< Back Looking After Your Emotional Health Through The Menopause Menopause Advice, Mental Health, Stress, Wellbeing We shine a light on the emotional and psychological aspects of navigating menopause, offering guidance and support for nurturing mental well-being during this phase of life. Understanding Emotional Changes A lot of people talk about hot flushes and night sweats that can affect women through the menopause. However, it isn't just about physical symptoms; it's a journey that can significantly impact mental health. Fluctuating hormone levels can contribute to mood swings, irritability, anxiety, and even depression for some women. Strategies for Emotional Wellness Open Communication: Discuss your feelings and experiences with trusted friends, family, or a healthcare professional. Talking about your emotions can provide relief and support. Stress Management: Adopt stress-reducing techniques such as deep breathing exercises, yoga, or meditation to alleviate anxiety and promote relaxation. Prioritise Self-care: Dedicate time for activities that bring you joy and relaxation. Whether it's reading, gardening, or simply taking a warm bath, self-care is essential for mental well-being. Remember, prioritising mental well-being isn't selfish; it's a vital aspect of overall health. Dedicate time for activities that bring you joy, relaxation, and comfort, especially during challenging periods. Seek Support: Joining support groups or seeking counselling can provide a safe space to share experiences and gain valuable insights from others navigating the same journey. Managing Mood Swings Identify Triggers: Recognize factors that exacerbate mood swings and find ways to manage or avoid them. Keeping a journal might help identify patterns. Healthy Lifestyle Habits: Regular exercise, a balanced diet, and adequate sleep can positively impact mood and overall well-being. Therapeutic Support: If feelings of distress persist or interfere with daily life, seeking therapy or counselling can offer valuable tools and support to navigate challenging emotions. Healthcare Provider Consultation: Discuss any significant changes in mental health with a healthcare professional. They can provide guidance and explore potential treatment options if necessary. Hormone Replacement Therapy can help to stop the mood swings and help with to calm the rage and irritability. Cognitive Behavioural Therapy can also help. This involves talking to a trained therapist to help you deal with these symptoms. Recognising Depression and Seeking Help Persistent feelings of sadness, hopelessness, or loss of interest in activities you once enjoyed could signal depression. It's crucial to seek professional help if these feelings persist or interfere with daily life. Conclusion: Navigating the emotional roller coaster of menopause can be challenging, but by acknowledging and addressing these changes, women can take proactive steps toward maintaining positive mental health. It may well involve using HRT or CBT or even a combination of both. If you’re looking for compassionate, specialist support through perimenopause or menopause, the team at Bristol Menopause is here to help. 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 Surviving the Festive Season: One Simple Tool for Menopausal Women Menopause Advice, Mental Health, Wellbeing There is a simple yet powerful tool that can be your ally through this season: journalling. Ah, the festive season! A time of joy, celebration, and… sometimes, a touch of chaos. For women going through menopause, this time of year can bring its own unique set of challenges. Amidst the merriment and flurry of activities, managing symptoms like hot flushes, mood swings, and overwhelming emotions can feel like an uphill battle, never mind the never-ending to do list that seems to get longer every day. There is a simple yet powerful tool that can be your ally through this season: journalling. Yes, the act of putting pen to paper (or fingers to keyboard) can work wonders in navigating the rollercoaster of emotions and experiences that often accompany menopause through this period. Why Journalling? Imagine having a trustworthy confidant available 24/7, someone who listens without judgment and allows you to pour out your thoughts, fears, and triumphs. That’s what journalling offers – a safe space to express yourself freely. Emotional Release: Menopause can bring a whirlwind of emotions. Journalling provides an outlet to release these feelings, reducing stress and promoting emotional well-being. Clarity Amidst Chaos: With so much happening during the Christmas period, it’s easy to feel overwhelmed. Writing things down helps declutter the mind, allowing you to focus on what truly matters and can help sleep. Tracking Symptoms: Keeping a record of symptoms can provide valuable insights for you. It helps identify patterns and triggers, aiding in more effective management. How to Start Journalling? Getting started with journalling doesn’t require fancy stationary or prize-worthy prose. Here are some simple steps: Find Your Tool: Whether it’s a notebook, a digital document, or an app, choose a medium that feels comfortable for you. Set Aside Time: Carve out a few minutes each day. It could be in the morning with a cup of tea or at night before bed – whichever fits your routine. Write Freely: There are no