womens-hormone-clinic

Why Hay Fever Gets Worse in Perimenopause: The Oestrogen-Histamine Connection

Tue, 21 Apr 2026 16:43:28 GMT

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If you have noticed that your hay fever has become harder to manage in recent years, or that you are suddenly reacting to things that never bothered you before, your hormones could be playing a bigger role than you think.

The relationship between oestrogen and histamine is well established in the scientific literature, yet it remains one of the most overlooked contributors to worsening allergy and intolerance symptoms in perimenopausal women. This blog explains what is going on physiologically and what you can do about it.

What Is Histamine?

Histamine is a biogenic amine produced and stored primarily in mast cells and basophils - immune cells found throughout the body. It plays a central role in allergic responses, regulating stomach acid, and acting as a neurotransmitter involved in sleep, mood and body temperature regulation.

When the body is exposed to an allergen, injury or stress, mast cells release histamine, triggering the classic symptoms we associate with allergies: sneezing, itchy eyes, runny nose, skin rashes and flushing. In most people, histamine is rapidly broken down by an enzyme called diamine oxidase (DAO). When this breakdown process becomes impaired, histamine accumulates and symptoms become more pronounced. This is known as histamine intolerance.

The Oestrogen-Histamine Feedback Loop

Oestrogen and histamine are closely interrelated, and this relationship becomes particularly relevant during perimenopause when oestrogen levels fluctuate unpredictably.

Research shows that oestrogen exerts two distinct effects on histamine metabolism. First, it stimulates mast cells to release more histamine as part of the body's immune response. Second, and perhaps more significantly, oestrogen inhibits the activity of DAO, the enzyme responsible for breaking histamine down. This means that during periods of elevated or fluctuating oestrogen, as are characteristic of perimenopause, histamine levels can rise substantially.

The relationship does not stop there. Histamine itself stimulates the ovaries to produce more oestrogen, creating a self-perpetuating feedback loop. Higher oestrogen leads to higher histamine, which leads to more oestrogen. In perimenopause, when this hormonal environment is already unstable, the cycle can become very difficult to interrupt.

Progesterone adds another layer to this picture. Progesterone helps to stabilise mast cells and supports DAO activity, providing a natural counterbalance to the histamine-stimulating effects of oestrogen. As progesterone declines in perimenopause, often before oestrogen does, this protective effect diminishes, leaving women more vulnerable to histamine excess.

Why Hay Fever Season Feels Worse

During hay fever season, the immune system is already under heightened load, responding to environmental allergens such as tree, grass and weed pollens. For women in perimenopause, the additional hormonal drive to histamine release means that the allergic response is amplified from the outset.

The result is that a woman who previously managed hay fever easily may find that symptoms are now significantly more severe, or that she develops new sensitivities she did not have before. The histamine burden from both hormonal and environmental sources becomes greater than the body can efficiently clear.

Symptoms of histamine intolerance and excess can extend beyond the classic hay fever picture and include headaches and migraines, brain fog, fatigue, bloating, nausea, heart palpitations, skin flushing and mood changes. Many of these symptoms overlap with perimenopause itself, making the histamine connection easy to miss.

What You Can Do

Managing histamine during perimenopause involves addressing both the hormonal drivers and the body's capacity to break histamine down.

Dietary modification. A low histamine diet reduces the overall histamine load on the body. Foods high in histamine or that trigger histamine release include aged and fermented foods such as cheese, wine, vinegar and sauerkraut, processed and smoked meats, spinach, tomatoes, aubergine and alcohol. During high-symptom periods, reducing these foods can make a meaningful difference.

Supporting DAO enzyme activity. DAO activity depends on adequate levels of certain nutrients. Vitamin B6, vitamin C and copper are all cofactors for DAO and can support the body's ability to break down histamine. Ensuring adequate dietary intake of these nutrients, or supplementing where deficient, may help.

Gut health. The gut microbiome plays an important role in histamine metabolism. Certain bacterial strains produce histamine while others degrade it. Supporting gut health through a varied whole food diet, minimising antibiotic use where possible, and considering targeted probiotic strains that degrade rather than produce histamine may be beneficial.

Addressing the hormonal picture.

For women whose histamine symptoms are clearly driven by hormonal fluctuations, hormone replacement therapy can be highly effective. By stabilising oestrogen levels and reintroducing progesterone, HRT reduces the unpredictable spikes in histamine release that characterise perimenopause. Many women find that their allergy and intolerance symptoms improve significantly once their hormonal balance is restored.

It is worth noting that some women find their symptoms temporarily worsen when starting HRT, particularly if oestrogen is introduced before progesterone. This is consistent with the oestrogen-histamine relationship described above, and usually settles as levels stabilise. If you experience this, speak to your clinician rather than stopping HRT without advice.

When to Seek Support

If you are finding that allergy symptoms, food intolerances or unexplained histamine-type reactions are affecting your quality of life, and particularly if these are new or worsening during perimenopause, it is worth seeking specialist advice.

At The Women's Hormone Clinic, we take a comprehensive approach to hormonal health, considering the full picture of a woman's symptoms rather than treating each in isolation. The oestrogen-histamine connection is an important but frequently overlooked piece of the puzzle, and addressing it can make a significant difference to how you feel day to day.

Book a consultation at The Women's Hormone Clinic

Dr Kemi Adeyemi is an NHS doctor and Marketing Manager at The Women's Hormone Clinic.

For informational purposes only. Always seek personalised advice. If something does not feel right, contact a qualified clinician.

Running During Menopause: A Journey of Strength and Resilience

Sat, 11 Apr 2026 06:39:30 GMT

If you have been wondering whether to keep running, scale back, or even been inspired to start for the first time after watching friends running marathons; this article is for you.

Perimenopause, menopause and post-menopause are all significant milestones in a woman’s life but they absolutely do not mean the end of an active lifestyle, and certainly not the end of running. In fact, the evidence increasingly points in the opposite direction: running is one of the most powerful tools available to women navigating this transition, with measurable benefits across bone health, cardiovascular function, mental wellbeing and symptom management.

What Happens to the Body During Menopause?

To understand why running matters so much during this phase of life, it helps to understand what is happening hormonally. As oestrogen and progesterone decline, women experience a cascade of physiological changes including reduced bone mineral density, increased cardiovascular risk, shifts in body composition, disrupted sleep, and changes in mood and cognition. These are not inevitable consequences to simply endure. Many of them can be significantly mitigated through regular exercise, particularly weight-bearing aerobic activity like running.

The Benefits of Running During Menopause

Bone Density

Oestrogen plays a critical role in maintaining bone density. Its decline accelerates bone loss, increasing the risk of osteoporosis and fracture. Weight-bearing exercise including running directly stimulates bone formation and slows this process. Studies have shown that postmenopausal women who run regularly have significantly higher bone mineral density than sedentary counterparts, particularly in the hip and spine.

Cardiovascular Health

Cardiovascular disease risk rises markedly after menopause, largely due to the loss of oestrogen’s protective effect on blood vessels. Regular aerobic exercise including running improves lipid profiles, reduces blood pressure, enhances endothelial function and lowers the risk of heart disease. The evidence here is robust and consistent.

