< Back Understanding PMDD: Symptoms, Effects, and Management Alternative Therapies, Exercise, Diet, Managing Symptoms, Stress, Self-Care, Wellbeing Premenstrual Dysphoric Disorder (PMDD) is a severe and often debilitating form of premenstrual syndrome (PMS) that affects up to 5-8% of women of reproductive age, although my feeling is that many women have been misdiagnosed or even had their symptoms ignored. While PMS is common and typically involves mild discomfort, PMDD significantly impacts mental and physical well-being, disrupting daily life. Understanding PMDD is the first step towards finding effective ways to manage it, both medically and holistically. What Is PMDD? PMDD is a chronic condition linked to hormonal fluctuations during the menstrual cycle, particularly in the luteal phase (the week or two before menstruation begins). Though the exact cause isn't fully understood, PMDD is believed to involve an abnormal response to normal hormonal changes, particularly oestrogen and progesterone, which affect serotonin levels in the brain. This imbalance can lead to emotional, cognitive, and physical symptoms that severely impact quality of life. Symptoms of PMDD The symptoms of PMDD often resemble those of PMS but are more intense and disruptive. They typically occur in the days leading up to menstruation and subside once the period begins, although they can linger longer and not disappear until the middle or end of your period. Common symptoms include: Emotional Symptoms: Severe mood swings Intense irritability or anger Anxiety and tension Feelings of hopelessness or depression Difficulty concentrating Suicidal Physical Symptoms: Fatigue or lack of energy Bloating and abdominal pain Breast tenderness Headaches Muscle or joint pain Behavioral Symptoms: Changes in appetite (e.g., overeating or food cravings) Difficulty sleeping (insomnia or hypersomnia) Withdrawal from social activities or relationships These symptoms can lead to significant emotional distress, strained relationships, and challenges in the workplace or at home. Effects of PMDD Living with PMDD can feel overwhelming, especially if symptoms are misunderstood or dismissed. Without proper support and management, PMDD can lead to: Mental Health Challenges: Increased risk of depression, anxiety, and suicidal thoughts. Relationship Strain: Emotional volatility can affect personal and professional relationships. Reduced Quality of Life: Disrupted routines, absenteeism from work, and difficulty maintaining social commitments. Recognising the seriousness of PMDD and seeking appropriate treatment is essential for reclaiming control over your life. Managing PMDD: Medical and Holistic Approaches There is no one-size-fits-all solution for managing PMDD, but a combination of medical treatments and holistic strategies can help reduce symptoms and improve well-being. Here’s a breakdown: Medical Management Antidepressants (SSRIs): Selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine or sertraline, can alleviate emotional symptoms by stabilising serotonin levels. These are often taken daily or just during the luteal phase. However, be aware that these may not always work. Hormonal Treatments: Birth control pills : Certain formulations can help regulate hormonal fluctuations. It is important to use newer combined pill formulations and if you are thinking of trying the Mirena coil to down regulate your cycle it is worth trying the Progestogen only pill first, as it is reversible. GnRH agonists : These suppress ovulation and stabilise hormone levels but are typically reserved for severe cases due to potential side effects. HRT may well be an option, but all treatment options need to be carefully initiated and should be individualised for each woman. Pain Relief: Over-the-counter medications like ibuprofen or mefenamic acid can help manage physical symptoms such as cramps and headaches. Nutritional Supplements: Calcium, magnesium, and vitamin B6 may reduce the severity of some symptoms, though it’s important to consult a healthcare professional before starting supplements to ensure you are using the right dose. Cognitive Behavioral Therapy (CBT): CBT can be an effective therapy for managing the emotional impact of PMDD. It helps individuals develop coping strategies and reframe negative thought patterns. Holistic and Lifestyle Approaches Dietary Changes: Reduce caffeine, alcohol, and sugar intake to stabilise mood and energy levels. Incorporate anti-inflammatory foods like leafy greens, berries, and fatty fish to reduce bloating and discomfort. Ensure you are eating small regular snacks. Regular Exercise: Physical activity boosts endorphins and improves mood. Aim for at least 30 minutes of moderate exercise, such as walking, yoga, or swimming, most days of the week. Stress Management: Mindfulness and Meditation: Practices like deep breathing or guided meditation can help reduce anxiety and improve emotional balance. Journaling: Writing down your thoughts and tracking symptoms can provide insight into patterns and triggers. Sleep Hygiene: Prioritise consistent sleep schedules and create a relaxing bedtime routine to improve overall energy and resilience. It is really important to have a good sleep routine. Herbal Remedies: Chasteberry (Vitex agnus-castus): May help alleviate some hormonal symptoms. St. John’s Wort: Can be beneficial for mild depression but consult a doctor before use. Acupuncture: Some women find acupuncture helpful for relieving both emotional and physical symptoms of PMDD. When to Seek Help If PMDD symptoms significantly impact your daily life or mental health, it’s crucial to seek professional support. A healthcare provider can help diagnose PMDD and develop a tailored treatment plan. Remember, you don’t have to suffer in silence—help is available. Conclusion PMDD is a serious condition that deserves recognition and effective management. By combining medical treatments with holistic strategies, you can regain control and improve your quality of life. If you’re struggling with PMDD, Bristol Menopause Clinic is here to provide compassionate care and expert guidance. Contact us today to learn more about how we can support you on your journey to wellness. 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

