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Bristol Menopause Experts, Well Woman Clinic Bristol, Menopause Specialists, Women’s Health nationwide, Menopause Care, Women’s Wellbeing, Holistic Women’s Health, Menopause Support Team, Hormone Health Bristol Meet Our Team Hazel Hayden | Director, Women's Health Specialist Nurse Consultant | British Menopause Society Specialist Hazel Hayden is a Consultant Nurse and a highly respected British Menopause Society Registered Specialist, with a passion for empowering women through every stage of menopause. She’s also trained in sleep and insomnia therapy, Cognitive Behaviour Therapy (CBT) for menopause, and has a diploma in nutrition. Hazel’s expertise extends to weight management through her training in the National Medical Weight Loss Programme. As a member of both the International Menopause Society and the International Association for Premenstrual Disorders, Hazel stays at the forefront of advancements in women's health. She’s a sought-after speaker at local and international conferences, where she shares her insights on menopausal health as well as its impact on mental health. In addition to her speaking engagements, Hazel remains committed to her clinical work, supporting women through their unique menopausal health journeys. Her areas of expertise also include cardiovascular disease, type 2 diabetes, and respiratory disorders, ensuring a holistic approach to patient care. Hazel goes beyond individual care, training other healthcare professionals to become British Menopause Society Specialists, helping to raise the standard of menopause care for women everywhere. With a deep dedication to improving women’s health, Hazel has also combined her clinical knowledge to create specialist supplements tailored to support women navigating menopause, offering them practical solutions to thrive during this transformative but sometimes challenging time. Book with Hazel Dr Jo Burgin | Clinical Lead, Women's Health Specialist Doctor | British Menopause Society Specialist Jo is a Doctor and academic with over 15 years working in Sexual and Reproductive Health, both clinically and as a part of non-governmental organisations. She is a honorary researcher at the University of Bristol with research focusing on menopause. **Please note that Jo is unable to see any patients that are registered at Bridgeview Medical Practice** Jo holds a Masters in Sexual and Reproductive Health research, complemented by postgraduate diplomas in Obstetrics and Gynaecology and Sexual and Reproductive Health. Her dedication to advancing reproductive and hormonal health is evident in her international work, where she focused on delivering crucial training to clinicians in low-resource countries. Her qualitative research has focused on perimenopause and mental health and contraception for women over 40 and is published in the British Medical Journal and the British Journal for General Practice. She leads initiatives addressing menopause care in underserved communities, including developing multilingual patient information. Despite her extensive contributions to research and academia, Jo remains grounded as an NHS GP in Bristol, where she continues to advocate for comprehensive and holistic care for her patients. Book with Dr Burgin Kim Jones | Operations Director Kim Jones is an essential member of the Bristol Menopause & Wellwoman Clinic team, expertly managing the day-to-day operations to ensure everything runs smoothly. With a sharp focus on organisational efficiency and effective management, Kim plays a crucial role in supporting the clinic's mission to deliver the highest quality of care to our patients. With over a decade of experience in operations administration, Kim excels in optimising processes, coordinating across departments, and upholding the clinic's standards of excellence. She is responsible for overseeing a wide range of administrative duties, including scheduling, resource management, and maintaining compliance with healthcare regulations. Her efforts are vital to ensuring a seamless patient experience and fostering a supportive environment for both staff and clients. Kim’s commitment to the operational side of the clinic significantly contributes to our reputation for exceptional care and personalised services. Her dedication to continuous improvement, combined with her passion for healthcare, ensures that our clinic remains a leader in women’s health. Through her leadership and dedication, Kim helps maintain the high standards that our patients have come to expect from the Bristol Menopause & Wellwoman Clinic. Dr Alice Thomas | Women's Health Specialist Doctor | British Menopause Society Specialist Alice is a dedicated healthcare professional with a diverse background in general practice, women's health, and mental health assessment. She is a Women’s Health Specialist and a British Menopause Society (BMS) Specialist, reflecting her advanced expertise and commitment to delivering high-quality, evidence-based care. Her journey began with her medical education at the University of Liverpool School of Medicine, where she laid the foundation for her career. After graduating in 2004, she embarked on her career in medicine, initially working as a GP in Merseyside. However, it was her move to Sydney, Australia, in 2010 that proved pivotal in shaping her professional interests. There, she discovered her passion for women's health, particularly in managing menopause, while working in a busy family