Osteoporosis Screening Bristol, DEXA Scan Bristol, Bone Health Tests Bristol, Bone Health Bristol, Expert Osteoporosis Care Bristol, Bone Density Testing Bristol 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 Next clinic: 27th August 2026 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 cancer 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

Read our Privacy Policy to understand how we collect, use and protect your personal and medical information in line with UK data protection laws. Privacy Policy For Patients Privacy Policy Bristol Menopause & Wellwoman Clinic Limited 1. Who We Are Bristol Menopause & Wellwoman Clinic Limited is a private healthcare clinic providing women’s health and menopause services. Data Controller: Bristol Menopause & Wellwoman Clinic Limited Low Barn, Sheepway, Bristol BS20 7TF Email: hello@bristolmenopause.com If you have any questions about this policy or how we use your data, you can contact us at the email address above. 2. The Information We Collect We collect and use the following types of personal data: Name, address, email address and telephone number Date of birth Medical history and clinical notes Test results and investigation reports Appointment records Billing and payment information Health insurance details (if applicable) Communications with you (emails, messages or letters) Because we are a medical clinic, much of this information is classed as special category data (health data). 3. How We Use Your Information We use your information to: Provide safe and effective medical care Book and manage appointments Send relevant appointment reminders Arrange tests or referrals Process payments and invoices Meet legal and regulatory obligations Improve the quality and safety of our services We do not sell your data or use it for unrelated marketing. 4. Our Legal Basis for Using Your Data Under the UK GDPR, we must explain the lawful reasons for using your data. We rely on: Article 6 (general lawful basis): Performance of a contract (to provide your medical care), and/or Compliance with legal obligations Article 9 (special category data – health data): Processing necessary for the provision of health or social care and treatment. We do not usually rely on consent to process medical information, because we must process certain information to provide safe medical care. 5. Who We Share Your Information With We may share your data with: Clinicians and staff involved in your care Laboratories and diagnostic services Imaging providers Health insurers (where relevant) Our IT and clinical software providers Regulatory bodies where legally required We only share the minimum information necessary and always expect high standards of confidentiality. 6. Use of Heidi AI We use Heidi AI to support clinical note-taking during consultations. We will always ask your permission before using Heidi AI. No recording or AI use will take place without your knowledge. You can decline at any time without affecting your care. 7. How We Keep Your Data Secure We use appropriate technical and organisational security measures, including: Secure, encrypted computer systems Password protection and access controls Staff confidentiality duties and training Regular system updates and backups Access to patient data is limited to staff who need it to provide your care. 8. How Long We Keep Your Information We retain medical records in line with UK healthcare guidance: Adult patient records: normally kept for 8 years after your last appointment Some records may be kept longer if legally required. 9. Your Rights Under UK GDPR you have the right to: Request access to your personal data Request correction of inaccurate data Request restriction of processing in certain circumstances Request data portability where applicable Object to certain uses of your data Request erasure of your data (where legally appropriate) You also have the right to complain to the Information Commissioner’s Office (ICO): Website: www.ico.org.uk Helpline: 0303 123 1113 To exercise your rights, please email: hello@bristolmenopause.com 10. Cookies and Website Use Our website uses cookies and similar technologies. Non-essential cookies are only used with your consent. You can control or withdraw your consent at any time. For full details, please see our Cookies Policy. 11. International Data Transfers Some of our IT systems and processors may store data outside the UK. Where this happens, we ensure appropriate safeguards are in place, such as UK-approved standard contractual clauses. 12. Changes to This Policy We may update this Privacy Policy from time to time. The latest version will always be available on our website. 13. Contact Us If you have any questions or concerns about this policy or your data, please contact: hello@bristolmenopause.com Low Barn, Sheepway, Bristol BS20 7TF

