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< Back Dr Jo Burgin Menopause Doctor & Clinical Lead Jo is a Doctor and academic with over 15 years working in Sexual and Reproductive Health, both clinically and as a part of non-governmental organisations. She is a current Clinical fellow at the University of Bristol with research focusing on menopause. **Please note that Jo is unable to see any patients that are registered at Bridgeview Medical Practice** Jo, an accomplished medical professional in the field of women's health, holds a Masters in Sexual and Reproductive Health research, complemented by postgraduate diplomas in Obstetrics and Gynaecology and Sexual and Reproductive Health. Her dedication to advancing reproductive and hormonal health is evident in her international work, where she focused on delivering crucial training to clinicians in low-resource countries. As a clinical editor for the Contraception Choices website, Jo plays a pivotal role in developing informative content on perimenopause. Additionally, her affiliation with the British Menopause Society underscores her commitment to staying at the forefront of menopause-related advancements. Jo's recent studies, particularly in Contraception for Women over 40 and Mental Health and Perimenopause, have shed light on the pressing need for enhanced services in women's healthcare. Her contributions extend beyond research papers published in the British Medical Journal; she has also presented her findings on peri-menopause within Bristol's black communities, showcasing a commitment to inclusivity and community health. Despite her extensive contributions to research and academia, Jo remains grounded as an NHS GP in Bristol, where she continues to advocate for comprehensive and holistic care for her patients. Her passion for improving women's healthcare services is not only evident in her studies but is also a driving force in her everyday practice.

< Back Doctor’s Quick Tip: Beat Brain Fog & Stay Sharp During Menopause! Alternative Therapies, Diet, Exercise, HRT, Managing Symptoms, Mental Health, Self-Care, Wellbeing Ever walked into a room and completely forgotten why? Or found yourself searching for your glasses… only to realise they’re on your head? If menopause has you feeling forgetful, distracted, or mentally foggy, you’re NOT alone. Brain fog during menopause is real , and it happens due to hormonal shifts —mainly the drop in oestrogen , which plays a key role in memory, focus, and mental clarity. But the good news? There are natural ways to boost your brainpower and feel sharper again! Why Does Menopause Cause Brain Fog? During perimenopause and menopause, oestrogen levels drop , which can lead to: Forgetfulness & trouble concentrating Mental fatigue & slow thinking Difficulty finding words ( "Wait, what was I saying?" ) Feeling overwhelmed or distracted Oestrogen helps regulate neurotransmitters like serotonin and dopamine , which keep your brain functioning at its best. Without it, your mental sharpness can take a hit—but don’t worry, you can take control! 5 Simple Ways to Beat Brain Fog! Hydrate, Hydrate, Hydrate! Your brain is 75% water , and even slight dehydration can cause brain fog. Aim for 8-10 glasses of water a day to keep your mind clear and sharp! Fuel Your Brain with the Right Foods What you eat directly affects your memory and focus ! Try adding: Healthy fats – Avocados, nuts, olive oil, and oily fish boost brain function Leafy greens – Spinach, kale, and broccoli are packed with brain-protecting antioxidants Berries – Blueberries and blackberries help improve memory and fight cognitive decline Dark chocolate – Yes, really! A little dark chocolate (70% cacao or higher) can enhance focus Avoid: Processed sugars, excess caffeine, and alcohol—they can make brain fog worse! Move Your Body to Sharpen Your Mind 🏃♀️ Exercise isn’t just for your body—it’s for your brain too! Yoga & meditation – Reduces stress & clears your mind Daily walks – Even 20 minutes improves brain function Strength training – Increases oxygen flow to the brain Regular movement boosts blood flow and releases endorphins , helping to clear mental fog! Prioritise Quality Sleep Brain fog gets worse when you’re sleep-deprived! Try this: Stick to a bedtime routine – Aim for 7-9 hours of sleep Limit screens before bed – Blue light disrupts melatonin production Keep your bedroom cool – Ideal temp = 65°F (18°C) for deep sleep Bonus Tip: Try magnesium or chamomile tea before bed for better relaxation! Train Your Brain Just like your muscles, your brain needs exercise too! Puzzles & word games – Keep your memory sharp Read daily – Stimulates brain activity Listen to music – Certain tunes improve focus & cognition Pro Tip: Learning something new—like a language, instrument, or hobby—keeps your brain active & engaged as you age! The Bottom Line: Brain Fog Isn’t Permanent! With the right hydration, nutrition, movement, sleep, and mental exercises , you can take control of