rules! Let your thoughts flow without worrying about grammar or structure. You can jot down your day’s events, express feelings, or simply empty your mind. Surviving Christmas with Journalling As the holiday whirlwind ensues, here’s how journalling can help you feel calmer, and some questions to help start you off: Reflection: Take a moment each day to reflect on your experiences. What brought you joy? What triggered discomfort? What emotions arise when I think about Christmas gatherings or traditions? Writing these down provides clarity. Emotional Regulation: Feeling overwhelmed by family gatherings or shopping chaos? Use your journal as a tool to process these emotions. Self-Care Check-In: Amidst the festive frenzy, it’s easy to neglect self-care. Use your journal to prioritise yourself, noting down small acts of self-kindness. How can I ensure that I’m taking care of myself amidst all the festive hustle and bustle? Celebrating the Positives: What moments brought me joy or contentment today? Are there any new discoveries or experiences that have been particularly uplifting? Gratitude and Self-Appreciation: What am I grateful for today, no matter how small or seemingly insignificant? What positive aspects of myself or my journey through menopause can I acknowledge and appreciate? Feel free to choose one or more of these prompts each day to guide your journalling sessions. They can serve as a starting point to delve into your thoughts and emotions. Remember, it’s not about perfection in writing, but about embracing the power of self-expression and self-care. At Bristol Menopause Clinic , we advocate for holistic approaches to women's health. Journalling is just one of the many tools we recommend empowering women during this transformative phase of life. If you’d like more personalised guidance or information, don’t hesitate to reach out. Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us

< Back How to Talk to Your GP About Menopause and Get the Support You Deserve HRT, Menopause Advice Empowering advice for making the most of your NHS appointment If you're experiencing symptoms like hot flushes, anxiety, poor sleep, low mood, or changes to your cycle, you may be wondering: Is this menopause? And more importantly, how do I talk to my GP about it especially when appointments feel rushed or overwhelming? You’re not alone. Many women find it difficult to bring up menopause with their doctor or feel unheard when they do. But you deserve support, and with a little preparation, your NHS appointment can be the first step toward getting it. At Bristol Menopause Clinic, we often meet women who’ve struggled to navigate the system. So, here’s your guide to making your GP appointment work for you with clarity and confidence. Why It Matters Menopause isn’t just a phase it’s a significant life transition that can impact your physical, emotional, and cognitive wellbeing. Yet, it’s still under-discussed in many healthcare settings. The good news? Awareness is growing, and GPs are increasingly trained to offer menopause support. But to get the most from your appointment, a little planning goes a long way. Step 1: Recognise the Symptoms Perimenopause (the phase leading up to menopause) can begin in your late 30s or 40s and may include: Irregular or heavier periods Hot flushes and night sweats Difficulty sleeping Low mood or anxiety Brain fog or forgetfulness Vaginal dryness or discomfort Reduced libido Joint aches and fatigue If any of these sound familiar, it’s worth bringing them up. Step 2: Track Your Symptoms Before your appointment, keep a symptom diary for at least 2–4 weeks. This doesn’t have to be complicated just a simple record of: How often symptoms occur How they’re affecting your life (e.g. work, sleep, relationships) Your menstrual cycle changes Mood or energy levels You can also use menopause symptom checklists or apps to keep track. Bringing clear examples helps your GP understand the full picture especially if your blood tests appear normal (which they often do during perimenopause). Step 3: Plan What You Want to Say GP appointments are often short, so make a written list of the key points you want to cover. For example: “I think I might be perimenopausal. These are my symptoms.” “I’m struggling with sleep/mood/hot flushes and it’s affecting my daily life.” “I’d like to understand my options, including HRT.” “Can we talk about non-hormonal approaches if HRT isn’t right for me?” Being direct and focused makes it easier to have a productive conversation. Step 4: Understand Your Options Your GP can support you in different ways, including: Offering advice and reassurance Prescribing HRT (hormone replacement therapy) if appropriate Suggesting non-hormonal treatments Referring you to a menopause clinic for specialist input Not all GPs are menopause specialists, but most should follow NICE guidelines on menopause care. If you feel dismissed, it’s okay to: Ask for a second opinion Request a referral to a menopause specialist Mention the NICE Menopause Guideline (NG23) as a framework for care Step 5: Know What to Expect From HRT Conversations If you're considering HRT, your GP will likely discuss: Your medical history and any contraindications Risks and benefits based on your age and symptoms Different types and delivery methods (patches, gels, tablets, coil, etc.) Don’t be afraid to