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Explore expert guidance on peri-menopause and menopause at Bristol Menopaue and Wellwoman Clinic. Perimenopause & Menopause Perimenopause, often referred to as "menopause transition," is a stage in a person's life when their body undergoes hormonal changes leading up to menopause. Menopause is defined as the permanent cessation of menstruation, marking the end of a person's reproductive years. Perimenopause typically occurs in the late 30s to early 50s, although the age at which it begins and the duration can vary among individuals. During perimenopause, a person's oestrogen, progesterone and testosterone levels may fluctuate, leading to irregular menstrual cycles, changes in menstrual flow, and various physical and emotional symptoms. Some common symptoms of perimenopause include hot flushes, night sweats, mood swings, sleep disturbances, vaginal dryness, decreased libido, and changes in menstrual patterns. These symptoms can be bothersome for some individuals and may impact their daily lives. It's important to note that perimenopause is a natural biological process and not a medical condition. However, if the symptoms are severe or interfere with a person's quality of life, they should seek medical advice. Hormone replacement therapy (HRT) or other treatments may be recommended to manage the symptoms of perimenopause, but the decision to use such treatments should be made in consultation with a healthcare professional. These can include lifestyle advice and guidance, taking into consideration individual health risks and benefits. Co-directed alongside our founder, Hazel Hayden, we invite you to explore this video resource, delving into the realms of Menopause and Hormone Replacement Therapy (HRT) to gain valuable insights and knowledge. Determining whether you are in perimenopause requires recognising certain signs and symptoms that are commonly associated with this stage of life. Here are some indicators that may suggest you are peri menopausal: Irregular menstrual cycles: One of the primary signs of perimenopause is changes in your menstrual cycle. Your periods may become irregular, shorter, longer, heavier, or lighter than usual. You may also experience skipped periods or have a significantly different flow. Hot flushes and night sweats: Many individuals going through perimenopause experience hot flushes, which are sudden feelings of warmth, often accompanied by flushing of the face and upper body. Night sweats, excessive sweating during sleep, can also be prevalent, as can cold flushes. Vaginal and urinary changes: Perimenopause can cause vaginal dryness, itching, or discomfort during sexual intercourse. You may also notice an increased frequency of urinary tract infections or urinary incontinence. Mood changes: Hormonal fluctuations during perimenopause can lead to mood swings, irritability, anxiety, or feelings of depression. You may also experience difficulties with memory or concentration. Changes in sleep patterns: Some individuals going through perimenopause may have trouble falling asleep, staying asleep, or experience poor sleep quality, which can contribute to fatigue and irritability. Decreased libido: A decline in sexual desire or changes in sexual function can occur during perimenopause. It's important to note that these symptoms can vary among individuals, and not everyone will experience all of them. Some women may never experience a hot flush but may find mood changes the worst symptom. Additionally, these symptoms can also be indicative of other medical conditions. For support with perimenopause & menopause, explore our services Explore our services

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

Discover trusted coil and IUD services at Bristol Menopause & Wellwoman Clinic. Your choice, your health, with professional support every step of the way. Osteoporosis Screening In Partnership with Bone Density Scan (DEXA) A bone density scan (also known as a DEXA or DXA scan) is a safe and painless test that measures the strength and density of your bones. It helps to identify if your bones are becoming thinner or weaker, which may put you at risk of osteoporosis or fractures. During the scan, a small amount of low-dose X-ray is used to measure the amount of calcium and minerals in your bones. The results are presented as a T-score and Z-score, which compare your bone strength to healthy young adults and to others of your own age and sex. A bone density scan is one of the most effective ways to detect osteoporosis early and reduce the risk of serious fractures later in life. £50 Book here Who may benefit from a bone density scan? A scan is especially useful for people with certain risk factors, including: Women over 50 or post-menopausal Young women with Premature Ovarian Insufficiency Surgical & medical menopause Family history of osteoporosis Low body weight (BMI under 19) Previous fractures Lack of weight-bearing exercise Smoking or high alcohol intake Long-term corticosteroid use (inhalers or tablets) History of breast Thyroid problems, rheumatoid arthritis, or Crohn’s disease Benefits of Bone Density Scanning ✔ Early detection – identifies low bone density before fractures occur. ✔ Quick & painless – the scan usually takes only 10–15 minutes. ✔ Instant results – you receive your T-score and Z-score straight away. ✔ Personalised advice – results can guide lifestyle changes, exercise, diet, and medical support if needed. ✔ Peace of mind – helps you understand your risk level and take proactive steps to protect your bone health. £50 Book here