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

Expert menopause care near you. Book a personalised consultation with Bristol Menopause & Wellwoman Clinic, now available in your local community. Community Clinics Expert menopause care, closer to you Bringing specialist, personalised women’s health consultations into your local community, delivered by the trusted & specialist team at Bristol Menopause & Wellwoman Clinic. We understand that accessing expert menopause care can sometimes feel difficult, time-consuming, or overwhelming. Our community clinics are designed to make this easier, offering the same high standard of clinical care you would receive in our clinic, now available in a convenient local setting. Book Now Book an appointment at one of our community clinics and receive expert, specialist care from British Menopause Society clinicians at Bristol Menopause & Wellwoman Clinic. Cadbury Heath Pharmacy Book Here Specialist support in your local community 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. 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. £208.25 - 15% Saving Book Now Book an appointment at one of our community clinics and receive expert, specialist care from British Menopause Society clinicians at Bristol Menopause & Wellwoman Clinic. Cadbury Heath Pharmacy Book Here

< Back When Menopause Anxiety Strikes - How to Feel More in Control HRT, Wellbeing Menopause anxiety can feel overwhelming. Learn why it happens and discover evidence-based strategies to regain calm and confidence. When Menopause Anxiety Strikes - How to Feel More in Control If you’ve suddenly developed anxiety in your 40s or 50s, it can feel frightening especially if you’ve never experienced it before. You are not imagining it. And you are not alone. Menopause-related anxiety is one of the most common symptoms we treat and it is highly responsive to the right support. Why Anxiety Appears in Midlife Falling oestrogen affects: Serotonin (your feel-good hormone) GABA (your calming neurotransmitter) Cortisol (your stress hormone) This creates a perfect storm of racing thoughts, morning dread, overthinking and physical symptoms like chest tightness or shaky hands. What You Can Do to Feel Better 1. Get morning daylight This resets your cortisol rhythm and supports calmness. 2. Stabilise your blood sugar Skipping meals or relying on caffeine worsens anxiety. 3. Practice slow breathing 6 breaths per minute reduces physical stress symptoms. 4. Consider HRT For many women, HRT dramatically improves hormonal anxiety. If anxiety is affecting your daily life, we’re here to help. Book a consultation with a menopause specialist today at Bristol Menopause 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 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 Sy mptoms 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. Diagn osis 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. Lifes tyle 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. Regul ar 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. Stres s 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. Medi cation 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. Book your initial consultation today with Bristol Menopause Clinic 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 the Link Between Menopause and Gut Health: Tips for a Healthy Microbiome Managing Weight, Managing Symptoms, Diet, Perimenopause, Self-Care, Post Menopause, Menopause Advice The menopause transition brings a host of physical and emotional changes, many of which stem from fluctuating hormone levels. While symptoms like hot flushes and mood swings often take centre stage, an equally important factor to consider is gut health. The connection between menopause and the gut microbiome is a growing area of research, and understanding this link can empower women to take control of their overall health during this time. The Role of Gut Health in Menopause 1. The Gut Microbiome and Hormones Your gut is home to trillions of bacteria, collectively known as the gut microbiome. This ecosystem plays a vital role in regulating oestrogen levels. Specific gut bacteria, called the “estrobolome,” help metabolise and regulate oestrogen, ensuring balanced hormone levels in the body. As oestrogen declines during menopause, changes in the gut microbiome can occur, leading to digestive issues, inflammation, and other health concerns. 