practice. This experience ignited her dedication to providing comprehensive care for women during the perimenopause and menopause stages. In 2013, Alice returned to the UK and settled in North Somerset. She continued her work as a menopause doctor, now complemented by her role as a mental health assessor. As a Women’s Health Specialist and BMS Specialist, Alice is committed to offering evidence-based, personalised care, recognising the significant role that lifestyle factors play in managing symptoms. She approaches her practice with empathy and support, valuing the opportunity to empower women through education and guidance during this important transitional phase of life. Beyond her professional endeavours, Alice cherishes her time with her two young boys and embraces a love for the countryside. She enjoys outdoor activities such as running and walking in the fields, as well as family adventures, including road trips in their campervan. In summary, Alice exemplifies a healthcare professional who is not only dedicated to her patients' well-being but also finds balance in her personal life through nature and family time. Book with Dr Thomas Dr Daniella Calandrini | Women's Health Specialist Doctor Daniella is a GP with 15 years’ experience in women’s health. She is passionate about helping women manage their transition through menopause and is skilled at dealing with a range of other women’s health problems. As part of this training, she completed 6 months in obstetrics and gynaecology as well as 6 months in the dermatology department training in skin issues including a vulval skin clinic. In response to the increased demand for menopause support in her NHS practice she has worked hard to make sure the care her patients receive is holistic, individualised and evidence based. This has included setting up a new system for prescribing and reviewing HRT and running menopause clinics in her NHS Bath practice. She is also trained and very experienced in fitting coils (both hormonal and copper types). Outside of her clinical work Daniella has been a GP appraiser for 10 years and a GP clinical advisor for the NHS England Performance team for 5 years. In these roles she supports doctors to ensure they maintain their learning and are treating patients safely and in line with best practice. These roles align with the clinical care she aims to deliver to her own patients. Book with Dr Calandrini Jenna | Phlebotomist Jenna Young is a highly valued member of our medical team, serving as both a skilled phlebotomist and a trained health care assistant. With her dual expertise, Jenna brings a unique blend of technical precision and compassionate patient care to her work. Her proficiency in drawing blood and preparing specimens for testing is complemented by her broad experience in various aspects of patient support and clinical care. As a trained health care assistant, Jenna is adept at providing holistic support to patients, from assisting with daily activities to helping manage patient flow in our facility. Her calm and reassuring presence helps create a comfortable environment, making every patient feel understood and cared for during their visit. Jenna is known for her gentle touch and meticulous attention to detail, ensuring each procedure is safe, efficient, and as pain-free as possible. Her ability to connect with patients, combined with her strong commitment to maintaining high standards of hygiene and safety, makes her an invaluable asset to our team. Book With Jenna Tia Brown | Social Media & Marketing Lead Tia is the creative force behind our online presence. With a passion for wellness and a sharp eye for digital trends, she leads our social media and marketing strategy, bringing our health services to life across platforms. Tia combines her background in marketing with a genuine interest in helping people live healthier lives, crafting engaging content, growing our community, and making sure our message reaches the people who need it most. Whether it’s a powerful health tip, a behind-the-scenes look at our work, or a campaign that gets people talking, Tia ensures that Bristol Menopause & Wellwoman Clinic stays connected, informative, and inspiring. Amy Bold | Senior Administrator Amy brings over 17 years of experience in office administration to her role as Senior Administrator, including 9 years working on reception. She plays a vital role in supporting both patients and clinical staff, ensuring the smooth day-to-day running of the clinic. Known for her dedication and strong work ethic, Amy takes pride in offering a high standard of service and care. Her warm, friendly personality creates a welcoming atmosphere for everyone who visits the clinic. Whether she’s answering queries, coordinating appointments, or assisting with behind-the-scenes administration, Amy is always ready to help with kindness and professionalism. Her approachable nature and attention to detail make her an integral part of the team, helping patients feel reassured and supported throughout their journey with us. Claire Corbett | Patient Co-ordinator With over 20 years’ experience in marketing and client relations, Claire brings exceptional organisation, warmth, and professionalism to her role as Patient Coordinator. She ensures every patient feels supported and cared for, handling all communication with empathy and discretion. Often the first friendly face our visitors meet, Claire’s calm and approachable nature helps patients feel at ease from the moment they arrive.