Book an initial menopause consultation for expert assessment of perimenopause symptoms, hormone therapy options, blood tests and personalised treatment planning. Initial Menopause Consultation Package Overview | £245 Welcome to our personalised menopause consultation service, designed to offer you expert advice and tailored support during this important stage of life. Our comprehensive consultation will help you understand the changes your body is going through and provide you with the information and guidance you need to navigate menopause with confidence. What’s Included in Your 45-Minute Consultation: In-depth Consultation with an Experienced Menopause Doctor A thorough, one-on-one discussion with an experienced specialist to understand your symptoms, concerns, and health history. Personalised Health Plan After assessing your symptoms, our doctor will provide tailored advice on managing your menopause, including lifestyle adjustments, nutrition, and possible treatments. Private Prescribing if Required If appropriate, the doctor will offer prescriptions for hormone replacement therapy (HRT) or other treatments. This service is provided privately to ensure you have the best possible care without the waiting times. Letter to Your GP We provide a detailed letter outlining the consultation and any recommendations made. This letter will be sent to your GP to ensure seamless communication and continuity of care. Book here **Blue Light Card holders receive 15% off initial consultations; a valid card must be shown at the appointment.** Benefits of Booking This Consultation: Expert Advice Gain insight from a menopause doctor who specialises in managing menopause and related health concerns. Personalised Care Receive a consultation tailored to your specific symptoms, medical history, and lifestyle. Quick Access to Treatment Benefit from private prescribing, ensuring you get the medications you need without unnecessary delays. Comprehensive Support A full consultation that covers all aspects of menopause, from physical symptoms to emotional well-being, empowering you to make informed decisions about your health. Seamless Communication with Your GP Our letter to your GP ensures that your healthcare provider is kept up to date with your treatment plan, promoting ongoing support and care. Confidential and Comfortable Environment We provide a private, safe space for you to discuss your symptoms and concerns, helping you feel comfortable and supported throughout the process. Book Your Consultation Today Take the first step toward understanding and managing your menopause with the expert care you deserve. Contact us to schedule your initial consultation with an experienced menopause doctor. £245 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