Weight and Metabolic Health

Declining oestrogen affects insulin sensitivity and promotes fat redistribution, particularly around the abdomen. Running supports metabolic health by improving insulin sensitivity, burning calories and helping to maintain lean muscle mass, especially when combined with strength training.

Mood and Mental Health

Exercise is one of the most effective non-pharmacological interventions for low mood and anxiety. Running stimulates the release of endorphins, serotonin and dopamine, all of which are relevant to the mood changes many women experience during perimenopause and menopause. Regular runners consistently report better emotional resilience and lower rates of depression.

Sleep Quality

Sleep disturbance is one of the most common and disruptive symptoms of menopause. Regular aerobic exercise has been shown in multiple studies to improve sleep quality, reduce the time it takes to fall asleep and decrease night-time waking. The mechanisms involve both direct physiological effects and the regulation of cortisol and melatonin rhythms.

Hot Flushes

The evidence on exercise and vasomotor symptoms is nuanced but encouraging. Several trials have shown that regular moderate-intensity exercise reduces the frequency and severity of hot flushes over time. The effect is likely mediated through improvements in thermoregulatory control and the broader stabilisation of the autonomic nervous system.

Joint Health

Joint pain and stiffness are common in perimenopause, linked to oestrogen’s role in maintaining joint cartilage and reducing inflammation. While high-impact running may aggravate existing joint problems, regular low to moderate running helps maintain joint flexibility, reduces stiffness and supports the muscles that protect joint integrity.

Tips for Running During Menopause

Build gradually. If you are returning to running or increasing your mileage, progress slowly. The hormonal environment of perimenopause and menopause affects recovery time, and the risk of injury increases if you push too hard too quickly.

Prioritise recovery. Recovery becomes more important, not less, as we age. Build rest days into your schedule, prioritise sleep, and pay attention to how your body responds to training loads.

Incorporate strength training. Running alone is not enough to fully counteract the muscle loss and bone density changes of menopause. Two to three sessions of resistance training per week focusing on the lower body, core and upper body significantly enhance the benefits of running and reduce injury risk.

Support your joints. Add mobility work, yoga or Pilates to your routine. This supports joint health, improves flexibility and builds the core strength that underpins good running form.

Fuel appropriately. Nutritional needs shift during menopause. Adequate protein intake is essential for muscle maintenance and recovery. Calcium and vitamin D are critical for bone health. Avoid under-fuelling, which is a common pattern in active women and counterproductive during this stage of life.

Listen to your body. Menopause introduces variability into training in ways that can be frustrating. Symptoms fluctuate across the cycle in perimenopause and can vary day to day. Adjusting your training in response to how you feel is not weakness. It is smart training.

Consider running with others. The social dimension of running has genuine mental health benefits. Running clubs, parkrun and running with friends all provide motivation, accountability and connection, which matter particularly during a life stage that can feel isolating.

Ask about HRT. For many women, hormone replacement therapy makes a significant difference to their capacity to exercise. Oestrogen replacement can reduce joint pain, improve sleep and recovery, stabilise mood and support the bone and cardiovascular benefits of running. If you are finding that symptoms are affecting your training, it is worth having a conversation with a specialist.

The Role of HRT in Supporting Active Women

At The Women’s Hormone Clinic, we regularly see women whose training has been significantly disrupted by menopausal symptoms, and who find that the right hormonal support allows them to run again, recover better and feel more like themselves. HRT is not right for everyone, but for many active women it is an important part of the picture. We take a personalised approach, considering each woman’s symptoms, history and goals.

Conclusion

Menopause is a natural part of life, and running can be a powerful ally in navigating this transition. With the right approach, adapting training, prioritising recovery, supporting nutrition and considering hormonal health, women can continue running longer and stronger through perimenopause and well into post-menopause.

The narrative around women’s bodies and ageing needs to change. Menopause is not a barrier to performance or an active life. With the right support, it can be the beginning of a new and stronger chapter.

Book a consultation at The Women’s Hormone Clinic

Dr Ginny Ponsford is a GP and BMS-accredited menopause specialist and clinical lead of The Women’s Hormone Clinic.

For informational purposes only. If you are starting a new exercise programme or are resuming exercise after a prolonged break then contact your GP before you start. If something does not feel right, stop and contact a qualified clinician or exercise professional before resuming.

Understanding Low Libido in Perimenopause and Menopause

Wed, 08 Apr 2026 13:04:04 GMT

Low libido is something we see very frequently in clinic, yet it remains one of the least talked-about symptoms of perimenopause and menopause. Many women feel embarrassed to raise it, or assume it is simply something they have to accept.

The reality is that a reduced sex drive is often multifactorial—and importantly, there is a great deal that can be done to help.

Start with the Relationship

The first and most important question is not hormonal—it’s relational.

How is your relationship?

Do you still feel attracted to your partner?

Are you making time for each other, or has life simply become too busy and exhausting?

For many women, especially during midlife, competing demands such as work, family, and general fatigue can leave little energy for intimacy. If the emotional connection has diminished, it is unlikely that libido will feel strong.

This is why we always encourage women to reflect on relationship dynamics first. Rebuilding connection—through communication, shared time, or even something as simple as regular date nights—can make a meaningful difference.

Vaginal Dryness and Discomfort

A very common and often under-recognised cause of low libido is vaginal dryness and soreness.

As oestrogen levels decline, the vaginal tissues can become thinner, drier, and more sensitive. This can make intimacy uncomfortable or even painful, understandably reducing desire.

The good news is that this is highly treatable.

Local vaginal oestrogen can be transformative, significantly improving dryness and discomfort for the majority of women. It is suitable for most, including many women who have had hormone-sensitive breast cancer, although this is always an individual decision made in consultation with a menopause specialist.

In addition, vaginal moisturisers can be very helpful. Products such as those from the YES range—available in water-based, and coconut- oil-based formulations—offer a natural and effective way to improve comfort.

Hormonal Balance

Once relationship factors and physical discomfort have been addressed, the next step is to consider hormonal balance.

For women experiencing menopausal symptoms or oestrogen deficiency, hormone replacement therapy (HRT)—using oestrogen and progesterone—can be an important foundation. Restoring these hormones often improves overall wellbeing, energy levels, and, for some women, libido.

However, libido does not always fully return with HRT alone.

The Role of Testosterone

If low libido persists, testosterone can be a valuable option.

Testosterone plays an important role in sexual desire in women, but accessing appropriate treatment can be challenging. In the UK, there are currently no testosterone products specifically licensed for women on the NHS. This means that male formulations are often used in very small doses, which can make achieving the correct balance difficult.

At The Women’s Hormone Clinic, we are able to prescribe compounded testosterone that is tailored to the individual. These made-to-measure treatments can be highly effective in improving libido and overall vitality.

There is hope that this will change in the near future. A product called Androfeme, currently available in Australia, is anticipated to be licensed in the UK—hopefully during 2026. If approved, this could significantly improve access to appropriate testosterone treatment for women through the NHS.

At present, however, NHS access remains variable, with prescribing often depending on individual clinicians—resulting in what many describe as a “postcode lottery.”