menopause brain fog and feel mentally sharp 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 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 Lifestyle Medicine & Menopause: Why Small Daily Habits Matter The theme for World Menopause Day 2025 is Lifestyle Medicine and Menopause, a topic that reflects the growing recognition that lifestyle choices profoundly affect how women experience midlife and beyond. At Bristol Menopause Clinic, we see every day how small, consistent changes in nutrition, movement, sleep, and stress management can transform women’s health during perimenopause and menopause. Menopause is not an illness; it’s a natural biological transition. However, fluctuating hormone levels can increase the risk of osteoporosis, cardiovascular disease, weight changes, and mood disturbances. Lifestyle medicine offers evidence-based strategies to strengthen wellbeing and reduce these risks, supporting women to live healthier, more vibrant lives. Nutrition & Menopause The way we eat during midlife plays a central role in managing menopause symptoms , maintaining energy, and supporting long-term health. Protein: Include a source of protein at every meal to maintain muscle mass and metabolic function. Options include fish, poultry, eggs, tofu, or beans. Calcium & Vitamin D: These nutrients are essential for bone health . Choose dairy products, fortified foods, and leafy greens, and consider safe supplementation if needed. Fibre & Wholegrains: Support digestion, balance blood sugar, and promote cardiovascular health. Mediterranean-style eating: A diet rich in olive oil, oily fish, nuts, legumes, and colourful vegetables is linked with reduced inflammation and lower cardiovascular risk . If you’re unsure whether your diet provides the right balance, our Wellwoman Health Checks can identify nutrient deficiencies such as vitamin D, iron, and B12, providing tailored guidance for menopause nutrition. Movement for Strength & Longevity Physical activity is one of the most effective “prescriptions” for menopause. Regular exercise supports bone density, muscle strength, cardiovascular fitness, and emotional wellbeing . Resistance training: Protects against bone loss and maintains lean muscle. Weight-bearing activities: Walking, jogging, and dancing stimulate bone strength. Cardiovascular exercise: Improves heart health, circulation, and mood. Flexibility & balance: Yoga, Pilates, or tai chi help prevent stiffness and reduce injury risk. Aim for at least 150 minutes of moderate exercise per week , incorporating both strength and aerobic elements for optimal benefit. Sleep: The Forgotten Lifestyle Pillar Sleep disturbances are among the most common menopause symptoms , but they are not inevitable. Sleep is fundamental to hormone regulation, cognitive function, and emotional health. Simple strategies to improve sleep quality include: Keeping a consistent bedtime and wake time Limiting caffeine and alcohol, especially later in the day Reducing screen exposure in the evening Using relaxation or CBT-i (Cognitive Behavioural Therapy for Insomnia) techniques to calm the mind Restorative sleep helps balance hormones, reduce anxiety, and improve resilience through the menopause transition. Stress & Emotional Wellbeing Stress can amplify menopausal symptoms such as hot flushes, mood swings, and disrupted sleep. Managing stress effectively is therefore a core principle of lifestyle medicine in menopause . Mindfulness and meditation: Lower stress hormones and support calmness. Cognitive behavioural techniques: Help reframe negative thoughts and strengthen emotional resilience. Community and connection: Building strong social networks provides belonging and reduces feelings of isolation. Protecting emotional wellbeing is not just about mental health — it’s vital for overall hormonal and physical balance during midlife. Where Do Supplements Fit? Supplements can play a valuable role when dietary intake or absorption is inadequate , such as vitamin D in winter or omega-3 fatty acids for heart health. However, supplements are not a substitute for a healthy diet or a treatment for menopause. At Bristol Menopause Clinic , we guide women to prioritise nutrition, exercise, sleep, and stress management as the foundation for wellbeing, using supplements selectively when clinically indicated. World Menopause Day 2025 highlights an empowering message: small, consistent lifestyle changes can have a powerful cumulative effect on health. By focusing on balanced nutrition, regular movement, restorative sleep, stress management, and meaningful connection , women can strengthen both physical and emotional resilience. At Bristol Menopause Clinic , our approach integrates medical menopause care, HRT where appropriate, and lifestyle medicine , helping women navigate menopause with confidence, clarity, and vitality. Book a Consultation If you are experiencing menopause or perimenopause symptoms such as fatigue, hot flushes, poor sleep, or low mood, our team of British Menopause Society Registered Specialists can help. We provide evidence-based, holistic menopause care — combining medical expertise with lifestyle and nutritional support. 