Menopause
Hormone changes around the menopause and the peri-menopause can lead to problems with sleep, mood regulation, temperature regulation (hot flushes & sweats) as well as weight gain and increases in other health risks. Some people also experience reduced tolerance to exercise, worsening of migraines and autoimmune diseases as well as joint pains, fibromyalgia and chronic fatigue. For the majority of women, replacing body identical hormones provide health benefits which outweigh risks.
Some women have complex responses to HRT, particularly those with histamine intolerance (or Mast Cell related dysfunction) - we can explore your symptoms and adjust your HRT type and doses, assess nutritional status and advise about further treatments if needed.
Your appointment to assess menopause/peri-menopause issues
Sex hormones oestrogen, progesterone and testosterone impact the whole body so a holistic approach is important. We will assess your lifestyle, family history and medical background to find the right type and dose of hormones for you. We can also discuss non-hormonal approaches to managing menopause symptoms.
Assessment
We will assess your lifestyle, family history and medical background. This includes a lifestyle medicine assessment, body composition analysis, metabolic risk markers and hormone tests if needed. We can also discuss the pros and cons of markers of ovarian reserve (AMH) if you are concerned about fertility or would like to discuss your contraceptive options (including body identical contraceptives).
Treatment options
We can discuss and prescribe the safest and most effective HRT options for your needs as well as lifestyle and non-hormonal options.