Search Results

< Back Tia Brown Patient Care Coordinator & Social Media Lead Tia is one of our patient care team members. Tia is known for her exceptional organisational skills and warm, welcoming manner. As a Patient Care Coordinator, she ensures every patient receives the highest level of attention and support from the moment they contact us. Her dedication to providing outstanding customer care is unmatched, making each interaction smooth, informative, and personal. But Tia’s talents don’t stop there! She also serves as our Social Media Lead, where she shines by sharing valuable educational tools and resources to help our patients stay informed and empowered. You'll often find Tia online, engaging with our community, and providing content that makes healthcare both accessible and engaging. Whether in person or online, Tia’s passion for helping others and her proactive approach make her an integral part of our team.

< Back Perimenopause and Lifestyle Medicine: Preparing Your Body for the Transition Managing Symptoms, Perimenopause Perimenopause is the phase before menopause when hormone levels begin to fluctuate. It can last several years, with symptoms often appearing in the late 30s or 40s. Many women notice irregular periods, sleep problems, hot flushes, mood changes, or increased fatigue long before their “last period.” This stage is not just a lead-up to menopause, it is a critical window for protecting long-term health. What you do in perimenopause sets the foundation for bone strength, heart health, and brain function in the decades ahead. Why Lifestyle Matters So Much in Perimenopause As oestrogen and progesterone levels begin to fluctuate, the body becomes more sensitive to stress, diet, and sleep disruption. Lifestyle medicine provides evidence-based strategies that can reduce symptoms and improve wellbeing: Nutrition: A balanced diet rich in fibre, lean protein, and healthy fats supports hormone balance and helps prevent weight gain. Limiting ultra-processed foods and excess sugar reduces inflammation and stabilises energy. Exercise: Strength training protects bone density and muscle mass, while regular aerobic activity improves heart health and boosts mood. Sleep: Prioritising good sleep hygiene, consistent routines, cool rooms, reduced evening screen time helps counter hormonal sleep disturbances. Stress management: Mindfulness, yoga, or journaling can reduce anxiety and regulate cortisol levels, which often rise in perimenopause. Alcohol and smoking: Reducing both lowers risk of hot flushes, poor sleep, cardiovascular disease, and bone loss. Early Prevention, Long-Term Gain The perimenopause years are sometimes called a “window of opportunity” in medicine. Research shows that changes made at this stage can influence health outcomes for decades. For example, regular movement and a nutrient-dense diet not only ease current symptoms but also reduce the risk of osteoporosis and cardiovascular disease later in life. Perimenopause is not just a time to endure symptoms, it’s a chance to reset, rethink, and prepare your body for the next stage. By embracing lifestyle medicine now, you can take control of your health and create resilience that lasts well beyond 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 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 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 The Latest Advances in Menopause Research: What Women Need to Know HRT, Managing Symptoms, Menopause Advice, Post Menopause, Perimenopause Menopause is a natural phase of life that all women will experience, yet it remains one of the most under-researched areas of health. Fortunately, recent advances in menopause research are shedding light on new ways to support women through this transition. From hormonal therapies to lifestyle interventions and innovative treatments, the latest findings are empowering women to take charge of their health. Here, we summarise some of the most significant developments in menopause research and what they mean for women today. 1. Personalised Hormone Replacement Therapy (HRT) What’s New: Advances in genomics and precision medicine are enabling more personalized approaches to HRT. Research is uncovering how genetic variations influence how women metabolise oestrogen and progesterone, allowing clinicians to tailor HRT to each individual. What It Means for Women: Personalised HRT can optimise symptom relief while minimising side effects and risks. Women now have more options including bioidentical hormones and this research is ongoing should be interesting. 2. Non-Hormonal Treatments for Hot Flushes What’s New: Studies have identified non-hormonal therapies that target the brain’s thermoregulation system to reduce hot flushes. Medications such as selective serotonin reuptake inhibitors (SSRIs) and neurokinin receptor antagonists are showing promise. What It Means for Women: Women who cannot or choose not to use HRT now have effective alternatives for managing hot flushes, providing greater flexibility in treatment choices. 