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< Back Gum Disease and the Menopause Gum Disease, Menopause Advice 5 Feb 2024 Women going through menopause may be at an increased risk of developing gum disease (periodontal disease) due to hormonal changes and other factors associated with this life stage. Women going through menopause may be at an increased risk of developing gum disease (periodontal disease) due to hormonal changes and other factors associated with this life stage. Here are some reasons why menopausal women may develop gum disease: Hormonal changes : During menopause, there is a significant decline in oestrogen levels. Oestrogen helps to regulate the immune system and maintain the health of the oral tissues, including the gums. The decrease in oestrogen levels can lead to changes in the gum tissues, making them more susceptible to inflammation and infection. Dry mouth : Some menopausal women may experience dry mouth (xerostomia), which is a common symptom during this phase. Reduced saliva flow can contribute to an imbalanced oral environment, as saliva helps to cleanse the mouth, neutralize acids, and protect against bacterial growth. With less saliva, the risk of plaque buildup and gum disease increases. Bone density loss : Menopause is also associated with a loss of bone density, including the jawbone that supports the teeth. When the jawbone becomes weaker, it can compromise the stability of the teeth and increase the risk of gum disease. Increased inflammation : Menopause can trigger systemic inflammation in the body. Chronic inflammation can contribute to the development and progression of gum disease. Lifestyle factors : Menopausal women may also be more susceptible to lifestyle factors that increase the risk of gum disease, such as poor oral hygiene, smoking, and inadequate nutrition. It is important for menopausal women to prioritise their oral health during this phase. Regular dental check-ups, proper oral hygiene practices (brushing twice a day, flossing daily), maintaining a balanced diet, and avoiding tobacco use are essential for preventing and managing gum disease. If gum disease is already present, your dentist or dental hygienist may recommend specific treatments, such as deep cleanings (scaling) or other interventions to address the condition. If you would like any advice or guidance regarding the impact of the menopause on your overall health, please do get in touch with us. We're 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 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 7 Mar 2025 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 Surviving the Festive Season: One Simple Tool for Menopausal Women Menopause Advice, Mental Health, Wellbeing 1 Jan 2024 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 our 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 CBD for Menopause: Does It Really Work for Sleep, Pain, or Anxiety? Alternative Therapies, Managing Symptoms, Perimenopause, Post Menopause 31 Dec 2024 Menopause is a transformative stage of life that comes with a variety of physical and emotional challenges. Many women experience symptoms such as insomnia, chronic pain, and anxiety, which can significantly impact their quality of life. Recently, cannabidiol (CBD) has emerged as a potential natural remedy for these symptoms. But does it really work? Here, we explore the science behind CBD and its effectiveness in managing menopause-related symptoms, providing you with the insights you need to make informed decisions. What Is CBD? Cannabidiol (CBD) is one of over 100 cannabinoids found in the Cannabis sativa plant. Unlike tetrahydrocannabinol (THC), CBD is non-psychoactive, meaning it does not produce a “high.” CBD interacts with the body’s endocannabinoid system (ECS), which plays a key role in regulating functions such as sleep, mood, pain perception, and immune response. The Endocannabinoid System and Menopause The ECS helps maintain balance, or homeostasis, in the body. During menopause, declining oestrogen levels can disrupt the ECS, potentially contributing to symptoms like sleep disturbances, anxiety, and joint pain. CBD may help restore balance by interacting with ECS receptors, specifically CB1 and CB2 receptors, which are found throughout the brain and body. CBD for Menopause Symptoms: What Does the Research Say? 1. CBD for Sleep Insomnia is a common complaint among menopausal women, often caused by hormonal fluctuations and night sweats. CBD may help improve sleep by reducing anxiety and promoting relaxation. What the Research Shows : A 2019 study published in The Permanente Journal found that CBD improved sleep scores in 66% of participants within the first month of use. While this study wasn’t specific to menopause, the findings suggest that CBD’s calming effects could be beneficial for sleep disturbances. Potential Mechanism : CBD may interact with serotonin receptors and reduce cortisol levels, which are often elevated in individuals with insomnia. 