ask questions or express concerns. You’re not being difficult, you’re being informed . Step 6: Follow Up If you're prescribed treatment, it’s important to follow up in 3 months to review how you're feeling. If symptoms persist or change, further adjustments may be needed. If no treatment is offered, or symptoms worsen, don't hesitate to re-book, request another GP, or seek a private menopause consultation if you're able to. You Deserve to Be Heard Menopause can feel like an invisible transition but it’s very real, and it matters. You deserve support, clarity, and evidence-based care. Your GP can be a great starting point, especially if you come prepared. And if you ever feel you’re not getting the help you need, there are specialist private services, like ours at Bristol Menopause Clinic, where you’ll be listened to, believed, and supported every step of the way. 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 Janet Howe British Menopause Society Registered Specialist Nurse Janet Howe is a British Menopause Society Registered Menopause Specialist and an independent Prescriber who has been in nursing for 37 years, 26 of those in general practice specialising in women's health. Janet is a distinguished figure in women's health, holds the esteemed title of being a British Menopause Society Registered Menopause Specialist and an independent Prescriber. With an impressive 37-year career in nursing, including 26 years dedicated to general practice with a specialisation in women's health, Jan brings a wealth of experience to her practice. Jan's expertise extends across contraception, sexual health, and in-depth knowledge of the menopause, including Hormone Replacement Therapy (HRT). Notably, she is proficient in fitting Mirena coils and contraceptive implants, showcasing her commitment to providing a comprehensive range of services as an independent prescriber. Currently on the path of academic advancement, Jan is working towards her Masters in Advanced Clinical Practice, a testament to her dedication to staying at the forefront of her field. Beyond professional expertise, Jan intimately understands the menopausal experience, having personally navigated its physical and mental aspects. Her empathetic approach is further highlighted by her memberships in both the British Menopause Society and the International Menopause Society. Jan's passion for women's health is evident in her desire to ensure that all women have the opportunity to access menopausal care. She envisions a landscape where women are supported through this transformative phase of life, emphasising her commitment to the well-being of her patients.

< Back Bone Health Across Menopause: More Than Just Calcium Alternative Therapies, Exercise, Managing Symptoms, Self-Care, Wellbeing When we think about menopause, bone health might not be the first thing that comes to mind. But declining oestrogen levels can accelerate bone loss, increasing the risk of osteoporosis especially in women over 50. Understanding Bone Loss Bone density naturally decreases with age, but the drop is more rapid in the first few years after menopause. Oestrogen helps maintain bone strength, so its loss can leave bones more fragile. Beyond Calcium: A Holistic Approach Vitamin D : Supports calcium absorption; get levels checked and supplement if needed. Protein : Essential for bone structure and muscle mass. Magnesium and K2 : Help in calcium regulation and bone metabolism. Lifestyle Tips Weight-bearing exercises (e.g., walking, Pilates, resistance training) Avoid smoking and limit alcohol Maintain a healthy weight Medical Options If your bone density is low, your doctor may discuss: Bisphosphonates (e.g., alendronate) Selective oestrogen receptor modulators HRT (where appropriate and no contraindications) Bone density (DEXA) scans can help assess risk and guide treatment. Strong bones are built on more than calcium. Lifestyle choices, nutrient support, and appropriate therapy all play a vital role in staying strong and steady through menopause and beyond. Concerned about bone health in menopause? Book a consultation with Bristol Menopause Clinic and get proactive about your future wellbeing. 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 Still Feeling Flat on HRT? Could Testosterone Be the Missing Piece? HRT, Managing Symptoms, Perimenopause, Post Menopause, Menopause Advice Understanding when testosterone replacement may help with low libido, fatigue, brain fog, and persistent menopausal symptoms despite HRT Many women start HRT for menopause expecting to feel fully like themselves again with improved energy, better mood, clearer thinking, and a return to normal wellbeing. For many women, Hormone Replacement Therapy (HRT) works extremely well. However, some women continue to experience symptoms such as low libido, fatigue, brain fog, poor concentration, reduced motivation, and low mood , even when their oestrogen treatment is working effectively. If this sounds familiar, testosterone for menopause may be worth considering. At the Bristol Menopause Clinic, we often see women who feel their HRT has helped, but they still do not feel fully themselves. In some cases, testosterone can be an important part of completing their menopause treatment plan. What Does Testosterone Do in Women? Although testosterone is often thought of as a male