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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

Book a PMDD consultation at Bristol Menopause Clinic. Specialist assessment and personalised treatment plans for Premenstrual Dysphoric Disorder in Bristol. PMDD Initial Consultation Package Overview | £245 45minute Initial Consultation Our expert PMDD consultation service is designed to provide specialised advice and tailored support for managing Premenstrual Dysphoric Disorder (PMDD). This comprehensive consultation will help you understand your condition, address your concerns, and receive guidance on managing symptoms and improving your overall well-being. In-Depth Consultation with an Experienced Women’s Health Doctor A thorough, one-on-one discussion with a specialist to assess your symptoms, health history, and concerns, including severe mood changes, emotional distress, cycle-related anxiety, sleep disturbances, and hormonal fluctuations. Personalised Health Plan Following an assessment of your symptoms and lifestyle, our specialist will provide tailored recommendations on managing PMDD, including lifestyle strategies, nutrition, hormone balance, psychological support, and potential medical treatments. Private Prescribing (if required) If appropriate, the doctor may offer private prescriptions for hormonal treatments, mood stabilisers, or other supportive medications, ensuring you receive timely and effective care. Letter to Your GP A detailed letter outlining your consultation, diagnosis, and any recommendations will be sent to your GP to support continuity of care and ongoing management. Book here Benefits: Expert Advice – Consult with an experienced doctor in managing PMDD and its associated symptoms. Personalised Care – Receive a tailored plan based on your unique health concerns and goals. Quick Access to Treatment – Benefit from private prescribing, reducing waiting times for necessary medications. Comprehensive Support – Address all aspects of PMDD, from hormonal balance and emotional health to lifestyle adjustments. Seamless Communication with Your GP – Ensure your GP is informed and involved in your long-term management. Confidential and Supportive Environment – Discuss your symptoms in a private, compassionate setting where your concerns are heard. Book Your Consultation Today Take control of your PMDD with expert guidance and evidence-based care. Contact us to schedule your initial consultation with an experienced PMDD specialist. £245 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

Dedicated menopause and women’s health support for Clifton College staff, offering expert consultations, hormone therapy guidance and personalised wellbeing services. Clifton College In Partnership with Bristol Menopause & Wellwoman Clinic We are committed to prioritising women’s health in the workplace, creating a supportive environment where every woman feels valued, empowered, and cared for! Our Menopause Support Benefit in partnership with Bristol Menopause & Wellwoman Clinic Initial Menopause Consultation Your consultation will include: Health assessment Review current lifestyle Provide advice and guidance on treatment options Prescribe appropriate treatments Discuss supplements and lifestyle changes Personalised management plan Letter Informing GP of consultation Book here Follow-up Menopause Consultation Your review will include: Review Current Symptoms & Assess Needs Review Health Assessment Review Current Lifestyle Adjust Treatment if Necessary & Prescribe Update Your GP Personalised management plan Book here

Workplace & community womens health awareness programme covering manager education, HR policy guidance, reasonable adjustments and practical strategies to support midlife employees. Women's Health Educational Talks For Organisations and Community Groups Our Women’s Health Education Talks provide clear, evidence-based education to support understanding of women’s health across the lifespan. These sessions are designed to improve awareness, encourage informed conversations, and support healthier, more inclusive environments within both workplace and community settings. Sessions are available in person (location dependent) or via live online delivery, offering flexibility for organisations and groups of all sizes. What's included? These sessions provide a comprehensive overview of women’s health across the lifespan, supporting a deeper understanding of hormonal health and the changes that can occur at different stages of life. We explore how to recognise common signs and symptoms associated with menstrual health conditions, perimenopause, menopause and beyond, and discuss the wider impact these can have on physical health, mental wellbeing and day-to-day functioning. The sessions also cover evidence-based treatment and management options, alongside practical lifestyle approaches that can support symptom relief and overall health. In addition, we address the importance of building a supportive and inclusive, health-aware culture within organisations and community settings, helping to create environments where individuals feel informed, understood and supported. Duration: 1-2Hours £850 Education Sessions We offer a range of dedicated sessions covering key areas of women’s health. Menopause and perimenopause What is happening hormonally during perimenopause and menopause Common symptoms (e.g. brain fog, sleep disturbance, low mood, hot flushes) Long-term health considerations (bone, cardiovascular, metabolic health) HRT: benefits, risks, myths and prescribing principles Non-hormonal and lifestyle strategies Workplace impact and support strategies Premenstrual Dysphoric Disorder (PMDD) Understanding the hormonal sensitivity behind PMDD Recognising symptoms (mood changes, anxiety, irritability, low mood) Differentiating PMDD from PMS and other mental health conditions Evidence-based treatment options (SSRIs, HRT approaches, lifestyle) Practical coping strategies and safety considerations Supporting individuals in the workplace or community Polycystic Ovary Syndrome (PCOS) What PCOS is and how it presents Hormonal and metabolic drivers (insulin resistance, androgens) Symptoms (irregular cycles, weight changes, skin, fertility considerations) Long-term health risks (diabetes, cardiovascular health) Evidence-based management (nutrition, exercise, medication options) Sustainable lifestyle strategies Premature Ovarian Insufficiency (POI) What POI is and how it differs from early menopause Causes and diagnosis Physical and emotional impact Importance of hormone replacement for long-term health Fertility considerations and support Psychological wellbeing and ongoing care General women’s health across the lifespan Understanding hormones across the lifespan The menstrual cycle and hormonal fluctuations Early signs of hormonal imbalance Impact on physical health, mood, energy and cognition When to seek support and how to navigate care Package includes Pre-Event Marketing Package We provide promotional materials to help you maximise attendance and engagement. This may include email copy, posters, videos or internal communications to build awareness within your organisation. Exclusive offers for your employees A branded digital material featuring exclusive offers available only to your staff, ideal for follow-up engagement and continued support. Access to Our Menopause Support Hub for Employers One nominated staff member will receive full access to our online hub, including resources, guidance, and ongoing support tools designed specifically for workplace wellbeing. CONTACT US Reviews & Feedback Unison, Bristol "Hazel session was amazing, I found her presentation was excellent, all the information useful and she is so….. knowledgeable & passionate about the Topic." Staff Counsellor & Supervisor, University of Bristol "Hazel and the team at Bristol Menopause Clinic have been so important in helping us raise awareness of issues relating to peri/menopause in the workplace. Hazel has presented at our Menopause Clinic on several occasions and her knowledge sharing has been so useful in understanding and normalising the menopause. Through conversation and information sharing we are able to support women through their menopause experience and we wouldn’t hesitate to recommend BMC." Communications Manager, Portishead Town Council "Thanks to Hazel for presenting at our workshop yesterday evening. I understand it was another well attended and very successful event."

Join the team at Bristol Menopause & Wellwoman Clinic, make a difference in womans health with a supportive, compassionate and inclusive workplace. Careers Are you passionate about making a meaningful difference in the lives of women? At Bristol Menopause Clinic, we are dedicated to delivering exceptional menopause care and empowering women to take control of their health. What We Stand For At Bristol Menopause Clinic, we believe that every woman deserves access to expert care, regardless of her background or financial situation. Our work is rooted in a deep commitment to inclusivity, education, and community engagement. Through partnerships with local organisations and community groups, we raise awareness about menopause and offer specialised care to women facing both physical and mental health challenges. Our clinic is known for its holistic approach, combining medical expertise with lifestyle advice to support women in managing their menopause symptoms. We actively collaborate with healthcare professionals, communities, and organisations such as Avon and Wiltshire Partnership (AWP) and Bristol Women’s Voice to ensure that the care we provide is comprehensive and far-reaching. What We Offer Joining our team means becoming part of a supportive, dynamic environment where your contributions will be valued and your professional development will be prioritised. Here’s what we can offer you: Professional development opportunities: We invest in your growth, providing access to ongoing training and development to help you enhance your skills and advance your career. 25 days of annual leave: Enjoy 25 days of holiday per year pro-rata plus bank holidays pro-rata to help you maintain a healthy work-life balance. Competitive salary: We offer a competitive salary that reflects your skills and experience. Personalised Employee Assistance Programme (EAP): Access our tailored EAP scheme designed to support your mental, emotional, and physical well-being. Who We Are Looking For We are seeking experienced Doctors and Nurses who are passionate about women’s health and have a strong interest in menopause care. If you are dedicated to improving patient outcomes, enjoy working in a collaborative environment, and are looking for a role where you can make a real impact, we would love to hear from you. Current Vacancies We are currently seeking experienced Doctors and Nurses to join our team and contribute to our mission of providing high-quality, compassionate care. Contact Us If you are interested in joining the Bristol Menopause Clinic team, please get in touch with us. We’d love to discuss the opportunities we have available and how you can contribute to our mission. For more information or to apply for a role, please email your CV and cover letter to kim@bristolmenopause.com . We look forward to welcoming dedicated professionals who share our vision and values.

