Search Results

< 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

< Back ADHD, Autism, and Women in Menopause HRT, Menopause Advice, Mental Health, Self-Care For women navigating ADHD or autism during menopause, a comprehensive approach that includes medical, psychological, and lifestyle interventions can offer significant relief and improve quality of life. It can be a lonely time especially at menopause when symptoms can worsen significantly, and it may be a shock to have a diagnosis of ADHD or autism whilst trying to navigate through menopause. ADHD (Attention Deficit Hyperactivity Disorder) and autism spectrum disorders (ASD) are neuro-developmental conditions that can affect individuals across the lifespan, including women. These conditions are characterised by distinct patterns in behaviour, communication, interaction, and cognitive functioning. While historically these diagnoses have been more commonly identified in men and boys, increasing awareness and understanding have highlighted that women and girls are also significantly affected, often with unique presentation and challenges. ADHD and autism in women ADHD in women often presents differently than in men. Women with ADHD may experience more inattentiveness, internal restlessness, and disorganisation, rather than the more overt hyperactivity and impulsivity often seen in boys. These differences can make ADHD in women less noticeable to parents, teachers, and even healthcare professionals, leading to under diagnosis. Autism in women and girls often manifests as differences in social communication and interaction, along with restricted, repetitive patterns of behaviour, interests, or activities. Women and girls with autism might be better at masking or camouflaging their difficulties, making their struggles less apparent to others. This ability to mask, while helping them to navigate social situations, can delay diagnosis and lead to internal stress, anxiety, and depression. Why do women get a late diagnosis? Many women with ADHD or autism are diagnosed late, often in adulthood, for several reasons: Stereotypes and Bias: There's a historical bias toward identifying these conditions primarily in boys, based on more visible and disruptive behaviours, leading to a lack of awareness and understanding of how they present in girls and women. Masking and Compensation: Women are often more adept at masking symptoms or developing compensatory strategies to manage their difficulties, which can hide the underlying condition. Comorbidity: ADHD and autism in women are often accompanied by other conditions like anxiety, depression, and eating disorders, which can complicate the clinical picture and lead to misdiagnosis. Why do symptoms worsen during menopause? The hormonal changes during menopause can exacerbate symptoms of ADHD and autism. Oestrogen, in particular, plays a crucial role in brain function, and its fluctuation can impact mood, memory, and cognitive function, worsening the symptoms of these neuro-developmental conditions. Hormone Replacement Therapy (HRT) and other supports HRT can be beneficial for some women during menopause, including those with ADHD or autism, by stabilising hormone levels and potentially mitigating some of the exacerbated symptoms related to these conditions. However, the decision to use HRT should be made on an individual basis, considering the potential benefits and risks. Additional strategies to help women during this time Education: Learning about how ADHD and autism intersect with menopause can empower women to seek appropriate support and accommodations. Structured Support: Therapy, including cognitive behavioural therapy (CBT), can help in developing strategies to manage symptoms more effectively. Medication: For ADHD, medication might be adjusted during menopause under medical guidance to better manage symptoms. Lifestyle Changes: Regular physical activity, a balanced diet, and sufficient sleep can help manage symptoms of both menopause and ADHD/autism. Social Support: Connecting with others going through similar experiences, through support groups or online communities, can provide emotional support and practical advice. For women navigating ADHD or autism during menopause, a comprehensive approach that includes medical, psychological, and lifestyle interventions can offer significant relief and improve quality of life. It can be a lonely time especially at menopause when symptoms can worsen significantly, and it may be a shock to have a diagnosis of ADHD or autism whilst trying to navigate through 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 Neurodivergence in Women: Why Late Diagnoses of ADHD and Autism Are So Common and the Role of Hormones Alternative Therapies, Managing Symptoms, Mental Health, Menopause Advice, Perimenopause, Post Menopause, Wellbeing For decades, neurodivergent conditions such as Attention Deficit Hyperactivity Disorder (ADHD) and Autism Spectrum Disorder (ASD) were primarily studied and diagnosed in men. This male-centric perspective has led to countless women receiving late diagnoses—or missing them altogether—despite struggling with symptoms throughout their lives. The delayed recognition of ADHD and autism in women is not merely a failure of awareness but a complex interplay of gender biases, masking behaviours, and the profound influence of hormonal fluctuations. The Underdiagnosis of ADHD and Autism in Women Historically, ADHD and autism were believed to predominantly affect