hormone, women naturally produce testosterone too, and it plays an important role in physical, emotional, and sexual wellbeing. Testosterone can help support: Libido and sexual desire Energy and motivation Mood and emotional wellbeing Confidence and resilience Focus and concentration Muscle strength and body composition General vitality and quality of life During perimenopause and menopause , testosterone levels naturally decline. This reduction can be more significant after surgical menopause , particularly if the ovaries have been removed. Symptoms of Low Testosterone in Menopause Low testosterone in women can contribute to symptoms such as: Low libido Ongoing fatigue Brain fog Poor memory and concentration Reduced confidence Low motivation Feeling emotionally flat Loss of enjoyment or drive Feeling unlike yourself despite being on HRT These symptoms can overlap with other aspects of menopause, which is why specialist assessment is important. When Is Testosterone Prescribed for Menopause? Testosterone replacement for women is not usually the first step in treatment. Before considering testosterone, it is important to ensure that standard menopause HRT is fully optimised, including: Oestrogen replacement Progesterone where required Lifestyle factors such as sleep, stress, nutrition, and exercise Testosterone may be considered when a woman is already using appropriate HRT but symptoms still persist. This should always be assessed by a qualified menopause specialist. Do You Need a Blood Test Before Testosterone? Yes and it must be a venous blood test , not a finger-prick test. Before prescribing testosterone, we assess: Baseline testosterone levels Sex Hormone Binding Globulin (SHBG) Free Androgen Index (FAI) Finger-prick tests are not accurate enough for assessing testosterone and should not be used for prescribing decisions. Is Testosterone Licensed for Women in the UK? Currently, there is no female-specific licensed testosterone product for menopause treatment in the UK. This means specialist menopause clinics prescribe carefully adjusted low doses of testosterone gel or cream originally licensed for men, following guidance from the British Menopause Society. This is known as off-licence prescribing , but it is common, safe, and evidence-based when managed correctly by an experienced clinician. Is Testosterone Safe for Women? When prescribed at female physiological doses and monitored correctly, testosterone is generally very safe. The goal is not to create “high testosterone” levels, but to restore levels within the normal female range to improve symptoms safely. Monitoring is essential to reduce the risk of side effects and ensure the treatment remains appropriate. How Long Does Testosterone Take to Work? Some women notice improvement within 6 to 8 weeks , particularly in libido, energy, and mental clarity. However, we usually allow 3 to 6 months to properly assess the full benefit of treatment. Regular follow-up appointments are an important part of safe testosterone prescribing. What If My GP Will Not Prescribe Testosterone? Many NHS GPs do not routinely prescribe testosterone for menopause , mainly because it is an off-licence treatment. This can leave many women feeling frustrated when symptoms continue despite being on HRT. As a specialist menopause clinic, we can: Assess whether testosterone is clinically appropriate Arrange the correct blood tests Prescribe safely where suitable Monitor treatment and blood levels Communicate with your GP for continuity of care Could Testosterone Be the Missing Piece? For the right patient, testosterone can make a significant difference to quality of life. It is not suitable for everyone, but for women experiencing persistent symptoms despite optimised HRT, it can be an important part of effective menopause treatment. If you are still feeling flat on HRT and wondering whether there is more that could help, a specialist menopause review may help determine whether testosterone therapy for women could be the next step. At Bristol Menopause Clinic, we provide expert assessment, evidence-based prescribing, and ongoing support to help women feel well, confident, and fully supported through menopause. Find out more information about our testsoterone packages here Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us

< Back The Benefits of Floatation Therapy for Women’s Health: Relaxation at its best. Alternative Therapies, Managing Symptoms, Self-Care, Wellbeing, Stress he Benefits of Floatation Therapy for Women’s Health: Relaxation at its best. Life can feel like a whirlwind sometimes, juggling work, family, hormones, and self-care can be exhausting. If you’ve ever wished you could press the pause button, let your body rest, and reset your mind, then floatation therapy might just be the wellness game-changer you need. Floatation therapy, also known as sensory deprivation therapy, involves lying in a specially designed tank filled with warm water infused with Epsom salts. This creates a buoyant, zero-gravity experience where you can float effortlessly, free from external distractions. It’s like giving your nervous system a well-deserved holiday! I felt like I was lying on a tropical beach. Kim and I recently visited Bristol Float Centre at Back in Action , and I have to say, the experience was nothing short of magical. Whether you’re struggling with stress, hormonal imbalances, or aching muscles, spending time in a float tank can work wonders for your overall well-being. Let’s explore why this simple yet powerful practice can be so beneficial for women’s health. 