Premature Ovarian Insufficiency consultations with specialist doctors. Expert assessment, hormone guidance and personalised treatment plans across the UK. POI Initial Consultation Package Overview | £245 45minute Initial Consultation Our specialist POI consultation service is designed to provide expert advice and personalised support for managing Premature Ovarian Insufficiency (POI). This comprehensive appointment will help you understand your condition, address your concerns, and receive tailored guidance on managing symptoms, protecting long-term health, and improving overall well-being. In-Depth Consultation with a Specialist in Women’s Health A thorough, one-on-one discussion with an experienced doctor to assess your symptoms, medical history, and concerns, including irregular or absent periods, menopausal symptoms, fertility challenges, bone health risks, and emotional well-being. Personalised Health Plan Following a detailed assessment, our specialist will provide a customised plan to help manage POI, covering: Hormone Replacement Therapy (HRT) – Understanding the benefits of HRT for symptom relief and long-term protection. Bone and Heart Health Support – Strategies to maintain bone density and cardiovascular well-being. Lifestyle and Nutritional Guidance – Recommendations on diet, exercise, and supplements for optimal health. Emotional and Psychological Support – Managing the mental health impact of early menopause and POI. Private Prescribing (if required) If appropriate, our doctor may provide private prescriptions for hormonal treatments, bone health support, or other necessary medications, ensuring timely and effective care. Letter to Your GP A detailed letter summarising your consultation, diagnosis, and recommended treatments will be sent to your GP to support continuity of care and long-term management. Book here Benefits: Specialist Expertise – Consult with a highly experienced doctor in POI and early menopause care. Tailored Support – Receive a personalised approach designed around your specific health needs. Quick Access to Treatment – Avoid long waiting times with private prescribing options. Holistic Approach – Address all aspects of POI, from symptom management to long-term health protection. Seamless GP Communication – Ensure your GP is informed and involved in your ongoing care. Compassionate & Confidential Care – A supportive environment where your concerns are heard and understood. Book Your Consultation Today Take control of your health with expert guidance and evidence-based care. Contact us to schedule your initial POI consultation with a menopause specialist. £245 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

Women’s Platinum Health Screening. A comprehensive private health assessment including advanced blood tests, hormone review and personalised lifestyle guidance. Platinum Wellwoman Check Package Overview | £750 The Platinum Wellwoman Check is a comprehensive health assessment tailored specifically for women, designed to provide a thorough and caring experience. Focusing on overall wellness, this check-up includes essential screenings for heart health, hormonal balance, and preventative care, ensuring that all aspects of your health are addressed. Our expert team provides personalised advice, helping you stay proactive with preventative healthcare and lifestyle management. Whether you’re looking to maintain optimal health, catch potential concerns early, or enhance your well-being, the Platinum Wellwoman Check offers the highest level of care for women at every stage of life. This package lasts for 2 hours, over 2 appointments (1 hour each). Additional Notes: During both appointments, you will have plenty of time to ask questions and express any concerns about your health. Our team is committed to making sure you feel comfortable and well-informed throughout the process. You will also receive ongoing support, with follow-up recommendations or referrals if necessary, and you’ll have access to our health experts for any additional guidance you may need. This comprehensive package is designed to help you take proactive control of your health, offering personalised support and a detailed plan for the future. Book here Package Includes Appointment 1: Comprehensive Ultimate Blood Test: You’ll be guided through a blood draw that covers a wide range of essential markers, including cholesterol, liver function, blood sugar, thyroid function, and more. This helps us identify any potential issues early on. Full Health Assessment: This session involves an in-depth discussion of