3. The Gut Microbiome and Menopause What’s New: Emerging research highlights the role of the gut microbiome in oestrogen metabolism and overall menopause health. A healthy microbiome is linked to better hormone balance, reduced inflammation, and improved mood. What It Means for Women: Women can support their gut health through diet, probiotics, and lifestyle changes. This not only aids menopause symptoms but also promotes long-term health, including cardiovascular and bone health. 4. Menopause and Cardiovascular Health What’s New: Research confirms that menopause is a critical time for heart health, with declining oestrogen levels contributing to increased cardiovascular risks. Studies are focusing on the timing of HRT initiation, with evidence suggesting that starting HRT within 10 years of menopause onset may protect heart health. What It Means for Women: Women should monitor their cardiovascular health during menopause and discuss the timing of HRT with their healthcare provider. Lifestyle changes such as regular exercise and a heart-healthy diet remain key preventive strategies. 5. Cognitive Health and Dementia Prevention What’s New: Research is exploring the link between oestrogen levels and cognitive decline, particularly the risk of Alzheimer’s disease in postmenopausal women. Preliminary findings suggest that HRT, when started early, may have protective effects on brain health What It Means for Women: Maintaining cognitive health during menopause requires a multifaceted approach, including considering HRT, staying physically and mentally active, and eating a brain-healthy diet rich in omega-3s and antioxidants. 6. Lifestyle Interventions for Menopause Management What’s New: Studies continue to affirm the role of lifestyle interventions in managing menopause symptoms. Regular exercise, mindfulness practices, and a nutrient-dense diet are effective for reducing symptoms like anxiety, insomnia, and weight gain. What It Means for Women: Lifestyle changes remain a cornerstone of menopause care. Women have the power to significantly improve their quality of life through simple, sustainable habits. 7. Advances in Bone Health Research What’s New: New therapies, including anabolic agents like teriparatide, are being studied to combat menopause-related bone loss. The role of Vitamin D, calcium, and weight-bearing exercises in maintaining bone density continues to gain support. What It Means for Women: By focusing on bone health early in menopause, women can reduce their risk of osteoporosis and fractures. Combining lifestyle measures with appropriate treatments ensures long-term skeletal strength. 8. Menopause and Workplace Well-Being What’s New: Research highlights the need for greater awareness and accommodations for menopausal women in the workplace. Organisations are beginning to implement menopause-friendly policies and training programmes. What It Means for Women: Women can advocate for workplace support, including flexible schedules, access to resources, and open conversations about menopause, to improve their professional and personal lives. Here at Bristol Menopause clinic, we now offer Menopause Champion training. Taking Control of Your Menopause Journey The latest advances in menopause research are transforming the way we approach this important stage of life. At Bristol Menopause Clinic, we stay at the forefront of these developments to provide our patients with evidence-based care and personalised solutions. Whether you’re considering HRT, exploring non-hormonal options, or seeking guidance on lifestyle changes, we’re here to help you navigate your menopause journey with confidence. 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 Why Alex, our Nutritionist Is Your Secret Weapon for Thriving Through Menopause Alternative Therapies, Diet, Managing Weight, Wellbeing, Self-Care Menopause is a time of profound change—physically, emotionally, and mentally. For many women, navigating this transition can feel like an uphill battle with weight gain, disrupted sleep, mood swings, and declining energy levels. But it doesn’t have to be this way. Working with Alex, our nutritionist can provide you with tailored strategies to address these challenges head-on and empower you to thrive during this phase of life. Here’s why having Alex by your side can be transformative and how she can support your health across key areas: 1. Weight Management and Hormonal Balance One of the most common complaints during menopause is unexpected weight gain. Hormonal shifts, such as declining oestrogen, slow metabolism, and changes in fat distribution, make weight management challenging. A nutritionist can: Personalise Your Nutrition Plan : By assessing your unique needs, they create a diet plan that aligns with your body’s changing requirements, focusing on nutrient-dense, whole foods. Incorporate Metabolism-Boosting Foods : Certain foods like lean protein, healthy fats, and fibre-rich vegetables can help maintain muscle mass and boost metabolism. Address Insulin Resistance : Menopause increases the risk of insulin resistance, which can lead to stubborn belly fat. A nutritionist can guide you on managing blood sugar levels with the right combination of macronutrients and meal timing. Result : Improved energy levels, a healthier weight, and a more confident you. 2. Supporting Mental