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< Back Is It Burnout or Perimenopause? How to Spot the Difference Understanding the overlap and the key differences between stress burnout and hormonal change You’re exhausted. You can’t concentrate. Your mood is all over the place. Sleep is elusive, and your motivation has taken a nosedive. Is it burnout from the constant juggle of work, home, and life? Or is it perimenopause your body’s natural hormonal transition that can start in your 40s (or even earlier)? For many women, the symptoms look and feel alarmingly similar, and it can be hard to know what’s really going on. The good news? You’re not imagining it. And with the right knowledge, you can get the right support. At Bristol Menopause Clinic, we see this overlap all the time. Here’s how to start untangling the signs of burnout from perimenopause and why it matters. What Is Burnout? Burnout is a state of chronic stress that leads to emotional, physical, and mental exhaustion. It’s common in women who are juggling multiple roles career, caregiving, parenting, or managing a household. Common symptoms of burnout include: Constant fatigue, even after rest Difficulty concentrating (brain fog) Feeling emotionally drained or detached Low mood, anxiety, or irritability Trouble sleeping Physical symptoms like headaches, gut issues, or frequent illnesses Burnout is often triggered by external pressures but it’s not just “in your head.” Your stress hormones, particularly cortisol, are often out of balance. What Is Perimenopause? Perimenopause is the transitional phase before menopause, when hormone levels especially oestrogen and progesterone start to fluctuate. This stage can begin anywhere between your late 30s and mid-40s and may last several years before periods stop completely. Common symptoms of perimenopause include: Irregular periods or heavier bleeding Hot flushes and night sweats Mood swings, anxiety, or low mood Fatigue and brain fog Poor sleep Vaginal dryness, urinary changes, or reduced libido New onset of joint aches or weight gain around the middle Sound familiar? That’s because there’s often significant overlap with burnout. Why It’s Easy to Confuse the Two Burnout and perimenopause both affect the nervous system, sleep patterns, mental clarity, and emotional wellbeing. And in many cases, they co-exist making symptoms worse. You might be burning the candle at both ends and navigating shifting hormones without realising it. Adding to the confusion, blood tests in perimenopause are often normal, especially if taken at the wrong time in your cycle. And burnout isn’t always “diagnosed” as a medical condition. That’s why a holistic health check is so important. Key Questions to Ask Yourself To help differentiate (or spot both), consider: Are my periods changing? If your cycle is irregular, heavier, or different than usual, this could indicate perimenopause. Did my symptoms come on after a period of extreme stress or pressure? If yes, burnout might be the primary driver. Do I feel physically hot, get night sweats, or feel flushed? These are classic signs of hormone shifts—not typically seen in burnout. Am I getting recurring infections, gut issues, or low immunity? This could point to long-term stress and adrenal dysfunction. Do I feel like I’m not myself even though nothing specific is ‘wrong’? This is a hallmark of both don’t ignore it. What You Can Do About It Whether it’s burnout, perimenopause, or both you deserve support. Here’s how to start: 1. Talk to Your GP or a Menopause Specialist Don’t downplay your symptoms. Keep a diary, ask about hormone changes, and explore HRT if appropriate. 2. Address Stress & Burnout Prioritise rest, say no where you can, and get help if you’re overwhelmed. Cognitive Behavioural Therapy (CBT), journaling, and stress management tools can make a big difference. 3. Nourish Your Body Midlife is not the time to under-eat or overwork. Choose whole foods, support your gut, and balance blood sugar with protein-rich meals. ️ 4. Move Gently, But Consistently Exercise helps regulate hormones, boost mood, and reduce stress but overtraining can backfire. Find the right pace for you . 5. Prioritise Sleep Like It’s Medicine Create a wind-down routine, reduce screen time, and consider magnesium, CBT-i strategies, or HRT if sleep issues persist. You’re Not Broken—You’re Evolving Whether you’re facing burnout, perimenopause, or both, the most important thing is this: You are not alone, and you are not weak. These are real, valid, and treatable challenges. At Bristol Menopause Clinic, we’re here to help you untangle the symptoms, explore your options, and find a path forward that works for you . Because midlife should be a time of power not survival. 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