your medical history, current health concerns, lifestyle habits, and any symptoms you might be experiencing. Our experts will assess factors like stress levels, sleep patterns, exercise habits, and overall well-being. Expect this first appointment to take about 1 hour, ensuring that we have the time to gather a full picture of your current health. Appointment 2: Physical Breast Examination: This in-person exam is carried out by a qualified practitioner who will assess your breasts for any signs of irregularities or abnormalities. This is a crucial part of your health check to ensure early detection of any issues. Nutrition Advice: Based on your health and lifestyle, we’ll provide personalised advice on how to maintain a balanced diet that works for your specific needs. This could include recommendations for nutrient-dense foods, meal planning, and even supplementation suggestions to optimize your health. Menopause Support: If you are in or approaching menopause, we’ll provide tailored guidance to help you manage any symptoms you may be experiencing, whether physical (like hot flashes or sleep disturbances) or emotional. We will discuss possible treatments, lifestyle adjustments, and holistic approaches for better quality of life during this phase. Detailed Health Report: After both appointments, you will receive a thorough written report outlining your blood test results, health assessment, physical breast examination, and nutrition recommendations. It will also include expert advice on menopause management and further steps for your health journey. Expect the second appointment to last about 1 hour, as we go through your results and ensure that you feel supported and informed about your health. £750 Book here

< Back How can pelvic physiotherapy support perimenopause? Alternative Therapies, Exercise, Managing Symptoms, Pelvic Organ Prolapse, Wellbeing Like puberty, menopause transition involves a complex cascade of hormonal changes. We spend on average over 40% of our lives in post-menopause, so it is crucial to understand and get ahead of these changes to optimise our long term well-being. Poor pelvic health, such as bladder, bowel and sexual dysfunction, is a leading barrier to continuing exercise and can be detrimental to our mental health. For much of our lives, oestrogen is our power house - it’s what keeps muscles, tendons and connective tissue stretchy, subtle and strong, our joints healthy and lubricated. It keeps the vaginal and urethral walls moist and elastic, with capacity for distention and constriction. We go through life not fully appreciating the wonderful things oestrogen does for us. A reduction in oestrogen levels can cause local changes to the vaginal and vulvar tissues and muscles which we call Genitourinary Syndrome of Menopause (GUSM). This describes a collection of symptoms which are all caused by this hormonal shift. Symptoms of GUSM include: Vaginal dryness, burning or sandpaper-like feeling Pain with sex and decreased lubrication Vaginal and vulvar itching - Changes in odor and discharge UTI’s or vaginal infections Skin irritation Change in orgasm Reduced strength or takes longer to achieve Smear tests or tampon insertion (if still using) become uncomfortable Symptoms of prolapse, such as heaviness or pressure - Increased frequency and urgency to empty bladder Leaking urine with exertion or not making it to toilet on time Firstly, bringing attention to our vulvar skin care, and use of lubricants, vaginal moisturisers (like YesYesYes ) and a prescription for vaginal oestrogen could be instrumental for managing these symptoms. Depending on the person, HRT can also play a role in improving these issues, too. Pelvic floor Physiotherapy can be a game changer, and is actually a gold standard treatment for managing GUSM symptoms. So how does physio work? Leaking urine on coughing, running or jumping (called stress urinary incontinence or SUI) is extremely common. If the pressure in our tummy is less than the pressure created by the muscles surrounding the urethra, then we are protected from leaking. This urethral closure pressure is created in two ways: 1. Like the vaginal walls, the urethral walls fold in on themselves to allow for considerable expansion when emptying the bladder, and creating a leakproof closure pressure when at rest. 2. Abdominal pressure presses down onto the bladder neck, and compresses it - stopping the flow of urine, like stomping on a garden hose. Any changes to tissue quality, like GUSM, can alter this mechanism, as the plump urethral walls become drier and