1. Hormonal Balance & Menopause Support Hormones can be unpredictable at the best of times, but as we go through perimenopause and menopause, the fluctuations can wreak havoc on our sleep, mood, and energy levels. Floating helps regulate cortisol (the stress hormone) and increases the production of dopamine and serotonin—our ‘feel-good’ neurotransmitters. This means fewer mood swings, better sleep, and a sense of calm that lasts beyond the session. 2. Eases Stress and Anxiety Women are natural multitaskers, but that constant mental load can lead to anxiety and burnout. Floatation therapy provides deep relaxation by reducing sensory input, allowing the mind to slow down. It’s like meditation on steroids—without having to actually “do” anything! Studies have shown that floating significantly lowers anxiety and helps to regulate the nervous system, making it a fantastic tool for stress management. 3. Pain Relief for PMS, Endometriosis & Fibromyalgia Chronic pain conditions like fibromyalgia, endometriosis, and even PMS cramps can be incredibly debilitating. The magnesium in the Epsom salts is absorbed through the skin, helping to relax muscles and ease tension. The weightless environment also takes pressure off joints, reducing inflammation and promoting healing. For many women, this is a natural way to relieve discomfort without relying on medication. 4. Improved Sleep Quality Struggling with sleep? Whether it’s due to perimenopause, stress, or an overactive mind, floating can help reset your body clock. The deep relaxation experienced in the tank mimics the early stages of sleep, meaning your brain gets a taste of restfulness even if you’ve been struggling to nod off at night. Many people find that they sleep more deeply after a float session, which is a huge win for overall health and recovery. 5. Muscle Recovery and Fitness Support If you’re an active woman who enjoys exercise or even if you suffer from chronic aches and pains—floatation therapy is fantastic for muscle recovery. The zero-gravity effect relieves tension, speeds up healing, and reduces soreness. This is why so many athletes swear by floating as part of their recovery routine. 6. Mental Clarity and Creativity Boost Women often carry the mental load of managing a household, career, and personal well-being, leaving little space for creativity and self-reflection. Floating helps clear brain fog, enhances problem-solving skills, and even boosts creativity. If you’ve ever needed a mental refresh, stepping into a float tank is like hitting the reset button on your thoughts. Ready to Try Floating? If you’re curious about the benefits of floatation therapy, I highly recommend visiting Bristol Float Centre at Back in Action . Whether you’re looking for relief from pain, stress, or sleep troubles, or simply want to experience a deep sense of relaxation, floating is an amazing tool to add to your self-care routine. I would say when you get in and if your brain is working overtime do some simple deep breathing techniques such as 4-7-8. 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 Your Doctor Said Your Iron Is Normal, It Might Not Be. Alternative Therapies, Wellbeing Feeling exhausted despite “normal” blood tests? Low ferritin can cause fatigue, brain fog, hair shedding and poor exercise tolerance before anaemia appears. It is one of the most common conversations I have in clinic. A woman arrives exhausted, genuinely, deeply tired, having been told that her blood tests are “normal”. Her iron is fine. She is not anaemic. There is nothing to worry about. And yet she is struggling to get through the day. Her hair is coming out in the shower. She cannot concentrate. She wakes unrefreshed despite sleeping for eight hours. She wonders whether it is menopause, depression, stress, or simply that she is not coping. Very often, the answer is sitting there in the blood results but it has been missed. The problem is usually ferritin . What Is Ferritin? Ferritin is the protein your body uses to store iron. Think of it as your iron warehouse. Iron is needed for red blood cell production, energy, thyroid function, hair growth, muscle performance, and brain function. When ferritin is low, your body’s iron stores are depleted, even if your haemoglobin is still normal. This is called iron deficiency without anaemia . It is well recognised clinically, but it is still commonly missed because many routine blood tests focus on haemoglobin rather than iron stores. Ferritin below 30 µg/L is widely recognised as confirming iron deficiency, but symptoms may occur before anaemia develops. Ferritin is the warehouse, not the product. You can be iron deficient long before you become anaemic. Why “Normal” Does Not Always Mean Optimal Most laboratories only flag ferritin as low when it falls below around 12–15 µg/L. By that point, iron stores are severely depleted. Many women are told their result is normal when their ferritin is 20, 30 or 40 µg/L. Technically, it may sit within the laboratory reference range, but clinically, it may not be enough for that woman to feel well. Symptoms linked with low iron stores can include