You Don’t Have to Suffer in Silence

If you are struggling with low libido during perimenopause or menopause, it’s important to know that you are not alone—and that help is available.

Whether through your GP, practice nurse, or by speaking to us at The Women’s Hormone Clinic, there are a range of effective options that can be tailored to your individual needs.

Low libido is not something you simply have to put up with. With the right support and a holistic approach, it can be addressed—and often significantly improved.

Click here to book an appointment to talk to one of our experts about any of the issues raised in Dr Rockwell's blog.

What If I Think I Have PMDD?

Thu, 02 Apr 2026 17:37:42 GMT

If you’ve ever wondered whether your symptoms might be PMDD, you’re not alone. Many people spend years trying to make sense of what’s happening before they find the right language and support. Here’s what you need to know.

Premenstrual Dysphoric Disorder (PMDD) is often described as “bad PMS ” but that doesn’t quite capture the reality. PMDD is a severe, hormone‑sensitive condition that can affect mood, energy, sleep, and day‑to‑day functioning in the luteal phase of the menstrual cycle (the 14 days before a period is due). For many women, it feels like becoming a different person for part of every month — and then snapping back to baseline once the period starts.

What Is PMDD?

PMDD is a cyclical mood disorder triggered by the normal hormonal changes of the menstrual cycle. It typically appears in the week or two before a period and eases within a few days of bleeding starting.

Common symptoms include:

Intense mood swings
Irritability or anger
Low mood or hopelessness which can be accompanied by thoughts of self harm or suicide
Anxiety or feeling “on edge”
Brain fog and difficulty concentrating
Sleep changes
Feeling overwhelmed
Physical symptoms such as breast tenderness, bloating, or headaches

The key feature is cyclical patterning : symptoms appear in the luteal phase and resolve shortly after the period begins.

How Is PMDD Diagnosed?

There’s no blood test or scan for PMDD. Diagnosis is based on tracking symptoms over at least two menstrual cycles and identifying the clear pattern of worsening in the premenstrual phase.

A clinician will usually look for:

Symptoms that are severe enough to affect daily life, relationships, or work
A predictable monthly pattern
A return to your usual self after your period starts
Symptoms that aren’t better explained by another condition

Many people find that simply seeing their symptoms mapped out across a cycle is validating and clarifying.

How Do I Seek Help?

If you think you might have PMDD, the first step is to talk to a healthcare professional who understands hormone‑sensitive mood disorders. You can start with your NHS GP, or you can book directly with a specialist clinic like ours.

PMDD can be treated , and there are several evidence‑based options. The right approach depends on your symptoms, your medical history, and your preferences — but you don’t have to figure that out alone.

Why Choose The Women’s Hormone Clinic?

We know how life‑changing PMDD can be, and we’ve designed our service to give you the time, expertise, and support you deserve.

One Hour Virtual Appointment With an Expert Clinician

You’ll have a full hour with a clinician who has additional training in PMDD and hormone‑sensitive mood disorders . No rushing and no being dismissed.

A Holistic, Person‑Centred Approach

We look at the whole picture — hormones, other medical conditions, mental health, lifestyle, diet, and the realities of your day‑to‑day life.

Ongoing Support After Your Appointment

You’ll have email contact with your clinician after your consultation, plus the option of follow‑up and support appointments as you navigate next steps.

A Comprehensive Letter for You and Your NHS GP

After your appointment, you’ll receive a detailed summary letter. We can also send this to your NHS GP if you wish, so NHS prescribing remains an option for you.

As well as medication we can give you advice on practical strategies and supplements that can help.

You Don’t Have to Navigate PMDD Alone

If your symptoms feel overwhelming, unpredictable, or like they’re taking over part of your life, it’s worth exploring whether PMDD could be the cause. With the right support, things can get better.

If you’d like to talk to one of our clinicians, we’re here for you — ready to listen and ready to help.

Click here to book an appointment.

If you are actively having thoughts of self harm or suicide then you can:

Reach out to someone you trust and let them know how you’re feeling. Sharing the burden can make things feel less overwhelming.

Contact a mental health professional or your GP urgently so you can be supported in a safe, timely way.
Seek immediate help from local urgent care or emergency services if you feel unable to keep yourself safe.
Contact the Samaritans 116 123 - free support 24/7

When Period Pain Is More Than Just Period Pain - Endometriosis in Younger Women

Sun, 29 Mar 2026 09:38:56 GMT

Following on from Dr Poet's blog, I wanted to share my own perspective on endometriosis. Whilst everything she covered is important, there's another part of the story that I think deserves its own space: what it looks like when endometriosis starts early, sometimes as soon as a girl has her first period, and why that matters.

Endometriosis affects 1 in 10 women. Yet it takes an average of 8 years to diagnose, its symptoms are routinely dismissed, and too many women are still navigating it without the right support. For women who first notice symptoms in their teens, those eight years can take up a significant portion of their formative years. This is everything you need to know, from what endometriosis is, to how hormones are involved, to what treatment and living well can actually look like, whether you're 17 or 37.

What is Endometriosis?

Endometriosis is a chronic condition in which tissue similar to the lining of the womb grows outside of it, on the ovaries, fallopian tubes, bowel, bladder, and in some cases further afield. Like the womb lining, this tissue responds to the hormonal fluctuations of the menstrual cycle, thickening, breaking down and bleeding, but with nowhere to go. The result is inflammation, scarring, and often significant pain.

It is not a rare condition. It affects an estimated 190 million people worldwide. And yet it remains one of the most misunderstood and underdiagnosed conditions in women's health.

If you have spent years being told your periods are just bad, or that the pain is something you need to push through, we want you to know: that is not good enough, and you are not alone.

It Can Start at Any Age, Including Puberty

This is something that often surprises people. Endometriosis is not a condition that develops in adulthood. For many women, symptoms begin with their very first periods. Severe cramping that keeps you off school, pain that seems wildly disproportionate to what you're told is "normal," fatigue that no one around you seems to understand. These can all be early signs.

The problem is that in adolescence, these symptoms are almost universally dismissed. Heavy, painful periods in a teenager are normalised rather than investigated. By the time a young woman reaches her twenties and pushes for answers, years have already passed.

Symptoms to Know

Endometriosis presents differently in every woman. Some experience debilitating symptoms from an early age. Others have minimal pain but significant fertility difficulties. Many fall somewhere in between, which is part of what makes it so difficult to identify without specialist support.

Common symptoms include painful, heavy periods, chronic pelvic pain, pain during or after sex, fatigue, bloating (often called "endo belly"), and bowel or bladder symptoms including pain when using the toilet during a period.

What makes endometriosis particularly challenging to identify is that many of these symptoms overlap with other conditions, including irritable bowel syndrome, anxiety and pelvic inflammatory disease. Women are frequently told it is one of these things first, sometimes for years, before anyone considers endometriosis.

Why Does it Take So Long to Diagnose?

Eight years. That is the average time it takes to receive a diagnosis of endometriosis in the UK. For someone whose symptoms began at 13 or 14, that can mean reaching their early twenties still without answers, often having spent their teenage years managing pain alone, missing school, social events, or sport, and being told it's something they simply have to get on with.