2. Common Gut Issues During Menopause Bloating and wind : Hormonal fluctuations can slow down digestion, leading to uncomfortable bloating. Constipation : Lower oestrogen levels can affect gut motility, making it harder for waste to pass through the intestines. Increased Inflammation : Changes in the microbiome can trigger low-grade inflammation, which is linked to various menopausal symptoms, including joint pain and fatigue. Weight Gain : Gut health impacts metabolism and appetite regulation, making it easier to gain weight during menopause. How Menopause Affects the Gut-Brain Axis The gut and brain communicate through a complex network known as the gut-brain axis. Hormonal changes during menopause can disrupt this connection, leading to heightened stress, anxiety, and even depression. These emotional shifts can, in turn, affect gut function, creating a vicious cycle. Supporting gut health can help stabilise mood and promote mental well-being. Tips for Maintaining a Healthy Microbiome During Menopause 1. Prioritise Fibre-Rich Foods Dietary fibre acts as fuel for beneficial gut bacteria. Include foods like: Whole grains (oats, quinoa, brown rice) Fruits (apples, berries, bananas) Vegetables (broccoli, spinach, carrots) Legumes (lentils, chickpeas, black beans) 2. Incorporate Probiotics and Prebiotics Probiotics : These are live “good” bacteria found in fermented foods like yogurt, kefir, sauerkraut, and miso. Prebiotics : These are the fibres that feed probiotics. Sources include garlic, onions, asparagus, and bananas. 3. Stay Hydrated Proper hydration supports digestion and helps maintain a healthy gut lining. Aim for at least 8 glasses of water per day, more if you’re active. 4. Limit Processed Foods and Sugar Processed foods and added sugars can disrupt the balance of gut bacteria, promoting the growth of harmful microbes. Focus on whole, unprocessed foods for optimal gut health. 5. Manage Stress High stress levels can negatively impact the gut microbiome. Incorporate stress-reducing practices such as: Meditation or mindfulness Gentle exercise like yoga or walking Journaling or creative hobbies 6. Exercise Regularly Physical activity promotes gut motility and supports a diverse microbiome. Aim for 30 minutes of moderate exercise most days of the week. 7. Consider Supplements If dietary changes aren’t enough, probiotics or omega-3 supplements may help support gut health during menopause. Consult a healthcare professional before starting any new supplement. When to Seek Professional Help If you’re experiencing persistent gut issues that don’t improve with lifestyle changes, it may be time to consult a healthcare provider. At Bristol Menopause Clinic, we offer personalised guidance to address the unique challenges of menopause, including gut health concerns. The Takeaway A healthy gut is a cornerstone of overall well-being, particularly during menopause. By nurturing your gut microbiome with thoughtful dietary choices, regular exercise, and stress management, you can ease menopausal symptoms and improve your quality of life. 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 Low Testosterone in Women: Symptoms, Testing and Treatment Options in the UK HRT Think you may have low testosterone? Learn about symptoms, testing (including SHBG), and safe treatment options for women in the UK, including menopause care. Low Testosterone in Women: What Happens Next? Many women come to clinic having already done their research. They have read about testosterone, recognised symptoms in themselves, and often spent months or years wondering whether it might help. Yet when they speak to their GP, they are frequently told their blood tests are “normal,” or that testosterone is not something that can be prescribed. In some cases, treatment is started without clear guidance or follow-up. If this feels familiar, it is worth understanding what good testosterone care should look like and why the answer is not always straightforward. Can Women Have Low Testosterone? Yes. Testosterone is often thought of as a “male hormone,” but it plays an important role in women’s health. In women, testosterone contributes to: Libido and sexual function Motivation and drive Energy levels Mood and emotional resilience Muscle strength and maintenance Levels naturally decline with age, particularly during perimenopause and menopause. Symptoms of Low Testosterone in Women Low testosterone can present in a number of ways. Common symptoms include: Reduced libido Low motivation or drive Persistent fatigue Emotional flatness or reduced enjoyment Brain fog or poor concentration Reduced muscle strength These symptoms often overlap with other hormonal changes, particularly oestrogen decline, which is why a full assessment is essential. Why “Normal” Blood Tests Do Not Always Mean Normal One of the most common frustrations is being told that testosterone levels are “normal.” However, testosterone testing in women is complex: There is no universally agreed diagnostic threshold for low testosterone in women Reference ranges vary between laboratories Results do not account for individual baseline levels Hormone levels fluctuate with age, cycle, and medication A level that is technically “normal” may still be too low for a particular individual. The Importance of SHBG and Free Testosterone A key factor often overlooked is Sex Hormone Binding Globulin (SHBG) . SHBG is a protein that binds testosterone in the bloodstream. When testosterone is bound, it is not biologically active. This means: Total testosterone may appear normal But free (active) testosterone may be low SHBG levels can be raised by: Oral oestrogen (including some HRT) The combined contraceptive pill Certain metabolic factors For this reason, a proper assessment should include: Total testosterone SHBG Calculated free testosterone Do You Need a Blood Test for Low Testosterone? Blood tests can be helpful, but they are only one part of the picture. A diagnosis is based on: Clinical symptoms Hormonal context (including oestrogen status) Blood results (interpreted appropriately) Focusing on numbers alone can miss the underlying issue. Why Oestrogen Matters First Before considering testosterone, it is important to ensure that oestrogen levels are adequately supported . Testosterone therapy tends to be more effective when: Oestrogen deficiency has already been addressed Symptoms have partially improved but not fully resolved For example, a woman on HRT who feels significantly better overall but still experiences low libido or reduced motivation may benefit from testosterone. Testosterone Treatment for Women in the UK Is testosterone safe for women? When prescribed at physiological (female) doses , testosterone has a well-established safety profile. Treatment aims to: Restore levels within the normal female range Improve symptoms not exceed normal hormone levels How is testosterone prescribed? In the UK, testosterone for women is prescribed off-licence , which is standard practice in specialist menopause care. Treatment usually involves: A transdermal gel or cream Applied daily to the skin Careful dose titration over time Common options include: Low doses of male formulations (e.g. Testogel, Tostran) Androfeme 1% (licensed in Australia) How long does testosterone take to work? Testosterone is not a quick treatment. Effects develop gradually Improvements are often seen over several weeks to months Consistency is essential Women who understand this tend to achieve the best outcomes. Monitoring and Follow-Up Safe testosterone prescribing requires structured follow-up. Typical monitoring includes: Blood test at 3 months Ongoing testing every 6 months Clinical review of symptoms The goal is: Symptom improvement Safe hormone levels The lowest effective dose Side Effects of Testosterone in Women At appropriate doses, side effects are uncommon. Potential side effects may include: Acne Increased facial or body hair Oily skin These are: Dose-dependent Usually mild Reversible with dose adjustment More significant side effects are rare when treatment is properly supervised. Why Testosterone Care Often Falls Short Despite strong evidence, many women struggle to access appropriate care. This is largely due to: Limited training in testosterone prescribing Variability in clinical confidence Lack of structured follow-up in some settings As a result, women may experience: Underdiagnosis Undertreatment Inadequate support When to Seek Specialist Advice You may benefit from specialist input if: You have persistent symptoms despite “normal” blood tests You are on HRT but still feel something is missing You have tried testosterone without clear benefit You have not had structured follow-up In many cases, the issue is not that testosterone “doesn’t work,” but that: Dosing is suboptimal Treatment is stopped too early Monitoring is insufficient Testosterone Treatment at Bristol Menopause Clinic At Bristol Menopause Clinic, testosterone assessment includes: A full clinical history Detailed hormone review Appropriate blood testing Personalised treatment planning We also offer structured follow-up and support packages to ensure: Safe prescribing Ongoing monitoring Continuity of care Book a Consultation If you are concerned about low testosterone or ongoing menopausal symptoms, we are here to help. hello@bristolmenopause.com Low testosterone in women is often overlooked, misunderstood, or inadequately managed. A “normal” blood test does not always mean optimal health. The key is a symptom-led, clinically informed approach , supported by appropriate testing and follow-up. With the right care, testosterone can play a valuable role in helping women feel more like themselves again. 