2. CBD for Pain Joint pain and muscle aches are common during menopause, partly due to declining oestrogen levels, which can increase inflammation. What the Research Shows : A 2020 review in Frontiers in Pharmacology noted that CBD has anti-inflammatory and analgesic properties, making it a promising option for managing chronic pain. Potential Mechanism : CBD modulates inflammation and pain perception by interacting with CB2 receptors in the immune system. 3. CBD for Anxiety Anxiety is another prevalent symptom during menopause, often exacerbated by hormonal shifts and life changes. What the Research Shows : A 2015 review in Neurotherapeutics highlighted CBD’s potential as an effective treatment for anxiety disorders. Additionally, a 2021 study in The Journal of Clinical Psychology found that CBD reduced anxiety symptoms in clinical populations. Potential Mechanism : CBD’s interaction with serotonin receptors may help regulate mood and reduce anxiety levels. Is CBD Safe? CBD is generally considered safe, with most side effects being mild, such as fatigue, dry mouth, or changes in appetite. However, it’s important to: Choose High-Quality Products : Look for third-party tested CBD products to ensure purity and potency. Consult Your Doctor : CBD can interact with medications, including hormone replacement therapy (HRT), so discuss it with your healthcare provider before use. Limitations and Future Research While early studies are promising, more research is needed to fully understand CBD’s effectiveness for menopause symptoms. Current studies often have small sample sizes or focus on general populations rather than menopausal women specifically. However, the growing interest in CBD for women’s health suggests that more targeted research is on the horizon. Tips for Using CBD During Menopause Start Low and Go Slow : Begin with a low dose and gradually increase until you find a dose that works for you. Choose the Right Form : CBD is available in various forms, including oils, capsules, gummies, and topical creams. Choose one that fits your lifestyle and specific needs. Be Consistent : Regular use may enhance CBD’s benefits, as it builds up in your system over time. Monitor Your Symptoms : Keep a journal to track how CBD affects your symptoms and adjust your dose as needed. The Takeaway CBD shows promise as a natural remedy for sleep disturbances, pain, and anxiety associated with menopause. While the evidence is still emerging, many women have found relief using CBD alongside other lifestyle and medical interventions. At Bristol Menopause Clinic, we encourage women to explore all available options and make informed decisions about their health. 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 Perimenopause: A Transition Phase in Women's Health Managing Weight, Perimenopause, Managing Symptoms 5 Jan 2024 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. 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 Enjoying Better Sex in Menopause and Beyond Self-Care, Wellbeing, Perimenopause, Menopause Advice 11 Feb 2025 For so many, our sex drive and sexual pleasure change, when we hit perimenopause and menopause, but it doesn’t have to. A myriad of menopausal symptoms, from genitourinary symptoms that impact upon your vagina, vulva, bladder and urethra, vaginal dryness, itching, decreased sexual sensation or low libido can make any sex play feel painful or uncomfortable, your desire goes AWOL or what used to turn you on simply doesn’t work for you any more. Often people give up their sex life or continue to endure painful sex in menopause, which is neither pleasurable, good for their vagina health or their relationship. Those who previously had a good sex life get frustrated that the menopause has impacted upon their sexual pleasure in this way too. However, with a few tweaks to your relationship and to the way in which you enjoy great sexual health, intimacy and pleasure, you can have even better sex. Talk to your Partner This is one of the commonest reasons why couples give up on enjoying sex because they are unable to talk to each other. Your partner probably has no idea about how you are feeling and may think you no longer love or desire them, so it is important to tell them why you do not want to have sex or why it no longer feels pleasurable. If you’re in a long-term relationship, our sexual tastes, sensation, stimulation and attraction change, so explore new ways to enjoy intimacy. What might have worked for you in the past may not work now, so show your partner where and how you like to be touched, make sounds of pleasure to encourage them when they hit the right spot. Start off on the sofa, enjoy a teenage smooch which will hopefully develop into something more! Try new positions, use irritant free lubricants, prolonged foreplay, quickie sex, explore pleasure toys, enjoy hotel sex, whatever makes you both feel good. If you’re in a new relationship, it can be difficult to tell your partner what you enjoy. On the other hand, they may introduce you to sexual sensations that get your juices flowing. Tell them