BCC 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 PCOS 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 Initial PMDD 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 POI 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

Our Services Wellwoman Checks Access here Menopause Care Access here Testosterone Therapy Access here Blood Tests Access here Polycystic Ovary Syndrome (PCOS) Access here Premenstrual Dysphoric Disorder (PMDD) Access here Premature Ovarian Insufficiency (POI) Access here Coils IUD Access here Sexual Health Access here Prescriptions Access here

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

Menopause Guide Request Menopause 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 Guide

< Back Can HRT Enhance Weight Loss with Tirzepatide (Mounjaro) in Postmenopausal Women? Alternative Therapies, Diet, HRT, Managing Weight At ENDO 2025 in San Francisco, an important study was presented exploring the effect of hormone replacement therapy (HRT) on weight loss in postmenopausal women taking tirzepatide (Mounjaro), a medication licensed for the management of type 2 diabetes and obesity. What Was the Study About? The real-world, retrospective cohort study looked at 120 postmenopausal women who were prescribed tirzepatide for overweight or obesity. 40 women were also taking HRT (either transdermal or oral oestrogen, with or without progestogen). 80 were on tirzepatide alone. Participants were followed over a median of 18 months. What Were the Results? Women who were taking both HRT and tirzepatide had: ✔️ A greater median percentage weight loss (17% vs 14%) ✔️ A higher rate of achieving 20%+ weight loss (45% vs 18%) These findings suggest that concomitant HRT may positively influence weight loss response when using incretin-based therapies like tirzepatide. However, as with all retrospective studies, we must interpret the findings cautiously. These are associations—not proven cause and effect—and more robust research is needed to understand the biological mechanisms involved. Prescribing Considerations The British Menopause Society (BMS) has issued guidance on using oral HRT alongside medications like tirzepatide or semaglutide (Wegovy). These treatments can slow gastric emptying, which may interfere with the absorption of oral progestogens . This can potentially lead to insufficient endometrial protection in women with a uterus, increasing the risk of unscheduled bleeding or endometrial hyperplasia. To mitigate this, clinicians may consider prescribing: Transdermal oestrogen Alongside a non-oral progestogen (e.g., micronised progesterone or an intrauterine system), especially in patients on GLP-1 receptor agonists or GIP/GLP-1 dual agonists like tirzepatide. Supporting Womens Health with Personalised Care At Bristol Menopause & Wellwoman Clinic , we support women navigating the complex relationship between weight, hormones, and menopause . Whether you're struggling with weight changes, perimenopausal symptoms, or looking for medically supervised weight management, we're here to help. Want to explore your options? Our team includes menopause specialists, weight loss clinicians, and prescribing experts who can create a plan tailored to you. Book a consultation today Contact us 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