Here at Bristol Menopause & Wellwoman clinic we understand the unique needs of women as they navigate various stages of life, including menopause. UK Leading Clinical Specialists in Women’s Hormone Health Expert care for PMDD, PCOS, POI, Perimenopause and Menopause, personalised, evidence-based treatment wherever you are in the UK. 20% OFF Testosterone Assessment Package If you have been experiencing low energy & mood, reduced libido and cognitive function it is advised assessing your hormone levels properly. We provide an evidence based testosterone assessment designed to give you clear answers and safe next steps. What's included: Appointment 1: Hormone profile blood test Appointment 2: 45 minute initial consultation with a specialist Doctor Testosterone Prescription if required £350 | April Offer 20% off £280 Book Here Please ensure no HRT gel or creams are applied on morning of appointment What We Offer Our Services See the details Our Training See the details Our Events See the details FREE Resources See the details Comprehensive Spring Reset Health Screening Take a proactive and personalised approach to your health this spring with our comprehensive assessment. Designed to give you a clear understanding of your current health status, this in-depth screening identifies key risk factors and areas for optimisation. More Info Here What we do Here at Bristol Menopause and Well Woman clinic we understand the unique needs of women as they navigate various stages of life, including menopause. Our mission is to provide holistic, compassionate, comprehensive and evidence-based healthcare services that support each woman's individual needs provided by British Menopause Society registered specialists. Our dedicated team of British Menopause Society accredited specialists are here to provide comprehensive and compassionate care in women's health, working with you through your individual journey. Our aim is to make menopause a positive experience. We offer face to face appointments at our clinic just 2 minutes off Junction 19 of the M5 or nationally we can offer video consultations. More about us Spring Renewal: A Time to Refocus on Your Health As we move into spring, many women notice changes in energy, mood, and sleep. Seasonal shifts can positively influence wellbeing, but may also highlight ongoing menopausal or hormonal symptoms. Spring is an ideal time to review your health, optimise your wellbeing, and ensure your treatment is working effectively. Book your Comprehensive Spring Reset Health Screening today and take a proactive step towards feeling your best this season. We are here to support you at every stage. Book Your Comprehensive Spring Reset Health Screening Here To play, press and hold the enter key. To stop, release the enter key.

Learn more about the menopause and discover our top tips for managing symptoms from our healthcare professionals. Blog Below are some useful tips and insights from the team here at Bristol Menopause, acknowledged industry experts and trusted advisors, which will hopefully trigger some thoughts or ideas. Alternative Therapies Cardiovascular Advice Diet Exercise Gum Disease HRT Managing Symptoms Managing Weight Menopause Advice Mental Health Pelvic Organ Prolapse Perimenopause Polycystic Ovaries Post Menopause Self-Care Stress Wellbeing Still Feeling Flat on HRT? Could Testosterone Be the Missing Piece? Understanding when testosterone replacement may help with low libido, fatigue, brain fog, and persistent menopausal symptoms despite HRT Read More Low Testosterone in Women: Symptoms, Testing and Treatment Options in the UK Think you may have low testosterone? Learn about symptoms, testing (including SHBG), and safe treatment options for women in the UK, including menopause care. Read More Understanding the Safe Use of HRT Gels and Sprays: Reducing the Risk of Unintentional Transfer What you need to know to safely use transdermal oestrogen around your family and pets Read More World Health Day: Prioritising Women’s Health Across Every Stage of Life For women, health is dynamic. It evolves across the life course, influenced by hormonal changes, reproductive health, lifestyle factors, and increasing demands on physical and emotional wellbeing. Read More 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. Read More How Do I Know If My Symptoms Are Due to Perimenopause? Many women find themselves wondering: Is this perimenopause? Or is something else going on? The challenge is that perimenopause symptoms can be subtle, intermittent, and wide-ranging. Read More Living with Stage 4 Endometriosis: Symptoms, Diagnosis and Nadine’s Story A powerful personal story of living with stage 4 pelvic and thoracic endometriosis, the long journey to diagnosis, and learning to listen to the body while navigating health, fertility and life. Read More Menopause at Work: How to Protect Your Career, Confidence and Performance Menopause often coincides with the peak of a woman’s career. You may be leading teams, sitting on boards, running businesses, or stepping into senior roles, yet workplace menopause support in the UK remains inconsistent and often inadequate. Read More How Menopause Affects Heart Health February is Heart Health Month and there’s something we urgently need to talk about.... Read More The Missing Hormone: Why Women Need Testosterone Too When we think about menopause and hormones, oestrogen and progesterone usually take centre stage. But there's another crucial hormone that's often overlooked in women's health: testosterone. Read More 11 Page 1 More Resources Here

