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< Back 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. I’m Nadine, 39 from London living with pelvic and thoracic endometriosis. My periods as a teenager were awful. I was always bloated, bed bound, losing weight, vomiting, constipated and bleeding heavily. This was my normal. It took five years for me to get a diagnosis. My GP was reluctant to take action until my dad came along with me to an appointment and requested I was referred to a private hospital. By that time I knew I had endometriosis as I had done so much research. The consultant confirmed it was endometriosis stage 4 but I was “too young” to have it removed. I ended up having multiple surgeries because of my endometriosis. At age 25, I had a stoma and then a reversal a year later. During my thirties I spent several years doing IVF as I had been told that was my best chance to conceive. Sadly, I had my fallopian tube removed due to an ectopic pregnancy caused by adhesions from the endometriosis. The hormones from fertility treatment were making my body weaker and I had two surgeries for thoracic endometriosis in 2019 and 2022 (both over the festive period). After almost twenty years since my diagnosis, I still haven’t had my endometriosis removed. Over the years, I’ve realised that endometriosis is a whole body disease. People with endometriosis shouldn’t have to wait so long to be taken seriously and receive a diagnosis. I am one of three daughters and all of us have this debilitating disease. My dad was my biggest supporter and I’ll always be grateful for him pushing to get me that initial diagnosis. It can be tough balancing a number of priorities in life… health, family, work, grief. But I try my best to listen to my body, slowing down when I need to and reaching out to my amazing endometriosis specialist nurses. If you have been diagnosed or think you might have endometriosis, there’s an incredible community which you can join including charities. Connect with Nadine here Endometriosis UK The Endometriosis Foundation 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. 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!

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 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 HRT Myths Debunked: What Every Woman Should Know Hormone Replacement Therapy (HRT) is the most effective treatment for menopausal symptoms, yet many women avoid it due to outdated fears and misconceptions. Let's separate fact from fiction. Read More Understanding Perimenopause: Why Your Body Feels Different If you're in your 40s and suddenly feeling like a stranger in your own body, you're not alone. Perimenopause- the transitional phase before menopause - affects every woman differently, but the confusion and frustration are universal. Read More Dry January & Women’s Health: A Powerful Reset for Your Body and Mind Dry January isn’t about restriction or punishment. It’s about pressing pause, giving your body time to reset, and noticing how you actually feel without alcohol in the background. Read More Menopause & Weight Gain — What’s Normal and What You Can Change Midlife weight gain is common but manageable. Discover the real reasons it happens and practical steps to support healthy, sustainable weight control. Read More When Menopause Anxiety Strikes - How to Feel More in Control Menopause anxiety can feel overwhelming. Learn why it happens and discover evidence-based strategies to regain calm and confidence. Read More HRT Explained: What the Latest Guidelines Really Say (2025 Update) Confused about HRT? Get clear, evidence-based guidance on safety, dosing, benefits, and who is eligible according to the 2025 BMS and NICE updates. Read More 11 Page 1 More Resources Here

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

Professional Wellwoman Health Screenings at Bristol Menopause & Wellwoman Clinic. Prioritising women's wellness with expert care and insights. Wellwoman Checks Our Wellwoman Checks are designed to provide a comprehensive health assessment tailored specifically for women at every stage of life. At Bristol Menopause & Wellwoman Clinic, we go beyond standard health screenings, offering in-depth evaluations of key markers such as hormone balance, cardiovascular health, metabolic function, and nutritional status. Whether you're looking to optimise your well-being, manage symptoms of perimenopause or menopause, or simply gain a clearer picture of your overall health, our expert-led assessments give you the insights and guidance you need. With personalised recommendations and support, our Wellwoman Checks empower you to take control of your health with confidence. Gold Wellwoman Check See the details Platinum Wellwoman Check See the details Platinum Signature Wellbeing Check See the details Cervical smear + HPV testing See the details

Book your cervical screening test and protect your health. Learn how screening detects HPV and early cell changes before cervical cancer develops. Cervical smear + HPV testing Package Overview | £220 15% Off for March now £187 Regular cervical screening (smear tests) is one of the most important ways to protect your long-term gynaecological health. At Bristol Menopause & Wellwoman Clinic, we offer private cervical smear tests and HPV testing in Bristol in a calm, confidential and supportive clinical environment. Our experienced clinicians specialise in women’s health and take time to ensure the test is as comfortable as possible while answering any questions you may have. Whether you are due for cervical screening, overdue for your smear test, or simply want reassurance about your cervical health, we are here to help. Book here