what works for you, use your irritant free lubes and always use a condom Share your fantasies, you may discover that some of them are the same. You might even want to act some of them out, too. Love Lube (but only irritant free lubes) Vaginal dryness affects people at any age due to fluctuating hormones, breastfeeding, side effects of medication, cancer treatments, stress, anxiety and the ageing process. One simple way to make sex feel pleasurable, last longer and promote vaginal lubrication is to use sexual lubricant. Using good lubricants can make sex feel great. But stop before you think about buying well-known lubes or the “menopause -friendly” products in the high street and using some products recommended on prescription because the vast majority of products contain ingredients including glycerin, propylene glycol, parabens, perfume and dyes in addition to “tingling” or “warming “ingredients which can irritate the tissues of the vulva and vagina, disrupt your friendly bacteria that keep your vagina happy, lubricated and healthy of the vagina. This can cause irritation, thrush or bacterial vaginosis, especially if you are prone to these infections. You may also experience urethral irritation too. Ingredients matter when it comes to your intimate health and pleasure. Always check the ingredients before you buy or ask your GP before they prescribe you a product and do a skin test before rubbing it over your clitoris, nothing worse than an itchy or stinging vulva or vagina! We only use, recommend and sell SUTIL Luxe and Rich, and YES, both brands are made with organic and botanical ingredients that are beneficial for your intimate health and pleasure. SUTIL can also be used as a vaginal moisturiser. No one needs an Intimate Wash Intimate hygiene products, wipes, sprays, bath bombs (aka thrush bombs) bubble bath, scented menstrual products and perfumed condoms are completely unnecessary as our vaginas are self-cleaning and all these products can cause irritation, an infection and make your vagina/vulva feel sore. Just wash with water. If you need to wash with a product, you can ask your GP to prescribe a gentle emollient or ask your local pharmacist. Enjoy regular orgasms Enjoying regular orgasms with a partner or during solo play using your fingers or a pleasure product increases your natural lubrication, reduces stress, decreases pain, helps to keep you looking young and exercises your pelvic floor muscles. Orgasms can also improve the quality of your sleep, a common problem during menopause, as the release of feel good endorphins induces a state of relaxation, helping you drift off. Sex is much more than just penetration and masturbating feels so good solo and with a partner. Exercise those Pelvic Floor Muscles Regular pelvic floor exercises, correctly performed, can make orgasms feel stronger and help incontinence issues. Some women who have a tight (hypertonic) pelvic floor, making penetration feel painful, can exacerbate symptoms by doing pelvic floor exercises and need to learn to relax the pelvic floor muscles. If you have a pelvic health issue, please seek advice from a pelvic health physiotherapist, they are my go-to pelvic health experts. You can ask your GP to refer you, you can self refer to some NHS trusts or find one in private practice here https://thepogp.co.uk/ Explore Pleasure Products Incorporating pleasure products into your sex play can help you enjoy new ways to be intimate and discover new sexual sensations, especially if you find yourself struggling to orgasm, or it takes longer due to decreased sexual sensation. A simple bullet vibrator is small enough to slip between you and a partner to enjoy clitoral stimulation during penetrative sex or foreplay. You can use it on yourself, get your partner to use it on you, or play with it on their body. If vaginal tightness is an issue, using a slim vibrator or dilator with plenty of lubricant can help stretch the vagina walls, making them more flexible and penetrative sex feel more pleasurable. Sonic wave and air pulse toys use sonic and air pulse waves to gently tease and caress your clitoris, they are my go to recommended toy for those who experience decreased sexual sensation too. Vibrating constriction rings are a great way to help a partner to maintain their erection, last longer, and offer clitoral stimulation at the same time. Some work really well as finger vibes too. You may want to explore bondage, which can be fun and offers a different dynamic to your relationship. Blindfolded sex heightens all your senses, boosting your arousal. It is important to only buy pleasure products from expert retailers like Jo Divine who only sell safe products from reputable manufacturers, can offer you advice and support about which product is suitable for your needs by phone, email and DM and dispatch in discreet packaging. Start Enjoying Better Sex Sex is not just penetration - there are so many ways to be intimate and enjoy pleasure. Explore sex toys, oral sex, bondage, nipple play, mutual masturbation, kissing