Discover trusted coil and IUD services at Bristol Menopause & Wellwoman Clinic. Your choice, your health, with professional support every step of the way. Coil Fitting & Assessment We offer Copper and Mirena coil fittings as long-term contraceptive options tailored to your needs. The Mirena coil is a hormonal IUD that provides effective contraception while also being used in hormone replacement therapy (HRT) for women on oestrogen, helping to protect the womb lining. It is particularly beneficial for those with heavy periods or needing endometrial protection. The Copper coil , a hormone-free IUD, offers reliable contraception for up to 10 years, making it an ideal choice for those looking for a natural, non-hormonal option. During your appointment, our experienced specialists will guide you through the process, ensuring you feel comfortable and informed. We also offer coil checks, removals, and replacements as needed. Book your coil fitting appointment today for safe, effective, and long-lasting contraception. Mirena Coil IUD Initial Telephone Call Discuss coil options and procedure details. Option for a chlamydia/gonorrhoea test during fitting (£85). Consultation Review medical history, medications, and allergies. Explain the Mirena coil and insertion process. Physical Examination Pelvic exam to assess uterus size, position, and suitability. Assessment & Fitting Insert the Mirena coil using a speculum and inserter device. Some cramping or discomfort may occur during the procedure. Aftercare Guidance on what to expect post-procedure, including potential side effects and aftercare advice. £225 Book here **Please note the coil is an additional charge of £140** Copper Coil IUD Initial Telephone Call Discuss coil options and procedure details. Option for a chlamydia/gonorrhoea test during fitting (£85). Consultation Review medical history, medications, and allergies. Explain the copper coil and insertion process. Physical Examination Pelvic exam to assess uterus size, position, and suitability. Assessment & Fitting Insert the copper coil using a speculum and inserter device. Some cramping or discomfort may occur during the procedure. Aftercare Guidance on what to expect post-procedure, including potential side effects and aftercare advice. £225 Book here **Please note the coil is an additional charge of £55** Coil Retrieval Discussion & Options Review available coil options and the retrieval procedure. Offer a chlamydia/gonorrhoea test during the appointment (£85). Consultation Assess medical history, current medications, and allergies. Explain the Mirena/copper coil, including the removal and replacement process if applicable. Physical Examination Conduct a pelvic examination to determine the uterus's size, position, and suitability for a new coil if needed. Procedure Remove the Mirena/copper coil using a speculum and retrieval tools. If a new coil is fitted, insertion will be carried out using a speculum and inserter device. Some discomfort or cramping may occur during the procedure. Aftercare Provide guidance on post-procedure expectations, potential side effects, and aftercare advice. £155 Book here Terms & Conditions By booking a coil fitting appointment, you agree to the following terms and conditions: Eligibility and Suitability Coil fittings are subject to a pre-assessment to determine medical suitability. If any concerns arise during your consultation or procedure that prevent safe fitting, the procedure may be discontinued. Procedure and Consent The procedure will only be carried out after informed consent has been obtained. You reserve the right to withdraw consent at any stage. Unsuccessful Coil Fitting If a coil fitting is attempted but cannot be completed due to medical, anatomical, or other clinical reasons, a fee of £155 will apply. This charge covers the time, consultation, and clinical assessment undertaken during your appointment. Cancellations and Rescheduling We understand that unforeseen circumstances may arise. If you need to cancel or reschedule your appointment, kindly provide at least 48 hours' notice to allow us to accommodate other patients. Appointments cancelled within 48 hours will not be refunded. Appointments cancelled earlier than 48 hours will be refunded subject to a £25 administration charge. Aftercare and Follow-Up You will be provided with aftercare guidance following the procedure. If a follow-up appointment is required, it may incur an additional fee unless otherwise stated.