This is not because the condition is rare or subtle. It is because women's pain has, for too long, been normalised, dismissed and misattributed. "Bad periods" are still brushed off as just part of being a woman. Symptoms like bloating and bowel changes are frequently put down to IBS or stress. And there is no simple blood test: confirmation requires laparoscopic surgery, which means referral thresholds are high and waits can be long.

We know how exhausting it is to keep pushing for answers. But if you recognise your symptoms here, please do not accept dismissal. Track your symptoms, note their timing in relation to your cycle, and ask for a referral to a specialist. You know your body, and you deserve to be heard.

The Hormone Connection

This is where things get particularly important for us at The Women's Hormone Clinic, because endometriosis is oestrogen-dependent, and that changes everything about how we approach it.

Oestrogen stimulates the growth of endometriosis tissue. This is why symptoms so often track closely with the menstrual cycle, typically worsening in the days before and during a period when hormones are fluctuating most dramatically. For women in their teens and twenties, this hormonal picture is particularly dynamic, which can make symptoms feel unpredictable and difficult to manage.

It's also worth knowing that perimenopause adds another layer of complexity. As oestrogen levels begin to shift unpredictably in the years approaching menopause, many women with endometriosis find that symptoms they thought were settling suddenly become more erratic. Flares can feel impossible to predict.

HRT is often a concern for women with endometriosis approaching menopause, and understandably so. The reassuring news is that HRT is not automatically off the table. Many women with endometriosis can use it safely, with careful specialist guidance tailored to their individual history, the type of HRT, and their current symptoms. This is precisely the kind of nuanced, personalised assessment we provide at The Women's Hormone Clinic.

Treatment Options

Treatment for endometriosis is never one-size-fits-all. The right approach depends on the severity of symptoms, the location and extent of disease, fertility goals, and where a woman is in her hormonal journey.

Hormonal treatments work by suppressing the growth of endometriosis tissue through reducing oestrogen stimulation. Options include the combined oral contraceptive pill, progestogen-only treatments, GnRH analogues, and newer oral GnRH antagonists such as Ryeqo and Linzagolix, which offer greater flexibility and tolerability than older options and are increasingly available for eligible patients.

Surgical treatment, typically laparoscopic excision or ablation of endometriosis tissue, can provide significant and lasting relief for many women, particularly those with severe disease or those who have not responded well to hormonal management.

Pain management, pelvic floor physiotherapy and psychological support all have an important role alongside medical and surgical treatment. Endometriosis is a whole-body condition, and care works best when it is genuinely joined up.

It is also worth knowing that diagnostic options are evolving. The Ziwig Endotest is a non-invasive saliva test that analyses microRNA markers using genomic sequencing and AI, with clinical studies showing sensitivity of around 97% and specificity above 93%. We are proud to offer the Ziwig Endotest at The Women's Hormone Clinic, giving patients access to earlier, less invasive answers.

Living Well with Endometriosis

A diagnosis is the beginning of understanding, not the end of living well. We see this in the women we work with every day. With the right support, it is entirely possible to manage symptoms effectively and live a full, active life, regardless of when your journey with endometriosis began.

Movement helps. Gentle, consistent exercise such as Pilates, walking and swimming supports pain management, reduces inflammation and has a meaningful impact on mental health. It does not need to be intense to make a difference.

Nutrition matters. An anti-inflammatory diet rich in omega-3 fatty acids, leafy greens, fibre and whole foods can genuinely shift how you feel day to day. Reducing processed foods, alcohol and excess caffeine is also worth considering alongside any medical treatment.

Building the right support team is arguably the most valuable thing you can do. A specialist clinician who understands endometriosis, a pelvic health physiotherapist, a counsellor, and a nutritionist working together can provide the kind of comprehensive care that a single appointment simply cannot.

The emotional side matters just as much. Living with chronic pain, and with a condition that has so often been dismissed, takes a real toll. This is true at any age, but there is something particularly isolating about managing it as a young woman when the people around you have no frame of reference for what you're going through. Organisations such as Endometriosis UK offer community and advocacy, and our trusted partner Pausefully Counselling provides specialist emotional support for women navigating endometriosis and its impact on identity, relationships and fertility.

We Are Here to Help

If you recognise yourself in any part of this article, whether you are a teenager whose pain has been dismissed, someone in their twenties who has spent years looking for answers, or navigating endometriosis alongside perimenopause or menopause, we would love to support you.

Throughout Endometriosis Awareness Month, we have been sharing information and insight on our Instagram page covering why diagnosis takes so long, the hormone connection, living well with endometriosis, and the latest innovations in diagnosis and treatment. Come and find us there.

And when you are ready for personalised, specialist support, we are here.

Book a consultation with one of our clinicians here.

Why Thinking About Sleep Was Making Mine Worse - and What I Learned About the Insomniac Brain

Mon, 16 Mar 2026 09:57:17 GMT

"For a period of my life, the harder I tried to sleep, the worse it got..."

During a particularly demanding stretch of exams and work, my sleep started to unravel. It began as the kind of broken nights most people recognise - lying awake too long, waking at 3am with a restless mind, getting up feeling like I hadn't slept at all. Stressful, but manageable. Or so I thought.

The problem was what came next. I started thinking about sleep. A lot.

I began tracking it, researching it, optimising for it. I avoided caffeine, dimmed my lights, bought magnesium, downloaded apps. And the more effort I put in, the worse it got. The moment my head hit the pillow, my brain switched on. Not to rest - to monitor. Am I falling asleep? Why aren't I falling asleep yet? What if I don't sleep again tonight?

I had, without realising it, made sleep into a problem to be solved. And in doing so, I had made it almost impossible.

The Hormone Connection

What I also came to understand, and what we talk about a great deal at The Women's Hormone Clinic, is that for many women sleep disturbance is not purely psychological. Hormones play a significant and often underappreciated role.

Progesterone - our calming, soothing hormone - has direct sedative properties and supports GABA production, which promotes relaxation and sleep onset. As progesterone falls during perimenopause, many women find their sleep deteriorates in ways that feel completely beyond their control: difficulty falling asleep, frequent waking, early morning waking, and unrefreshing sleep.

Oestrogen matters too. It regulates body temperature, mood, and sleep architecture. When it fluctuates, night sweats and disrupted REM sleep often follow.

And then there is cortisol. Chronic stress - the kind that comes with relentless work pressure and exam seasons - raises cortisol. Elevated cortisol suppresses progesterone. And lower progesterone worsens sleep. I was caught in this cycle without knowing it, and no amount of sleep hygiene was going to fully address a hormonal and nervous system problem.

What Actually Helped

I want to be honest here: there was no single fix. But a few things genuinely moved the needle.

Stopping the monitoring. Deleting the sleep tracker was one of the most useful things I did. What you measure, you magnify - and I was magnifying my worst nights at the expense of my best ones.

Changing my relationship with wakefulness. Rather than treating lying awake as a failure, I tried to treat it as neutral. Resting without sleeping is still rest. The catastrophising was often more exhausting than the wakefulness itself.

Stabilising my cortisol. Consistent meal times, reducing caffeine, and genuine rest during the day - not just productivity breaks - made a real difference to how wired I felt by bedtime.