and intimate massage. Perimenopause and menopause does not mean that your sex life has to stop, it can be even more pleasurable and fun. Don’t give up on your sex life, talk to your partner, use irritant free lubricant, masturbate more, explore sex toys solo or with a partner, watch or read erotica, listen to audio porn, be imaginative, adventurous and have fun in whatever way feels pleasurable for you! So if you would like advice, please get in touch https://www.jodivine.com/ We have many practical sexual health and pleasure articles on our blog including menopause. So if you would like advice, please get in touch https://www.jodivine.com/ We have many practical sexual health and pleasure articles on our blog including menopause. You can also follow me for advice, support and skin safe irritant free product recommendations https://www.instagram.com/samtalkssex/?hl=en BIO I’m Samantha Evans, a former nurse and co-founder Jo Divine, an online pleasure product company, with my husband Paul in 2007. As a sexual health and pleasure expert at Jo Divine I advise many women and their partners about ways to enjoy sexual intimacy and pleasure when they experience menopausal symptoms such as vaginal dryness, vaginal tightness, decreased sexual sensation and low libido and recommend our irritant free sexual lubricants and moisturisers, skin safe pleasure products and dilators to help them overcome sexual health issues and explore new ways to enjoy sexual pleasure solo or with a partner. Whoever you are, I passionately believe that it is always possible to enjoy sex by being imaginative, adventurous and making it fun, and I'm always exploring ways for both men and women to take control of their sexual health to increase their sexual pleasure and general wellbeing. I also work with many healthcare professionals, menopause experts and cancer charities by helping them to discuss practical ways to enjoy sexual intimacy and pleasure. At Jo Divine we believe that sexual health and sexual pleasure go hand in hand and have created a health brochure with suitable products to help people with sexual issues. Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us

< Back HRT Explained: Myths, Benefits, and the Latest Research HRT, Managing Symptoms, Menopause Advice, Perimenopause 18 Mar 2025 The Confusion Around HRT For years, hormone replacement therapy (HRT) has been surrounded by confusion, fear, and misinformation. Women experiencing hot flushes, brain fog, joint pain, and mood swings often wonder: Is HRT safe? Does it cause cancer? Will it help with weight gain and brain fog? What are the risks versus the benefits? With conflicting headlines and outdated medical advice, many women are left struggling through menopause symptoms without proper guidance. As a menopause specialist, I want to clear up the myths, explain the science, and give you the latest research so you can make an informed decision about HRT. What is HRT? A Simple Breakdown HRT (Hormone Replacement Therapy) replaces the hormones that naturally decline during menopause—primarily oestrogen and, in some cases, progesterone and testosterone. Oestrogen – The key hormone that helps r elieve hot flushes, brain fog, joint pain, mood swings, and vaginal dryness. Progesterone – Given to women who still have a uterus to protect against endometrial (womb) cancer. Testosterone – Sometimes prescribed to boost libido, brain function, and energy in menopausal women. Fact: The body still needs oestrogen after menopause to protect the brain, bones, and heart. Myth vs. Fact: Debunking Common HRT Misconceptions Myth 1: HRT Causes Breast Cancer Fact: The link between HRT and breast cancer has been exaggerated and misunderstood. The Science: The 2002 Women’s Health Initiative (WHI) study caused fear around HRT, but later analysis showed: Oestrogen-only HRT (for women without a uterus) does NOT increase breast cancer risk. The small risk linked to combined HRT (oestrogen + progesterone) is the same as drinking 1 glass of wine per day . The absolute risk increase is minimal (4 additional case per 1,000 women per year) . Takeaway: HRT is not the primary cause of breast cancer, and the benefits often outweigh the risks for most women. Myth 2: HRT Increases the Risk of Heart Disease Fact: Oestrogen actually protects the heart —when taken early in menopause. The Science: Women who start HRT before the age of 60 or within 10 years of menopause have a lower risk of heart disease. HRT helps maintain healthy cholesterol levels and reduces inflammation in the arteries. The British Heart Foundation recognises oestrogen’s protective effects on cardiovascular health. Takeaway: HRT can r educe heart disease risk if started at the right time. Myth 3: HRT Causes Weight Gain Fact: HRT does NOT cause weight gain —in fact, it may help prevent midlife weight gain. The Science: Oestrogen supports metabolism and prevents fat accumulation around the abdomen. Muscle mass declines without oestrogen, making weight gain more likely in women who don’t take HRT. Women