Discover upcoming events at Bristol Menopause & Wellwoman Clinics, offering expert guidance, resources, and support for wellwoman health and wellness. Join workshops, talks, and interactive sessions designed to empower and educate. 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. Explore our line up of events, workshops, retreats and more designed to empower individuals alike with the knowledge and tools to thrive. Don’t miss your chance to be part of the conversation! Scroll down to find out more about our upcoming events and how you can join us. PeerConnect 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. Please enter your email address below to register your interest. Menopause Coffee Morning Join Us for our FREE monthly Menopause Coffee Morning! Are you navigating perimenopause, menopause or post menopause and looking for support, understanding, and community? Come along to our relaxed and friendly Menopause Coffee Morning! This is a great opportunity to connect with other women who are on the same journey, share experiences, ask questions, and enjoy a cup of coffee together. Whether you're looking for advice, want to hear others' stories, or simply need a moment for yourself, we’d love to have you. Day: Last Thursday of the month 10-11am Time: 10-11am Where: Bristol Menopause & Wellwoman Clinic No matter where you are on your menopause journey, everyone is welcome. Let’s create a space where we can support each other and talk openly about health, lifestyle, and all things menopause. All welcome! Register here Email Submit

< Back How to Talk to Your GP About Menopause and Get the Support You Deserve HRT, Menopause Advice Empowering advice for making the most of your NHS appointment If you're experiencing symptoms like hot flushes, anxiety, poor sleep, low mood, or changes to your cycle, you may be wondering: Is this menopause? And more importantly, how do I talk to my GP about it especially when appointments feel rushed or overwhelming? You’re not alone. Many women find it difficult to bring up menopause with their doctor or feel unheard when they do. But you deserve support, and with a little preparation, your NHS appointment can be the first step toward getting it. At Bristol Menopause Clinic, we often meet women who’ve struggled to navigate the system. So, here’s your guide to making your GP appointment work for you with clarity and confidence. Why It Matters Menopause isn’t just a phase it’s a significant life transition that can impact your physical, emotional, and cognitive wellbeing. Yet, it’s still under-discussed in many healthcare settings. The good news? Awareness is growing, and GPs are increasingly trained to offer menopause support. But to get the most from your appointment, a little planning goes a long way. Step 1: Recognise the Symptoms Perimenopause (the phase leading up to menopause) can begin in your late 30s or 40s and may include: Irregular or heavier periods Hot flushes and night sweats Difficulty sleeping Low mood or anxiety Brain fog or forgetfulness Vaginal dryness or discomfort Reduced libido Joint aches and fatigue If any of these sound familiar, it’s worth bringing them up. Step 2: Track Your Symptoms Before your appointment, keep a symptom diary for at least 2–4 weeks. This doesn’t have to be complicated just a simple record of: How often symptoms occur How they’re affecting your life (e.g. work, sleep, relationships) Your menstrual cycle changes Mood or energy levels You can also use menopause symptom checklists or apps to keep track. Bringing clear examples helps your GP understand the full picture especially if your blood tests appear normal (which they often do during perimenopause). Step 3: Plan What You Want to Say GP appointments are often short, so make a written list of the key points you want to cover. For example: “I think I might be perimenopausal. These are my symptoms.” “I’m struggling with sleep/mood/hot flushes and it’s affecting my daily life.” “I’d like to understand my options, including HRT.” “Can we talk about non-hormonal approaches if HRT isn’t right for me?” Being direct and focused makes it easier to have a productive conversation. Step 4: Understand Your Options Your GP can support you in different ways, including: Offering advice and reassurance Prescribing HRT (hormone replacement therapy) if appropriate Suggesting non-hormonal treatments Referring you to a menopause clinic for specialist input Not all GPs are menopause specialists, but most should follow NICE guidelines on menopause care. If you feel dismissed, it’s okay to: Ask for a second opinion Request a referral to a menopause specialist Mention the NICE Menopause Guideline (NG23) as a framework for care Step 5: Know What to Expect From HRT Conversations If you're considering HRT, your GP will likely discuss: Your medical history and any contraindications Risks and benefits based on your age and symptoms Different types and delivery methods (patches, gels, tablets, coil, etc.) Don’t be afraid to ask questions or express concerns. You’re not being difficult, you’re being informed . Step 6: Follow Up If you're prescribed treatment, it’s important to follow up in 3 months to review how you're feeling. If symptoms persist or change, further adjustments may be needed. If no treatment is offered, or symptoms worsen, don't hesitate to re-book, request another GP, or seek a private menopause consultation if you're able to. You Deserve to Be Heard Menopause can feel like an invisible transition but it’s very real, and it matters. You deserve support, clarity, and evidence-based care. Your GP can be a great starting point, especially if you come prepared. And if you ever feel you’re not getting the help you need, there are specialist private services, like ours at Bristol Menopause Clinic, where you’ll be listened to, believed, and supported every step of the way. 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