< Back Still Feeling Flat on HRT? Could Testosterone Be the Missing Piece? HRT, Managing Symptoms, Perimenopause, Post Menopause, Menopause Advice Understanding when testosterone replacement may help with low libido, fatigue, brain fog, and persistent menopausal symptoms despite HRT Many women start HRT for menopause expecting to feel fully like themselves again with improved energy, better mood, clearer thinking, and a return to normal wellbeing. For many women, Hormone Replacement Therapy (HRT) works extremely well. However, some women continue to experience symptoms such as low libido, fatigue, brain fog, poor concentration, reduced motivation, and low mood , even when their oestrogen treatment is working effectively. If this sounds familiar, testosterone for menopause may be worth considering. At the Bristol Menopause Clinic, we often see women who feel their HRT has helped, but they still do not feel fully themselves. In some cases, testosterone can be an important part of completing their menopause treatment plan. What Does Testosterone Do in Women? Although testosterone is often thought of as a male hormone, women naturally produce testosterone too, and it plays an important role in physical, emotional, and sexual wellbeing. Testosterone can help support: Libido and sexual desire Energy and motivation Mood and emotional wellbeing Confidence and resilience Focus and concentration Muscle strength and body composition General vitality and quality of life During perimenopause and menopause , testosterone levels naturally decline. This reduction can be more significant after surgical menopause , particularly if the ovaries have been removed. Symptoms of Low Testosterone in Menopause Low testosterone in women can contribute to symptoms such as: Low libido Ongoing fatigue Brain fog Poor memory and concentration Reduced confidence Low motivation Feeling emotionally flat Loss of enjoyment or drive Feeling unlike yourself despite being on HRT These symptoms can overlap with other aspects of menopause, which is why specialist assessment is important. When Is Testosterone Prescribed for Menopause? Testosterone replacement for women is not usually the first step in treatment. Before considering testosterone, it is important to ensure that standard menopause HRT is fully optimised, including: Oestrogen replacement Progesterone where required Lifestyle factors such as sleep, stress, nutrition, and exercise Testosterone may be considered when a woman is already using appropriate HRT but symptoms still persist. This should always be assessed by a qualified menopause specialist. Do You Need a Blood Test Before Testosterone? Yes and it must be a venous blood test , not a finger-prick test. Before prescribing testosterone, we assess: Baseline testosterone levels Sex Hormone Binding Globulin (SHBG) Free Androgen Index (FAI) Finger-prick tests are not accurate enough for assessing testosterone and should not be used for prescribing decisions. Is Testosterone Licensed for Women in the UK? Currently, there is no female-specific licensed testosterone product for menopause treatment in the UK. This means specialist menopause clinics prescribe carefully adjusted low doses of testosterone gel or cream originally licensed for men, following guidance from the British Menopause Society. This is known as off-licence prescribing , but it is common, safe, and evidence-based when managed correctly by an experienced clinician. Is Testosterone Safe for Women? When prescribed at female physiological doses and monitored correctly, testosterone is generally very safe. The goal is not to create “high testosterone” levels, but to restore levels within the normal female range to improve symptoms safely. Monitoring is essential to reduce the risk of side effects and ensure the treatment remains appropriate. How Long Does Testosterone Take to Work? Some women notice improvement within 6 to 8 weeks , particularly in libido, energy, and mental clarity. However, we usually allow 3 to 6 months to properly assess the full benefit of treatment. Regular follow-up appointments are an important part of safe testosterone prescribing. What If My GP Will Not Prescribe Testosterone? Many NHS GPs do not routinely prescribe testosterone for menopause , mainly because it is an off-licence treatment. This can leave many women feeling frustrated when symptoms continue despite being on HRT. As a specialist menopause clinic, we can: Assess whether testosterone is clinically appropriate Arrange the correct blood tests Prescribe safely where suitable Monitor treatment and blood levels Communicate with your GP for continuity of care Could Testosterone Be the Missing Piece? For the right patient, testosterone can make a significant difference to quality of life. It is not suitable for everyone, but for women experiencing persistent symptoms despite optimised HRT, it can be an important part of effective menopause treatment. If you are still feeling flat on HRT and wondering whether there is more that could help, a specialist menopause review may help determine whether testosterone therapy for women could be the next step. At Bristol Menopause Clinic, we provide expert assessment, evidence-based prescribing, and ongoing support to help women feel well, confident, and fully supported through menopause. Find out more information about our testsoterone packages here Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us

Video demonstrating how to use HRT products How to Use Your HRT Safely and Effectively We understand that starting hormone replacement therapy (HRT) can feel overwhelming, particularly when it comes to knowing how and when to use your medication. This video library has been created to guide you step-by-step through your prescribed treatment. Each video demonstrates how to use different types of HRT safely and effectively, helping you feel confident and supported in your treatment. If you have any questions or are unsure at any stage, our clinical team is here to help. Oestrogen Gel Oestrogel is a transdermal oestradiol preparation applied to the skin, allowing for consistent systemic absorption of oestrogen. Oestrogen Patches Transdermal oestrogen patches deliver oestradiol continuously through the skin, providing stable systemic hormone levels. Lenzetto Spray Lenzetto is a transdermal oestradiol spray that delivers a metered dose of oestradiol via the skin, providing consistent systemic absorption. Utrogestan Utrogestan is an oral micronised progesterone used as the progestogenic component of hormone replacement therapy, providing endometrial protection in women receiving oestrogen while offering a body-identical option with a favourable metabolic and side effect profile.