thinner, and the connective tissue supporting the bladder weakens. However, learning how to fully contract and relax the pelvic floor muscles has been shown to increase blood flow, tissue elasticity and muscle bulk, improving tissue quality and often improving or resolving SUI. Pelvic organ prolapse (POP) symptoms may also begin or worsen during perimenopause or post-menopause. This is where there is an excess of downwards movement in the vaginal walls and connective tissue that provide support for your pelvic organs, causing descent to or past the entrance of the vagina. Childbirth, pregnancy, hypermobility and chronic straining are all examples of risk factors for pelvic organ prolapse, and declining oestrogen levels and tissue quality could contribute to an increase in symptoms. Types of pelvic floor prolapse Thankfully, we can use pelvic floor muscle training to create a hammock of support from underneath to manage prolapse symptoms. A pelvic floor physiotherapist will also look at your whole body biomechanics to help you optimise support from below and minimise pressure from above, as well as optimising bowel habits and toileting postures to minimise straining. Keep exercising! Pelvic health concerns should never be a barrier to exercise. Exercise and keeping muscles strong is especially crucial during this stage of life, as it also helps body weight, bone density, cardiovascular health, and supports mental well-being by managing anxiety and depression. Exercise has even been shown to improve vasomotor symptoms like hot flushes! If you’re experiencing pelvic floor symptoms or want to protect your pelvic floor for the future, reach out to a pelvic floor physiotherapist for support. Alma Physiotherapy offer a Menopause Pelvic Floor Assessment & Treatment appointment with their specialist physios, and you can get 10% off the first session with code BM10 . Meg is a sports (MSK) and pelvic health physiotherapist based at Alma Physiotherapy, 25 Lower Redland road, Bristol, BS6 6TB. Book via: www.almaphysiotherapy.co.uk/book-online Email her PA Zainab pa@almaphysiotherapy.co.uk or call 07942 494506 for help booking. References: Russo et al. Management of urinary incontinence in postmenopausal women: An EMAS clinical guide. Maturitas. 2021 Jan;143:223-230. doi: 10.1016/j.maturitas.2020.09.005. Epub 2020 Sep 30. PMID: 33008675. Mercier et al. Pelvic floor muscle training: mechanisms of action for the improvement of genitourinary syndrome of menopause. Climacteric. 2020 Oct;23(5):468-473. doi: 10.1080/13697137.2020.1724942. Epub 2020 Feb 27. PMID: 32105155. Mercier et al. Pelvic floor muscle training as a treatment for genitourinary syndrome of menopause: A single-arm feasibility study. Maturitas. 2019 Jul;125:57-62. doi: 10.1016/j.maturitas.2019.03.002. Epub 2019 Mar 29. PMID: 31133219. 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

Women’s testosterone therapy follow-up including hormone monitoring, symptom assessment and personalised treatment optimisation with specialist clinical support. Testosterone Follow Up Consultation Review | £165 If you’ve already had your initial menopause consultation with us, this follow-up review appointment is the perfect way to check on your progress, adjust your treatment plan, and ensure you’re on track for managing your menopause effectively. Our experienced menopause doctor will guide you through any changes, improvements, or challenges, and provide ongoing support tailored to your evolving needs. What’s Included in Your 30-Minute Review Appointment: Progress Review with Your Menopause Doctor A detailed check-in to assess how you’ve been feeling since your initial consultation. We’ll review any symptoms, treatment effectiveness, and lifestyle changes. Treatment Adjustments if Necessary Based on your feedback and progress, we’ll adjust your treatment plan, whether it involves medication changes, lifestyle recommendations, or further investigations. Ongoing Support and Advice Receive expert guidance on any new symptoms or concerns that may have arisen, helping you continue managing menopause with confidence. Private Prescribing (if needed) If there’s a need for further medications, such as hormone therapy adjustments or new prescriptions, they will be issued during the consultation, ensuring you have the care you need without delay. Letter to Your GP A summary letter will be sent to your GP, outlining your progress and any changes to your treatment plan, ensuring seamless continuity of care. Please note: If you have not been seen within the past 12 months, you will be required