Discover trusted coil and IUD services at Bristol Menopause & Wellwoman Clinic. Your choice, your health, with professional support every step of the way. Sexual Health We offer comprehensive sexual health checks designed specifically for women. Whether you're experiencing symptoms, have a new partner, or just want peace of mind, our experienced team is here to support you. Confidential, compassionate care for your peace of mind. Cervical Smear & HPV Cervical screening checks the heath of your cervix and looks for high-risk HPV, a common virus that can lead to cervical cancer. Early detection can prevent cervical cancer. Most HPV infections clear on their own, but regular screening helps catch any changes early. £220 Book Here Sexual Health Checks Chlamydia & Gonorrhoea Screening ✔️Chlamydia ✔️Gonorrhoea Test type: Swab £120 Book Here STI Blood Screening ✔️HIV ✔️Hep B ✔️Hep C ✔️Syphilis Test type: Blood test £135 Book Here Thrush & Bacterial Vaginosis Screening ✔️Thrush ✔️Bacterial vaginosis Test type: Swab £ Book Here

Meet the expert team at Bristol Menopause & Wellwoman Cinic, compassionate specialists dedicated to supporting women's health, menopause care, and overall wellbeing. Meet the Team Director - Women's Health Specialist Nurse Consultant Hazel Hayden 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. Operations Director Kim Jones 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. Clinical Lead - Women's Health Specialist Doctor Dr Jo Burgin 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 current Clinical fellow 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, an accomplished medical professional in the field of women's health, 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. As a clinical editor for the Contraception Choices website, Jo plays a pivotal role in developing informative content on perimenopause. Additionally, her affiliation with the British Menopause Society underscores her commitment to staying at the forefront of menopause-related advancements. Jo's recent studies, particularly in Contraception for Women over 40 and Mental Health and Perimenopause, have shed light on the pressing need for enhanced services in women's healthcare. Her contributions extend beyond research papers published in the British Medical Journal; she has also presented her findings on peri-menopause within Bristol's black communities, showcasing a commitment to inclusivity and community health. 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. Her passion for improving women's healthcare services is not only evident in her studies but is also a driving force in her everyday practice. Women's Health Specialist Doctor Dr Alice Thomas Alice is a dedicated healthcare professional with a diverse background in general practice, women's health, and mental health assessment. 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 and particularly for managing the menopause, while working in a bustling 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 a role as a mental health assessor. Alice is committed to offering evidence-based and personalised advice to her patients, recognising the significance of lifestyle factors in managing symptoms. She approaches her practice with empathy and support, valuing the opportunity to empower women through education and guidance during this 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 finds solace in outdoor activities such as running and walking in the fields, and enjoys embarking on 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. Women's Health Specialist Doctor Dr Daniella Calandrini 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. Phlebotomist Jenna Young 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. Social Media & Marketing Lead Tia Brown Tia is the creative force behind Bristol Health Hub’s 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. Patient Care Coordinator Amy Bold Amy brings over 17 years of experience in office administration to her role as Patient Care Coordinator, 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.

Accurate and efficient blood services at Bristol Menopause & Wellwoman Clinic. Supporting informed healthcare decisions for every woman. Blood Tests Basic Hormone Profile ✔️Oestradiol ✔️Testosterone ✔️Sex Hormone Binding Globulin (SHBG) £110 Book here Ultimate Hormone Profile ✔️ Oestradiol ✔️ FSH and LH ✔️ Progesterone ✔️ Prolactin ✔️ Testosterone ✔️ SHBG ✔️ Ferritin £125 Book here Fertility Blood Test ✔️Full Blood Count ✔️Renal Function ✔️Liver Function ✔️Lipid Profile ✔️Diabetes ✔️Iron Studies ✔️Thyroid Function ✔️Vitamin & Nutritional Status ✔️ Adrenal Function & Stress Hormones ✔️Hormone Profile £180 Book here Peri Menopause Blood Test ✔️ Thyroid Function ✔️ Hormone Profile ✔️ Full Blood Count ✔️I ron Status £175 Book here General Menopause Blood Test ✔️ Full Blood Count ✔️ Kidney Function ✔️ Electrolytes and Minerals ✔️ Liver Function ✔️ Lipid Profile ✔️ Thyroid Profile ✔️ Hormone Profile ✔️ Diabetes and Metabolism ✔️ Vitamins ✔️ Iron Studies £210 Book here Ultimate WellWoman Blood Test ✔️Full Blood Count: ✔️Kidney and Electrolytes ✔️Liver Function ✔️Lipids and Metabolic Markers ✔️Diabetes and Insulin ✔️Thyroid Function ✔️Vitamins and Nutrients ✔️Inflammatory Markers ✔️Hormone Profile £290 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

