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Conditions

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.

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