POI Follow Up Consultation Package Overview | £165 30-Minute Follow-Up If you've already had your initial POI consultation, this follow-up appointment is designed to monitor your progress, adjust your treatment plan, and ensure you're receiving the right support for managing your symptoms and long-term health. Progress Review A detailed check-in to assess how you've been feeling since your initial consultation. We’ll review: Symptom changes and how they are impacting your daily life. Effectiveness of any treatments, including HRT and lifestyle modifications. Bone and heart health concerns, ensuring proactive prevention and management. Emotional well-being and psychological support needs. Treatment Adjustments if Necessary Based on your progress and feedback, we’ll refine your treatment plan—whether that involves: Adjustments to hormonal therapy (HRT) or other medications. Nutritional and lifestyle modifications for long-term well-being. Additional psychological or emotional support strategies. Further investigations or specialist referrals if needed. Ongoing Support and Expert Advice We provide ongoing guidance on any new or persistent concerns, including: Hormonal fluctuations and symptom management. Bone density and cardiovascular health support. Coping strategies for emotional and psychological well-being. Private Prescribing (if needed) If necessary, we can adjust your medications or prescribe additional treatments to ensure you receive the right ongoing support without unnecessary delays. Letter to Your GP A summary letter will be sent to your GP, outlining your progress and any treatment adjustments, ensuring continuity of care and collaboration with your healthcare team. Book here Benefits Ongoing Specialist Support – Continue working with a POI expert who understands your unique health journey. Tailored Treatment Adjustments – Your plan is refined to ensure the most effective management of POI. Confidence and Clarity – Regular reviews help you stay on track and proactively manage your health. Seamless Communication with Your GP – Your treatment plan is shared with your GP for coordinated care. Private and Supportive Environment – A safe space to discuss any concerns and receive expert guidance. Book Your Follow-Up Appointment Today Ensure your POI management remains effective and personalised. Schedule your follow-up consultation to stay in control of your health with expert support. Would you like any additional focus on fertility, symptom relief, or lifestyle management? £165 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

< Back Navigating Genito-Urinary Changes During Menopause: Insights and Solutions Menopause Advice, Pelvic Organ Prolapse In this blog post, we'll delve into the genito-urinary problems that often accompany menopause, including a detailed discussion on pelvic organ prolapse. The journey through menopause brings about a series of changes that extend beyond hot flashes and mood swings. Among these changes, genito-urinary symptoms can have a significant impact on a woman's quality of life. At Bristol Menopause and Well Women Clinic, we recognize the importance of addressing these challenges with expertise and empathy. In this blog post, we'll delve into the genito-urinary problems that often accompany menopause, including a detailed discussion on pelvic organ prolapse. Genito-Urinary Changes and Menopause As hormonal shifts occur during menopause, the delicate balance of the genito-urinary system can be disrupted. Estrogen, a key hormone, plays a vital role in maintaining vaginal and urinary tract health. As estrogen levels decline, women may experience the following genito-urinary symptoms: Genito-Urinary Changes and Menopause: As hormonal shifts occur during menopause, the delicate balance of the genito-urinary system can be disrupted. Estrogen, a key hormone, plays a vital role in maintaining vaginal and urinary tract health. As estrogen levels decline, women may experience the following genito-urinary symptoms: Vaginal Dryness: Reduced oestrogen levels can lead to thinning and dryness of vaginal tissues, resulting in discomfort, irritation, and pain during intercourse (dyspareunia). Urinary Incontinence: Loss of elasticity in the bladder and urethra muscles may contribute to stress incontinence (leakage during activities like coughing, sneezing, or laughing) or urge incontinence (sudden, intense urge to urinate). Frequent Urination: Hormonal changes can lead to increased frequency and urgency of urination, impacting daily life. Recurrent Urinary Tract Infections (UTIs): Lower oestrogen levels can make the urinary tract more susceptible to infections. Understanding Pelvic Organ Prolapse Pelvic organ prolapse is a common genito-urinary issue that can occur during menopause. It involves the descent of pelvic organs, such as the bladder, uterus, or rectum, into the vaginal canal due to weakened pelvic floor muscles and ligaments. Common causes include childbirth, aging, and hormonal changes during menopause. Managing Genito-Urinary Symptoms and Pelvic Organ Prolapse: Vaginal Moisturizers and Lubricants: Non-prescription vaginal moisturizers and lubricants can provide relief from vaginal dryness and discomfort during intimacy. Hormone Replacement Therapy (HRT): Oestrogen therapy, in consultation with healthcare professionals, can address genito-urinary symptoms by restoring tissue health. Pelvic Floor Exercises: Regularly practicing pelvic floor exercises (Kegels) can help strengthen muscles and provide better support to pelvic organs. Behavioral Modifications: Managing fluid intake, dietary choices, and caffeine intake can help alleviate urinary symptoms. Minimally Invasive Treatments: For pelvic organ prolapse, minimally invasive procedures such as pessaries (vaginal support devices) or surgical interventions can be considered. Conclusion: Genito-urinary symptoms and pelvic organ prolapse during menopause deserve thoughtful attention and specialized care. At Bristol Menopause and Well Women Clinic, we're committed to providing comprehensive solutions to help you navigate these changes with comfort and confidence. Our team of experts is dedicated to understanding your unique needs and crafting tailored approaches to enhance your well-being. Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us

