Holistic Menopause Care
Welcome to Health in Menopause, a private clinic established to offer holistic care to women like you.
No doubt you have lots of questions about how you are feeling, wondering if the symptoms that have troubled you may be connected to changes in your hormones. Fluctuating hormone levels in the perimenopause can cause unpredictable symptoms leading to a belief that "it's all in the mind"; it's not. Physical, psychological, vaginal and urinary symptoms can be problematic and persist into menopause leading to a reduced quality of life, difficulties at work and problems in relationships.
Often it's difficult to talk about this, even with friends and family, leading to a search for help online. But how do you know who to trust? At Health in Menopause only evidence based advice is given. Long consultations allow time for a full history and exploration of what's important to you. Menopause care involves an assessment of all lifestyle factors, a discussion of treatment options and together a shared plan is agreed. Prescribing is of Body Identical HRT, the gold standard of the British Menopause Society.
These are the words of one of my recent patients:
"It really was a fantastic appointment, thank you. I felt like I had been in a therapy session or counselling!...The whole experience was very uplifting and made me feel so much more positive that there is help out there"
I hope that you will find information here that will inform and guide you. Personalised advice can be accessed by booking a consultation; I look forward to meeting you.
Is it the Menopause?
All women fortunate to live long enough will experience the menopause, usually between the ages of 45-55; the average age of menopause in the UK is 51. But symptoms of low or fluctuating hormones can begin up to 10 years before this and can have a wide and varied impact; no two women are the same, neither will their experience of menopause be. You are unique.
Some women will be fortunate and will experience no symptoms. However this will not be the case for everyone, it's probably not the case for you; 80% of women experience symptoms and for 25% of women these are severe. On average symptoms can last 7-8 years but many women continue to have symptoms for decades.
Women have oestrogen receptors throughout the body so when oestrogen levels fall, the symptoms can affect many systems and can lead to a wide variety of symptoms causing concern and confusion. Physical symptoms such as hot flushes and night sweats are well known but did you know that palpitations are also part of the vasomotor symptoms associated with the menopause? Psychological symptoms are less often discussed but anxiety, low mood, insomnia, poor concentration, rage and irritability are common. Short term memory problems often lead women to fear that they have early onset dementia, such is the importance of oestrogen for normal brain function. Vaginal symptoms of dryness, itch and pain on intercourse along with symptoms of poor bladder control, passing urine frequently and recurrent urinary tract infections are often attributed to getting older but can usually be relieved by the use of vaginal oestrogen. The Menopause Symptom Checker is a useful tool for assessing symptoms.
Some women will experience an early menopause either as a consequence of early ovarian failure or as a result of surgery, chemotherapy or radiotherapy; around 1 in 100 women under the age of 40 and around 1 in 1000 under the age of 30 will have premature ovarian insufficiency. Women who have an early menopause can have debilitating symptoms, both physical and psychological and have an increased risk of cardiovascular disease and osteoporosis if they are not treated with HRT at least until the natural age of menopause.
The menopause is a time to stop, reflect and reappraise. On average, a woman will live one third of her life after the menopause. How do you want to live this time? What is important to you for your long term health? The menopause is an opportunity to reset your goals. NICE guidelines state that for the majority of women, the benefits of HRT outweigh the risks. Furthermore there are long term health benefits for women who start HRT within 10 years of the menopause or under the age of 60. For these women the risk of developing heart disease or osteoporosis is reduced; after dementia, heart disease is the leading killer of women in the UK.
For many women the menopause can be isolating, confusing and the future uncertain.
It certainly doesn’t need to be this way, I look forward to helping you.
Each woman is an individual, her experience of the menopause is unique.
Health in Menopause is a boutique private clinic in Nottingham City Centre. Located in a beautiful Georgian building, I established this CQC Registered clinic to provide unbiased and evidence based advice and treatment to women in the perimenopause, menopause and beyond.
Each woman is an individual, her experience of the menopause is unique, but it needn’t be lonely. Throughout your appointment at Health in Menopause I will take time to listen and to explore how the menopause is affecting you. I will provide evidence based advice and guidance regarding lifestyle measures to reduce your symptoms. As a Menopause GP of over 25 years experience I am well qualified in providing holistic health care and have the experience to advise on the role of HRT in relieving the symptoms of the menopause and optimising your future health.
With the correct advice, help and support this can be a positive phase of life. But if you’re struggling with symptoms and unsure what to do, book an appointment today.
Don’t wait, it’s already been too long.
Dr Alice Duffy MBChB, MRCGP, DRCOG
Also a member of the following:
The British Menopause Society (BMS),The International Menopause Society (IMS), The European Menopause and Andropause Society (EMAS), The Primary Care Women’s Health Forum (PCWHF)