Osteoporosis Screening Bristol, DEXA Scan Bristol, Bone Health Tests Bristol, Bone Health Bristol, Expert Osteoporosis Care Bristol, Bone Density Testing Bristol Osteoporosis Screening In Partnership with Bone Density Scan (DEXA) A bone density scan (also known as a DEXA or DXA scan) is a safe and painless test that measures the strength and density of your bones. It helps to identify if your bones are becoming thinner or weaker, which may put you at risk of osteoporosis or fractures. During the scan, a small amount of low-dose X-ray is used to measure the amount of calcium and minerals in your bones. The results are presented as a T-score and Z-score, which compare your bone strength to healthy young adults and to others of your own age and sex. A bone density scan is one of the most effective ways to detect osteoporosis early and reduce the risk of serious fractures later in life. £50 Next clinic: 2nd July 2026 Book here Who may benefit from a bone density scan? A scan is especially useful for people with certain risk factors, including: Women over 50 or post-menopausal Young women with Premature Ovarian Insufficiency Surgical & medical menopause Family history of osteoporosis Low body weight (BMI under 19) Previous fractures Lack of weight-bearing exercise Smoking or high alcohol intake Long-term corticosteroid use (inhalers or tablets) History of breast Thyroid problems, rheumatoid arthritis, or Crohn’s disease Benefits of Bone Density Scanning ✔ Early detection – identifies low bone density before fractures occur. ✔ Quick & painless – the scan usually takes only 10–15 minutes. ✔ Instant results – you receive your T-score and Z-score straight away. ✔ Personalised advice – results can guide lifestyle changes, exercise, diet, and medical support if needed. ✔ Peace of mind – helps you understand your risk level and take proactive steps to protect your bone health. £50 Book here

Bristol Women’s Health Events, Wellwoman Workshops Bristol, Menopause Talks Bristol, Women’s Wellness Sessions, Health Education Events Bristol, Expert Women’s Health Guidance Our Events Welcome to our event hub, where you’ll find a range of upcoming events. Whether you're looking to deepen your understanding of women's health, engage with industry experts, or find practical solutions, we have something for everyone. Don’t miss your chance to be part of the conversation! FREE Webinar ' Heavy Periods - You don't have to just put up with it ' With Dr Daniella Calandrini Date: Friday 22nd May Time: 2pm Book Here Free Webinar 'Menopause, Mood and Anxiety: Finding Balance' Date : Tuesday 23rd June Time: 12pm Book Here Thriving Together in Midlife Supporting each other through every stage of health, hormones and life. A unique event focused on helping men and women better understand their changing health, and how to support each other through it. We often see in clinic that one of the biggest challenges is not just the symptoms themselves, but the lack of understanding between partners. This event creates an opportunity to change that. Date: Monday 8th June 2026 Time: 6:30pm Book Here Osteoporosis Screening Dexa Scan A bone density scan (also known as a DEXA or DXA scan) is a safe and painless test that measures the strength and density of your bones. It helps to identify if your bones are becoming thinner or weaker, which may put you at risk of osteoporosis or fractures. Date: 2nd July 2026 Book Here Email Submit Peer Connect PeerConnect is a peer-to-peer matching service designed to bring women together for mutual support during significant life and health journeys. By registering your interest, you can be matched with another woman who is also seeking connection and understanding. Once matched, your are virtually introduced allowing you to start your journey of support, whether through regular virtual chats, shared resources, or choosing to meet in person. Empowering women to build meaningful, supportive relationships on their own terms, helping reduce isolation and offering a safe space to share experiences, encouragement, and advice.