Health The emotional rollercoaster of menopause can be overwhelming, with mood swings, anxiety, and even depression becoming common. Food has a direct impact on mental health, and a nutritionist can help you use it to your advantage by: Enhancing Serotonin Production : Including foods rich in tryptophan, like turkey, eggs, and nuts, which promote serotonin (your happiness hormone). Balancing Blood Sugar Levels : Stable blood sugar reduces irritability and mood swings. Nutritional Psychiatry : A growing field, this focuses on foods and nutrients that support brain health, such as omega-3 fatty acids, magnesium, and B vitamins. Result : A steadier mood, reduced anxiety, and a brighter outlook on life. 3. Managing Insulin Resistance Insulin resistance becomes more common in midlife, contributing to fatigue, weight gain, and increased risk of Type 2 diabetes. A nutritionist can help by: Crafting Low-Glycaemic Meals : Teaching you how to choose and pair foods to avoid blood sugar spikes. Incorporating Fibre-Rich Foods : Supporting better digestion and glucose metabolism with vegetables, whole grains, and legumes. Encouraging Healthy Fats : Foods like avocado, nuts, and olive oil can reduce inflammation and support insulin sensitivity. Result : Better blood sugar control, reduced risk of diabetes, and sustainable energy throughout the day. 4. Improving Sleep Hot flushes, night sweats, and hormonal changes can wreak havoc on your sleep. A nutritionist can: Support Melatonin Production : Suggest foods rich in melatonin, like cherries and walnuts, and magnesium to relax your muscles and mind. Reduce Stimulants : Work with you to limit caffeine, alcohol, and sugar, which can disrupt sleep. Promote Hormonal Regulation : Balance your hormones through nutrition to reduce night-time symptoms like hot flashes. Result : Restful nights that leave you energized and ready to take on the day. 5. General Well-Being and Longevity Beyond symptom management, a nutritionist helps you focus on long-term health and quality of life. This includes: Optimising Bone Health : Recommending calcium and vitamin D-rich foods to support bone density. Enhancing Gut Health : Probiotic and prebiotic foods to improve digestion and nutrient absorption. Increasing Energy Levels : Through balanced meals that fuel your body and mind effectively. Building Sustainable Habits : Helping you develop simple, enjoyable routines to make healthy eating a way of life, not a chore. Result : A healthier, happier you—inside and out. Why Now Is the Time to Invest in Your Health Menopause is a new chapter—a chance to reset, refocus, and reclaim your health. A nutritionist doesn’t just help you manage symptoms; they empower you with the knowledge and tools to thrive. By addressing weight management, mental health, insulin resistance, sleep, and overall well-being, they offer a comprehensive approach tailored to YOU. With the right guidance, you’ll feel stronger, more balanced, and ready to embrace this new phase of life with confidence. Ready to take the first step? Book a consultation with a nutritionist today and discover how personalized nutrition can transform your menopause journey. Book here Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us

< Back Testosterone in Women: Symptoms, Decline & Why It Matters in Menopause Discover the role of testosterone in women, symptoms of low levels, and why it matters in perimenopause and menopause. Expert guidance from a menopause specialist. Testosterone is often incorrectly described as a “male hormone.” In reality, it plays a significant and well-established role in female physiology across the lifespan. Despite this, its clinical relevance in women remains under-recognised, particularly in the context of perimenopause and menopause. This article, the first in a two-part series, outlines: The physiological role of testosterone in women The causes and timing of decline The clinical features associated with reduced levels The second article will address assessment, diagnosis, and prescribing within current UK guidance. Androgen Function and Clinical Relevance Testosterone is an androgen and represents the most abundant biologically active steroid hormone in women during both reproductive and post-reproductive life.¹ It is produced by: The ovaries The adrenal glands Peripheral conversion in tissues including adipose Testosterone exerts its effects through: Direct binding to androgen receptors Conversion to oestradiol via aromatisation Androgen receptors are widely distributed, including in: Central nervous system Bone and skeletal muscle Cardiovascular tissue Skin and hair follicles Vulvovaginal and urogenital tissues This distribution underpins the broad clinical impact of testosterone in women. Clinical Features of Low Testosterone in Women Reduced testosterone levels may present with a constellation of symptoms affecting multiple domains: Reduced sexual desire, arousal, and response Persistent fatigue and reduced motivation Low mood and diminished emotional resilience Impaired concentration, memory, and cognitive function Loss of muscle strength and reduced physical performance Reduced bone mineral density Changes in skin integrity, hair quality, and joint health Vulvovaginal and urogenital symptoms The 2019 Global Consensus Position Statement (endorsed by the British Menopause Society and other international bodies) identifies hypoactive sexual desire disorder (HSDD) as the primary evidence-based indication for testosterone therapy in women.