Discover tailored nutrition services at Bristol Menopause & Wellwoman Clinic. Helping you achieve your health goals through expert support. Nutrition for Women’s Health: Why Eating Well is Essential A woman’s nutritional needs change throughout life, influenced by factors such as hormones, metabolism, and overall health. From reproductive years to menopause and beyond, a well-balanced diet plays a crucial role in managing energy levels, supporting long-term well-being, and reducing the risk of chronic conditions. Proper nutrition can help alleviate common concerns such as weight fluctuations, mood swings, bone health, and cardiovascular health. Why Nutrition Matters for Women Hormonal Balance : Fluctuating hormone levels throughout life, from menstruation to menopause, impact metabolism, mood, and overall health. Nutrient-dense foods help regulate hormones and reduce symptoms such as fatigue, cravings, and mood changes. Bone Health : Women are at higher risk of osteoporosis due to hormonal shifts. Consuming calcium- and vitamin D-rich foods like dairy, leafy greens, almonds, and fortified plant-based alternatives supports strong bones. Heart Health: Cardiovascular disease is a leading health concern for women. A diet rich in healthy fats, fibre, and antioxidants helps protect the heart and manage cholesterol levels. Weight Management: Metabolism naturally slows with age, making weight management more challenging. A balanced intake of protein, fibre, and healthy fats can support a healthy body composition and prevent excess weight gain. Mood and Energy Levels: Nutritional deficiencies can contribute to fatigue, anxiety, and mood swings. Eating foods high in B vitamins, magnesium, and omega-3 fatty acids can boost mental clarity and energy. Top Nutrition Tips for Women’s Health Prioritise Whole Foods: Focus on fresh fruits, vegetables, whole grains, lean proteins, and healthy fats to provide essential nutrients. Support Bone Health: Increase intake of calcium and vitamin D through dairy, fortified plant-based milks, and fatty fish. Reduce Processed Foods and Sugar: Excess sugar and highly processed foods can contribute to weight gain, inflammation, and energy crashes. Stay Hydrated: Drinking plenty of water supports digestion, skin health, and hormone balance. Incorporate Phytoestrogens: Found in soy, flaxseeds, and legumes, these plant-based compounds may help with hormonal balance. Limit Alcohol and Caffeine: Both can impact hormone levels, disrupt sleep, and worsen symptoms such as anxiety and hot flashes. Stay Active: While not strictly a nutrition tip, regular exercise supports metabolism, heart health, and bone strength. Empower Your Health with Nutrition No matter what stage of life you're in, proper nutrition is key to feeling your best. Making mindful food choices can help regulate hormones, boost energy, and support overall well-being. If you’re looking for personalised nutrition advice tailored to your needs, contact us today! Our experts can help you build a sustainable approach to lifelong health and vitality.

Comprehensive PCOS support at Bristol Menopause & Wellwoman Clinic. Offering expert guidance, treatments, and personlised care for managing Polycystic Ovary Syndrome. Expert Polycystic Ovary Syndrome (PCOS) Care At Bristol Menopause Clinic, we provide expert, evidence-based care for Polycystic Ovary Syndrome (PCOS) to support you at every stage of your health journey. Whether you're struggling with irregular cycles, hormonal imbalances, weight concerns, or fertility challenges, our specialist-led appointments offer personalised guidance tailored to your needs. Our Doctors take the time to understand your unique concerns, offering expert advice on lifestyle strategies, medical management, and hormone balance. From insulin resistance and skin health to mood shifts and long-term wellbeing, we empower you with the knowledge and care you need to take control of your health. Book an appointment today and receive the specialist support you deserve for managing PCOS with confidence. Initial PCOS Consultation 45minute Initial Consultation Personalised PCOS consultation service, designed to provide expert advice and tailored support for managing Polycystic Ovary Syndrome (PCOS). Our comprehensive consultation will help you understand your condition, address your concerns, and receive guidance on improving your symptoms and overall well-being. In-depth Consultation with an Experienced Women's Health Doctor A thorough, one-on-one discussion with a specialist to understand your symptoms, health history, and concerns, including irregular periods, hormonal imbalances, weight changes, skin health, and fertility considerations. Personalised Health Plan Following an assessment of your symptoms and lifestyle, our specialist will provide tailored recommendations on managing PCOS, including nutrition, exercise, hormonal balance, and potential medical treatments. Private Prescribing if Required If appropriate, the doctor may offer private prescriptions for medications such as hormonal