There are more than 11 million women in the UK over 45 years experiencing a range of changes around the menopause which for over 50% have a significant impact on quality of life lasting on average 7 years or longer.
Let’s discuss the range of options available for you which may include lifestyle changes, hormonal and non hormonal therapies.
Why not bring balance, calm and quality back in your life?
Let me help you by keeping it simple and understanding the facts and by helping you to cope ......don’t suffer in silence.
Saideman Practice offers a menopause clinic and private GP services for patients based in London. My menopause clinic in the new beautiful HCA Outpatient & Diagnostic Centre Elstree is located in Beaufort House at the Waterfront Park and provides easy access for patients all over North London. There are fantastic diagnostic facilities avoiding the need to travel into central London.
call 020 3621 1726 or email firstname.lastname@example.org
Top tips for healthy lifestyle around the menopause
There are many options for every woman to optimise your lifestyle and reduce symptoms. Make sure you understand the benefits and choose the decision you are most comfortable with. Be well informed and discuss your worries and concerns. Remember this is a transition and as new symptoms appear or change you may need new information and new treatments.
Look after yourself
This stage in life also finds a lot of women facing changes in their body shape and often weight gain and it is important to tackle these changes with a combination of a healthy diet and regular exercise. Reducing weight will also help with hot flushes
Have a sensible approach to alcohol as this can provoke hot flushes
3. bone health
Ensure you have a good dietary intake of calcium and Vitamin D alongside weight bearing excercise to strengthen all your long bones
4. emotional support
Anxiety and depression are common symptoms so it is important to ensure you have a good supportive network and seek professional help if you are struggling
Don’t forget that even if you have stopped your periods you still need to continue with contraception for 2 years if you are under 50 years and 1 year if you are over 50 years
Going through the menopause early either naturally or after surgical or medical treatment will affect fertility and women need support to help them know what choices there are on offer
Vaginal dryness and soreness is a common problem and there are many options for treating this ranging from lubricants, moisturisers, vaginal oestrogen and psychosexual counselling
8. healthy heart
Make sure you attend for blood pressure monitoring and review of cholesterol as there are metabolic changes around the perimenopause and menopause
9. breast care
It is important to attend for routine screening Mammograms and perform regular breast self examination
10. cervical smears
make sure you attend for your routine cervical screening
Here are some of the tell-tale signs that you may be experiencing with the menopause.
Do some of these symptoms seem familiar to you? Don’t suffer in silence …
night sweats and flushes
daytime sweats and flushes
joint and muscle pain
inability to cope
not feeling yourself
loss of memory
loss of concentration
bladder or sexual problems
passing urine more frequently
leakage of urine
vaginal dryness, soreness or itching
bleeding with sex
low sexual desire
difficulty with achieving orgasm
change in periods
heavier or longer periods
bleeding between periods
My 10 Top tips on HRT - Hormone Replacement Therapy
The Oestrogen commonly prescribed in most HRT products either as a tablet, gel or patch in the UK is a synthetic hormone that is identical to the hormone produced by the ovaries therefore we call this body identical. If a woman still has a uterus she will need additionally progesterone to protect her uterus lining. There are different ways to prescribe the progesterone component either as a tablet, patch or intrauterine device. Currently there is only one licensed body identical Progesterone that can be prescribed for this use in the form of a tablet.
(The safety of unregulated compounded bioidentical hormones is unknown)
Relief of hot flushes which are related to the drop in oestrogen which occurs around the menopause, so replacing this hormone gives relief of this symptom. Depression and low mood which are also such common symptoms for women improve with HRT
2. Body identical hormones
The Oestrogen commonly prescribed in most HRT products either as a tablet, gel or patch in the UK is a synthetic hormone that is identical to the hormone produced by the ovaries therefore we call this body identical. If a woman still has a uterus she will need additionally progesterone to protect her uterus lining
3. HRT not always an option
For some women HRT is not an option if they have a genetic mutation and are high risk for or have had a hormone dependant cancer
Reduced libido is a result of dropping levels in oestrogen and testosterone and HRT can improve this. Women should understand the options for them so that can be empowered to make choices. If oestrogen is not effective then testosterone supplementation may be another option
5. Vaginal Oestrogen
For most women Vaginal Oestrogen should be offered for vaginal symptoms for as long as needed.
Bleeding after starting any HRT product can occur in the first 3 months
7. how long?
There is no arbitrary limit of the length a woman should stay on HRT
Transdermal Oestrogens do not increase the risk of blood clots or stroke so are safer than
oral HRT in women over 60 years and if their BMI more than 30
9. other risks?
Starting HRT under the age of 60 years does not increase your risk of heart attacks and HRT does not increase your risk of developing Diabetes
10. Breast cancer
The individual risks of breast cancer around the menopause varies between women according to their risk factors including genetic factors, being overweight,alcohol intake and smoking. HRT with oestrogen alone is associated with little or no change in this risk. Combined HRT over the age of 50 years may be associated with a small increase risk of breast cancer after 7 years use which returns to baseline after stopping HRT
10 facts about the menopause
Menopause means your last period
Being post menopausal means 1 year after your last period
The average age of natural menopause in UK is 51 years
1% of women reach menopause before the age of 40
Peri menopause is the time interval before the menopause when women start to notice a change in their period cycle & onset of mood changes
No need to perform blood tests for healthy women +45 years with menopause symptoms to confirm a diagnosis of perimenopause or menopause
75% of post menopausal women experience hot flushes with 25% of them being severely affected
50% of women experience vaginal symptoms including dryness, itching, discharge & painful sex. This can also cause changes in urinary continence, more urine infections, thrush & bacterial vaginosis
Women going through a premature or early menopause should be offered HRT treatment at least until the natural age of the menopause
All women are different both in the way they go through the menopause and the way they respond to treatment so an individualised approach is crucial
Top tips on alternative or complementary therapy
Always use registered herbal products to ensure their quality and safety
1 Herbal remedies
Isoflavones black cohosh, St John’s Wort & red clover may be helpful but be aware they can interact with other medicines like Tamoxifen and for some women are contraindicated if they have had a hormone related cancer
2 Anti depressants
Should not routinely be offered for low mood around the menopause but have a role to play if HRT is not a suitable option but be cautious especially with taking Paroxetine or Fluoxetine if you are taking Tamoxifen
Can be used as an alternative for women if HRT is not suitable but can have unacceptable side effects at higher doses
4 Gabapentin or Pregabalin
Can help with hot flushes but can cause side effects including drowsiness, dizziness, weight gain and a dry mouth
Phytooestrogens are contained in certain food groups and can have weakly oestrogen properties so be cautious if a history of breast cancer of taking additional supplements
CBT alongside relaxation techniques, sleep hygiene, hypnotherapy and learning to take a positive attitude to menopausal challenges are all important aspects of menopause care
Menopause in numbers
What my patients had to say
I had reached the stage that my anxiety and mood swings were preventing me from getting through the day. I did not necessarily associate my symptoms with the menopause, but thankfully after consulting with Dr Saideman I have got my life back!