Testosterone therapy for low libido, fatigue and reduced muscle strength, including hormone testing, treatment options and specialist follow-up care. Testosterone Therapy Testosterone Therapy for Women on HRT We offer testosterone therapy for women already on a stable Hormone Replacement Therapy (HRT) plan who want to further optimise their health during menopause. Testosterone can support energy, libido, mood, and mental clarity, especially when standard HRT doesn’t fully relieve symptoms. Our expert-led sessions help you understand how testosterone works in menopause and how it can safely complement your current treatment. We provide personalised, evidence-based care to help you feel more like yourself again. Book a consultation today to explore if testosterone therapy is right for you. 10% OFF Initial Consultation Initial Testosterone Consultation See the details Testosterone Follow-up Consultation *Existing Patients ONLY* See the details Initial & Follow up Consultation Initial Blood Test Included *New Patient ONLY* See the details Ongoing Testosterone Support See the details

Personlised perscription care at Bristol Menopause & Wellwoman Clinic. Seamless access to expert treatments and advice. Prescriptions You can order a prescription outside of a consultation here Please Note: There is a £25 prescribing fee for all prescriptions. This non-refundable fee will be collected when you complete your medication purchase through the pharmacy. Keep in mind that this fee is for the prescription service only; the cost of the medication itself will be an additional charge, there will also be a delivery fee, it is all payable directly to the pharmacy. You can only use this service if you are under the care of Bristol Menopause Clinic. This form is for medication that has been previously prescribed ONLY. Requests for any medication that has not been previously issued will be declined. You must be up-to-date with all your appointments in order to use this service. If you are due a follow-up, please schedule this appointment. You can then access your prescriptions at no additional administration fee. If you are not sure if you are up-to-date, please contact us: hello@bristolmenopause.com , or call our Patient Support Team on 0117 452 5747. Name Date of Birth Email Prescription details Submit Thanks for submitting!

Private GP services. Book longer appointments, same-week consultations and personalised care at Bristol Menopause Clinic. Private GP Services *Please note this does not include a menopause or woman's health consultation* Access Private GP Services with Our Partner, DutyDoctor We’ve teamed up with DutyDoctor, a trusted provider of GP services, to offer you fast and convenient access to same-day medical consultations, all delivered virtually for your ease. What You Can Expect "Dr Ahmed listens, is compassionate, extremely knowledgeable and is clear in his advice. Dr Ahmed goes the extra mile & I would highly recommend." Burton, 2025 Rapid access to experienced, GMC-registered doctor Appointment times that work around your schedule Online consultations from anywhere Discreet, professional, and efficient healthcare Same-day prescriptions when needed Whether you need quick medical advice, a prescription, a referral, or ongoing support, Dutydoc is here to provide personalised, high-quality care when you need it most. "Attention to detail and thorough, genuine concerns for medical needs. Thank you Dr and team for all your help Puri, 2025 Our Private GP Services We offer convenient, confidential, and accessible healthcare when you need it. Explore our range of services below, then book an appointment with one of our experienced GPs. *Please note this does not include a menopause or women's health consultation* Consultations £60 GP Video Consultations – Speak with a GP face-to-face via secure video call from the comfort of your home. GP Audio Consultations – Prefer a phone call? Our GPs are available for audio consultations too. Book Here *Please note this does not include a menopause or women's health consultation* Medical Documentation & Prescriptions £60 Prescriptions – Get private prescriptions issued quickly and sent to your preferred pharmacy. Sick / Fit Notes – Receive valid documentation for employers or schools following your consultation. Letter Requests – Need a medical letter for travel, work, or insurance? We’ve got you covered. Book Here *Please note this does not include a menopause or women's health consultation* Referrals & Further Care £60 Referrals for Lab Tests – We can refer you for a wide range of blood tests and diagnostic screenings. Referrals for Investigations – From imaging to specialist testing, we’ll help you get the answers you need. Referrals to Specialists – If further assessment is needed, we’ll provide fast-tracked referrals to trusted private specialists. Book Here What dutydoctor can treat Aches and pains Back pain, Joint pains, Osteoarthritis, Sciatica, Gout, Fibromyalgia. Allergies Hayfever, Hives, Rashes, Allergic reactions (mild). Ear, nose and throat Earache, Ear infection, Tonsillitis, Sinusitis, Nose bleeds, Sore throat Eye Issues Eye infections, Conjunctivitis, Blepharitis, Stye, Red eye, Dry eye. Gastrointestinal Heartburn, Stomach ache, Diarrhoea, Vomiting, Constipation Genitourinary Urinary tract infection (UTI), Kidney stones, Urinary urgency, Incontinence. Lifestyle General health & lifestyle advice, Smoking cessation advice, Alcohol-excess advice, Insomnia and sleep advice. Mental Health Emotional support, Stress, Anxiety, Depression, Grief, Panic, Phobias, OCD. Neurological Tension headache, Cluster headache, Migraine, Menstrual headache, Pins and needles. Respiratory Coughs and Colds, Upper Respiratory Tract Infections, Bronchitis, Chest infections, Asthma, COPD, Bronchitis, Coronavirus advice (not antivirals). Scalp and hair Baldness (alopecia), Itchy scalp, Dandruff, Headlice, Psoriasis. Sexual health Contraception, Chlamydia, Gonorrhoea, Herpes, Genital Warts, STI testing. Skin conditions Acne, Eczema, Psoriasis, Cellulitis, Ring worm, Moles, Athlete’s foot, Cold sores, Scabies, Insect bites. Dr Koyes Ahmed MBBS BSc (Hons) DRCOG MRCP(q) Dr Koyes Ahmed is an NHS GP and Urgent Care Doctor, qualifying in 2007 from St Bartholomew's and The Royal London Hospital, with an MBBS and BSc (Hons), and also has postgraduate diplomas in Child Health (DCH) and Obstetrics and Gynaecology (DRCOG), as well as a postgraduate certificate of completion of training (CCT) in General Practice (MRCGP). With an extensive background in Medicine, Dr Ahmed has twenty-four years of education, training and experience in healthcare, and has been a doctor for eighteen years, a GP for thirteen years and has worked in the NHS, the UK private sector (as a Regional Lead GP), and internationally (as a Medical Director) in Abu Dhabi and Dubai. In addition to the above, Dr Ahmed has been featured by the BBC, ITV and Sky News, as well as various other media outlets, and has participated in a number of NHS videos and campaigns.