to book an initial consultation. Book here Benefits of Booking a 30-Minute Review Appointment: Continued Expert Care Stay on top of your menopause journey with ongoing support from a menopause specialist who knows your history and understands your unique needs. Tailored Adjustments Your treatment plan will evolve with you. We’ll make sure you’re getting the most effective care, whether through changes in medication, lifestyle adjustments, or other interventions. Peace of Mind Regular reviews ensure that you’re on the right track, helping you manage menopause symptoms effectively and minimise any discomfort. Seamless Communication with Your GP Your GP will be updated on your progress and any treatment changes, promoting collaborative care and ensuring your full healthcare team is aligned. Confidential and Convenient Have a private, supportive space to discuss your progress and concerns, allowing you to feel confident in your treatment and decisions moving forward. Book Your 30-Minute Review Appointment Today Stay on top of your menopause journey with expert care and ongoing support. Schedule your 30-minute review appointment to ensure your menopause management remains personalised, effective, and up to date. £165 * A blood test is required to assess your testosterone levels and confirm that treatment is appropriate. This must be carried out via a venous blood draw; finger-prick tests are not accepted. Finger-prick tests are not sufficiently accurate for clinical decision-making in menopause care. The blood test costs £110 in addition to the consultation.* 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. If you have not been seen within the past 12 months, you will be required to book an initial consultation. Book here

< Back Fatigue and Menopause: When Exhaustion Isn’t Just in Your Head Alternative Therapies, Managing Symptoms, Self-Care, Wellbeing Are you constantly running on empty, even after a full night’s sleep? Do you feel like your energy has vanished, and no amount of coffee or rest seems to help? If you’re in your 40s or 50s and feeling this way, you’re not alone—and you’re not imagining it. Fatigue is one of the most common (and most overlooked) symptoms of perimenopause and menopause. At Bristol Menopause Clinic, we support women through every stage of hormonal change, helping you understand your symptoms, regain your energy, and feel more like you again. Why Am I So Tired All the Time? Fatigue during menopause is different from regular tiredness. It’s often described as a bone-deep exhaustion, affecting both mind and body. You might feel foggy, irritable, and unable to focus. Tasks you once handled with ease suddenly feel overwhelming. This isn’t laziness or burnout—it’s hormonal. How Hormones Affect Your Energy During perimenopause and menopause, your reproductive hormones—especially oestrogen, progesterone, and testosterone—fluctuate and decline. These hormones play a vital role in everything from sleep to stress response, brain function, and mood regulation. Here’s how the changes affect your energy levels: Oestrogen Helps regulate mood, sleep, and body temperature When it drops, you may experience night sweats, poor sleep, low mood, and brain fog—all of which contribute to fatigue Progesterone Has a calming, sleep-promoting effect Its decline can lead to anxiety, restlessness, and disrupted sleep Testosterone Supports stamina, drive, and muscle mass Low levels can leave you feeling flat, unmotivated, and physically weak It’s not just hormonal changes, either. Many women are also dealing with busy careers, parenting teenagers, or caring for ageing parents—all while their bodies are going through major shifts. Fatigue or Something Else? It’s easy to chalk fatigue up to stress or ageing, but it’s important to rule out other causes such as: Thyroid dysfunction Iron-deficiency anaemia Vitamin B12 or D deficiency Long COVID Sleep apnoea Depression or anxiety At Bristol Menopause Clinic, we take a full health history and offer advanced blood testing to uncover all possible causes—not just hormonal ones. What Can You Do About Menopausal Fatigue? The good news? You can get your energy back. Here’s how we support our patients: Hormone Replacement Therapy (HRT) Tailored HRT can help balance your hormones, improve sleep, reduce brain fog, and restore vitality. It’s safe for most women and can be life-changing when prescribed correctly. Sleep Support We help address sleep disruption through: Sleep hygiene strategies CBT-i (Cognitive Behavioural Therapy for Insomnia) Melatonin or other sleep aids