Going through the menopause can feel like your whole life has been turned upside down. On the one hand, hormonal changes can play havoc with your mood so you can feel sudden surges of anger, frustration and depression. Sometimes all at once!
And while unpredictable moods and panic attacks may knock your confidence, there can be physical symptoms of 'The Change’ too. These can include, weight gain, hair loss, a decrease in skin elasticity, and joint stiffness. A drop in oestrogen levels also leads to less protection for the heart and thinning bones. Our gynaecologists can help.
Bespoke approach to menopause
Women experience different degrees of these symptoms, but when they strike it can feel overwhelming. Our gynaecologists create an individual, bespoke treatment plan for each woman, combining hormonal replacement therapy with lifestyle tweaks, including exercise and diet, to help alleviate symptoms and boost wellness.
At Twenty-five Harley Street, we can also refer to nutritionists and refer on to other consultants, or recommend a DEXA scan to check bone density and ensure the menopause has not heightened the risk of osteoporosis.
Hormone replacement therapy (HRT)
Hormone replacement therapy is where you’re given hormones manufactured in a laboratory to top up the levels that you’ve lost as you approach or go through the menopause.
Doctors agree that HRT should be the go-to treatment for menopause. It’s been shown to be the most effective way of helping with the psychological impact of going through changes in your body, by balancing mood, and on the physical side, reducing hot flushes and protecting against future health problems.
Prescribed properly, HRT has been linked to fewer fractures, less colon cancer, fewer heart attacks, possibly less breast cancer and certainly fewer deaths.
What about bio-identical hormones?
Bioidentical hormones is another word for hormones that are identical in molecular structure to the hormones women make in their bodies that come from plant chemical extracts, such as yams and soy.
Bioidentical hormone therapy is often called "natural hormone therapy" because bioidentical hormones act in the body just like the hormones we produce.
Widely used in France, Dr Christilla Nevi uses bioidentical hormones as a matter of course. Miss Tania Adib, a menopause expert, also utilises bioidentical hormones alongside conventional HRT.
When do you need to start HRT?
The best time to start HRT is when symptoms occur. If the HRT removes the symptoms then it would be sensible to continue for several years.
HRT tends to be most effective when given to women under 60 or within 10 years after menopause (which tends to start in you late 40s to early 50s).
What does HRT involve?
It is usually given as a combination of hormones, and it’s important to have your needs assessed by a doctor in order to get the balance that’s right for you. HRT can be given in many forms, including tablets, skin patches, gels and topical creams..
25 Harley Street's Consultant Gynaecologists
Mr Gardner is Clinical Director for Gynaecology at the Queen Alexandra Hospital. A specialist in endometrial cancer screening and colposcopy. >Read more.
A consultant obstetrician and gynaecologist based in London. Within the NHS he practises at Epsom and St Helier University Hospitals NHS Trust. Mr Athanasias has developed special skills in minimally invasive surgery. >Read more
Miss Tania Adib is a Consultant Gynaecologist at Queen’s Hospital, where she is the Lead Clinician for Colposcopy, and Honorary Consultant Gynaecologist at St Bartholomew’s Hospital. >Read more
You can phone to discuss a consultation on 020 3883 9525, or email [email protected]