often gain weight due to aging and lifestyle changes, not HRT itself. Takeaway : Staying active and eating a balanced diet will support weight management—HRT can help by maintaining muscle and metabolic health. Myth 4: HRT Only Helps with Hot Flushes Fact: HRT benefits almost every system in the body, not just thermoregulation. HRT’s Benefits Beyond Hot Flushes: Brain Health: Reduces brain fog and lowers dementia risk in early menopause. Bone Health: Prevents osteoporosis by reducing bone loss. Heart Protection: Helps maintain arterial flexibility and circulation. Mental Health: Supports mood stability and anxiety reduction. Skin & Hair: Improves collagen production, reducing wrinkles and hair thinning. Takeaway : HRT is a full-body support system, not just a fix for hot flushes. The Latest Research: What We Know in 2024 HRT research has come a long way, and today’s approach is personalised and safer than ever. 1. The "Window of Opportunity" for Maximum Benefit Starting HRT early (within 10 years of menopause) has the best protective effects on the brain, heart, and bones. Delaying HRT past 60 doesn’t mean it’s unsafe, but benefits may be lower. What This Means: If you're struggling with menopause symptoms, don’t wait—early treatment provides the best long-term health benefits. Body-Identical vs. Synthetic HRT: What’s the Difference? Body-Identical HRT (Recommended in the UK) – Derived from plant-based sources and chemically identical to natural hormones. Examples: Oestrogen gel (e.g., Oestrogel ) Oestrogen patches (e.g., Evorel ) Micronised progesterone ( Utrogestan ) Synthetic HRT (Older Formulations) – Used in the past but linked to higher risks of side effects. The NHS and the British Menopause Society now recommend body-identical HRT as the safest option. Can HRT Reduce Dementia Risk? Recent research suggests that oestrogen plays a major role in brain health, reducing Alzheimer’s risk in women who start HRT early. The Science: A Lancet Neurology study found that women who take HRT have better cognitive function. Oestrogen supports brain plasticity, reducing the risk of memory loss. Takeaway: More research is ongoing, but HRT could be a powerful tool for brain health in midlife women. Who Should NOT Take HRT? While HRT is safe for most women, it may not be suitable if you have : A history of breast cancer or oestrogen-sensitive cancers or a very strong family history or any BRACA genes. Uncontrolled high blood pressure (needs to be managed first) Severe liver disease or rare blood clotting disorders If you’re unsure, consult a menopause specialist to discuss personalised options. Final Thoughts: Is HRT Right for You? HRT is one of the most effective treatments for menopause symptoms and offers long-term health benefits, but the choice is personal. If you’re struggling with hot flushes, brain fog, low energy, or mood swings, HRT could be life changing. The latest research confirms its safety when started early. If you can’t take HRT, lifestyle strategies (strength training, diet, stress management) remain crucial for menopause health. Next Step: Speak to a BMS (British Menopause Society) Specialist for personalised menopause care . 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 Navigating Menopause Naturally: Empowering Your Journey Without HRT Menopause Advice, Alternative Therapies, HRT 4 Sept 2023 In this blog post, we'll explore natural approaches to navigating menopause, including lifestyle adjustments, supplements, exercise, and alternative therapies. Menopause is a transformative phase that prompts various changes in a woman's body, and many seek alternatives to Hormone Replacement Therapy (HRT) to manage symptoms. At Bristol Menopause and Well Women Clinic, we understand the importance of providing diverse options tailored to each individual. In this blog post, we'll explore natural approaches to navigating menopause, including lifestyle adjustments, supplements, exercise, and alternative therapies. Lifestyle Adjustments for Menopause Management: Balanced Nutrition: Embrace a diet rich in whole grains, fruits, vegetables, lean proteins, and healthy fats. Incorporate foods high in calcium and vitamin D to support bone health. Hydration and Caffeine Moderation: Staying hydrated can ease some menopausal symptoms. Reducing caffeine intake may alleviate sleep disturbances and anxiety. Regular Exercise: Engaging in regular physical activity can boost mood, maintain bone density, and alleviate stress. Incorporate a mix of aerobic, strength, and flexibility exercises. Stress Management: Adopt stress-reduction techniques such as meditation, yoga, or deep breathing to improve emotional well-being. Supplements to Consider: Calcium and Vitamin D: These nutrients support bone health and may help prevent osteoporosis. Magnesium: This helps in the regulation of sleep, mood and muscle health. Probiotics: These help with mood and stress relief, as well as digestive health, are anti-inflammatory and are protective for immunity. Vitamin B12: This is a water soluble