if appropriate Lifestyle & Nutrition Guidance Blood sugar balance and protein-rich meals to avoid energy crashes Magnesium, vitamin D, or iron supplementation where needed Stress reduction strategies (breathwork, journaling, boundaries) Movement That Works with Your Body You don’t need to “push through.” We help you find the right kind of exercise to boost energy gently—like walking, yoga, or strength training tailored to midlife. You’re Not Lazy. You’re Not Broken. You’re Hormonal. So many women come to us saying, “I just don’t feel like myself anymore.” They’ve been told to “get on with it” or “wait it out.” But struggling through menopause without support isn’t a badge of honour—it’s unnecessary. Fatigue doesn’t have to be your new normal. Let’s Find Your Energy Again At Bristol Menopause Clinic, we take a compassionate, medical approach to menopause and midlife health. We’ll help you: Understand what’s happening to your body Get personalised testing and care Create a realistic, tailored plan for more energy and better wellbeing You don’t have to figure this out on your own. Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us

< Back Understanding the Different Types of Coils: A Guide to Intrauterine Devices (IUDs) Wellbeing When it comes to contraception, intrauterine devices (IUDs), commonly referred to as coils, offer a highly effective and long-term solution for women looking to avoid pregnancy. Despite their effectiveness, many women remain unsure about the differences between the various types of coils available. In this blog post, we will explore the different types of coils, how they work, their benefits, and potential side effects. What is a Coil? A coil is a small, T-shaped device that is inserted into the uterus by a healthcare professional. It provides contraception by either releasing hormones or using copper to prevent fertilisation. Coils are highly effective, with a success rate of over 99%, making them one of the most reliable forms of contraception available. Types of Coils There are two main types of coils available in the UK: the hormonal intrauterine system (IUS) and the non-hormonal intrauterine device (IUD). 1. Hormonal Coil (IUS – Intrauterine System) The hormonal coil releases a small amount of progestogen (a synthetic form of the hormone progesterone) into the uterus. This hormone thickens the cervical mucus to prevent sperm from reaching the egg, thins the lining of the uterus to prevent implantation, and in some cases, suppresses ovulation. Types of Hormonal Coils Available in the UK: Mirena – Effective for up to five years, Mirena is often prescribed to help manage heavy periods as well as for contraception and can be the progestogen part of your HRT Levosert – Similar to Mirena, this coil lasts for up to six years and is also used for managing heavy menstrual bleeding. This can also be part of your HRT. Kyleena – A lower-dose hormonal coil that lasts up to five years, often chosen for its smaller size. Jaydess – Lasting up to three years, Jaydess is another low-dose option designed for those who prefer a shorter-term hormonal method. Benefits of the Hormonal Coil: Can lighten or stop periods altogether, which is beneficial for those with heavy menstrual bleeding. Provides long-lasting contraception with minimal effort. Suitable for women who cannot tolerate oestrogen-based contraception (such as the combined pill). May reduce period pain and symptoms of endometriosis. Potential Side Effects: Irregular bleeding or spotting in the first few months. Hormonal side effects such as headaches, breast tenderness, or mood changes. In rare cases, the coil can be expelled or displaced. 2. Non-Hormonal Coil (IUD – Intrauterine Device) The non-hormonal coil, commonly referred to as the copper coil, works by releasing copper into the uterus, which creates an inhospitable environment for sperm, preventing fertilisation. Types of Copper Coils Available in the UK: TT380 Slimline – One of the longest-lasting IUDs, effective for up to ten years. Nova-T 380 – A smaller copper coil suitable for women who have not given birth, lasting up to five years. UT 380 Short – Designed for women with smaller uteruses or those who have never been pregnant. Benefits of the Non-Hormonal Coil: Does not contain hormones, making it a great option for those who experience side effects from hormonal contraception. Provides immediate contraception upon insertion. Can last between five and ten years, depending on the type. Can be used as emergency contraception if inserted within five days of unprotected sex. Potential