boys, largely because diagnostic criteria were based on male presentations of these conditions. Girls often present differently, displaying less overt hyperactivity and more internalised symptoms, such as inattentiveness, anxiety, and social difficulties. Many neurodivergent women unconsciously learn to mask their symptoms from an early age. They develop coping mechanisms to fit into social and professional environments, mimicking neurotypical behaviours at the cost of significant emotional exhaustion. This masking leads clinicians, teachers, and even family members to overlook the true challenges these women face, delaying diagnosis until adulthood or, in many cases, leaving them undiagnosed altogether. The Role of Hormones in Neurodivergence Hormones play a pivotal role in how neurodivergence manifests in women, particularly in relation to ADHD and autism. Fluctuations in oestrogen and progesterone levels across the menstrual cycle, pregnancy, postpartum, perimenopause, and menopause can significantly impact cognitive function, emotional regulation, and sensory sensitivity. Menstrual Cycle and Neurodivergence Throughout the menstrual cycle, oestrogen levels rise and fall, influencing dopamine availability in the brain. Since ADHD is closely linked to dopamine function, the hormonal shifts that occur during different phases of the menstrual cycle can lead to noticeable changes in ADHD symptoms. Many women with ADHD report heightened difficulties with focus, emotional regulation, and executive function in the luteal phase (the period before menstruation) when oestrogen drops and progesterone rises. For autistic women, hormonal fluctuations can exacerbate sensory sensitivities, emotional overwhelm, and social exhaustion. This often results in increased burnout during certain phases of the cycle, making day-to-day functioning more challenging. Pregnancy and Postpartum Challenges Pregnancy introduces significant hormonal fluctuations, and while some neurodivergent women experience temporary improvements in symptoms due to high oestrogen levels, the postpartum period can be particularly challenging. The sharp drop in oestrogen and dopamine after childbirth can trigger increased ADHD symptoms, sensory overload, and mood instability, sometimes leading to postpartum anxiety or depression. Many neurodivergent women struggle with the expectations of motherhood while also managing the internal chaos of their neurodivergence, often without adequate support. Perimenopause and Menopause Perimenopause and menopause represent one of the most significant yet under recognised periods of difficulty for neurodivergent women. The gradual decline of oestrogen during this time directly impacts dopamine regulation, leading to worsening ADHD symptoms such as brain fog, forgetfulness, and reduced focus. For autistic women, sensory sensitivities, social anxiety, and executive function difficulties can intensify. This often coincides with increased stress from life transitions, such as career changes, aging parents, or children leaving home, compounding the struggle. Why Are So Many Women Diagnosed Late? There are several key reasons why women with ADHD and autism are often diagnosed later in life: Gender Bias in Diagnostic Criteria – Most diagnostic tools are based on male presentations of ADHD and autism, leading to missed or misdiagnosed cases in women. Social Masking – Women are adept at camouflaging their symptoms, making it difficult for professionals and even themselves to recognise their neurodivergence. Hormonal Influence – The impact of fluctuating hormones on symptoms means that many women don’t recognise their neurodivergence until they reach perimenopause, when oestrogen levels drop significantly. Cultural and Societal Expectations – Women are often expected to be organised, emotionally regulated, and socially adept. When they struggle in these areas, they may attribute their difficulties to personal failings rather than neurodivergence. Comorbid Conditions – Many neurodivergent women are first diagnosed with anxiety, depression, or borderline personality disorder before their underlying ADHD or autism is recognised. The Importance of Proper Recognition and Support Recognising the unique ways neurodivergence presents in women is critical for timely diagnosis and appropriate support. Women who are diagnosed later in life often experience a sense of relief and validation, finally understanding why they have struggled for so long. With a proper diagnosis, they can access tailored strategies, workplace accommodations, and medical interventions that improve their quality of life. Healthcare professionals must become more aware of the gender differences in neurodivergence and consider the impact of hormones when assessing symptoms. Additionally, workplaces and educational institutions need to adopt more inclusive policies that acknowledge and support the needs of neurodivergent women. The late diagnosis of ADHD and autism in women is a significant issue that affects their mental health, career progression, and overall well-being. As awareness grows and diagnostic criteria evolve, it is crucial to integrate a more gender-sensitive approach that accounts for hormonal fluctuations, social masking, and the distinct ways neurodivergence presents in women. By doing so, we can create a more supportive and inclusive world where neurodivergent women no longer have to suffer in silence. 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.