Woman looking to the side

Menopause

Menopause is a natural life transition, but the symptoms can be disruptive, affecting your sleep, mood, work, and relationships. The good news is that effective, safe treatments are available — and you don’t have to ‘just put up with it’.

What is Menopause?

Menopause is diagnosed after 12 months without a period, marking the end of ovarian hormone production. The transition leading up to it, called perimenopause, can last several years and is when most symptoms begin.

Common symptoms include:

  • Hot flushes and night sweats
  • Sleep disturbance and fatigue
  • Low mood, anxiety, or irritability
  • Brain fog or difficulty concentrating
  • Vaginal dryness and discomfort with sex
  • Reduced libido
  • Joint aches and changes in skin or hair

Understanding Menopausal Hormone Therapy (Hormone Replacement Therapy / HRT)

Hormone therapy replaces the oestrogen (and sometimes progesterone and testosterone) your body no longer produces.
For most people, the benefits outweigh the risks — especially if started before age 60 or within 10 years of menopause.

Benefits include:

  • Relief from hot flushes, night sweats, and mood symptoms
  • Protection against osteoporosis and fractures
  • Support for heart and brain health
  • Improved vaginal comfort and sexual wellbeing

Different formulations (tablets, patches, gels, vaginal treatments) can be tailored to your needs and preferences.

Non-Hormonal Options

If hormone therapy isn’t suitable or you prefer to avoid it, other approaches can help:

  • Lifestyle adjustments: regular exercise, balanced diet, limiting alcohol and caffeine
  • Cognitive behavioural therapy (CBT) for hot flushes and mood changes
  • Non-hormonal medications such as SSRIs or gabapentin
  • Vaginal moisturisers and lubricants for dryness and discomfort

What I Offer

  • Comprehensive menopause assessment, including review of your history and risk factors
  • Individualised hormone therapy plans, using modern, evidence-based regimens
  • Support for non-hormonal and lifestyle approaches
  • Follow-up and ongoing care, ensuring treatment continues to meet your needs
Dr Sam Holford

Take control of your menopause

You deserve to feel well and confident through this transition. I provide clear, evidence-based guidance and personalised care to help you thrive in midlife and beyond.

Book an appointment

FAQs

What is menopause?
Menopause marks the end of female reproductive years and is defined as 12 consecutive months without a period. It occurs naturally as the ovaries produce less oestrogen and progesterone, usually between ages 45 and 55, though it can happen earlier or later.
What are the most common symptoms?
Hot flushes, night sweats, sleep disturbance, mood changes, vaginal dryness, and reduced libido are common. Some people also experience joint aches, brain fog, and changes in skin or hair. Symptoms can vary widely in type and severity.
Is Menopausal Hormone Therapy (Hormone Replacement Therapy / HRT) safe?
Yes, especially when started within 10 years of menopause or before age 60. It relieves symptoms, improves bone health, and may benefit heart and brain health. The small risks depend on the type and route, so it's best to discuss your individual situation.
Are there non-hormonal options for managing symptoms?
Yes. Lifestyle changes, cognitive behavioural therapy (CBT), and certain prescription medications (like SSRIs or gabapentin) can help manage hot flushes and mood changes. Vaginal moisturisers and lubricants can relieve dryness if you prefer to avoid hormones.
Can menopause affect long-term health?
Yes. The drop in oestrogen after menopause increases the risk of osteoporosis, heart disease, and urogenital discomfort. These can often be prevented or mitigated through use of oestrogen, diet, exercise, and regular screening.
When should I see a specialist?
If your symptoms are affecting your quality of life, if you’ve had early or surgical menopause, or if you have complex medical or family history (such as breast cancer or thrombosis), seeing a gynaecologist with expertise in menopause management can help tailor treatment safely and effectively.

Resources

Please note: This information is general in nature and not a substitute for medical advice tailored to your individual situation.