³ However, in clinical practice, presentations are frequently multifactorial and extend beyond sexual function alone. Timing and Causes of Testosterone Decline Testosterone levels decline progressively from the late twenties onwards .⁴ While gradual, several factors may accelerate or exacerbate this reduction: Perimenopause and Menopause The most common cause of clinically significant androgen decline, reflecting changes in ovarian function. Surgical Menopause Bilateral oophorectomy results in an abrupt reduction of approximately 50% of circulating testosterone , often associated with significant symptom burden. Combined Oral Contraceptive Use Suppression of ovarian androgen production Increased Sex Hormone Binding Globulin (SHBG) Reduced free (bioavailable) testosterone Chronic Stress Sustained cortisol elevation may impact androgen synthesis and availability. Endocrine Disorders Including hypothyroidism and hyperprolactinaemia. Medications Including: Antidepressants Antihypertensives Long-term corticosteroids Surgical Menopause: A Clinical Gap Women undergoing surgical menopause experience a sudden and substantial reduction in androgen production . Despite this, testosterone replacement is not routinely incorporated into standard management alongside oestrogen and progesterone.⁷ This may contribute to persistent symptoms such as: Fatigue Reduced libido Mood disturbance Cognitive changes This remains an area where clinical awareness and practice continue to evolve. Relevance in Perimenopause and Menopause Hormone Replacement Therapy (HRT) effectively addresses many symptoms related to oestrogen deficiency, including: Vasomotor symptoms Sleep disturbance Vaginal dryness However, some women report ongoing symptoms despite appropriate oestrogen therapy, including: Reduced libido Persistent fatigue Cognitive symptoms Reduced sense of wellbeing In such cases, androgen insufficiency may be a contributing factor. Clinical Importance The focus of women’s hormonal health has traditionally centred on oestrogen. While appropriate, this approach does not fully reflect the complexity of endocrine physiology. The evidence base supporting testosterone therapy in women has expanded , with international consensus recognising its role within defined clinical indications.³ However: Awareness among patients remains limited Training in prescribing testosterone for women is variable Access to specialist assessment is inconsistent Next Steps The second article in this series will address: Clinical assessment of suspected androgen insufficiency Appropriate use of blood testing Prescribing considerations in line with NICE and British Menopause Society guidance Monitoring and safety Testosterone is a physiologically important hormone in women, with effects across multiple systems. Declining levels, particularly during midlife or following surgical menopause, may contribute to a range of symptoms affecting quality of life. Recognition of its role is essential to ensure a comprehensive and evidence-based approach to women’s 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 Menopause Package: Initial & Follow up Consultation Included - New Patient Only £350 Book Now About Comprehensive Menopause Support Package for New Patients – Just £350 Take control of your menopause journey with our comprehensive support package, designed for new patients. For just £350, you’ll receive both an initial consultation and a follow-up review appointment to ensure you have the expert care and guidance you need throughout this important life stage. Our experienced menopause doctor will provide personalised advice, treatment options, and continuous support to help you manage your symptoms and feel confident every step of the way. What's Included in the Comprehensive Menopause Support Package: Initial 45-Minute Consultation In-depth Consultation with an Experienced Menopause Doctor : Discuss your symptoms, concerns, and health history to receive tailored advice. Personalised Health Plan : Get a customised approach to managing your menopause, covering lifestyle adjustments, nutrition, and possible treatments. Private Prescribing (if needed) : If appropriate, our doctor will prescribe hormone replacement therapy (HRT) or other treatments. Letter to Your GP : A comprehensive letter to your GP, ensuring they are fully informed about your treatment and care plan. Review Appointment Progress Review : Check in with your doctor to review how you're feeling and assess the effectiveness of your treatment plan. Treatment Adjustments (if needed) : Based on your progress, we'll adjust your plan to ensure the best care moving forward. Ongoing Support and Advice : Receive expert guidance on any new symptoms or concerns, helping you continue managing your menopause with confidence. Private Prescribing (if required) : If further prescriptions are necessary, they will be