POI follow-up consultations with specialist doctors. Review hormone therapy, monitor long-term health and optimise personalised care. POI Follow Up Consultation Package Overview | £165 30-Minute Follow-Up If you've already had your initial POI consultation, this follow-up appointment is designed to monitor your progress, adjust your treatment plan, and ensure you're receiving the right support for managing your symptoms and long-term health. Progress Review A detailed check-in to assess how you've been feeling since your initial consultation. We’ll review: Symptom changes and how they are impacting your daily life. Effectiveness of any treatments, including HRT and lifestyle modifications. Bone and heart health concerns, ensuring proactive prevention and management. Emotional well-being and psychological support needs. Treatment Adjustments if Necessary Based on your progress and feedback, we’ll refine your treatment plan—whether that involves: Adjustments to hormonal therapy (HRT) or other medications. Nutritional and lifestyle modifications for long-term well-being. Additional psychological or emotional support strategies. Further investigations or specialist referrals if needed. Ongoing Support and Expert Advice We provide ongoing guidance on any new or persistent concerns, including: Hormonal fluctuations and symptom management. Bone density and cardiovascular health support. Coping strategies for emotional and psychological well-being. Private Prescribing (if needed) If necessary, we can adjust your medications or prescribe additional treatments to ensure you receive the right ongoing support without unnecessary delays. Letter to Your GP A summary letter will be sent to your GP, outlining your progress and any treatment adjustments, ensuring continuity of care and collaboration with your healthcare team. Book here Benefits Ongoing Specialist Support – Continue working with a POI expert who understands your unique health journey. Tailored Treatment Adjustments – Your plan is refined to ensure the most effective management of POI. Confidence and Clarity – Regular reviews help you stay on track and proactively manage your health. Seamless Communication with Your GP – Your treatment plan is shared with your GP for coordinated care. Private and Supportive Environment – A safe space to discuss any concerns and receive expert guidance. Book Your Follow-Up Appointment Today Ensure your POI management remains effective and personalised. Schedule your follow-up consultation to stay in control of your health with expert support. Would you like any additional focus on fertility, symptom relief, or lifestyle management? £165 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 here