Testosterone Therapy Women, Low Libido Treatment, Fatigue and Hormone Support, Muscle Strength Hormone Therapy, Hormone Testing and Treatment, Specialist Women’s Health Care, Testosterone Management Experts Testosterone Therapy Menopause & Testosterone Care Packages | Blood Tests, Consultation & Follow-Up Included Testosterone Therapy for Women on HRT We offer testosterone therapy for women already on a stable Hormone Replacement Therapy (HRT) plan who want to further optimise their health during menopause. Testosterone can support energy, libido, mood, and mental clarity, especially when standard HRT doesn’t fully relieve symptoms. Our expert-led sessions help you understand how testosterone works in menopause and how it can safely complement your current treatment. We provide personalised, evidence-based care to help you feel more like yourself again. Book a consultation today to explore if testosterone therapy is right for you. Initial Testosterone Consultation See the details Testosterone Follow-up Consultation *Existing Patients ONLY* See the details Initial & Follow up Consultation Initial & 3 month Blood Test Included *New Patient ONLY* See the details Ongoing Testosterone Support See the details

Menopause Specialists, Expert HRT Guidance, Perimenopause Support, Midlife Women’s Health, Symptom Management Menopause, Evidence-Based Menopause Care, Women’s Health Experts, Menopause Consultations Menopause Care Menopause & Testosterone Care Packages | Blood Tests, Consultation & Follow-Up Included Expert Menopause Care Tailored to You At Bristol Menopause Clinic, we provide expert, evidence-based menopause care designed to support you at every stage of your journey. Whether you're experiencing perimenopause, menopause, or post menopause, our specialist-led appointments offer personalised guidance on hormone replacement therapy (HRT), lifestyle strategies, and symptom management. Our British Menopause Society-registered specialists take the time to understand your concerns, helping you navigate changes with confidence. From sleep disturbances and mood shifts to weight management and hormonal balance, we empower you with the knowledge and care you need to feel like yourself again. Book an appointment today and take control of your menopause journey with trusted medical support. Initial Menopause Consultation See the details Menopause Follow-up Consultation *Existing Patients ONLY* See the details Initial & Follow up Consultation Included *New Patient ONLY* See the details Ongoing Menopause Support See the details

Bristol Menopause, Women’s Empowerment, Compassionate Care, Inclusive Health, Community Support, Holistic Wellbeing, Menopause Care, Hormone Health Our Social Values At Bristol Menopause Clinic, our commitment to the community goes beyond education and awareness; we are dedicated to creating social value by ensuring that all women, regardless of their financial circumstances, have access to menopause care. We understand that many women may face financial barriers in accessing the specialised care they need during menopause, which is why we offer funding support for those who struggle to afford care. We are also pleased to offer 15% off initial consultations for Blue Light Card holders , with a valid card required at the time of the appointment. This social value initiative is at the heart of our mission to support women through this important life stage. By collaborating with organisations like the Avon and Wiltshire Partnership (AWP), Bristol Women’s Voice, and Formed Films, we not only raise awareness but also ensure that menopause care is more accessible to the women who need it most. Our talks to local communities, including Somalian and Chinese women’s groups, and healthcare professionals, as well as our contributions to International Women’s Day events, reflect our drive to make a real difference in the lives of women across the region. Through our funding support, accessible pricing initiatives, and educational outreach, we aim to reduce inequalities in healthcare and provide every woman with the tools and care she deserves during menopause. We are deeply committed to supporting our local community by raising awareness and providing education around menopause, particularly for women facing mental health challenges. In collaboration with the Avon and Wiltshire Partnership (AWP), we have developed specialised menopause awareness programmes tailored to women with mental health conditions, ensuring they receive the support they deserve. We are proud to contribute to the vital work of Bristol Women’s Voice, including participating in International Women’s Day events, where we help amplify the conversation around menopause and its impact on women's lives. Additionally, our collaboration with Formed Films, along with menopause support led to the creation of an informative animated film aimed at educating viewers about menopause and health. Our efforts extend to local communities as well. We have delivered talks to Portishead Town Council, engaging with residents to provide valuable information on menopause. We have also had the privilege of speaking to the Somalian and Chinese women’s communities, ensuring that information and support reach diverse groups. Our commitment to healthcare extends to professionals as well, as we regularly provide educational talks for local healthcare professionals to improve the care, they offer to women going through menopause. By continuously engaging with a wide range of groups, from local residents to healthcare professionals, we aim to foster a supportive environment where menopause is understood, and women can feel empowered. If you are you are in the Voluntary, Community and Social Enterprise sector (VCSE) please do not hesitate to get in touch with us. Please contact us on: Email: hello@bristolmenopause.com Phone: 0117 452 5747