📍 Book your consultation or Wellwoman Check 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 Midlife Health MOT: What Every Woman Needs to Know After 40 Exercise, Diet, Perimenopause, Wellbeing A guide to essential health checks, hormone balance, nutrition, and lifestyle at midlife By the time you reach your 40s, life may feel like it’s moving at full speed—career, family, ageing parents, and your own evolving body. But amid the whirlwind, one thing is often overlooked: your health. If you’re over 40, now is the time to hit pause and give your body the attention it truly deserves. Think of it as your Midlife Health MOT a personalised check-in that helps you take stock, reset, and thrive through your next chapter. At Bristol Menopause Clinic and Bristol Health Hub, we believe prevention is power. Here's what every woman should know about navigating health in her 40s and beyond. Why Midlife is a Health Turning Point As oestrogen begins its natural decline, your risk for a range of health conditions subtly starts to rise heart disease, osteoporosis, thyroid disorders, and insulin resistance, to name a few. Yet many women dismiss early signs of imbalance as “just stress” or “getting older.” But here’s the good news: with the right checks, you can catch potential issues early and make lifestyle changes that genuinely protect your long-term health. Your Midlife Health MOT: What to Include Let’s break down the key areas you should assess in your 40s and 50s. 1. Hormone Health & Perimenopause Awareness Are your periods irregular, sleep disrupted, or mood shifting? Is anxiety creeping in where confidence used to be? These may be signs of perimenopause, the hormonal transition that can begin as early as your late 30s. Checking hormone levels, talking to a menopause specialist, and reviewing symptoms is a powerful first step toward feeling like yourself again. 2. Cardiovascular & Metabolic Health Blood pressure Cholesterol profile (including HDL/LDL) Blood glucose and insulin levels Oestrogen has a protective effect on your heart, so as levels fall, your risk of cardiovascular disease increases. A simple set of blood tests and blood pressure check can highlight early signs before symptoms appear. 3. Thyroid Function Thyroid disorders are more common in women—especially during perimenopause and menopause. A thyroid function test helps identify if fatigue, weight changes, or low mood are rooted in more than just hormones. 4. Bone Density & Vitamin D After 40, your bone density naturally begins to decline, increasing the risk of osteoporosis. A DEXA scan (if appropriate) and a vitamin D test help you understand your risk and make informed decisions around calcium, strength training, and supplements. 5. Weight, Muscle & Gut Health Weight gain around the middle is common in midlife but it’s not just about appearance. Visceral fat is linked to higher health risks. Body composition checks, strength-building plans, and support for gut health (including fibre and probiotic intake) are essential tools in your wellness kit. Lifestyle Shifts That Make a Difference Once you’ve got your results, the real magic is in how you respond. Small, consistent changes to your nutrition, movement, mindset, and self-care can lead to long-term gains. Prioritise protein to protect muscle mass and stabilise blood sugar. Lift weights or resistance train twice a week. Manage stress with mindfulness, journaling, or therapy. Support your sleep with healthy habits, a regular wind-down routine, and if needed, professional help. Your Health, Your Power Midlife doesn’t mean decline. It means opportunity, to get stronger, feel more energised, and understand your body like never before. Whether you’re noticing changes already or simply want to take control before symptoms start, a Midlife Health MOT is one of the best investments you can make in yourself. Click here to find more information about our wellwoman checks Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us

< Back Menopause at Work: How to Protect Your Career, Confidence and Performance Menopause often coincides with the peak of a woman’s career. You may be leading teams, sitting on boards, running businesses, or stepping into senior roles, yet workplace menopause support in the UK remains inconsistent and often inadequate. If you’re struggling to manage symptoms while maintaining professional performance, you are far from alone, and you do not have to choose between your health and your career. As a British Menopause Society Specialist at Bristol Menopause Clinic, I see high-performing professional women every week who are silently battling symptoms at work. The good news? With the right treatment and workplace strategies, you can thrive through menopause. The Workplace Impact of Menopause Research consistently