fatigue, poor concentration, reduced exercise tolerance, restless legs, hair shedding, dizziness, low mood, and reduced quality of life. Why Women Are Particularly Vulnerable Women are at higher risk of iron deficiency for several reasons: Periods and heavy bleeding: Monthly blood loss is one of the most common causes of iron depletion. Heavy, prolonged or erratic periods in perimenopause can rapidly reduce iron stores. Pregnancy and postnatal depletion: Iron requirements rise significantly during pregnancy and breastfeeding, and many women never fully rebuild their stores afterwards. Plant-based diets: Iron from plant sources is less easily absorbed than haem iron from animal sources, so women following vegetarian or vegan diets may need closer monitoring. Gut absorption issues: Coeliac disease, inflammatory bowel disease, gut surgery and some digestive conditions can reduce iron absorption. Inflammation: Ferritin rises during inflammation because it is an acute-phase reactant. This means ferritin can look falsely reassuring if CRP is raised, which is why ferritin should be interpreted alongside inflammatory markers. The Symptoms Nobody Joins Up Iron deficiency symptoms often overlap with menopause, thyroid problems, depression, burnout and poor sleep. Common symptoms include: Extreme fatigue Brain fog Hair shedding or thinning Poor concentration Low mood Breathlessness on exertion Palpitations Dizziness Restless legs Reduced exercise tolerance Feeling cold Waking unrefreshed In midlife women, it is very easy for these symptoms to be blamed entirely on hormones. Sometimes hormones are part of the picture, but they are not always the whole story. Understanding Ferritin Levels Ferritin Level What It May Suggest How It May Feel Below 15 µg/L Severely depleted iron stores Profound fatigue, dizziness, breathlessness, palpitations 15–30 µg/L Iron deficiency without anaemia Fatigue, brain fog, poor exercise tolerance, hair shedding 30–50 µg/L Low or suboptimal for some women Persistent tiredness, low mood, reduced concentration 50–70 µg/L Low-normal Some women may still be symptomatic 70–100 µg/L Often a useful clinical target range Improved energy, clarity, hair health and resilience Above 100 µg/L Needs interpretation May reflect adequate stores, inflammation or iron overload Ferritin above 100 µg/L does not always mean iron overload. If inflammation is present, ferritin may be raised while functional iron deficiency still exists. Transferrin saturation below 20% can support a diagnosis of iron deficiency, particularly when inflammation complicates interpretation. What a Proper Iron Assessment Should Include A thorough assessment should not rely on ferritin alone. It should usually include: Ferritin: The key marker of stored iron. Full Blood Count: Checks haemoglobin, red cell size and whether anaemia is present. Serum Iron, TIBC and Transferrin Saturation: Helps assess how much iron is available for use. CRP: Checks inflammation, which can falsely raise ferritin. B12 and Folate: Deficiencies can cause similar symptoms, including fatigue and brain fog. Thyroid Function: Thyroid problems are common in midlife women and can mimic iron deficiency. Vitamin D: Low vitamin D can worsen fatigue, low mood and musculoskeletal symptoms. Treating fatigue without checking the full picture is like fixing one flat tyre on a car with three more punctures. Being told your iron is “normal” does not always mean your iron stores are healthy. If you are exhausted, losing hair, struggling with brain fog, feeling low, or finding exercise harder than usual, ferritin should be checked and interpreted properly, alongside inflammation, thyroid function, B12, folate and vitamin D. For many women, especially in perimenopause and menopause, the issue is not that nothing is wrong. It is that nobody has looked closely enough. Take control of your health with fast, professional, and confidential results, book your advanced iron blood test today. Book here Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us

< Back Kim Jones Operations Director Kim Jones is an essential member of the Bristol Menopause & Wellwoman Clinic team, expertly managing the day-to-day operations to ensure everything runs smoothly. With a sharp focus on organisational efficiency and effective management, Kim plays a crucial role in supporting the clinic's mission to deliver the highest quality of care to our patients. With over a decade of experience in operations administration, Kim excels in optimising processes, coordinating across departments, and upholding the clinic's standards of excellence. She is responsible for overseeing a wide range of administrative duties, including scheduling, resource management, and maintaining compliance with healthcare regulations. Her efforts are vital to ensuring a seamless patient experience and fostering a supportive environment for both staff and clients. Kim’s commitment to the operational side of the clinic significantly contributes to our reputation for exceptional care and personalised services. Her dedication to continuous improvement, combined with her passion for healthcare, ensures that our clinic remains a leader in women’s health. Through her leadership and dedication, Kim helps maintain the high standards that our patients have come to expect from the Bristol Menopause & Wellwoman Clinic.