A no-scrolling rule before bed. This was harder than it sounds. Reaching for my phone had become an automatic response to wakefulness - and it was making everything worse. The blue light aside, the stimulation of social media keeps the brain in exactly the state you are trying to move it out of. I set a hard rule: no scrolling after 9pm. In its place, something genuinely low-stimulation - reading, a podcast, or simply doing nothing. It felt uncomfortable at first. It helped more than I expected.

Brown noise. This became one of my most reliable tools. Brown noise is a deeper, richer sound than white noise - think the low rumble of a rainstorm, a running shower, or distant thunder. Where white noise distributes sound energy evenly across frequencies, brown noise emphasises the lower end, producing a warmer, more enveloping sound that many people find easier to settle into.

The science is straightforward. Brown noise works by providing a consistent auditory backdrop that masks the kind of sudden, unpredictable sounds that trigger arousal from light sleep. For those with an overactive mind, it also gives the brain something neutral to rest on - reducing the internal chatter that so often keeps us awake. I used it consistently in the 30 minutes before bed and throughout the night, and the difference in how quickly I fell asleep was noticeable within days. There are several free options on YouTube and Spotify, or through apps such as Calm or BrainFM.

Magnesium glycinate in the evening. Simple, evidence-supported, and noticeably helpful for nervous system relaxation.

Consistent wake times. Not bedtimes - wake times. Getting up at the same time regardless of how the night went helped rebuild my sleep drive more reliably than any other single habit.

When to Seek Help

My experience was stress-driven and resolved over time. But sleep disturbance is not always something you can work through alone - and it is important to know when to seek professional support.

Dr Ginny Ponsford was recently quoted in iNews on the signs that sleep problems need further investigation, including chronic insomnia lasting more than three months, night sweats, symptoms of sleep apnoea, excessive daytime sleepiness, and restless legs. If any of these sound familiar, it is worth speaking to a clinician. You can also find our Instagram live with Kathryn Pinkham - founder of The Insomniac Clinic on our page.

For women in perimenopause or menopause, exploring the hormonal picture is often the missing piece. HRT - particularly progesterone - can be genuinely transformative for sleep when hormonal change is the underlying driver.

If you would like to talk through your symptoms with one of our specialist clinicians, you can book a consultation here .

New Innovations in Endometriosis Diagnosis and Treatment in the UK

Fri, 13 Mar 2026 14:17:50 GMT

Spotlight on the Ziwig Endotest, Ryeqo and Linzagolix

Endometriosis Awareness Month March 2026

Endometriosis affects an estimated 1 in 10 women in the UK , yet many patients still face an average diagnostic delay of 7–10 years . Symptoms such as severe period pain, pelvic pain, fatigue, and fertility difficulties are often dismissed or misdiagnosed, leaving many women searching for answers for years.

However, research and innovation in endometriosis care are accelerating. During Endometriosis Awareness Month , it’s an important time to highlight some of the new diagnostic and treatment advances now emerging in the UK , particularly the Ziwig Endotest diagnostic test and new oral treatment options including Ryeqo and Linzagolix .

These developments are helping clinicians move toward earlier diagnosis, less invasive testing, and more personalised hormonal treatments for endometriosis.

The Challenge of Diagnosing Endometriosis

Endometriosis occurs when tissue similar to the uterine lining grows outside the womb, often affecting the ovaries, fallopian tubes, bowel and pelvic lining. The condition can cause:

Severe menstrual pain
Chronic pelvic pain
Pain during intercourse
Fatigue and inflammation
Fertility difficulties

Historically, the gold standard for diagnosis has been laparoscopic surgery , meaning many patients must undergo an invasive procedure before receiving confirmation.

This is where new diagnostic tools such as the Ziwig Endotest could transform the diagnostic pathway.

Ziwig Endotest: A Non-Invasive Diagnostic Breakthrough

The Ziwig Endotest is one of the most significant innovations in endometriosis diagnosis in recent years.

Unlike traditional diagnostic approaches, the test uses a simple saliva sample to detect molecular markers associated with endometriosis.

How it works

The test analyses microRNA signatures found in saliva using advanced genomic sequencing and artificial intelligence. These molecular signals are associated with the biological processes involved in endometriosis.

Clinical studies have shown:

Sensitivity around 97% in identifying endometriosis
Specificity above 93% in distinguishing those without the condition
The ability to detect both early and advanced disease

Meaning this test could help shorten diagnostic delays and reduce the need for diagnostic surgery in the future.

Why this matters for patients

If widely adopted, tests like Ziwig Endotest could:

Reduce diagnostic delays
Minimise the need for diagnostic surgery
Enable earlier treatment and fertility planning
Validate symptoms for patients who have struggled to be believed

For UK patients, this type of innovation could represent a major step toward faster, less invasive diagnosis .

The Women’s Hormone Clinic is proud to offer the Ziwig Endotest, helping patients access earlier, less invasive diagnostic support.

Ryeqo: A New Daily Treatment Option

Hormones play a key role in the development and progression of Endometriosis , as oestrogen stimulates the growth of endometrial-like tissue outside the womb.

One of the newest treatment options is Ryeqo , an oral medication designed to reduce hormone stimulation of endometriosis lesions. Approved for NHS use in the UK, it is the first long-term daily tablet designed to treat endometriosis symptoms .

How Ryeqo works

Ryeqo contains:

Relugolix , a GnRH antagonist that suppresses ovarian hormone production
Estradiol and norethisterone , which act as “add-back therapy” to maintain safe hormone levels and reduce menopausal side effects

This combination helps lower oestrogen levels enough to reduce endometriosis activity while protecting bone health and minimising side effects .

Benefits of Ryeqo

Clinical studies show Ryeqo can help:

Reduce menstrual pain
Improve non-menstrual pelvic pain
Provide a convenient once-daily tablet option

Because it is taken orally, Ryeqo also avoids the need for injections that were previously common with older GnRH treatments.

Linzagolix: A Flexible New GnRH Antagonist

Another emerging treatment option is Linzagolix , an oral GnRH antagonist developed specifically to treat endometriosis-associated pain. Recently approved for use in England for patients who have not responded to previous treatments, linzagolix offers another targeted option for managing endometriosis-related pain.

Like Ryeqo, linzagolix works by reducing the hormones that stimulate endometriosis tissue growth , helping decrease inflammation and pain.

Key features of Linzagolix

One of the major advantages of linzagolix is dose flexibility , allowing clinicians to tailor treatment based on symptom severity and patient tolerance.

Depending on the dose used, the medication may:

Suppress oestrogen partially or more fully
Be used with or without hormone add-back therapy
Provide a personalised treatment approach

Clinical trials have shown significant reductions in pelvic pain and dysmenorrhea , making linzagolix another promising addition to the treatment landscape.

Seeking Specialist Hormone Support

If you are experiencing symptoms such as severe period pain, chronic pelvic pain, fatigue or fertility challenges, specialist hormone assessment may help identify whether endometriosis or another hormonal condition could be contributing.

Early diagnosis and tailored treatment plans can make a significant difference in long-term symptom control, reproductive health and overall wellbeing.