shows that menopause symptoms affect work performance for many women. Common professional challenges include: Hot flushes during important meetings Brain fog affecting decision-making Anxiety undermining confidence Exhaustion making long days feel impossible Sleep disruption reducing focus and resilience A 2019 UK survey found that 1 in 10 women left employment due to menopausal symptoms , while many others reduced hours, declined promotions, or struggled in silence rather than disclose what they were experiencing. This is not just a personal issue. It is a business and talent retention issue . Organisations lose experienced, skilled women at the height of their expertise because menopause remains misunderstood or taboo in many workplaces. Menopause Symptoms That Disrupt Work Performance While menopause can affect every area of life, certain symptoms particularly impact professional performance. Hot Flushes and Night Sweats Hot flushes become more than uncomfortable when you are: Presenting to clients Sitting in long board meetings Attending interviews Working in warm office environments Visible flushing and sweating can feel embarrassing. Meanwhile, night sweats disrupt sleep , leading to poor concentration and low energy the next day. Brain Fog and Memory Problems Brain fog is often the most professionally concerning symptom. Women describe: Losing their train of thought mid-presentation Forgetting important details Struggling to process information quickly Feeling less articulate than usual This can undermine confidence, especially for senior leaders used to operating at a high cognitive level. Anxiety, Low Confidence and Mood Changes Hormonal fluctuations can increase anxiety and reduce resilience. You may: Second-guess decisions Avoid speaking up in meetings Experience heightened imposter syndrome Feel unusually irritable or tearful This is biochemical, not a reflection of your capability. Fatigue Menopausal fatigue is not simply “being tired.” It can feel pervasive and unrelenting. Long days, travel, and demanding schedules become much harder to sustain. Why Women Don’t Speak Up About Menopause at Work Despite significant impact, many women suffer in silence. Common reasons include: Fear of being seen as “past it” Concern about age discrimination Embarrassment discussing hormones Male-dominated environments Lack of menopause policies Worry symptoms aren’t “bad enough” Silence, however, often leads to unnecessary suffering — especially when effective treatment is available. What Actually Helps: Practical Workplace Strategies While organisational culture matters, the most effective intervention is proper symptom management . Get Appropriate Medical Treatment Hormone Replacement Therapy (HRT) effectively manages most menopausal symptoms for most women. When optimised correctly, HRT can: Reduce or eliminate hot flushes Improve sleep quality Clear brain fog Stabilise mood Restore energy For some women, testosterone therapy may help persistent fatigue, low motivation and reduced cognitive sharpness. The difference between struggling and being properly treated is often transformative. Make Strategic Workplace Adjustments Wear breathable, layered clothing Keep a small desk fan Schedule demanding tasks when energy is highest Use digital reminders and structured note-taking Take short breaks to manage fatigue If necessary, formalise reasonable adjustments through HR. Consider Disclosure (When It Benefits You) There is no obligation to disclose menopause. However, it may help when: Symptoms significantly affect performance You need temporary flexibility Your organisation has menopause policies You want to control the narrative You do not need to share personal details. A simple explanation that you are managing a health issue and may need minor adjustments is often enough. The Role of Specialist Menopause Treatment Many of the most distressing workplace menopause stories are linked to untreated or undertreated symptoms . Common issues I see include: Women told they “can’t have HRT” when they can Suboptimal dosing Inadequate follow-up Persistent symptoms dismissed as stress When treatment is individualised and monitored properly, most women can continue working effectively, even thriving, throughout menopause. You Shouldn’t Have to Choose Between Health and Career Menopause should not derail your professional life. With appropriate medical support and practical strategies, you can: Feel confident in meetings Maintain cognitive sharpness Sleep better Manage anxiety Lead effectively At Bristol Menopause Clinic, we provide comprehensive, evidence-based menopause care tailored for busy professional women. Our clinicians are British Menopause Society specialists and focus on optimising treatment so you can feel like yourself again, at work and beyond. If Menopause Is Affecting Your Work You deserve to feel capable, clear-headed and confident. If menopause symptoms are impacting your performance, wellbeing, or career decisions, specialist support can make a significant difference. You do not have to “just cope.” With the right treatment and guidance, you can protect both your health and your professional future. Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us