vitamin and helps in energy levels,brain cognition. B12 protects the cardiovascular system and nerve function. Omega-3 Fatty Acids: Found in fish oil, omega-3s have anti-inflammatory properties and can support heart health and mood. Black Cohosh: Some women find relief from hot flashes and mood swings through this herbal supplement. Soy Isoflavones: These plant compounds mimic estrogen and might help alleviate menopausal symptoms – these metabolise into oestrogen so are not suitable if there is any history of oestrogen driven cancers. Exercise for Menopause Symptom Relief: Aerobic Activities: Walking, jogging, cycling, and swimming promote heart health, manage weight, and reduce stress. Strength Training: Strengthening muscles supports bone health and improves metabolism. Yoga: Practicing yoga enhances flexibility, reduces stress, and promotes relaxation. Alternative Therapies for Symptom Management: Acupuncture: This ancient practice involves inserting thin needles into specific points on the body to alleviate various symptoms, including hot flashes and sleep disturbances. Mindfulness and Meditation: These techniques promote relaxation, stress reduction, and emotional balance. Cognitive Behavioral Therapy (CBT): CBT can help manage mood changes, anxiety, and depression often associated with menopause. Navigating menopause naturally is a journey that empowers women to take charge of their well-being. At Bristol Menopause and Well Women Clinic, we're committed to providing you with comprehensive options that align with your preferences and needs. Whether through lifestyle changes, supplements, exercise, or alternative therapies, our goal is to ensure you have the tools to transition through menopause with grace and vitality. Don't hesitate to reach out to us for guidance, support, and personalized approaches tailored to your unique journey. 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 Life After the Menopause Transition – A New Beginning Menopause Advice, Post Menopause 14 Jan 2025 Why Menopause Can Be the Start of a Whole New You The menopause transition is often painted as a challenging time, and while it does come with its difficulties, it also marks the start of a new chapter in life. After the hormonal fluctuations of perimenopause settle, many women find clarity, confidence, and a renewed sense of purpose. This stage of life offers an opportunity to redefine your goals and focus on what truly matters. Menopause is more than just the end of menstrual cycles—it’s the beginning of a phase where you can reclaim your time and energy. With the right mindset and lifestyle adjustments, this can be a time of empowerment and growth. The Challenges of Perimenopause and Finding Your Way Perimenopause, the phase leading up to menopause, can feel like a rollercoaster. The fluctuations in oestrogen and progesterone levels can cause symptoms like hot flushes, mood swings, and disrupted sleep. It’s no wonder this phase is often viewed with dread. But understanding what’s happening in your body can make all the difference. Hormonal shifts affect everything from your brain to your bones. For example, oestrogen plays a role in serotonin production, which impacts mood. Meanwhile, progesterone has a calming effect, and its decline can lead to feelings of anxiety. Navigating this time requires a multi-faceted approach: Education : Learn about the changes happening in your body. Support : Join communities or seek professional guidance. Lifestyle : Prioritise exercise, a balanced diet, and stress management techniques. The Positive Effects of Oestrogen and Progesterone Oestrogen and progesterone are essential hormones that regulate various bodily functions. While their decline can cause uncomfortable symptoms, understanding their roles can help you adapt. Oestrogen : Supports bone density, reducing the risk of osteoporosis. Promotes skin elasticity and hydration. Enhances cognitive function. Progesterone : Encourages restorative sleep. Provides anti-inflammatory benefits. Helps regulate mood. Although these hormones decline during menopause, this is a chance to explore other ways to support your body. Hormone replacement therapy (HRT), supplements, and a nutrient-rich diet can help mitigate symptoms and improve quality of life. Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us