< Back Heart Health and Menopause: What You Need to Know Cardiovascular Advice, Diet, Exercise, HRT, Perimenopause, Post Menopause, Self-Care, Stress, Wellbeing As women enter menopause, the focus often lands on symptoms like hot flushes, mood swings, and sleep disturbances. However, one of the most significant but often overlooked health risks during this transition is heart disease. Cardiovascular disease (CVD) is the leading cause of death in women, and the risk rises sharply after menopause. Understanding why this happens and how to protect your heart is essential for maintaining long-term health and well-being. Why Does Menopause Affect Heart Health? Decline in Oestrogen Levels: Oestrogen has protective effects on the heart and blood vessels. It helps to keep arteries flexible, promotes good cholesterol (HDL), and reduces bad cholesterol (LDL). When oestrogen levels drop during menopause, the loss of these protective effects can lead to increased cholesterol levels, stiffening of the arteries, and higher blood pressure. Changes in Body Composition: Menopause is often associated with weight gain, especially around the abdomen. This central weight gain is linked to insulin resistance, inflammation, and a higher risk of heart disease. Increased Blood Pressure: Blood pressure tends to rise with age, and after menopause, women are more likely to develop hypertension, which is a major risk factor for heart attacks and strokes. Higher Risk of Type 2 Diabetes: Menopause can make it more difficult to regulate blood sugar levels, increasing the risk of type 2 diabetes, a significant contributor to heart disease. Cholesterol and Triglyceride Changes: Menopausal women often experience an increase in LDL cholesterol and triglycerides, while HDL cholesterol may decline. This shift increases the likelihood of plaque build-up in the arteries, leading to atherosclerosis (hardening of the arteries). How to Protect Your Heart During and After Menopause 1. Prioritise a Heart-Healthy Diet A diet rich in whole foods, lean proteins, healthy fats, and fibre can help manage cholesterol and blood sugar levels. Consider incorporating: Oily fish like salmon and mackerel for omega-3 fatty acids. Nuts, seeds, and olive oil for heart-friendly fats. Leafy greens, berries, and whole grains for antioxidants and fibre. Reducing processed foods, trans fats, and excessive sugar to lower inflammation and improve metabolic health. 2. Exercise Regularly Aim for at least 150 minutes of moderate aerobic activity per week, such as brisk walking, cycling, or swimming. Strength training twice a week can also help maintain muscle mass and support metabolic health. 3. Monitor Blood Pressure and Cholesterol Levels Regular health checks are crucial for early detection of risk factors. Blood pressure, cholesterol, and glucose levels should be monitored routinely, especially during and after menopause. 4. Manage Stress and Prioritise Sleep Chronic stress increases cortisol levels, which can contribute to high blood pressure and inflammation. Mindfulness, yoga, deep breathing, and adequate sleep (7-9 hours per night) are vital for heart health. 5. Consider HRT For some women, HRT can be beneficial in reducing cardiovascular risk, particularly when started early in menopause. However, it’s essential to discuss this with a menopause specialist to determine the right approach for you. 6. Stop Smoking and Limit Alcohol Smoking damages blood vessels and increases the risk of heart disease. If you smoke, quitting is one of the best things you can do for your heart. Limiting alcohol consumption can also help maintain healthy blood pressure and cholesterol levels. Heart health should be a top priority during and after menopause. By making lifestyle changes, staying active, and getting regular health check-ups, you can reduce your risk of cardiovascular disease and continue to lead a healthy, vibrant life. If you have concerns about your heart health, seek professional advice and take proactive steps to protect your well-being. For more information on menopause and cardiovascular health, schedule a consultation with one of our menopause specialists here or book a health screening via out sister company Bristol Health Hub today! 