Looking Ahead

Greater awareness, ongoing research and improved access to innovative diagnostics and therapies are essential to improving outcomes for women living with Endometriosis .

As research continues, the future of endometriosis care is likely to include:

Earlier molecular diagnostics
More targeted hormonal therapies
Personalised treatment plans based on symptoms, fertility goals and hormone sensitivity

For patients and clinicians alike, these innovations represent a long-awaited step forward in addressing a condition that has historically been overlooked.

Twelve Lesser Known Menopausal Symptoms and What You Can Do About Them

Mon, 23 Feb 2026 12:25:27 GMT

When people think of menopause symptoms, they often imagine hot flushes, period changes and mood swings. But the hormonal shifts during perimenopause and menopause can trigger far more unexpected changes — ones many women feel too embarrassed or confused to discuss.

By Dr Louise Horrocks

My colleague Dr Ginny Ponsford was recently quoted in a really good article in the iPaper about eight lesser know symptoms of perimenopause. This got me thinking about some of the lesser known symptoms of the menopause and how an how understanding of these symptoms can be so empowering - it helps you recognise what’s happening in your body, take control of your menopause health, and find the right support.

Here are twelve menopause symptoms women rarely talk about, why they happen, and what you can do to ease them.

Burning Mouth Syndrome

A burning or tingling feeling in the mouth, tongue, or lips.

Why it happens: Hormone fluctuations can affect saliva production and nerve sensitivity.

What helps: Hydration, avoiding acidic foods, sugar-free gum, and seeking professional advice if symptoms persist.

Electric Shock Sensations

Short, sharp “zap-like” sensations in the head or body.

Why it happens: Rapid hormone changes affect nerve communication.

What helps: Stress reduction, breathwork, and tracking triggers.

Formication (Crawling Skin)

A prickly, crawling feeling under the skin.

Why it happens: Falling oestrogen influences collagen and nerve function.

What helps: Moisturising skincare, gentle exfoliation, staying hydrated.

Itchy Ears

Dry, itchy ears are a surprisingly common perimenopause symptom.

Why it happens: Declining oestrogen reduces moisture levels.

What helps: Avoid cotton buds, use gentle ear moisturisers, consult your GP if severe.

Feeling Cold (Cold Flushes)

Not just hot flushes — cold flushes are real too.

Why it happens: The body’s temperature regulation becomes inconsistent.

What helps: Layered clothing, warm beverages, tracking when episodes occur.

Muscle Twitches or Restless Legs

Unsettling twitches, often worse at night.

Why it happens: Hormone changes affect magnesium levels and nerve signals.

What helps: Stretching, warm baths, magnesium-rich foods, and good sleep habits.

Tingling Hands and Feet

Pins and needles that come and go.

Why it happens: Hormonal imbalances influence circulation and nerve sensitivity.

What helps: Massage, regular movement, supportive footwear.

Body Odour Changes

A noticeable shift in natural scent or sweating.

Why it happens: Menopause affects temperature regulation and stress responses.

What helps: Breathable fabrics, natural deodorants, identifying your hot flush triggers.

Digestive Upset

Bloating, gas, constipation, or sudden food sensitivities.

Why it happens: Oestrogen plays a role in gut motility and microbiome balance.

What helps: Fibre, hydration, probiotics, food journaling.

Dry Eyes

Gritty, tired, or irritated eyes.

Why it happens: Hormone declines affect tear production.

What helps: Hydrating drops, screen breaks, protective sunglasses.

Tinnitus (Ringing in the Ears)

A constant or intermittent ringing, buzzing, or whooshing sound.

Why it happens: Hormonal changes can affect blood flow, auditory nerves, and middle-ear function. Many women report tinnitus worsening during perimenopause.

What helps: Stress reduction, white-noise apps, reducing caffeine, and seeing an audiologist if symptoms persist.

Facial Hair Growth

Unwanted chin, upper lip, or cheek hair appearing more noticeably.

Why it happens: Declining oestrogen and relatively higher androgen levels can change hair growth patterns

What helps: Gentle facial hair removal methods, dermaplaning, electroysis, or hormonal treatment options.

You deserve personalised expert menopause support — you don’t have to suffer in silence.

You’re Not Alone.

Every woman’s menopause journey is unique. These lesser-known symptoms are more common than you might think, and recognising them is the first step toward feeling more in control of your wellbeing.

Book an appointment at The Women's Hormone Clinic to discuss your symptoms.

Valentines day: reminding us of the power of connection

Fri, 13 Feb 2026 08:00:06 GMT

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Valentine’s Day is commonly associated with romantic relationships, but from a health perspective, its broader theme of connection is equally important. Social connection across partners, friends, family, and chosen networks is increasingly recognized as a key determinant of physical and mental health. Regardless of relationship status, intentional social engagement can play a meaningful role in supporting long-term well-being.

A growing body of research demonstrates that social connection is not merely a psychological benefit but a biological one. Large epidemiological studies have shown that social isolation and loneliness are associated with increased all-cause mortality, with effect sizes comparable to established risk factors such as smoking, obesity, and physical inactivity. Conversely, strong social relationships are associated with improved longevity and reduced risk of chronic disease.

Loneliness is distinct from objective social isolation; it reflects a perceived lack of emotional support or meaningful connection. Chronic loneliness is associated with sustained activation of stress pathways, including dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis, increased sympathetic nervous system activity, and elevated inflammatory markers. These physiological changes contribute to increased risk of cardiovascular disease, metabolic dysfunction, depression, and cognitive decline.

The relevance of social connection is particularly notable during menopause, a life stage characterized by significant neuroendocrine, metabolic, and psychosocial changes. Fluctuations and declines in estrogen, progesterone and testosterone influence mood regulation, sleep architecture, and stress responsiveness. At the same time, midlife transitions—such as changes in family roles, career trajectories, or caregiving responsibilities—may alter social networks, increasing vulnerability to loneliness even among women who are not objectively socially isolated.

Evidence suggests that strong social support during and after the menopausal transition is associated with better mental health outcomes, lower perceived stress, and improved cardiometabolic profiles. Social support has been shown to moderate stress responses, reduce inflammatory burden, and improve health behaviours, including physical activity, sleep quality, and adherence to medical care. These mechanisms are particularly relevant given the increased cardiometabolic risk observed after menopause.

In modern, digitally mediated environments, frequent communication does not necessarily equate to meaningful social connection. Studies indicate that perceived emotional support, rather than the quantity of social contact, is the factor most strongly associated with positive health outcomes. Loneliness affects individuals across age groups and relationship statuses and may remain underrecognized in both clinical and public health settings.

From this perspective, occasions such as Valentine’s Day serve as reminders of the health significance of connection beyond romantic relationships. Simple, intentional acts such as checking in with a friend, sharing a meal, or engaging in shared physical activity can enhance perceived support and reinforce social bonds, contributing to measurable health benefits.

Recognising social connection as a modifiable health factor, particularly during transitional periods such as menopause, supports a more integrated and preventive approach to care. Emotional support and belonging should be considered alongside traditional lifestyle factors in promoting long-term health.

Celebrating connection in all its forms is therefore not merely symbolic. It reflects an evidence-based approach to supporting physical, psychological, and cardiometabolic health. In this context, prioritizing meaningful social relationships can be understood as an essential component of comprehensive health care.