Our dedicated team of British Menopause Society accredited specialists are here to provide comprehensive and compassionate care in women's health, tailored to your individual journey. Partnering with Corporates and Charities for Menopause and Women’s Health in the Workplace At Bristol Menopause Clinic, we support businesses and charities in creating inclusive workplaces that prioritise women’s health, with a special focus on menopause. From developing tailored workplace policies to delivering expert training sessions and offering onsite or virtual health clinics, we provide comprehensive solutions to empower women at work. Our services help organisations foster a culture of understanding, reduce stigma, and boost employee wellbeing and productivity. By addressing key issues like menopause through education, policy, and personalised care, we enable workplaces to thrive. Partner with us today to make a lasting impact on women’s health in your organisation. NHS HMP - Eastwood Park Old Down Estate Amazon Broadway Lodge BT Group Sirona Healthcare Stroud High Shcool Unison Pro Cook We Work Burton Bradstock C of E Primary school University of Bristol Portishead Town Counsil Silverback Film Tribe Associates Clifton College Brunel GKN Bristol Women's Voice If you would like more information about our corporate services, please do not hesitate to reach out to us. You can contact us via email at hello@bristolmenopause.com or by phone at 0117 4525747. Our dedicated team is available to assist you with any inquiries, provide tailored solutions, or discuss how we can best support your organisation’s needs. We look forward to hearing from you!

< Back Low Testosterone in Women: Symptoms, Testing and Treatment Options in the UK HRT Think you may have low testosterone? Learn about symptoms, testing (including SHBG), and safe treatment options for women in the UK, including menopause care. Low Testosterone in Women: What Happens Next? Many women come to clinic having already done their research. They have read about testosterone, recognised symptoms in themselves, and often spent months or years wondering whether it might help. Yet when they speak to their GP, they are frequently told their blood tests are “normal,” or that testosterone is not something that can be prescribed. In some cases, treatment is started without clear guidance or follow-up. If this feels familiar, it is worth understanding what good testosterone care should look like and why the answer is not always straightforward. Can Women Have Low Testosterone? Yes. Testosterone is often thought of as a “male hormone,” but it plays an important role in women’s health. In women, testosterone contributes to: Libido and sexual function Motivation and drive Energy levels Mood and emotional resilience Muscle strength and maintenance Levels naturally decline with age, particularly during perimenopause and menopause. Symptoms of Low Testosterone in Women Low testosterone can present in a number of ways. Common symptoms include: Reduced libido Low motivation or drive Persistent fatigue Emotional flatness or reduced enjoyment Brain fog or poor concentration Reduced muscle strength These symptoms often overlap with other hormonal changes, particularly oestrogen decline, which is why a full assessment is essential. Why “Normal” Blood Tests Do Not Always Mean Normal One of the most common frustrations is being told that testosterone levels are “normal.” However, testosterone testing in women is complex: There is no universally agreed diagnostic threshold for low testosterone in women Reference ranges vary between laboratories Results do not account for individual baseline levels Hormone levels fluctuate with age, cycle, and medication A level that is technically “normal” may still be too low for a particular individual. The Importance of SHBG and Free Testosterone A key factor often overlooked is Sex Hormone Binding Globulin (SHBG) . SHBG is a protein that binds testosterone in the bloodstream. When testosterone is bound, it is not biologically active. This means: Total testosterone may appear normal But free (active) testosterone may be low SHBG levels can be raised by: Oral oestrogen (including some HRT) The combined contraceptive pill Certain metabolic factors For this reason, a proper assessment should include: Total testosterone SHBG Calculated free testosterone Do You Need a Blood Test for Low Testosterone? Blood tests can be helpful, but they are only one part of the picture. A diagnosis is based on: Clinical symptoms Hormonal context (including oestrogen status) Blood results (interpreted appropriately) Focusing on numbers alone can miss the underlying issue. Why Oestrogen Matters First Before considering testosterone, it is important to ensure that oestrogen levels are adequately supported . Testosterone therapy tends to be more effective when: Oestrogen deficiency has already been addressed Symptoms have partially improved but not fully resolved For example, a woman on HRT who feels significantly better overall but still experiences low libido or reduced motivation may benefit from testosterone. Testosterone Treatment for Women in the UK Is testosterone safe for women? When prescribed at physiological (female) doses , testosterone has a well-established safety profile. Treatment aims to: Restore levels within the normal female range Improve symptoms not exceed normal hormone levels How is testosterone prescribed? In the UK, testosterone for women is prescribed off-licence , which is standard practice in specialist menopause care. Treatment usually involves: A transdermal gel or cream Applied daily to the skin Careful dose titration over time Common options include: Low doses of male formulations (e.g. Testogel, Tostran) Androfeme 1% (licensed in Australia) How long does testosterone take to work? Testosterone is not a quick treatment. Effects develop gradually Improvements are often seen over several weeks to months Consistency is essential Women who understand this tend to achieve the best outcomes. Monitoring and Follow-Up Safe testosterone prescribing requires structured follow-up. Typical monitoring includes: Blood test at 3 months Ongoing testing every 6 months Clinical review of symptoms The goal is: Symptom improvement Safe hormone levels The lowest effective dose Side Effects of Testosterone in Women At appropriate doses, side effects are uncommon. Potential side effects may include: Acne Increased facial or body hair Oily skin These are: Dose-dependent Usually mild Reversible with dose adjustment More significant side effects are rare when treatment is properly supervised. Why Testosterone Care Often Falls Short Despite strong evidence, many women struggle to access appropriate care. This is largely due to: Limited training in testosterone prescribing Variability in clinical confidence Lack of structured follow-up in some settings As a result, women may experience: Underdiagnosis Undertreatment Inadequate support When to Seek Specialist Advice You may benefit from specialist input if: You have persistent symptoms despite “normal” blood tests You are on HRT but still feel something is missing You have tried testosterone without clear benefit You have not had structured follow-up In many cases, the issue is not that testosterone “doesn’t work,” but that: Dosing is suboptimal Treatment is stopped too early Monitoring is insufficient Testosterone Treatment at Bristol Menopause Clinic At Bristol Menopause Clinic, testosterone assessment includes: A full clinical history Detailed hormone review Appropriate blood testing Personalised treatment planning We also offer structured follow-up and support packages to ensure: Safe prescribing Ongoing monitoring Continuity of care Book a Consultation If you are concerned about low testosterone or ongoing menopausal symptoms, we are here to help. hello@bristolmenopause.com Low testosterone in women is often overlooked, misunderstood, or inadequately managed. A “normal” blood test does not always mean optimal health. The key is a symptom-led, clinically informed approach , supported by appropriate testing and follow-up. With the right care, testosterone can play a valuable role in helping women feel more like themselves again. Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us

Our dedicated team of British Menopause Society accredited specialists are here to provide comprehensive and compassionate care in women's health, tailored to your individual journey. ​ Expert Menopause Care Tailored to You At Bristol Menopause Clinic, we provide expert, evidence-based menopause care designed to support you at every stage of your journey. Whether you're experiencing perimenopause, menopause, or post menopause, our specialist-led appointments offer personalised guidance on hormone replacement therapy (HRT), lifestyle strategies, and symptom management. Our British Menopause Society-registered specialists take the time to understand your concerns, helping you navigate changes with confidence. From sleep disturbances and mood shifts to weight management and hormonal balance, we empower you with the knowledge and care you need to feel like yourself again. Book an appointment today and take control of your menopause journey with trusted medical support. Initial Menopause Consultation £225 Read More Menopause Package: Initial & Follow up Consultation Included - New Patient Only £350 Read More Menopause Follow-up Consultation *Existing Patients ONLY* £155 Read More Ongoing Menopause Support Package Read More

Blood Tests Basic Hormone Profile ✔️Oestradiol ✔️Testosterone ✔️Sex Hormone Binding Globulin (SHBG) £110 Book here Ultimate Hormone Profile Oestradiol Test ✔️Follicle Stimulating Hormone (FSH) ✔️Luteinising Hormone (LH) ✔️Progesterone ✔️Prolactin ✔️Testosterone ✔️Sex Hormone Binding Globulin (SHBG) £125 Book here Ultimate WellWoman Blood Test ✔️Oestradiol ✔️Progesterone ✔️Luteinising Hormone (LH) ✔️Follicle Stimulating Hormone (FSH) ✔️Testosterone ✔️Sex Hormone Binding Globulin (SHBG) ✔️Prolactin ✔️Insulin Levels ✔️Cortisol ✔️DHEA Sulphate – A precursor to both oestrogen and testosterone, important for energy, mood, and stress resilience. ✔️Vitamin D 25(OH) – Essential for bone health, immune system function, and mood regulation. £290 Book here Fertility Blood Test ✔️ Thyroid Health ✔️ Hormone Health ✔️ Vitamin D ✔️ Full Blood Count ✔️ Iron Status ✔️ Liver Health ✔️ Diabetes Health ✔️ Stress ✔️ Heart Health ✔️ Kidney Health ✔️ Infection & Inflammation £180 Book here Important Note About Hormone Replacement Therapy (HRT) Gels Please Do Not Apply Any HRT Gels Until After Your Blood Test.