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 Protecting Health for Decades to Come: Life After Menopause Post Menopause Menopause is officially confirmed after 12 consecutive months without a period. From that point onward, a woman is described as post-menopausal. For some, common symptoms like hot flushes and night sweats may ease, while for others they can continue for years. But beyond symptoms, the post-menopausal years mark a shift in focus: long-term health and prevention become the priority. Falling oestrogen levels can accelerate bone loss, alter cholesterol patterns, and influence blood pressure and metabolic health. These changes can increase the risk of osteoporosis, cardiovascular disease, and type 2 diabetes. The good news? Lifestyle medicine offers powerful tools to counteract these risks and support health for decades to come. Lifestyle Strategies for Healthy Years Ahead 1. Bone Health: Protecting the Framework Exercise: Weight-bearing activities such as walking, dancing, or jogging stimulate bone growth. Resistance training builds strength and protects joints. Nutrition: Adequate calcium (from dairy, fortified plant milks, or leafy greens) and vitamin D (from safe sun exposure, oily fish, or supplementation where advised) are vital. Prevention: Avoiding smoking and limiting alcohol reduces bone loss. 2. Heart Health: Guarding Against the Number One Risk Movement: Regular aerobic activity lowers blood pressure and supports healthy cholesterol. Diet: A Mediterranean-style pattern — rich in fruit, vegetables, whole grains, legumes, nuts, and olive oil — reduces cardiovascular risk. Monitoring: Regular blood pressure, cholesterol, and glucose checks help track changes early. 3. Cognitive Health: Supporting the Brain Mental stimulation: Learning new skills, reading, or problem-solving strengthens cognitive reserve. Sleep: Consistent, good-quality sleep allows for memory processing and brain repair. Social connection: Staying engaged with friends, family, or community lowers dementia risk and improves mood. 4. Weight & Metabolism: Managing Midlife Shifts Balanced eating: Nutrient-dense foods with adequate protein support muscle mass and reduce abdominal weight gain. Activity: Regular exercise improves insulin sensitivity and reduces metabolic risk. Mindset: Avoiding restrictive crash diets helps protect long-term energy and metabolic health. Post-menopause is not about decline, it’s about renewal. With lifestyle medicine, women can actively build strength, protect heart and brain health, and lay the foundations for a purposeful and energetic next chapter of life. 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 Cardiovascular Health Refers to the Wellbeing of the Heart Menopause Advice, Cardiovascular Advice, Post Menopause, Wellbeing, Stress Maintaining good cardiovascular health is essential for overall well-being and is vitally important post menopause. Menopause is a time of transition. Our bodies lose oestrogen and this has life long affects on our health. Especially cardiovascular health. Cardiovascular health refers to the well-being of the heart and blood vessels, which are crucial for the circulation of blood and oxygen throughout the body. Maintaining good cardiovascular health is essential for overall well-being and is vitally important post menopause. Cholesterol Profile: Menopause often leads to an unfavourable shift in cholesterol profiles, with a decrease in "good" HDL cholesterol and an increase in "bad" LDL cholesterol and triglycerides, which can increase the risk of atherosclerosis. Vascular Changes: Oestrogen helps maintain the flexibility and health of blood vessels. Without it, blood vessels can become stiffer, making it harder for the heart to pump blood effectively. This can contribute to conditions like hypertension. Metabolic Changes: Insulin resistance and metabolic syndrome can become more prevalent after menopause, both of which are risk factors for heart disease. Hormonal Changes: Menopause, which usually occurs in a woman's late 40s or early 50s, is characterised by a significant drop in oestrogen levels. Oestrogen has protective effects on the cardiovascular system, so this decline can impact heart health. Risk Factors Increase: As women go through menopause, several risk factors for cardiovascular disease tend to increase. These include high blood pressure, unfavourable changes in cholesterol levels, and an increase in abdominal fat. Importance of Looking After Health Post-Menopause Reducing Cardiovascular Risk: After menopause, women are at a higher risk of developing heart disease. Therefore, it's essential to