Side Effects: Can cause heavier, longer, or more painful periods, especially in the first few months after insertion. There is a small risk of infection in the first 20 days after insertion. In rare cases, it can be expelled or displaced. Which Coil is Right for You? Choosing the right coil depends on individual health needs, lifestyle, and personal preferences. The hormonal coil is often recommended for those who experience heavy or painful periods, while the non-hormonal coil is a good option for those who prefer to avoid hormonal contraception. A healthcare professional can help assess your medical history and discuss the best option based on your needs. If you are considering a coil, it is essential to have a consultation with a Healthcare professional to understand the benefits and risks in relation to your health. Insertion and Removal Process Both types of coils require insertion by a trained healthcare professional. The procedure usually takes around 5-10 minutes and can cause mild discomfort or cramping. Pain relief, such as ibuprofen, can be taken beforehand to ease discomfort. Once inserted, a follow-up check may be recommended to ensure the coil is in place. We have Amy our specialist nurse here at Bristol Menopause clinic who does monthly Saturday coil clinics. Removal is a straightforward process and can be done at any time by a healthcare professional. Fertility typically returns to normal immediately after removal. The coil is a reliable and effective contraceptive option that suits many women. Whether you prefer a hormonal or non-hormonal method, understanding the differences between the types of coils can help you make an informed choice. If you are considering a coil, speak to a healthcare provider to determine the best option for your lifestyle and health needs. Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us

< Back Testosterone Follow-up Consultation *existing patients only* 30-Minute Menopause Review Appointment If you’ve already had your initial menopause consultation with us, this follow-up review appointment is the perfect way to check on your progress, adjust your treatment plan, and ensure you’re on track for managing your menopause effectively. Our experienced menopause doctor will guide you through any changes, improvements, or challenges, and provide ongoing support tailored to your evolving needs. What’s Included in Your 30-Minute Review Appointment: Progress Review with Your Menopause Doctor A detailed check-in to assess how you’ve been feeling since your initial consultation. We’ll review any symptoms, treatment effectiveness, and lifestyle changes. Treatment Adjustments if Necessary Based on your feedback and progress, we’ll adjust your treatment plan, whether it involves medication changes, lifestyle recommendations, or further investigations. Ongoing Support and Advice Receive expert guidance on any new symptoms or concerns that may have arisen, helping you continue managing menopause with confidence. Private Prescribing (if needed) If there’s a need for further medications, such as hormone therapy adjustments or new prescriptions, they will be issued during the consultation, ensuring you have the care you need without delay. Letter to Your GP A summary letter will be sent to your GP, outlining your progress and any changes to your treatment plan, ensuring seamless continuity of care. Benefits of Booking a 30-Minute Review Appointment: Continued Expert Care Stay on top of your menopause journey with ongoing support from a menopause specialist who knows your history and understands your unique needs. Tailored Adjustments Your treatment plan will evolve with you. We’ll make sure you’re getting the most effective care, whether through changes in medication, lifestyle adjustments, or other interventions. Peace of Mind Regular reviews ensure that you’re on the right track, helping you manage menopause symptoms effectively and minimize any discomfort. Seamless Communication with Your GP Your GP will be updated on your progress and any treatment changes, promoting collaborative care and ensuring your full healthcare team is aligned. Confidential and Convenient Have a private, supportive space to discuss your progress and concerns, allowing you to feel confident in your treatment and decisions moving forward. Book Your 30-Minute Review Appointment Today Stay on top of your menopause journey with expert care and ongoing support. Schedule your 30-minute review appointment to ensure your menopause management remains personalised, effective, and up to date. £155 Book here