< Back Lifestyle Medicine and Menopause: Building Resilience from the Inside Out Alternative Therapies, Diet, Exercise, Managing Symptoms, Managing Weight, Menopause Advice, Perimenopause, Post Menopause, Self-Care, Wellbeing Every year, World Menopause Day highlights an important theme to raise awareness and improve women’s health globally. For 2025, the focus is on Lifestyle Medicine, and it couldn’t be more timely. We know that menopause is more than “low oestrogen.” Hormones interact with every system in the body: the brain, cardiovascular system, bones, metabolism, and mood regulation. But what’s becoming clearer is that hormones do not act alone. Their effects depend on the receptors they bind to, and those receptors are influenced by our daily lifestyle choices from the food we eat, to how we move, rest, and manage stress. Progesterone and Its Receptors While oestrogen often takes centre stage, progesterone is equally important in midlife health. Progesterone binds to progesterone receptors (PRs), found not only in the uterus and breast tissue but also in the brain. Here, PRs influence mood, sleep, and cognition by interacting with the brain’s calming neurotransmitter system (GABA). This is one reason why declining progesterone in perimenopause can contribute to anxiety, poor sleep, and mood changes. But here’s the key: the effectiveness of progesterone depends on the health of its receptors. And receptor activity is shaped by both biology and lifestyle factors such as diet, stress, and sleep. The Role of B Vitamins One of the clearest examples of lifestyle medicine in action is nutrition. In particular, the B vitamins, especially B6, B9 (folate), and B12 are essential for brain health and hormone receptor function. Vitamin B6 helps produce serotonin, dopamine, and GABA neurotransmitters that work alongside progesterone’s calming effects. Folate (B9) and B12 support methylation, a process that regulates gene expression, including hormone receptor sensitivity. Riboflavin (B2) and Niacin (B3) fuel mitochondrial energy, indirectly supporting hormone metabolism and brain function. Without these nutrients, even if hormones are present, their messages may not be fully received by the body. This is why nutrition is not a side note it’s a core pillar of hormone health. The Lifestyle Medicine Framework in Menopause Lifestyle medicine is built on six key pillars, each of which directly influences hormone signalling and overall health in menopause: Nutrition: Prioritise whole, nutrient-rich foods. Ensure adequate intake of B vitamins, protein, fibre, and phytonutrients to support receptor and metabolic health. Physical Activity: Regular movement improves insulin sensitivity, reduces inflammation, and enhances receptor responsiveness. Both resistance training and aerobic exercise are protective in midlife. Sleep: Consistent, restorative sleep helps regulate cortisol and supports hormone balance. Poor sleep, by contrast, disrupts receptor sensitivity. Stress Management: Chronic stress elevates cortisol, which competes with sex hormone pathways and blunts receptor activity. Practices like mindfulness, yoga, and breathing exercises make a measurable difference. Avoidance of Harmful Substances: Reducing alcohol, smoking, and ultra-processed foods helps protect receptor function, brain health, and cardiovascular resilience. Positive Social Connections: Strong relationships improve stress resilience, mood regulation, and long-term health outcomes all of which interact with hormonal systems. Why This Matters for Midlife Women Menopause care is too often framed as “replacing what is lost.” But the evidence shows that building resilience through lifestyle is equally powerful. Whether or not a woman chooses hormone therapy, supporting her nutritional status, physical health, and emotional wellbeing can amplify outcomes and reduce long-term risks of heart disease, osteoporosis, and cognitive decline. This year, World Menopause Day invites us to reframe menopause care: not as symptom management, but as whole-person health care, rooted in the daily choices that sustain hormone function and receptor 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