adopt a heart-healthy lifestyle that includes a balanced diet, regular exercise, and stress management. This can help mitigate the increased risk factors associated with menopause. Regular Health Screenings: Post-menopausal women should have regular check-ups with their healthcare providers. Monitoring blood pressure, cholesterol levels, and other cardiovascular risk factors is vital for early detection and intervention. Hormone Replacement Therapy (HRT): For some women, hormone replacement therapy may be a consideration to alleviate some of the cardiovascular risks associated with menopause. However, this should be discussed with a healthcare provider, considering individual health and risks. Lifestyle Choices: Promoting a healthy lifestyle that includes a balanced diet, regular exercise, smoking cessation, and moderate alcohol consumption is crucial. These measures can help maintain cardiovascular health post-menopause. Weight Management: Maintaining a healthy weight and reducing abdominal fat is particularly important after menopause, as excess weight can exacerbate cardiovascular risk factors. Maintaining good cardiovascular health Cardiovascular health refers to the well-being of the heart and blood vessels, which are crucial for the circulation of blood and oxygen throughout the body. Maintaining good cardiovascular health is essential for overall well-being. Here are some key points: Heart Diseases: Common cardiovascular diseases include coronary artery disease, hypertension (high blood pressure), heart failure, and stroke. These conditions can be life-threatening and require careful management. Risk Factors: Several factors can affect cardiovascular health, including genetics, diet, physical activity, and lifestyle choices. Smoking, poor diet, lack of exercise, and excessive alcohol consumption are known risk factors. Stress and Cardiovascular Health: Stress can have a significant impact on cardiovascular health. When a person is stressed, their body releases stress hormones like cortisol and adrenaline. These hormones can lead to increased heart rate and blood pressure. Over time, chronic stress can contribute to the development of heart disease. Effects of Chronic Stress: Prolonged stress can lead to unhealthy behaviours, such as overeating, smoking, or excessive drinking, which can further harm the heart. Stress can also promote inflammation in the body, which is linked to atherosclerosis (the narrowing of arteries due to plaque buildup). Managing Stress: Effective stress management techniques, such as regular exercise, mindfulness, meditation, and relaxation techniques, can help mitigate its impact on cardiovascular health. Encouraging patients to adopt these strategies can be beneficial. Screening and Prevention: Regular health screenings, including blood pressure checks and cholesterol monitoring, are crucial for early detection of cardiovascular issues. Providing education and guidance on preventive measures is a key part of promoting cardiovascular health. For personalised, evidence-based menopause care and support, visit Bristol Menopause 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 the Different Types of Coils: A Guide to Intrauterine Devices (IUDs) Wellbeing When it comes to contraception, intrauterine devices (IUDs), commonly referred to as coils, offer a highly effective and long-term solution for women looking to avoid pregnancy. Despite their effectiveness, many women remain unsure about the differences between the various types of coils available. In this blog post, we will explore the different types of coils, how they work, their benefits, and potential side effects. What is a Coil? A coil is a small, T-shaped device that is inserted into the uterus by a healthcare professional. It provides contraception by either releasing hormones or using copper to prevent fertilisation. Coils are highly effective, with a success rate of over 99%, making them one of the most reliable forms of contraception available. Types of Coils There are two main types of coils available in the UK: the hormonal intrauterine system (IUS) and the non-hormonal intrauterine device (IUD). 