Workplace menopause training for leaders covering legal responsibilities, HR policy, reasonable adjustments and how to support employees experiencing perimenopause and menopause. Menopause Training for Leaders Menopause can have a profound impact on employee wellbeing, confidence, and performance, yet many leaders receive little or no training on how to support staff experiencing menopausal symptoms. This specialised training equips managers, HR teams, and senior leaders with the knowledge and practical tools needed to foster a more inclusive, supportive workplace culture. This programme goes beyond awareness. Leaders will learn how menopause can influence retention, engagement, and team dynamics, as well as how to implement meaningful support systems that make a measurable difference to employees’ day-to-day experience at work. By addressing menopause openly and appropriately, organisations strengthen their commitment to diversity, equity, wellbeing, and psychological safety, ultimately enhancing performance, loyalty, and overall organisational resilience. What Your Leadership Team Will Learn Understanding Menopause, Recognising Symptoms, Stages & Challenges, Workplace Impact, Support & Adjustments, Lifestyle & Treatment Options, Building a Menopause-Inclusive Workplace. Site visits £2500 | Online £1600 Duration: 4 hours Understanding Menopause & Its Stages A detailed explanation of menopause, perimenopause, and postmenopause, including the wide range of physical and emotional symptoms that may affect employees differently. Recognising Symptoms & Key Challenges Insight into how symptoms can influence concentration, confidence, sleep, mental health, and productivity—helping leaders understand the real-life impact on work. Workplace Impact & Performance Considerations A deep dive into how menopause can affect: Attendance and absenteeism Engagement and communication Stress levels and workplace relationships Overall team performance This helps leaders identify early signs of struggle and intervene supportively. Support Strategies & Reasonable Adjustments Practical, evidence-based actions leaders can take to support menopausal employees, including: Environmental adjustments Flexible working considerations Workload and scheduling support Signposting to internal and external resources CONTACT US Key Training Modules 1. Menopause Awareness & Education Build foundational knowledge, reduce stigma, and empower leaders to have informed, constructive conversations about menopause in the workplace. 2. Legal Responsibilities & Risk Management Guidance on an employer’s legal duties under: The Equality Act Health & Safety legislation Employment law considerations Leaders will learn how to conduct risk assessments and ensure compliance while protecting employee rights and wellbeing. 3. Creating & Implementing Workplace Policies Support to develop or refine a robust, practical menopause policy that includes: Clear support pathways Confidentiality guidelines Guidance for managers Review and update cycles 4. Communication & Leadership Skills Practical training, including role-play where suitable, to help leaders: Hold sensitive, empathetic 1:1 conversations Respond confidently and appropriately Foster an open, supportive culture 5. Supporting Adjustments & Signposting Review of reasonable adjustments and internal support routes, plus signposting to: Occupational health Employee Assistance Programmes (EAPs) External specialist services CONTACT US Reviews & Feedback Deb Davis, HR Director "The Menopause Leadership Training Course with Hazel was insightful and practical, equipping me with the skills to confidently support colleagues through menopause. A must for any manager committed to building an inclusive, supportive workplace." Neil James, Operations Manager " Such a great course, really opened my eyes to how menopause can affect people at work. I feel much more confident having supportive conversations now. Highly recommend it for any manager!"

Accurate and efficient blood services at Bristol Menopause & Wellwoman Clinic. Supporting informed healthcare decisions for every woman. Blood Tests Hormone Profile | £110 - Oestradiol - Testosterone - Sex Hormone Binding Globulin (SHBG) Book Here Ultimate Hormone Profile | £125 - Oestradiol - FSH and LH - Progesterone - Prolactin - Testosterone - SHBG - Ferritin Book Here Fertility Blood Test | £225 Full Blood Count: - Renal Function - Liver Function - Lipid Profile - Diabetes - Iron Studies - Thyroid Function - Vitamin & Nutritional Status - Adrenal Function & Stress - Hormones - Hormone Profile Book Here Perimenopause | £175 - Thyroid Function - Hormone Profile - Full Blood Count - Iron Status Book Here General Menopause | £245 Full Blood Count: - Kidney Function - Electrolytes and Minerals - Liver Function - Lipid Profile - Thyroid Profile - Hormone Profile - Diabetes and Metabolism - Vitamins - Iron Studies Book Here 20% OFF Ultimate Wellwoman | £290 ONLY £232 Throughout March Full Blood Count: - Kidney and Electrolytes - Liver Function - Lipids and Metabolic Markers - Diabetes and Insulin - Thyroid Function - Vitamins and Nutrients - Inflammatory Markers - Hormone Profile Book Here IMPORTANT NOTES Please Do Not Apply Any HRT Gels or Sprays Until After Your Blood Test. If you are still experiencing regular periods and are NOT on any form of hormone medication (HRT or Contraception) please schedule your blood test between day 1-5 of your cycle