Platinum Signature Wellbeing Check Package Overview | £1250 The Platinum Signature Wellbeing Check is our most comprehensive and personalised health assessment for women—a premium, in-depth experience designed to give you clarity, confidence, and a complete understanding of your health. Thoughtfully created for women at every stage of life, this assessment explores all key pillars of wellbeing, including heart health, hormonal balance, nutritional status, metabolic function, and preventative care. With a warm, supportive approach, our expert clinical team takes the time to listen, guide, and empower you with tailored recommendations that reflect your unique needs and goals. Whether you are maintaining excellent health, navigating perimenopause or menopause, or simply wanting a more proactive approach to wellness, the Platinum Signature Wellbeing Check delivers exceptional care at the highest standard. What the Platinum Signature Wellbeing Check Includes This package provides three high-quality clinical appointments, along with additional resources to support your ongoing health journey: 1. Initial appointment with a healthcare practitioner (1 hour) A full and detailed health assessment, including blood tests and an ECG, alongside the opportunity to discuss your symptoms, concerns, and goals in a relaxed, unhurried setting. 2. Doctor consultation (1 hour) Your doctor will review your results in depth blood tests, ECG, lifestyle factors, and overall health markers providing personalised advice, recommendations, and any necessary referrals. 3. Three-month follow-up appointment with the doctor A dedicated review to assess your progress, monitor improvements, and refine your personalised plan, ensuring you stay supported and on track. Additional Support Included “Chaos to Calm” self-guided course Created by a registered dietitian, this programme supports you with practical nutrition, lifestyle strategies, and wellbeing tools to implement immediately. Optional discovery call with the registered dietician A valuable opportunity to discuss your goals, ask questions, and ensure this pathway aligns with your needs. Book here Package Includes Appointment 1: Comprehensive Health Assessment (1 hour) Ultimate Blood Test : You’ll have a full blood draw covering an extensive panel of health markers, including cholesterol, liver and kidney function, blood sugar, thyroid health, inflammation, vitamins, hormones (if required), and the CA125 screening test, which can help detect early signs of ovarian concerns. ECG – Heart Health Check : A resting ECG will be performed to assess your heart rhythm and electrical activity, providing valuable insight into cardiovascular health. Full Health & Lifestyle Assessment: We will take a detailed look at your medical history, current symptoms, stress levels, sleep, exercise, diet, and overall wellbeing. This unhurried session allows us to build a complete picture of your health. Appointment 2: Doctor Consultation & Women’s Health Review (1 hour) Results Review with the Doctor : Your doctor will explain your blood results (including CA125), ECG findings, and overall health profile in depth. Physical Breast Examination : A thorough in-person breast check will be performed by a qualified clinician to identify any irregularities or early signs of concern. Personalised Nutrition Guidance : You’ll receive tailored dietary advice based on your results, lifestyle, and specific needs—this may include meal suggestions, nutrient recommendations, and supplementation guidance. Menopause Support & Symptom Management : If you are in perimenopause or menopause, you will receive expert advice on managing symptoms, treatment options, lifestyle strategies, and holistic support. Detailed Written Health Report : You’ll receive a comprehensive report summarising your blood tests, ECG, breast exam, lifestyle assessment, and personalised recommendations. Appointment 3: Three-Month Follow-Up with the Doctor This review appointment allows us to: Reassess your progress Review any ongoing symptoms Adjust your health plan Discuss any repeat testing or next steps Ensure you feel supported, confident, and empowered in your health journey Additional Support Included “Chaos to Calm” self-guided course Created by a registered dietitian, this programme supports you with practical nutrition, lifestyle strategies, and wellbeing tools to implement immediately. Optional discovery call with registered dietician A valuable opportunity to discuss your goals, ask questions, and ensure this pathway aligns with your needs. £1250 Book here