Specialist menopause advice for women with a history of cancer. Personalised, evidence-based guidance to support symptoms and long-term health. Managing Menopause with a History of Breast Cancer Request a Menopause & Breast Cancer Guide Please take a moment to fill out the form. First Name Last Name Email I agree to be added to mailing list Submit Click here to download Menopause & Breast Cancer Guide

< Back Ongoing Menopause Support Package Book Now About Menopause Support Packages Menopause is a journey, and you don’t have to navigate it alone. Our Menopause Support Packages provide ongoing expert guidance, reassurance, and personalised care to help you manage your symptoms, feel your best, and regain control of your health. Whether you need advice on HRT, lifestyle changes, sleep, or nutrition, our tailored support ensures you have the right information and resources at every stage. Stay informed, empowered, and supported, because your well-being matters every step of the way. Standard Plan 6 week mini review 3 month review & bloods* 6 month review 12 month review £45 per month Premium Plan 6 week mini review 3 month review & bloods* 6 month review 9 month review & bloods* 12 month review £65 per month Platinum Plan 6 week mini review 3 month review & bloods** 6 month review 9 month review 12 month review & bloods** Unlimited email support £90 per month Testosterone Plan 1 3 month review & bloods* 6 month blood tests 12 month review £50 per month Testosterone Plan 2 (post 12 months) 12 month review 6 month hormone profile blood test x2 £29.58 *Hormone profile blood test **General menopause blood test Book Now Discover our range of menopause supplements, available to order today! Shop Now

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Menopause Training UK, Women’s Health Education, HRT Prescribing Courses, Clinical Menopause Education, Workplace Menopause Awareness, Evidence-Based Women’s Health Training, Specialist Menopause Courses Menopause Workplace Courses Menopause Champion Programme And Menopause Culture and Compliance Create a supportive, inclusive and legally informed workplace with expert-led online workplace menopause training. Our programmes help organisations better understand menopause at work while building the knowledge, confidence and practical skills needed to support employees effectively. Choose from our Menopause Champion Training, designed to equip nominated employees to provide practical support and signposting for colleagues, or our Menopause Culture & Compliance Training, created for senior leaders and HR teams responsible for workplace policy, governance and organisational culture. Ideal for HR professionals, managers, wellbeing leads and business leaders, both courses provide evidence-based, practical guidance to improve employee wellbeing, strengthen workplace culture and support organisations as menopause awareness and legal expectations continue to evolve. More info here

Test osterone Therapy for Women on HRT We offer testosterone therapy for women already on a stable Hormone Replacement Therapy (HRT) plan who want to further optimise their health during menopause. Testosterone can support energy, libido, mood, and mental clarity, especially when standard HRT doesn’t fully relieve symptoms. Our expert-led sessions help you understand how testosterone works in menopause and how it can safely complement your current treatment. We provide personalised, evidence-based care to help you feel more like yourself again. Book a consultation today to explore if testosterone therapy is right for you. Initial Testosterone Consultation Read More Testosterone Follow-up Consultation Read More Testosterone Package - 10% saving Read More

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

Book a menopause consultation package including a follow-up consultation, hormone therapy optimisation, blood testing and personalised lifestyle advice for perimenopause and midlife health. Menopause Consultation & Follow Up Package Overview | £378 Comprehensive Menopause Support Package for New Patients – Just £378. Take control of your menopause journey with our comprehensive support package, designed for new patients. For just £378, 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. Book here Benefits of Booking this 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 £378, you’ll receive a complete menopause consultation and follow-up plan tailored to your needs. Follow link below to book now. £378 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