ADHD, Hormones and the Hidden Strain on Women

Tue, 27 Jan 2026 17:42:30 GMT

Neurodiversity describes the natural variation in how human brains work. We are all neurodiverse, but the umbrella term ‘neurodiversity’ includes ADHD, autism, dyslexia and other neurological differences. Awareness is improving, but women’s lived experiences, particularly as hormones change across the lifespan, are still often overlooked.

Hormonal fluctuations can significantly influence how ADHD shows up in daily life. For many women, symptoms intensify or change during the menstrual cycle, perimenopause and menopause, yet these links are rarely discussed in clinical settings.

In this article, we explore the intersection between women’s hormones and ADHD, why this matters for health and wellbeing, and what supportive options are available. We hear from Donna Harman, an ADHD Coach from Bloom and Spark Coaching , ahead of the Instagram Live session that we will be co-hosting on Wednesday 18th February .

The Gender Gap in ADHD and Neurodiversity

Historically, ADHD research and diagnostic criteria have been based on male presentations. As a result, many women are misdiagnosed, diagnosed later in life, or missed altogether.

Women are more likely to internalise symptoms, mask difficulties, and develop coping strategies that hide ADHD from teachers, clinicians and employers. Hormonal changes can further complicate this picture, often leading women to seek help only when symptoms become unmanageable.

By the time many women receive a diagnosis, they may have been let down by multiple systems and present with complex experiences, including anxiety, depression, burnout or PMDD. This makes expert, joined-up support especially important.

Hormones, ADHD and the Menstrual Cycle

Fluctuations in oestrogen and progesterone can have a noticeable impact on mood, focus, sensory sensitivity and emotional regulation. Many neurodivergent women recognise clear patterns across their menstrual cycle:

Menstrual phase – lower energy, increased sensitivity, a stronger need for rest and withdrawal
Follicular phase – rising motivation, creativity and clearer thinking
Ovulatory phase – peak confidence, focus and social energy
Luteal phase – irritability, emotional intensity, fatigue and reduced tolerance for stress

Understanding these patterns can be empowering. It allows women to plan ahead, reduce self-criticism, and adjust expectations during more challenging phases.

Puberty, Pregnancy, Perimenopause and Menopause

Major hormonal transitions can intensify ADHD traits or bring new challenges. Puberty, pregnancy, perimenopause and menopause are common points where women notice a significant shift in symptoms.

During perimenopause and menopause, declining progesterone and fluctuating oestrogen can contribute to brain fog, memory issues, emotional dysregulation and sleep disturbance – all of which can overlap with or worsen ADHD symptoms.

Hormonal changes and natural fluctuations often complicate symptoms for women with ADHD. In the clinic, we frequently see women who feel they are ‘losing control’ of coping strategies that once worked for them. Recognising the hormonal contribution is often a huge relief. It also means that if medication is required, it can be tailored as natural hormones to what the woman needs, rather than prescribing antidepressants or similar agents which are far less effective and totally miss the point of what the body really needs.

Mental Health, Burnout and the Cost of Coping

Undiagnosed or unsupported ADHD can take a significant toll on mental health. Years of masking, pushing through exhaustion and trying to ‘fit in’ can lead to anxiety, depression and burnout.

Hormonal unpredictability can further disrupt daily functioning, relationships and work performance. Many women describe feeling misunderstood or dismissed, particularly in professional environments where flexibility and awareness are limited.

This highlights the importance of personalised, compassionate support that considers both neurological and hormonal health.

Where Does ADHD Coaching Fit In?

NICE guidelines recommend that following an ADHD diagnosis, individuals should be offered medication as an option. However, medication alone is rarely enough.

ADHD Coach Donna explains:

“There is a huge difference between managed and unmanaged ADHD which intercepts with so many external factors – environmental, psychological and situational. Hormonal changes throughout a women’s life also have a huge impact which affects quality of life significantly. Medication can help with focus and regulation, but during my coaching training, I often heard the phrase ‘pills don’t give skills’. Coaching helps you understand your brain, build strategies, and learn how to self-manage long term.”

Coaching supports women to:

Understand how ADHD shows up for them personally
Work with hormonal changes rather than against them
Develop practical systems for work, relationships and self-care
Build confidence and reduce shame and strengthen executive functioning skills.

Therapy also plays an important role, particularly where there is trauma, anxiety or low self-esteem alongside ADHD.

Whereas coaching helps people move towards a lighter path ahead.

Practical Ways to Support Hormonal and ADHD Health

Small, informed changes can make a meaningful difference:

Track your cycle – noticing patterns can help with planning, pacing and self-compassion
Seek specialist support – hormone assessments, medication and tailored advice can be transformative
Lifestyle adjustments – balanced nutrition, omega-3s, gentle movement and rest all support brain and hormone health
Workplace advocacy – flexible working, awareness and inclusive policies can significantly reduce stress

Conclusion

The relationship between women’s hormones and ADHD is complex but increasingly understood. By raising awareness, improving diagnosis, and offering joined-up support, women can feel validated rather than blamed for their experiences.

If you recognise yourself in this article, know that support is available. You are not failing – your body and brain simply need the right understanding and care.

Join Donna and me for our Instagram Live conversation on 18 ^th February , where we’ll explore these topics in more depth and answer your questions.

Why So Many Women Hide Menopause Symptoms — and Why You Don’t Have To

Sat, 24 Jan 2026 16:58:58 GMT

Many women tell me the same thing: “I thought it was just me.”

That’s why I was so struck by BBC technology editor Zoe Kleinman’s recent article about masking menopause symptoms. Her experience mirrors what countless women quietly live with every day.

For many, menopause isn’t just a physical change — it’s something they feel they need to hide. Hot flushes, poor sleep, anxiety, brain fog or low mood are often minimised or pushed through, especially at work or in social situations. But masking symptoms can come at a real cost to health and wellbeing.

What Does “Masking” Menopause Mean?

Masking means putting on a brave face while struggling underneath.

It might look like:

· keeping a fan nearby and pretending everything’s fine

· writing endless lists to cope with memory lapses

· avoiding social situations when symptoms flare

· telling yourself you just need to “get on with it”

These strategies are understandable — but they’re exhausting. The constant effort of hiding symptoms can leave women feeling depleted, overwhelmed, and increasingly burnt out.

Why Do Women Hide Menopause Symptoms?

There are several reasons this happens — and none of them are a personal failure.

Stigma still exists. Many women worry about being judged, dismissed, or seen as less capable.

Lack of information is common. Despite menopause affecting half the population, most women feel poorly prepared for it.

Workplace pressure plays a big role. Many women fear symptoms will affect how they’re perceived at work — or even their job security.

Healthcare support can feel hard to access. Symptoms are often under-reported, meaning many women don’t realise safe, effective treatments are available.

The Hidden Impact on Health and Daily Life

Constantly pushing through symptoms can take a toll.

Women often report:

· worsening anxiety or low mood

· increased brain fog and poor concentration

· disrupted sleep and ongoing fatigue

· reduced confidence and social withdrawal

Over time, this can affect relationships, work, and overall quality of life.