< Back Enjoying Better Sex in Menopause and Beyond Self-Care, Wellbeing, Perimenopause, Menopause Advice For so many, our sex drive and sexual pleasure change, when we hit perimenopause and menopause, but it doesn’t have to. A myriad of menopausal symptoms, from genitourinary symptoms that impact upon your vagina, vulva, bladder and urethra, vaginal dryness, itching, decreased sexual sensation or low libido can make any sex play feel painful or uncomfortable, your desire goes AWOL or what used to turn you on simply doesn’t work for you any more. Often people give up their sex life or continue to endure painful sex in menopause, which is neither pleasurable, good for their vagina health or their relationship. Those who previously had a good sex life get frustrated that the menopause has impacted upon their sexual pleasure in this way too. However, with a few tweaks to your relationship and to the way in which you enjoy great sexual health, intimacy and pleasure, you can have even better sex. Talk to your Partner This is one of the commonest reasons why couples give up on enjoying sex because they are unable to talk to each other. Your partner probably has no idea about how you are feeling and may think you no longer love or desire them, so it is important to tell them why you do not want to have sex or why it no longer feels pleasurable. If you’re in a long-term relationship, our sexual tastes, sensation, stimulation and attraction change, so explore new ways to enjoy intimacy. What might have worked for you in the past may not work now, so show your partner where and how you like to be touched, make sounds of pleasure to encourage them when they hit the right spot. Start off on the sofa, enjoy a teenage smooch which will hopefully develop into something more! Try new positions, use irritant free lubricants, prolonged foreplay, quickie sex, explore pleasure toys, enjoy hotel sex, whatever makes you both feel good. If you’re in a new relationship, it can be difficult to tell your partner what you enjoy. On the other hand, they may introduce you to sexual sensations that get your juices flowing. Tell them what works for you, use your irritant free lubes and always use a condom Share your fantasies, you may discover that some of them are the same. You might even want to act some of them out, too. Love Lube (but only irritant free lubes) Vaginal dryness affects people at any age due to fluctuating hormones, breastfeeding, side effects of medication, cancer treatments, stress, anxiety and the ageing process. One simple way to make sex feel pleasurable, last longer and promote vaginal lubrication is to use sexual lubricant. Using good lubricants can make sex feel great. But stop before you think about buying well-known lubes or the “menopause -friendly” products in the high street and using some products recommended on prescription because the vast majority of products contain ingredients including glycerin, propylene glycol, parabens, perfume and dyes in addition to “tingling” or “warming “ingredients which can irritate the tissues of the vulva and vagina, disrupt your friendly bacteria that keep your vagina happy, lubricated and healthy of the vagina. This can cause irritation, thrush or bacterial vaginosis, especially if you are prone to these infections. You may also experience urethral irritation too. Ingredients matter when it comes to your intimate health and pleasure. Always check the ingredients before you buy or ask your GP before they prescribe you a product and do a skin test before rubbing it over your clitoris, nothing worse than an itchy or stinging vulva or vagina! We only use, recommend and sell SUTIL Luxe and Rich, and YES, both brands are made with organic and botanical ingredients that are beneficial for your intimate health and pleasure. SUTIL can also be used as a vaginal moisturiser. No one needs an Intimate Wash Intimate hygiene products, wipes, sprays, bath bombs (aka thrush bombs) bubble bath, scented menstrual products and perfumed condoms are completely unnecessary as our vaginas are self-cleaning and all these products can cause irritation, an infection and make your vagina/vulva feel sore. Just wash with water. If you need to wash with a product, you can ask your GP to prescribe a gentle emollient or ask your local pharmacist. Enjoy regular orgasms Enjoying regular orgasms with a partner or during solo play using your fingers or a pleasure product increases your natural lubrication, reduces stress, decreases pain, helps to keep you looking young and exercises your pelvic floor muscles. Orgasms can also improve the quality of your sleep, a common problem during menopause, as the