< Back HRT Myths Debunked: What Every Woman Should Know Hormone Replacement Therapy (HRT) is the most effective treatment for menopausal symptoms, yet many women avoid it due to outdated fears and misconceptions. Let's separate fact from fiction. The 2002 Study That Changed Everything Much of the fear surrounding HRT stems from a 2002 study that made alarming headlines about breast cancer and heart disease risks. However, subsequent analysis revealed significant flaws in that research, and the findings have since been reinterpreted. The women in that study were predominantly over 60 and more than a decade past menopause when they started HRT. We now know that timing matters enormously - starting HRT around the time of menopause is very different from starting it years later. Myth #1 : HRT Causes Breast Cancer The Reality: The relationship between HRT and breast cancer is more nuanced than headlines suggest. Oestrogen-only HRT (for women without a uterus) shows no increased breast cancer risk and may even offer slight protection. Combined HRT (oestrogen plus progesterone) shows a small increased risk, but it's considerably less than the risk associated with drinking two units of alcohol daily or being overweight. For perspective, out of 1,000 women taking combined HRT for five years, approximately four extra cases of breast cancer might be diagnosed. The risk returns to baseline within a few years of stopping HRT. Body-identical progesterone may carry even lower risk than older synthetic progestogens, which is why it's now the preferred option for most women. Myth #2 : Everyone Gains Weight on HRT The Reality: HRT itself doesn't cause weight gain. Studies show that women on HRT tend to gain less weight than women not on treatment. The weight gain many women experience during menopause is primarily due to hormonal changes, aging, and lifestyle factors—not the treatment designed to address those hormonal changes. In fact, by improving energy levels, mood, and sleep, HRT often helps women maintain more active lifestyles and better eating habits. Myth #3 : HRT Increases Your Risk of Blood Clots The Reality: The type of HRT matters significantly. Transdermal HRT (patches or gel) carries no increased risk of blood clots, unlike oral tablets which do slightly increase risk. This is why most menopause specialists now prescribe transdermal oestrogen as first-line treatment. For most healthy women, the absolute risk remains very small, but using transdermal HRT eliminates even this minimal concern. Myth #4 : You Shouldn't Start HRT After 60 The Reality: While it's true that starting HRT within 10 years of menopause offers the most benefits and lowest risks, being over 60 doesn't automatically rule out HRT. Each woman's situation is individual, and for those with persistent debilitating symptoms, HRT may still be appropriate with careful assessment. The key is individualized care based on your health history, symptoms, and personal circumstances. Myth #5 : You Can't Take HRT If You Have a Family History of Breast Cancer The Reality: Family history requires careful consideration but doesn't automatically exclude HRT. The decision depends on several factors: how many relatives were affected, their ages at diagnosis, whether they carried genetic mutations, and your personal risk assessment. Many women with family history can safely take HRT, particularly transdermal oestrogen-only HRT. A menopause specialist can help you understand your individual risk-benefit profile. Myth #6 : You Should Only Take HRT for a Few Years The Reality: There's no arbitrary time limit for HRT. Some women need it for a few years, others benefit from longer-term treatment. The decision should be based on ongoing symptom control and individual health considerations, reviewed regularly with your clinician. For women who start HRT early (before age 45) due to premature ovarian insufficiency or surgical menopause, continuing until at least the average age of natural menopause (51) is recommended for bone and cardiovascular health. What Modern HRT Looks Like Today's body-identical HRT bears little resemblance to the hormones used in that 2002 study. Current best practice involves: Transdermal oestrogen (patches or gel) to minimise clot risk Body-identical (micronised) progesterone for uterus protection Individualised dosing based on symptoms and needs Testosterone for women experiencing low energy, libido, or motivation Regular review and adjustment as needed Making an Informed Decision Every treatment carries both benefits and risks. The question isn't whether HRT is completely risk-free- no medication is- but whether the benefits outweigh the risks for your individual situation. For most healthy women experiencing menopausal