treatments, insulin-sensitizing therapies, or other supportive treatments, ensuring timely access to 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. Benefits of Booking This Consultation: Expert Advice – Consult with an experienced Doctor in managing PCOS 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 PCOS, from metabolic health and hormonal balance to emotional well-being. Seamless Communication with Your GP – Ensure your GP is informed and involved in your long-term management. Confidential and Comfortable Environment – Discuss your symptoms in a private, supportive setting where your concerns are heard. Book Your Consultation Today Take control of your PCOS with expert guidance and evidence-based care. Contact us to schedule your initial consultation with an experienced PCOS specialist. £225 Book here PCOS Follow-up Consultation 30-Minute Follow-Up Consultation If you've already had your initial PCOS consultation with us, this follow-up appointment is designed to monitor your progress, refine your treatment plan, and ensure you're effectively managing your symptoms. Progress Review with Your PCOS Specialist A detailed check-in to evaluate how you've been feeling since your initial consultation. We'll review symptom changes, treatment effectiveness, and lifestyle adjustments. Treatment Adjustments if Necessary Based on your progress and feedback, we’ll refine your treatment plan—whether it involves medication changes, dietary modifications, exercise recommendations, or additional investigations. Ongoing Support and Advice Get expert guidance on any new concerns, such as hormonal fluctuations, fertility considerations, metabolic health, weight management, or emotional well-being. Private Prescribing (if needed) If necessary, we can adjust your medications or prescribe additional treatments to ensure you receive the right 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. Benefits: Ongoing Specialist Support – Continue working with a PCOS expert who understands your unique health journey. Tailored Treatment Adjustments – Your plan will be refined to ensure the most effective management for your symptoms. Confidence and Clarity – Regular reviews help you stay on track and proactively manage your PCOS. 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 PCOS management remains effective and personalised. Schedule your follow-up consultation to stay in control of your health with expert support. £155 Book here

Downloadable Resources Take control with our easy-to-use trackers & resources. These downloadable tools help you and our clinicians to monitor and manage key aspects of your well-being. As well as your understand your diagnosis and treatment plan. PMDD Menstrual Diary This chart will accurately reflect your symptoms and will show the days on which they occur, the days they are absent, the days of menstruation and the duration of the cycle. A symbol can be chosen for your two or three worst symptoms and used to record them on the chart. Menstrual Blood Loss Diary Using a period blood loss chart helps your doctor to get an idea as to how heavy your period is. Download Here Blood Pressure Monitoring Regularly tracking your blood pressure at home can provide valuable insights into your health, helping you and our clinicians make informed decisions. This form is designed to make monitoring simple and consistent, so you can effectively track changes over time. Download Here Menopause Symptom Tracker Our menopause symptom tracker helps patients log and monitor symptoms, identify patterns, and assess treatments, empowering better health management. Clinicians gain valuable insights, enabling precise diagnoses, personalised care, and improved treatment monitoring, fostering proactive and collaborative care. Download Here How to use Micronised Progesterone This guide provides essential insights into how micronised progesterone works, its applications in hormone therapy, and its potential benefits for women's health. Download Here Menopause Supplements with a History of Breast Cancer This table provides essential insights into supplements that are safe and effective to support menopause symptoms for this with a history of breast cancer. Download Here Supplements and Alternative Therapies Supplements and alternative therapies play a vital role in supporting menopause. That’s why we’ve created this chart to help you understand which options may work best for you. Download Here Understanding POI This guide provides essential information for POI patients. Premature Ovarian Insufficiency (POI) is a condition where the ovaries stop functioning normally before the age of 40. Download Here Coil IUD Removal Download Here Headache Diary This is a general guide to help you record your migraine attacks, symptoms and treatment. Recording details of your migraine attacks or headache can be useful. It can help: your doctor make a diagnosis, you recognise triggers and warning signs, assess whether your acute or preventive medication is working, show any patterns to attacks. Download Here Coil Post Treatment If you have recently had an intra-uterine device (IUD/“coil”) fitted, this leaflet contains essential after-care guidance prepared by our clinical team. Download Here Managing Menopause with a History of Breast Cancer Navigating menopause can be challenging, especially with a history of breast cancer. Our detailed guide provides essential information and practical