1. Hormonal Coil (IUS – Intrauterine System) The hormonal coil releases a small amount of progestogen (a synthetic form of the hormone progesterone) into the uterus. This hormone thickens the cervical mucus to prevent sperm from reaching the egg, thins the lining of the uterus to prevent implantation, and in some cases, suppresses ovulation. Types of Hormonal Coils Available in the UK: Mirena – Effective for up to five years, Mirena is often prescribed to help manage heavy periods as well as for contraception and can be the progestogen part of your HRT Levosert – Similar to Mirena, this coil lasts for up to six years and is also used for managing heavy menstrual bleeding. This can also be part of your HRT. Kyleena – A lower-dose hormonal coil that lasts up to five years, often chosen for its smaller size. Jaydess – Lasting up to three years, Jaydess is another low-dose option designed for those who prefer a shorter-term hormonal method. Benefits of the Hormonal Coil: Can lighten or stop periods altogether, which is beneficial for those with heavy menstrual bleeding. Provides long-lasting contraception with minimal effort. Suitable for women who cannot tolerate oestrogen-based contraception (such as the combined pill). May reduce period pain and symptoms of endometriosis. Potential Side Effects: Irregular bleeding or spotting in the first few months. Hormonal side effects such as headaches, breast tenderness, or mood changes. In rare cases, the coil can be expelled or displaced. 2. Non-Hormonal Coil (IUD – Intrauterine Device) The non-hormonal coil, commonly referred to as the copper coil, works by releasing copper into the uterus, which creates an inhospitable environment for sperm, preventing fertilisation. Types of Copper Coils Available in the UK: TT380 Slimline – One of the longest-lasting IUDs, effective for up to ten years. Nova-T 380 – A smaller copper coil suitable for women who have not given birth, lasting up to five years. UT 380 Short – Designed for women with smaller uteruses or those who have never been pregnant. Benefits of the Non-Hormonal Coil: Does not contain hormones, making it a great option for those who experience side effects from hormonal contraception. Provides immediate contraception upon insertion. Can last between five and ten years, depending on the type. Can be used as emergency contraception if inserted within five days of unprotected sex. Potential Side Effects: Can cause heavier, longer, or more painful periods, especially in the first few months after insertion. There is a small risk of infection in the first 20 days after insertion. In rare cases, it can be expelled or displaced. Which Coil is Right for You? Choosing the right coil depends on individual health needs, lifestyle, and personal preferences. The hormonal coil is often recommended for those who experience heavy or painful periods, while the non-hormonal coil is a good option for those who prefer to avoid hormonal contraception. A healthcare professional can help assess your medical history and discuss the best option based on your needs. If you are considering a coil, it is essential to have a consultation with a Healthcare professional to understand the benefits and risks in relation to your health. Insertion and Removal Process Both types of coils require insertion by a trained healthcare professional. The procedure usually takes around 5-10 minutes and can cause mild discomfort or cramping. Pain relief, such as ibuprofen, can be taken beforehand to ease discomfort. Once inserted, a follow-up check may be recommended to ensure the coil is in place. We have Amy our specialist nurse here at Bristol Menopause clinic who does monthly Saturday coil clinics. Removal is a straightforward process and can be done at any time by a healthcare professional. Fertility typically returns to normal immediately after removal. The coil is a reliable and effective contraceptive option that suits many women. Whether you prefer a hormonal or non-hormonal method, understanding the differences between the types of coils can help you make an informed choice. If you are considering a coil, speak to a healthcare provider to determine the best option for your lifestyle and health 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 CBD and Sleep in Menopause: What Does the Evidence Actually Say? Alternative Therapies, Managing Symptoms, Stress, Wellbeing, Self-Care CBD for menopause insomnia: benefits, risks, and what the latest research says Can CBD Help Menopausal Sleep Problems? If you’re lying awake at 2am, mind racing after another night sweat, and you’ve seen CBD marketed as a “natural sleep solution,” you’re not alone. More women going through perimenopause and menopause are asking about CBD for sleep , particularly as awareness grows around alternative and complementary therapies. But what does the science actually say? Why Sleep Disruption Happens in Menopause Sleep disturbance is one of the most common and most debilitating symptoms of menopause. Around 61% of menopausal women report significant sleep difficulties Nearly 44% meet the criteria for chronic insomnia Poor sleep is not just inconvenient. It impacts: Mood and emotional regulation Cognitive function (brain fog, memory) Cardiovascular health Day-to-day functioning and energy The Two Main Causes of Poor Sleep 1. Vasomotor symptoms (night sweats) These physically wake you and make it difficult to fall back asleep. 