives to manage their symptoms. In this post, we’ll explore five effective ways to manage menopause symptoms naturally, so you can find relief and thrive during this transition. 1. Focus on a Balanced, Anti-Inflammatory Diet A healthy diet plays a crucial role in managing menopause symptoms. Eating nutrient-rich foods can help regulate hormones, reduce inflammation, and stabilise mood swings. Key foods to include : Lean proteins: Protein helps build and repair muscles, which is essential if you’re aiming to get stronger. Include lean meats, eggs, fish, nuts, and legumes in your meals. Leafy greens : Spinach, kale, and other greens are high in magnesium, which can help alleviate anxiety and support better sleep. Oily fish : Salmon, sardines, and mackerel are rich in omega-3 fatty acids, which can help reduce hot flushes and improve heart health. Whole grains and legumes : High in fibre, these foods help stabilise blood sugar and reduce energy crashes. Avoid : Processed sugars and refined carbs, which can trigger inflammation and worsen hot flashes. By focusing on a diet rich in fruits, vegetables, and healthy fats, you’ll support your body through the menopause transition. 2. Practice Mindful Stress Management Stress can intensify menopause symptoms like mood swings and sleep disturbances. Managing stress through mindful practices helps to balance the nervous system and reduce anxiety. Try these methods : Yoga and meditation : Both practices promote relaxation and have been shown to reduce the severity of hot flashes and improve sleep. Breathing exercises : Techniques like deep breathing or box breathing can calm the mind and help manage stress on the spot. Taking just 10-15 minutes a day to focus on mindful relaxation can significantly improve your ability to cope with menopause symptoms naturally. 3. Exercise Regularly Regular exercise is a proven way to manage menopause symptoms, improve mood, and boost energy levels. Exercise helps regulate hormones, improve cardiovascular health, and strengthen bones—critical for women in menopause. What to focus on : Aerobic exercise : Walking, swimming, or cycling can improve heart health and reduce hot flushes. Strength training : Lifting weights helps maintain bone density and muscle mass, which can decrease with age. Yoga and stretching : Improve flexibility, reduce joint pain, and promote relaxation. Aim for at least 30 minutes of moderate exercise most days of the week to see noticeable improvements in both physical and emotional well-being. 4. Use Herbal Supplements Certain herbs have been shown to relieve menopause symptoms naturally. While results may vary, many women find success with these supplements. Popular options include : Black cohosh : Used to treat hot flashes and night sweats, this herb is widely recommended for menopause relief and combined with St John’s Wort may help with mood swings. Red clover : Contains phytoestrogens, which mimic oestrogen in the body and may reduce hot flushes. This is therefore not suitable for women who have had breast cancer. Evening primrose oil : Known for reducing breast tenderness and improving mood swings during menopause. Before trying any new supplement, it’s essential to consult with a healthcare professional to ensure they are safe and won’t interfere with any medications you’re taking. 5. Prioritise Sleep Sleep disturbances are a common menopause symptom. From night sweats to insomnia, poor sleep can worsen mood swings, fatigue, and cognitive function. Establishing healthy sleep habits is essential for managing these symptoms naturally. Tips for better sleep : Stick to a sleep routine : Go to bed and wake up at the same time every day to regulate your body’s internal clock. Create a calming bedtime environment : Keep your bedroom cool, dark, and quiet, and avoid screens at least one hour before bed. Try natural sleep aids : Herbal teas like chamomile or supplements like melatonin can promote deeper, more restful sleep. By prioritising sleep and creating a relaxing night time routine, you’ll feel more refreshed and better equipped to manage other menopause symptoms. Final Thoughts Menopause doesn’t have to feel overwhelming. By focusing on a balanced diet, managing stress, staying active, exploring herbal supplements, and prioritising sleep, you can naturally manage menopause symptoms and improve your quality of life. If you’d like to learn more about how to thrive during menopause, join our supportive community at the Bristol Menopause Clinic, where we offer expert advice, health tips, and more. 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