tips to help you manage menopause safely and effectively. Download Here Non-Hormonal Management Hormone Replacement Therapy (HRT) isn't the best option for everyone—whether due to personal preference or medical considerations. That's why we've created a guide to help support the non-hormonal management of menopause symptoms. Download Here Understanding GSM This guide provides essential insights into GSM. Genitourinary Syndrome of Menopause (GSM) is a common condition caused by low oestrogen levels, usually during or after menopause. Download Here Understanding TRT This guide provides essential insights into Testosterone Replacement Therapy (TRT), a treatment option that can help manage symptoms related to low testosterone levels during and after menopause. Download Here This guide provides essential information ahead of your Coil (IUD) Removal. Download Here

< Back Do I Need HRT? Breaking Down the Options Safely and Simply HRT, Menopause Advice, Managing Symptoms, Perimenopause, Post Menopause A clear guide to understanding your menopause treatment choices hormonal and non-hormonal Hormone Replacement Therapy (HRT) is often one of the first things women hear about when navigating perimenopause or menopause. But with headlines, health scares, and hormone confusion still lingering from years past, it’s no wonder many feel unsure: Do I really need HRT? Is it safe? Are there alternatives that actually work? At Bristol Menopause Clinic, we believe in empowering women with balanced, evidence-based information so you can make the choice that feels right for you. Let’s break it all down clearly, safely, and simply. What is HRT? HRT stands for Hormone Replacement Therapy. It replaces the hormones primarily oestrogen, and sometimes progesterone and testosterone that naturally decline during perimenopause and menopause. The goal? To reduce symptoms, support long-term health, and help you feel more like yourself again. Common Symptoms HRT May Help With: Hot flushes and night sweats Sleep disruption Low mood or anxiety Brain fog and forgetfulness Joint aches and muscle pain Vaginal dryness or painful sex Loss of libido Recurrent urinary tract infections For many women, these symptoms are more than just annoying they affect daily life, work, relationships, and self-esteem. HRT can offer effective relief. What Types of HRT Are Available? 1. Oestrogen-Only HRT Used if you’ve had a hysterectomy. Available as patches, gels, sprays, tablets, or vaginal preparations. 2. Combined HRT (Oestrogen + Progesterone) If you still have your womb, you’ll need a progestogen to protect the lining of the uterus. This can be delivered in combined patches, oral tablets, or through the Mirena coil. 3. Body-Identical (Micronised) HRT These are regulated, pharmaceutical-grade hormones that are molecularly identical to those your body makes. They are considered the gold standard by many menopause specialists. 4. Testosterone Offered to some women who continue to experience low libido, energy, or cognitive symptoms despite other HRT. Is HRT Safe? This is one of the most important and misunderstood questions. The short answer: for most women, yes. Modern HRT is far safer than older forms. The British Menopause Society, NICE, and International Menopause Society agree: for most women under 60 and within 10 years of menopause, the benefits outweigh the risks. HRT may even help reduce the long-term risk of: Osteoporosis Heart disease (if started early) Type 2 diabetes Cognitive decline Of course, HRT is not suitable for everyone. If you’ve had certain cancers, clotting disorders, or liver conditions, alternative options are available and should be discussed with a specialist. What If I Don’t Want HRT? That’s okay too. There’s no one-size-fits-all approach. If HRT isn’t right for you by choice or medical reasons—there are other tools that can help you feel better: Non-Hormonal Options CBT (Cognitive Behavioural Therapy) – evidence-based support for hot flushes, anxiety, and low mood Prescribed non-hormonal medications (such as SSRIs or clonidine) for hot flushes and night sweats Vaginal moisturisers and lubricants to ease dryness and discomfort Nutritional support and supplements (under expert guidance) Lifestyle Changes That Make a Big Impact Regular exercise to support mood, bones, and cardiovascular health Balanced nutrition with plenty of calcium, protein, and healthy fats Prioritising sleep and stress management Limiting alcohol and caffeine Staying socially connected Your Next Step If you’re wondering whether HRT is right for you, the best place to start is a personalised consultation with a menopause specialist. At Bristol Menopause Clinic, we take time to understand your symptoms, health history, preferences, and goals then offer tailored treatment options that work for you. 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

Free Resources Comprehensive Womens Health Guide Access Free Resource Here Menopause Guide Access Free Resource Here Understanding Genitourinary Syndrome of Menopause (GSM) Access Free Resource Here Non-hormonal Guide to Managing Menopause Access Free Resource Here POI Guide Access Free Resource Here A Balanced Guide to Health and Nutrition Access Free Resource Here Understanding Testosterone Replacement Therapy Access Free Resource Here Managing Menopause with a History of Breast Cancer Access Free Resource Here How to use Micronised Progesterone Access Free Resource Here