provided during the review consultation. Letter to Your GP : A follow-up letter summarising your progress and any treatment changes will be sent to your GP for continued care. Benefits of Booking the Comprehensive Menopause Support Package: Expert Care Every Step of the Way : Receive specialised care from an experienced menopause doctor throughout your entire journey, from your initial consultation to your follow-up review. Tailored, Ongoing Support : We’ll ensure your treatment plan evolves with you, addressing any changes in symptoms or health, so you’re always receiving the best possible care. Cost-Effective Comprehensive Package : For just £350, you receive both your initial consultation and a follow-up review appointment—giving you complete support without the need for additional bookings or costs. Personalised Approach : Your treatment plan is designed around your specific needs, addressing your symptoms, health history, and goals for menopause management. Confidence in Managing Menopause : With ongoing guidance, adjustments, and support, you’ll feel empowered to manage your menopause symptoms effectively. Book Your Comprehensive Menopause Support Package Today For just £350, you’ll receive a complete menopause consultation and follow-up plan tailored to your needs. Follow link below to book now. Please note: In line with our policy, you are unable to book with a doctor who is your registered GP or a GP at the practice where you are currently registered. This includes Dr Jo Burgin (Bridgeview Medical Practice) and Dr Danielle Calandrini (Newbridge Surgery). Thank you for your understanding. Book Now Discover our range of menopause supplements, available to order today! Shop Now

< Back Pause Live Menopause Event Alternative Therapies, Diet, Exercise, HRT, Managing Symptoms, Managing Weight, Menopause Advice, Perimenopause, Post Menopause, Self-Care, Wellbeing, Stress The Future of Menopause Treatment: Striving for Wellness, Vitality, and Confidence Last Saturday, I attended Pause Live with Kim and Jenna, where we explored a wide range of menopause-related businesses, both new and established. It was an eye-opening experience that highlighted the evolving landscape of menopause treatment. What struck me most during the event was not just the growing array of products and services, but the question that lingered in my mind: What will menopause treatment look like in the future? Menopause has long been treated with a focus on symptom relief—hot flushes, sleep disturbances, mood swings, and the like. But today, women’s expectations of their lives and their health are far more complex. Unlike previous generations, we are no longer content with merely managing symptoms; we seek to thrive. We want to feel fit, energetic, and mentally sharp, well into our later years. We aspire not only to feel good on the inside but also to look our best. A Shift in Perspective: Healthspan Over Lifespan Traditionally, menopause treatment has been somewhat reactive focused on addressing symptoms as they arise. However, with advancing science, a new paradigm appears to be emerging that focuses on healthy aging, the number of years we live in good health—rather than merely extending lifespan. This shift is pivotal because it encompasses not only symptom management but also prevention of future health issues like osteoporosis, cardiovascular disease, and cognitive decline, which tend to manifest more prominently after menopause. We are seeing the early signs of a future where menopause treatment is proactive. Hormone replacement therapy (HRT), which remains a critical component, is becoming more personalised with advancements in body identical hormones, new non hormonal treatments and tailored dosages. But it's not just about hormones anymore. The future will likely integrate advanced nutritional strategies, exercise regimens tailored to hormonal health, and cutting-edge supplements that focus on everything from cognitive function to skin vitality. Technology’s Role in the Future of Menopause Care One of the most exciting trends I noticed at Pause Live is the incorporation of technology in menopause treatment. From apps that help track symptoms and hormones to devices that support better sleep and stress management, technology is empowering women to take control of their health in ways previously unimaginable. I foresee even more advanced innovations in this space. Imagine wearable devices that continuously monitor hormone levels and adjust treatments in real time. Or artificial intelligence that can predict and mitigate potential health risks by analysing years of personal health data. The potential for technology to revolutionise menopause care is vast, offering more precise, timely, and individualized solutions than ever before. The Demand for Aesthetic and Physical Vitality Another crucial aspect of the future of menopause treatment is the growing demand for aesthetic and physical well-being. We want to feel good, yes, but we also want to look good. We seek to maintain our muscle tone, skin elasticity, and overall vitality well into our 50s, 60s, and beyond. This is driving a surge in treatments that focus on skin health, weight