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 Dr Alice Thomas Menopause Doctor Alice is a dedicated healthcare professional with a diverse background in general practice, women's health, and mental health assessment. Her journey began with her medical education at the University of Liverpool School of Medicine, where she laid the foundation for her career. After graduating in 2004, she embarked on her career in medicine, initially working as a GP in Merseyside. However, it was her move to Sydney, Australia, in 2010 that proved pivotal in shaping her professional interests. There, she discovered her passion for women's health and particularly for managing the menopause, while working in a bustling family practice. This experience ignited her dedication to providing comprehensive care for women during the perimenopause and menopause stages. In 2013, Alice returned to the UK and settled in North Somerset. She continued her work as a menopause doctor, now complemented by a role as a mental health assessor. Alice is committed to offering evidence-based and personalised advice to her patients, recognising the significance of lifestyle factors in managing symptoms. She approaches her practice with empathy and support, valuing the opportunity to empower women through education and guidance during this transitional phase of life. Beyond her professional endeavors, Alice cherishes her time with her two young boys and embraces a love for the countryside. She finds solace in outdoor activities such as running and walking in the fields, and enjoys embarking on family adventures, including road trips in their campervan. In summary, Alice exemplifies a healthcare professional who is not only dedicated to her patients' well-being but also finds balance in her personal life through nature and family time.

< Back Understanding Perimenopause: A Transition Phase in Women's Health Managing Weight, Perimenopause, Managing Symptoms While menopause officially begins when a woman has not had a menstrual period for 12 consecutive months, perimenopause encompasses the years leading up to this significant milestone. I thought I’d write about perimenopause and how it marks the transitional phase before menopause, signalling changes in a woman's reproductive cycle. While menopause officially begins when a woman has not had a menstrual period for 12 consecutive months, perimenopause encompasses the years leading up to this significant milestone. What is Perimenopause? Duration and Onset: Perimenopause typically begins in a woman's 40s but can start earlier for some, lasting anywhere from a few months to several years before menopause. It's characterised by irregular menstrual cycles, hormonal fluctuations, and various physical and emotional symptoms. Hormonal Shifts: During perimenopause, the ovaries gradually produce less oestrogen, a key hormone regulating the menstrual cycle. This fluctuation can cause irregular periods, where cycles may be shorter or longer than usual, and menstruation might become heavier or lighter. Progesterone also drops at this point meaning that anxiety can worsen, and sleep can be affected by the loss of both hormones. Perimenopause Symptoms and Changes Irregular Periods: One of the hallmark signs of perimenopause is the erratic menstrual cycle. It's common for periods to become irregular as the body's hormonal balance shifts. Periods can be skipped as an egg has not been produced from the ovaries some months. Hot Flushes and Night Sweats: Many women experience hot flushes, sudden waves of heat that can lead to sweating and discomfort, especially at night. These can vary in intensity and frequency. Mood Swings and Emotional Changes: Fluctuating hormone levels can impact mood stability, leading to mood swings, irritability, and even anxiety or depression in some cases. Physical Changes: Other physical changes might include changes in libido, vaginal dryness, sleep disturbances, and fatigue. Managing Perimenopause Symptoms Healthy Lifestyle Habits: Adopting a balanced diet rich in nutrients, regular exercise, and stress management techniques can help alleviate some symptoms. I have already written about caring for yourself through menopause. It is important to increase your protein intake 25% of calories should be from protein. Increase your fruit and veg. Look at your exercise routine – now is the time to introduce strength training to maintain muscle mass and help prevent weight gain. Consultation with Healthcare Professionals: Seeking guidance from specialist healthcare professionals is crucial. They can provide tailored advice, suggest medications or hormone therapies if necessary, and rule out any underlying health concerns. Support Networks: Joining support groups or seeking guidance from friends, family, or counsellors can provide valuable emotional support during this transitional phase. While perimenopause represents a natural transition in a woman's life, the symptoms and changes it brings can vary widely among individuals. Understanding and managing these changes through healthy lifestyle practices and seeking professional guidance are essential for navigating this phase with confidence and minimal disruption to daily life. If you’re looking for compassionate, specialist support through perimenopause or menopause, the team at Bristol Menopause is here to help. 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