< Back Heart Health Tips for Women: Nutrition for a Stronger Heart Cardiovascular Advice, Diet 27 Feb 2025 Heart disease is the leading cause of death in women, yet it’s connection to menopause is often overlooked. Oestrogen helps protect the heart, but as levels decline the risk of high blood pressure, cholesterol, weight gain and cardiovascular disease increases. By understanding these changes and making proactive lifestyle choices, women can protect their heart health during and after menopause. Whether in your 30s, 40s, 50s, or beyond, taking proactive steps towards heart health can significantly impact your long-term well-being. Our Nutritionist, Alex shares her Top Ten Nutrition Tips to support your heart health 1. Increase Omega-3 Intake Omega-3 fatty acids play a crucial role in reducing inflammation, lowering triglycerides and supporting overall heart health. Best sources: Oily fish such as salmon, mackerel, herrings, sardines, herrings; olive oil; avocados and nuts in particular walnuts, flaxseeds and chia seeds. For plant-based diets: Consider an omega-3 supplement to ensure adequate intake Limit: Trans fats found in processed foods, fried foods and processed meats. Tip: Choose nuts or seeds instead of processed snacks for a heart-healthy alternative. 2. Focus on Fibre-Rich Foods Dietary fibre helps to reduce cholesterol levels, balance blood sugar levels and support digestion. Best sources: Whole grains, oats, quinoa, legumes (beans, lentils), fruit and vegetables. Avoid: Refined carbohydrates such as white bread, pastries and processed snacks which can spike blood sugar and contribute to inflammation. Tip: Overnight oats, nuts and berries provides a fibre-rich, heart-healthy breakfast option. 3. Reduce Salt Intake Excess salt intake is a contributor to high blood pressure, which increases the risk of heart disease. Choose: Fresh herbs, spices, lemon, or vinegar to enhance flavour instead of salt Limit: Processed foods, takeaways, canned soups, and salty snacks which often contain high levels of salt. Note: More than 70% of dietary sodium comes from processed foods rather than direct salt additions at home. 4. Balance Blood Sugar Levels Unstable blood sugar levels contribute to insulin resistance and chronic inflammation both of which are linked to heart disease. Best strategy: Eat proteins and healthy fats at every meal to help balance blood sugar levels. Avoid: Sugary snacks, fizzy drinks including diet drinks, refined carbohydrates and ultra-processed snacks. Tip : Replacing white rice with quinoa or whole grains can help maintain better blood sugar control. 5. Ensure Sufficient Magnesium and Potassium Intake Magnesium and potassium are essential for regulating blood pressure and heart health. Best sources: Leafy greens, bananas, sweet potatoes, beans, pulses, nuts and seeds Additional benefits: Magnesium-rich foods also support relaxation and stress management, which play a key role in heart health. 6. Stay Hydrated Adequate hydration keeps the cardiovascular system functioning efficiently and in particular blood pressure. Drink: Water and herbal teas. Avoid: Fizzy drinks, energy drinks, juices which can increase inflammation and weight gain Tip : Add sliced cucumber, lemon, herbs or berries to water for some added flavour. 7. Keep Alcohol and Caffeine to a minimum Excessive intake of alcohol and caffeine can negatively impact heart health. Avoid: Excessive energy drinks and be mindful that caffeine in tea and coffee can elevate blood pressure and increase heart rate. Tip: Replacing one daily coffee//tea with herbal tea instead 8. Manage Stress and Sleep Quality Chronic stress and poor sleep contribute to high blood pressure and inflammation which are major risk factors for heart disease. Effective stress management strategies: Yoga, meditation, walking, listening to music and journaling. Choose something that works for you. Prioritise sleep: Aim for seven to nine hours per night to support cardiovascular recovery and hormonal balance. Note: Chronic stress elevates cortisol levels, leading to weight gain around the middle which is a key risk factor for heart disease. 9. Engage in Regular Physical Activity Exercise strengthens the heart, improves circulation and helps regulate blood pressure as well as reducing stress. Aim for: At least 30 minutes of movement daily such as walking, strength training, swimming or dancing around your kitchen. Thank you, Sophie Ellis Bextor! Even small changes matter: Taking the stairs, stretching throughout the day, or standing up more frequently can support heart health. 10. Regular check-ups. Routine visits to your GP to help identify risk factors for heart disease including cholesterol levels, blood pressure and other vital signs. Protecting heart health does not require drastic changes. Consistent, small adjustments in nutrition, movement and stress management can have a lasting impact. Invest in your heart health 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 Navigating Genito-Urinary Changes During Menopause: Insights and Solutions Menopause Advice, Pelvic Organ Prolapse 22 Aug 2023 In this blog post, we'll delve into the genito-urinary problems that often accompany menopause, including a detailed discussion on pelvic organ prolapse. The journey through menopause brings about a series of changes that extend beyond hot flashes and mood swings. Among these changes, genito-urinary symptoms can have a significant impact on a woman's quality of life. At Bristol Menopause and Well Women Clinic, we recognize the importance of addressing these challenges with expertise and empathy. In this blog post, we'll delve into the genito-urinary problems that often accompany menopause, including a detailed discussion on pelvic