management, and physical fitness—all of which play a crucial role in how we feel about ourselves. In the future, I expect more integration of aesthetic treatments within the broader scope of menopause care. Whether it’s advanced skin treatments that focus on collagen production, or personalised exercise regimens that are informed by hormonal changes, the goal will be to provide women with the tools to feel and look their best as they age. A Holistic Approach to Well-being The days of treating menopause in isolation are numbered. The future is holistic—incorporating mental health, physical health, and emotional well-being. Lifestyle strategies like nutrition, mindfulness, and exercise will play a more central role alongside medical treatments. Cognitive-behavioural therapy for insomnia (CBT-i) and mindfulness practices will be commonplace in managing the psychological aspects of menopause, while nutritional interventions will address metabolic and cardiovascular risks. In many ways, the future of menopause treatment is already here—it’s just not evenly distributed. The businesses I saw at Pause Live are a testament to that. Some are pushing boundaries, offering innovative solutions that cater to the high expectations today’s women have for their health, well-being, and longevity. As we move forward, the challenge and the opportunity lie in creating more individualised, proactive, and holistic approaches to menopause care that meet the aspirations of a generation that refuses to settle. After all, thriving through menopause isn’t just about enduring the changes—it’s about embracing them and continuing to live life fully and confidently. With the future of menopause treatment in mind, we stand at the intersection of science, technology, and wellness, with limitless possibilities to redefine what aging looks and feels like. Here at Bristol Menopause, we are excited to be part of this journey, supporting women as they navigate this transformative time in their lives. We already encompass holistic care into the management of menopause and are always looking to the 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 Nourishing Your Brain Through Menopause: The Power of Diet Menopause Advice, Wellbeing, Diet In this blog post, we'll explore the importance of diet on brain health during menopause and discuss specific dietary choices that can support your mental and emotional well-being. Menopause is a natural phase in a woman's life, marked by various physical and hormonal changes. While these changes are well-known, many women are unaware of the profound impact menopause can have on brain health. Maintaining cognitive function and emotional well-being is essential during this time, and one powerful tool at your disposal is your diet. In this blog post, we'll explore the importance of diet on brain health during menopause and discuss specific dietary choices that can support your mental and emotional well-being. These hormonal changes can lead to cognitive issues, mood swings, and even an increased risk of conditions like Alzheimer's disease. The Role of Diet in Brain Health During Menopause Diet plays a pivotal role in brain health during menopause. What you eat directly impacts brain function and emotional well-being. Here's how: Maintaining Hormonal Balance: Certain foods can help support hormonal balance. Phytoestrogens, found in foods like soy, flaxseeds, and legumes, may help mitigate some of the hormonal fluctuations associated with menopause. Neuroprotective Nutrients: Nutrients like omega-3 fatty acids, antioxidants (such as vitamin E and C), and B vitamins are known for their neuroprotective properties. They help shield the brain from oxidative stress and inflammation, both of which can negatively affect cognitive function. Blood Sugar Regulation: A diet rich in complex carbohydrates, fibre and lean proteins can help stabilise blood sugar levels. Fluctuating blood sugar levels can impact mood and cognitive function, so it's crucial to maintain stability. Dietary Recommendations for Brain Health During Menopause Omega-3 Fatty Acids: Incorporate sources of omega-3 fatty acids into your diet. Fatty fish like salmon and trout, flaxseeds, chia seeds, and walnuts are excellent choices. Omega-3s are known for their brain-boosting properties. Antioxidant-Rich Foods: Consume a variety of colourful fruits and vegetables. Berries, leafy greens, broccoli, and citrus fruits are packed with antioxidants that protect brain cells from damage. Lean Proteins: Choose lean sources of protein like poultry, beans, lentils, and tofu. Protein provides amino acids necessary for neurotransmitter production, which can influence mood and cognitive function. Whole Grains: Choose whole grains like brown rice, quinoa, and whole wheat bread over refined grains. They provide a steady release of energy, helping to stabilise blood sugar levels. Phytoestrogen-Rich Foods: Incorporate foods rich in phytoestrogens, such as soy products (tofu, edamame, tempeh), flaxseeds, and legumes, to help balance hormonal changes. Hydration: Stay adequately hydrated. Dehydration can impair cognitive function, so aim for at least eight glasses of water a day. Limit Sugar and Processed Foods: Minimise your intake of sugary snacks and processed foods, as they can lead to blood sugar spikes and crashes that affect mood and energy levels. Navigating the menopause can be challenging but remember that your diet can be a powerful ally in maintaining brain health. By making thoughtful food choices rich in omega-3s, antioxidants, and other brain-boosting nutrients, you can support cognitive function, emotional well-being, and overall vitality. Consult with a healthcare professional or nutritionist for personalised dietary recommendations to help you thrive during this new chapter of your life. For personalised, evidence-based menopause care and support, visit Bristol Menopause Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us