release of feel good endorphins induces a state of relaxation, helping you drift off. Sex is much more than just penetration and masturbating feels so good solo and with a partner. Exercise those Pelvic Floor Muscles Regular pelvic floor exercises, correctly performed, can make orgasms feel stronger and help incontinence issues. Some women who have a tight (hypertonic) pelvic floor, making penetration feel painful, can exacerbate symptoms by doing pelvic floor exercises and need to learn to relax the pelvic floor muscles. If you have a pelvic health issue, please seek advice from a pelvic health physiotherapist, they are my go-to pelvic health experts. You can ask your GP to refer you, you can self refer to some NHS trusts or find one in private practice here https://thepogp.co.uk/ Explore Pleasure Products Incorporating pleasure products into your sex play can help you enjoy new ways to be intimate and discover new sexual sensations, especially if you find yourself struggling to orgasm, or it takes longer due to decreased sexual sensation. A simple bullet vibrator is small enough to slip between you and a partner to enjoy clitoral stimulation during penetrative sex or foreplay. You can use it on yourself, get your partner to use it on you, or play with it on their body. If vaginal tightness is an issue, using a slim vibrator or dilator with plenty of lubricant can help stretch the vagina walls, making them more flexible and penetrative sex feel more pleasurable. Sonic wave and air pulse toys use sonic and air pulse waves to gently tease and caress your clitoris, they are my go to recommended toy for those who experience decreased sexual sensation too. Vibrating constriction rings are a great way to help a partner to maintain their erection, last longer, and offer clitoral stimulation at the same time. Some work really well as finger vibes too. You may want to explore bondage, which can be fun and offers a different dynamic to your relationship. Blindfolded sex heightens all your senses, boosting your arousal. It is important to only buy pleasure products from expert retailers like Jo Divine who only sell safe products from reputable manufacturers, can offer you advice and support about which product is suitable for your needs by phone, email and DM and dispatch in discreet packaging. Start Enjoying Better Sex Sex is not just penetration - there are so many ways to be intimate and enjoy pleasure. Explore sex toys, oral sex, bondage, nipple play, mutual masturbation, kissing and intimate massage. Perimenopause and menopause does not mean that your sex life has to stop, it can be even more pleasurable and fun. Don’t give up on your sex life, talk to your partner, use irritant free lubricant, masturbate more, explore sex toys solo or with a partner, watch or read erotica, listen to audio porn, be imaginative, adventurous and have fun in whatever way feels pleasurable for you! So if you would like advice, please get in touch https://www.jodivine.com/ We have many practical sexual health and pleasure articles on our blog including menopause. So if you would like advice, please get in touch https://www.jodivine.com/ We have many practical sexual health and pleasure articles on our blog including menopause. You can also follow me for advice, support and skin safe irritant free product recommendations https://www.instagram.com/samtalkssex/?hl=en BIO I’m Samantha Evans, a former nurse and co-founder Jo Divine, an online pleasure product company, with my husband Paul in 2007. As a sexual health and pleasure expert at Jo Divine I advise many women and their partners about ways to enjoy sexual intimacy and pleasure when they experience menopausal symptoms such as vaginal dryness, vaginal tightness, decreased sexual sensation and low libido and recommend our irritant free sexual lubricants and moisturisers, skin safe pleasure products and dilators to help them overcome sexual health issues and explore new ways to enjoy sexual pleasure solo or with a partner. Whoever you are, I passionately believe that it is always possible to enjoy sex by being imaginative, adventurous and making it fun, and I'm always exploring ways for both men and women to take control of their sexual health to increase their sexual pleasure and general wellbeing. I also work with many healthcare professionals, menopause experts and cancer charities by helping them to discuss practical ways to enjoy sexual intimacy and pleasure. At Jo Divine we believe that sexual health and sexual pleasure go hand in hand and have created a health brochure with suitable products to help people with sexual issues. 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