symptoms, the answer is yes. HRT effectively relieves symptoms, protects bone health, and may offer cardiovascular benefits when started around the time of menopause. At Bristol Menopause Clinic, we provide comprehensive consultations to help you understand your personal risk-benefit profile and make informed decisions about your menopause management. Our approach is evidence-based, individualised, and focused on helping you achieve optimal wellbeing. Don't let outdated myths prevent you from accessing treatment that could transform your quality of life. British Menopause Society accredited. Evidence-based, personalised menopause care in Bristol. Book you initial HRT 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 Weight Gain and How to Avoid It Through the Menopause Diet, Exercise, Managing Weight, Menopause Advice, Stress We understand that hormonal changes can make it challenging to maintain a healthy weight. We have gathered some helpful tips to support you on your weight management journey. Let's explore them together. Weight gain is an issue that comes up regularly with women in the clinic and gaining weight through the menopause can increase our risk of developing type 2 diabetes and cardiovascular disease as well as increasing pressure on our joints, causing more pain. We understand that hormonal changes can make it challenging to maintain a healthy weight. We have gathered some helpful tips to support you on your weight management journey. Let's explore them together. Prioritise a Balanced Diet Adopting a balanced and nutritious diet is essential for managing weight during menopause. Focus on whole foods such as fruits, vegetables, lean proteins, whole grains, and healthy fats. Minimize processed foods, sugary snacks, and beverages high in added sugars. Pay attention to portion sizes and practice mindful eating to enhance awareness of your body's hunger and fullness cues. Aim to eat protein with each meal and it should account for 25% of our daily calorie intake. Watch Your Caloric Intake As our metabolism tends to slow down with age, it's important to be mindful of your caloric intake. Calculate your daily energy needs based on your age, weight, and activity level, and aim to consume a moderate caloric deficit to facilitate weight loss. This can be done by using smaller plates for your meals. However, avoid extreme dieting or drastically cutting calories, as it can have negative effects on your overall well-being. Stay Hydrated Drinking an adequate amount of water is vital for overall health and weight management. Stay hydrated throughout the day to support your body's functions and help maintain a feeling of fullness. Limit sugary drinks and alcohol, which can contribute to weight gain. Engage in Regular Physical Activity Regular exercise is key to managing weight and overall well-being during menopause. Incorporate a combination of cardiovascular exercises, strength training, and flexibility exercises into your routine. Aim for at least 150 minutes of moderate-intensity aerobic activity per week and include strength training exercises twice a week to maintain muscle mass. Focus on Strength Training Strength training is particularly important during menopause as it helps preserve muscle mass and increases metabolism. Engage in resistance exercises such as weightlifting, resistance bands, or bodyweight exercises. Consult a fitness professional or use reputable resources to learn proper form and techniques. Start with lighter weights and gradually increase as you build strength. Manage Stress Chronic stress can contribute to weight gain and make it more difficult to lose weight. Practice stress management techniques such as meditation, deep breathing exercises, or engaging in activities you enjoy. Prioritise self-care and create a lifestyle that supports emotional well-being. This can be easier said than done. Therefore, try to carve 10 minutes a day out for yourself. Get Enough Sleep Adequate sleep is crucial for weight management. Lack of sleep can disrupt hormones related to hunger and satiety, leading to increased food cravings and overeating. Aim for at least seven hours of quality sleep each night by establishing a relaxing bedtime routine and creating a sleep-friendly environment. Seek Professional Guidance If you're struggling with weight management during menopause, it may well be worth seeking guidance from a healthcare professional experienced in menopause. They can provide personalised recommendations, help you set realistic goals, and offer support throughout your journey. Remember, weight loss during menopause may be gradual, and individual results may vary. Focus on overall health and well-being rather than solely on the number on the scale. For tailored menopause care that looks at the whole picture - lifestyle, symptoms, and wellbeing - explore our range of resources on Bristol Menopause and Wellwoman 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 Testosterone Follow-up