2. Hormonal changes affecting the brain Declining oestrogen disrupts: Serotonin regulation Nervous system balance Ability to “switch off” at night Understanding which of these is driving your symptoms is key—because it determines what will actually help. What Is CBD and How Does It Work? CBD (cannabidiol) is a compound found in the cannabis plant. Unlike THC, it does not produce a “high.” It interacts with the endocannabinoid system (ECS) —a network involved in: Sleep regulation Mood Pain perception Inflammation CBD and Menopause: The Biological Link Oestrogen interacts with the ECS, and research suggests: Endocannabinoid levels change during menopause Receptor activity may be altered as oestrogen declines This has led to the theory that CBD may support the ECS during menopause . It’s a plausible mechanism. But it is not yet proven. CBD for Sleep in Menopause: What Does the Research Show? 1. Lack of Menopause-Specific Evidence There are currently no large, high-quality randomised controlled trials (RCTs) looking specifically at: CBD for sleep In menopausal women Most data comes from general population studies. 2. Evidence from General Sleep and Anxiety Studies A frequently cited case series (The Permanente Journal) found: ~80% reported reduced anxiety ~66% reported improved sleep However: It was not menopause-specific It was not a controlled trial So conclusions are limited. 3. Dose Matters Research suggests: Low doses → may be alerting Higher doses → more sedating This is important clinically, as many women try low-dose CBD and assume it “doesn’t work.” 4. Best Fit: Anxiety-Driven Insomnia CBD appears most helpful for: Racing thoughts Difficulty switching off It is less effective for night sweats , which are driven by hypothalamic temperature dysregulation. 5. Survey Data (Encouraging but Limited) A University of Alberta study found one-third of women use cannabis for menopause symptoms 74% reported improvement , including sleep But: This is self-reported data No placebo control High risk of bias New Research Worth Watching There are promising developments underway: Ongoing Clinical Trials Washington State University (Phase 2 RCT) Hemp-derived cannabinoids Measuring sleep, mood, cognition Results expected in coming years Palacký University (Czech Republic) CBD-based vaginal suppositories Includes sleep outcomes Awaiting published results Emerging Cannabinoids: CBG A 2024 human trial found: 20mg CBG reduced anxiety Improved verbal memory Given the prevalence of brain fog in menopause , this is an interesting area to watch. What Do Menopause Societies Say? At present: No major menopause society recommends CBD for sleep Evidence is considered inconsistent and insufficient The Society of Obstetricians and Gynaecologists of Canada notes: Mixed results for anxiety Short-term sleep benefits possible Lack of long-term safety data The absence of recommendations does not mean CBD is ineffective, it means the evidence is not yet strong enough . Clinical Perspective: Where Does CBD Fit? After nearly 40 years in clinical practice, my view is: 1. CBD Is Not a Replacement for HRT If sleep disruption is driven by: Night sweats Hormonal deficiency Then optimising HRT remains first-line, evidence-based treatment . CBD does not address underlying oestrogen decline. 2. It May Help Anxiety-Related Sleep Issues For women experiencing: Racing thoughts Heightened anxiety CBD may have a supportive role alongside other treatments . 3. Quality and Regulation Are Major Concerns The CBD market is poorly regulated: Variable CBD content Risk of contamination Undisclosed THC in some products Always choose products with: Third-party testing Certificate of analysis 4. Drug Interactions Matter CBD can interact with: Antidepressants Anticoagulants Anti-epileptics Always discuss with a clinician before starting. 5. Dosing Requires Care Start low Increase gradually Allow several weeks for effect The Bottom Line: Should You Use CBD for Menopause Sleep? The science is evolving. We have: Plausible biological mechanisms Encouraging early data Proper clinical trials underway But we are not yet at the stage of making firm clinical recommendations . What You Should Do First If you are struggling with sleep during menopause: Start with evidence-based treatments Identify the root cause (hormonal vs anxiety-driven) Optimise HRT and lifestyle factors Where CBD Fits CBD may be considered: As a supportive option Particularly for anxiety-driven insomnia With realistic expectations and clinical guidance 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