< Back Enjoying Better Sex in Menopause and Beyond Self-Care, Wellbeing, Perimenopause, Menopause Advice 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 Heart Health and Menopause: What You Need to Know Cardiovascular Advice, Diet, Exercise, HRT, Perimenopause, Post Menopause, Self-Care, Stress, Wellbeing As women enter menopause, the focus often lands on symptoms like hot flushes, mood swings, and sleep disturbances. However, one of the most significant but often overlooked health risks during this transition is heart disease. Cardiovascular disease (CVD) is the leading cause of death in women, and the risk rises sharply after menopause. Understanding why this happens and how to protect your heart is essential for maintaining long-term health and well-being. Why Does Menopause Affect Heart Health? Decline in Oestrogen Levels: Oestrogen has protective effects on the heart and blood vessels. It helps to keep arteries flexible, promotes good cholesterol (HDL), and reduces bad cholesterol (LDL). When oestrogen levels drop during menopause, the loss of these protective effects can lead to increased cholesterol levels, stiffening of the arteries, and higher blood pressure. Changes in Body Composition: Menopause is often associated with weight gain, especially around the abdomen. This central weight gain is linked to insulin resistance, inflammation, and a higher risk of heart disease. Increased Blood Pressure: Blood pressure tends to rise with age, and after menopause, women are more likely to develop hypertension, which is a major risk factor for heart attacks and strokes. Higher Risk of Type 2 Diabetes: Menopause can make it more difficult to regulate blood sugar levels, increasing the risk of type 2 diabetes, a significant contributor to heart disease. Cholesterol and Triglyceride Changes: Menopausal women often experience an increase in LDL cholesterol and triglycerides, while HDL cholesterol may decline. This shift increases the likelihood of plaque build-up in the arteries, leading to atherosclerosis (hardening of the arteries). How to Protect Your Heart During and After Menopause 1. Prioritise a Heart-Healthy Diet A diet rich in whole foods, lean proteins, healthy fats, and fibre can help manage cholesterol and blood sugar levels. Consider incorporating: Oily fish like salmon and mackerel for omega-3 fatty acids. Nuts, seeds, and olive oil for heart-friendly fats. Leafy greens, berries, and whole grains for antioxidants and fibre. Reducing processed foods, trans fats, and excessive sugar to lower inflammation and improve metabolic health. 2. Exercise Regularly Aim for at least 150 minutes of moderate aerobic activity per week, such as brisk walking, cycling, or swimming. Strength training twice a week can also help maintain muscle mass and support metabolic health. 3. Monitor Blood Pressure and Cholesterol Levels Regular health checks are crucial for early detection of risk factors. Blood pressure, cholesterol, and glucose levels should be monitored routinely, especially during and after menopause. 4. Manage Stress and Prioritise Sleep Chronic stress increases cortisol levels, which can contribute to high blood pressure and inflammation. Mindfulness, yoga, deep breathing, and adequate sleep (7-9 hours per night) are vital for heart health. 5. Consider HRT For some women, HRT can be beneficial in reducing cardiovascular risk, particularly when started early in menopause. However, it’s essential to discuss this with a menopause specialist to determine the right approach for you. 6. Stop Smoking and Limit Alcohol Smoking damages blood vessels and increases the risk of heart disease. If you smoke, quitting is one of the best things you can do for your heart. Limiting alcohol consumption can also help maintain healthy blood pressure and cholesterol levels. Heart health should be a top priority during and after menopause. By making lifestyle changes, staying active, and getting regular health check-ups, you can reduce your risk of cardiovascular disease and continue to lead a healthy, vibrant life. If you have concerns about your heart health, seek professional advice and take proactive steps to protect your well-being. For more information on menopause and cardiovascular health, schedule a consultation with one of our menopause specialists here or book a health screening via out sister company Bristol Health Hub today! Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us