Perimenopause and Menopause Explained

Perimenopause and Menopause Explained

As a woman ages her ovaries produce less oestrogen. The peri-menopause is the time in the lead up to the menopause where there can be highly fluctuating hormones. Symptoms may be present but periods may still be regular. This can be confusing for women as they may not realise this is the cause. This is the time that peri-menopause can be misdiagnosed as depression amongst other things.

As menopause gets closer, oestrogen levels decline greatly. It is the decline in oestrogen that gives the raft of symptoms that present at menopause.

Oestrogen receptors are throughout the whole body. As a result lowering oestrogen levels can cause symptoms in practically every organ system. From hair loss to palpitations, urinary symptoms to low libido, hot flushes, night sweats, anxiety and rage. They are all due to declining oestrogen levels. The best treatment is oestrogen replacement. Modern research suggests that using modern body identical hormones is safe and actually has numerous health benefits. This includes, heart protection, osteoporosis prevention, dementia protection, and anti-ageing.

The hormones I use are identical to the hormones produces naturally in a woman's body (they are made from yam and soya) but in contrast to 'Bio-identical hormones', the hormones I prescribe are produced and regulated under strict conditions and national guidelines and are available on UK formulary.

Body Identical Hormone Replacement Therapy

I use Body identical HRT, normally in the form of Estradiol (patch or gel) and Utrogestan micronised progesterone. It is safer to prescribe estrogen through the skin (trans-dermal route) so I would not normally initiate oral HRT unless the patient had a very strong view on it.

The hormones I use are identical to the hormones produces naturally in a woman's body (they are made from yam and soya) but in contrast to 'Bio-identical hormones', the hormones I prescribe are produced and regulated under strict conditions and national guidelines and are available on UK formulary.

HRT Shortages in the UK

We have been short of HRT since October 2018. This has led to a vast number of women having to cope without the hormones that they rely upon to lead a symptom free life. Despite nation-wide campaigns there is still no sign that this will improve.

I have access to patches, Estrogel and Lenzetto currently. If you have any queries regarding HRT availability I am happy to help, please feel free to email.

Contact me for further information