Consultation £155 *existing patients only* 30-Minute Menopause Review Appointment If you’ve already had your initial menopause consultation with us, this follow-up review appointment is the perfect way to check on your progress, adjust your treatment plan, and ensure you’re on track for managing your menopause effectively. Our experienced menopause doctor will guide you through any changes, improvements, or challenges, and provide ongoing support tailored to your evolving needs. What’s Included in Your 30-Minute Review Appointment: Progress Review with Your Menopause Doctor A detailed check-in to assess how you’ve been feeling since your initial consultation. We’ll review any symptoms, treatment effectiveness, and lifestyle changes. Treatment Adjustments if Necessary Based on your feedback and progress, we’ll adjust your treatment plan, whether it involves medication changes, lifestyle recommendations, or further investigations. Ongoing Support and Advice Receive expert guidance on any new symptoms or concerns that may have arisen, helping you continue managing menopause with confidence. Private Prescribing (if needed) If there’s a need for further medications, such as hormone therapy adjustments or new prescriptions, they will be issued during the consultation, ensuring you have the care you need without delay. Letter to Your GP A summary letter will be sent to your GP, outlining your progress and any changes to your treatment plan, ensuring seamless continuity of care. Benefits of Booking a 30-Minute Review Appointment: Continued Expert Care Stay on top of your menopause journey with ongoing support from a menopause specialist who knows your history and understands your unique needs. Tailored Adjustments Your treatment plan will evolve with you. We’ll make sure you’re getting the most effective care, whether through changes in medication, lifestyle adjustments, or other interventions. Peace of Mind Regular reviews ensure that you’re on the right track, helping you manage menopause symptoms effectively and minimize any discomfort. Seamless Communication with Your GP Your GP will be updated on your progress and any treatment changes, promoting collaborative care and ensuring your full healthcare team is aligned. Confidential and Convenient Have a private, supportive space to discuss your progress and concerns, allowing you to feel confident in your treatment and decisions moving forward. Book Your 30-Minute Review Appointment Today Stay on top of your menopause journey with expert care and ongoing support. Schedule your 30-minute review appointment to ensure your menopause management remains personalised, effective, and up to date. £155 Book here 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. Previous Next

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

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

< Back Testosterone Package - 10% saving £540 Take Control of Your Hormonal Health with Our Testosterone Support Package – £540 10% saving when you book the full Testosterone Support Package. Our comprehensive package is designed for new patients, providing expert care, accurate hormone assessment, and ongoing support. What’s Included in the Testosterone Support Package: Initial 45-Minute Consultation In-depth consultation with a specialist Doctor: discuss your symptoms, concerns, and health history. Personalised health plan: tailored lifestyle, nutrition, and treatment options to optimise testosterone levels. Hormone Blood Test Panel (included with your first appointment only): full assessment of testosterone oestradiol and SHBG. Private prescribing (if needed): appropriate treatment options provided by your specialist. Letter to your GP: summary of consultation, results, and treatment plan for continuity of care. Review Appointment (3months post commencing testosterone) Progress review: assess results, symptoms, and wellbeing with your specialist. Hormone Blood Test Panel (included with your first appointment only): full assessment of testosterone oestradiol and SHBG. Treatment adjustments (if required): ensure your plan evolves with your needs. Ongoing support and advice: guidance on managing new symptoms or concerns. Private prescribing (if required): further prescriptions can be issued. Letter to your GP: update on progress and any treatment changes. Benefits of Booking the Testosterone Support Package: Expert care every step of the way – from your first consultation to your review. Tailored, ongoing support – treatment plan evolves with your needs. Cost-effective package – £540 includes consultation, two hormone panels, and review appointment. Personalised approach – designed around your unique hormonal health and goals. Confidence in your journey – with expert guidance to help you feel your best. Book Your Testosterone Support Package Today Take charge of your hormonal health and feel supported every step of the way. Book Here 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. Previous Next