organ prolapse. Genito-Urinary Changes and Menopause As hormonal shifts occur during menopause, the delicate balance of the genito-urinary system can be disrupted. Estrogen, a key hormone, plays a vital role in maintaining vaginal and urinary tract health. As estrogen levels decline, women may experience the following genito-urinary symptoms: Genito-Urinary Changes and Menopause: As hormonal shifts occur during menopause, the delicate balance of the genito-urinary system can be disrupted. Estrogen, a key hormone, plays a vital role in maintaining vaginal and urinary tract health. As estrogen levels decline, women may experience the following genito-urinary symptoms: Vaginal Dryness: Reduced oestrogen levels can lead to thinning and dryness of vaginal tissues, resulting in discomfort, irritation, and pain during intercourse (dyspareunia). Urinary Incontinence: Loss of elasticity in the bladder and urethra muscles may contribute to stress incontinence (leakage during activities like coughing, sneezing, or laughing) or urge incontinence (sudden, intense urge to urinate). Frequent Urination: Hormonal changes can lead to increased frequency and urgency of urination, impacting daily life. Recurrent Urinary Tract Infections (UTIs): Lower oestrogen levels can make the urinary tract more susceptible to infections. Understanding Pelvic Organ Prolapse Pelvic organ prolapse is a common genito-urinary issue that can occur during menopause. It involves the descent of pelvic organs, such as the bladder, uterus, or rectum, into the vaginal canal due to weakened pelvic floor muscles and ligaments. Common causes include childbirth, aging, and hormonal changes during menopause. Managing Genito-Urinary Symptoms and Pelvic Organ Prolapse: Vaginal Moisturizers and Lubricants: Non-prescription vaginal moisturizers and lubricants can provide relief from vaginal dryness and discomfort during intimacy. Hormone Replacement Therapy (HRT): Oestrogen therapy, in consultation with healthcare professionals, can address genito-urinary symptoms by restoring tissue health. Pelvic Floor Exercises: Regularly practicing pelvic floor exercises (Kegels) can help strengthen muscles and provide better support to pelvic organs. Behavioral Modifications: Managing fluid intake, dietary choices, and caffeine intake can help alleviate urinary symptoms. Minimally Invasive Treatments: For pelvic organ prolapse, minimally invasive procedures such as pessaries (vaginal support devices) or surgical interventions can be considered. Conclusion: Genito-urinary symptoms and pelvic organ prolapse during menopause deserve thoughtful attention and specialized care. At Bristol Menopause and Well Women Clinic, we're committed to providing comprehensive solutions to help you navigate these changes with comfort and confidence. Our team of experts is dedicated to understanding your unique needs and crafting tailored approaches to enhance your well-being. Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us

< Back 10 Nutrition Tips for a Healthy New Year Alternative Therapies, Diet, Exercise, Managing Symptoms, Managing Weight, Perimenopause, Post Menopause, Self-Care 3 Jan 2025 The start of the new year can leave many people thinking about all the ways they can improve their lives therefore, it does give us the chance to start a new chapter in our lives. It can be challenging to distinguish between nutrition fads, myths, and the facts often leaving us feeling confused and even stressed about making the right food choices. Here, our expect nutritionist Alex shares her top tips... Set realistic goals - focus on small, achievable changes such as adding more veggies or drinking more water Plan balanced meals - including protein, healthy fats, and fibre Prepare in advance - meal prep is key to avoiding last-minute unhealthy choices. Stock up on healthy foods Eat whole nutrient dense foods including fruits, vegetables, whole grains, and lean proteins Start your day with a healthy breakfast - rich in protein, fibre and healthy fats can energise you for the day ahead Look after your gut - eat a variety of fermented foods such as yogurt and kefir to support a healthy digestive system and balanced gut microbiome Stay hydrated - aim for at least 2 litres of water daily Watch your portions - use smaller plates and listen to your hunger cues Limit sugar and alcohol - enjoy treats in moderation without guilt Stay consistent - build habits you can sustain all year, not just in January! Here, at the Bristol menopause clinic, our experts provide coaching and holistic wellness support based on scientific research to help you put strategies into place that work for you and empower you to take charge of your health Do you want to start the new year feeling fresh, focused and balanced? Getting the right help is key. So, why not in a free complimentary call with our Nutritionist and see how she can help support you and your health for now and your future Find out more here Happy New Year everyone! 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