For neurodivergent women, such as those with ADHD or autism, menopause symptoms may feel particularly intense and harder to manage — and support is especially important.

Moving from Coping to Feeling Better

You don’t have to manage menopause alone — and you don’t have to suffer in silence.

Start by talking about it. Whether with a healthcare professional, trusted friend, or colleague, being open is often the first step toward support.

Seek medical advice. Effective treatments are available, including hormone therapy and non-hormonal options. Booking a menopause-focused appointment can make a big difference.

Track your symptoms. Keeping a simple record can help you notice patterns and feel more confident discussing symptoms with a clinician.

Ask for workplace support if you need it. Small adjustments — such as flexible working, temperature control, or quiet spaces — can have a big impact.

Look after your overall wellbeing. Gentle movement, good sleep habits, nutrition, stress management, and support networks all play a role.

You Deserve Support During Menopause

Masking menopause symptoms may feel like the easiest option, but it often comes at the expense of your health and wellbeing.

Menopause is not something to “just put up with.” With the right information, medical care, and support, many women feel like themselves again — or even better.

If you’re struggling, help is available, and you deserve to feel heard.

Hormonal Skin Changes in Women: How Hormones Affect Skin During the Menstrual Cycle, Perimenopause and Menopause

Fri, 16 Jan 2026 17:35:43 GMT

Hormones have a profound effect on women’s skin at every stage of life. Monthly hormonal fluctuations during the menstrual cycle, as well as the longer-term hormonal shifts of perimenopause and menopause, can trigger a wide range of skin concerns — including hormonal acne, rosacea, sensitivity, dryness and accelerated skin ageing.

Understanding how hormones affect the skin allows women to make informed choices about skincare, lifestyle changes and — when appropriate — medical treatments.

How the Menstrual Cycle Affects Skin

Hormone levels fluctuate throughout the menstrual cycle, influencing sebum production, inflammation and hydration.

Skin Changes During the Menstrual Cycle

Follicular phase (after menstruation):

Rising oestrogen improves skin hydration and elasticity
Skin often appears clearer and more balanced

Ovulation:

Peak oestrogen may give skin a natural glow
Oil production may begin to increase

Luteal phase (premenstrual phase):

Increased progesterone and androgens stimulate oil production
Higher risk of hormonal acne, clogged pores and breakouts
Skin may feel more inflamed or sensitive

These changes explain why many women experience cyclical acne linked to their menstrual cycle.

Managing Hormonal Acne Related to the Menstrual Cycle

For women with predictable premenstrual breakouts, treatment can involve both skincare and hormonal support.

Medical and Hormonal Options

Certain combined oral contraceptive pills can help regulate hormones and reduce androgen-driven oil production
In some cases, supplementary progesterone may help balance hormonal fluctuations contributing to cyclical acne

Any hormonal treatment should be discussed with a healthcare professional to ensure suitability.

Skincare Support

Gentle exfoliation to prevent congestion
Anti-inflammatory actives to reduce redness and swelling
Consistent barrier support to prevent irritation

Hormones, Rosacea and Female Skin

Rosacea is a chronic inflammatory skin condition that disproportionately affects women, and hormonal changes are a well-recognised trigger.

Why Hormones Trigger Rosacea

Fluctuating oestrogen levels increase vascular instability, leading to flushing
Hormonal changes impair the skin barrier, increasing sensitivity
Rosacea often worsens during perimenopause and menopause

Some women experience new-onset rosacea during midlife hormonal transitions.

Anti-Inflammatory Actives for Rosacea-Prone Skin

Managing rosacea requires targeted, anti-inflammatory treatment alongside barrier repair.

Key Active Ingredients Used in Rosacea

Azelaic acid
Anti-inflammatory and antioxidant
Helps reduce redness, papules and uneven tone
Ivermectin
Used in prescription treatments for inflammatory rosacea
Reduces inflammation and targets skin microbiome imbalances
Hydroquinone (used selectively)
Can help address post-inflammatory hyperpigmentation associated with rosacea flares
Should only be used under medical supervision

These ingredients are most effective when used in carefully controlled formulations and combined with gentle, supportive skincare.

Perimenopause and Menopause: Hormonal Skin Changes Explained

As oestrogen levels decline during perimenopause and menopause, skin undergoes accelerated ageing and functional changes.

Common Skin Changes in Perimenopause and Menopause

Loss of collagen and elastin
Increased dryness and dehydration
Thinning and fragility of the skin
Fine lines, wrinkles and sagging
Uneven pigmentation
Worsening rosacea or adult acne

Women can lose up to 30% of skin collagen in the first five years after menopause, making early intervention particularly important.

How to Improve Hormonal Skin Changes

Hormone Replacement Therapy (HRT) and Skin Health

For some women, HRT can positively impact skin quality by:

Improving hydration and elasticity
Slowing collagen breakdown
Reducing hot flushes that exacerbate redness and rosacea

Best Skincare Ingredients for Hormonal and Ageing Skin

The most effective skincare for hormonal skin focuses on cell renewal, inflammation control, barrier repair and hydration.

Cell-Renewing and Corrective Actives

Retinoids
Stimulate collagen production
Improve fine lines, texture and pigmentation
Azelaic acid
Particularly useful for acne-prone, rosacea-prone and menopausal skin

Barrier-Supporting Ingredients

Ceramides and cholesterol to restore barrier function
Squalane and nourishing emollients to relieve dryness and sensitivity

Hydrating Ingredients

Hyaluronic acid and glycerin to improve skin plumpness and comfort
Especially important as oestrogen decline reduces natural hydration

The Importance of SPF for Hormonal and Ageing Skin

Daily sun protection is one of the most effective anti-ageing interventions available.

UV exposure accelerates collagen loss
Hormonal skin is more prone to pigmentation and redness
Broad-spectrum SPF helps protect against wrinkles, sensitivity and uneven tone

SPF should be worn every day, regardless of season.

Diet, Hydration and Lifestyle for Healthy Hormonal Skin

Skin health is influenced by internal factors as much as topical skincare.

Nutrition for Hormonal Skin

Adequate protein intake supports collagen production
Omega-3 fatty acids help reduce inflammation
Antioxidant-rich fruits and vegetables protect against oxidative stress

Hydration

Proper hydration supports skin elasticity and barrier function

Lifestyle Factors

Stress management reduces inflammatory skin conditions
Quality sleep supports skin repair and regeneration

Medical-Grade, Personalised Skincare for Hormonal Skin

At The Women’s Hormone Clinic we’re proud to partner with Klira Professional to offer truly customised, prescription-strength skincare formulations designed to address concerns such as photoageing, adult hormonal acne and rosacea . Rather than relying on a single “miracle” ingredient, this approach recognises that the most effective results come from a carefully balanced combination of well-evidenced active ingredients , precisely tailored to each individual’s skin needs.

Each personalised prescription works on two levels: stimulating collagen production and cell renewal through proven actives such as tretinoin and exfoliating agents like azelaic acid , while simultaneously supporting the skin barrier and hydration with essential components including ceramides, cholesterol, hyaluronic acid and glycerin . This advanced, prescription-based treatment is offered through our clinic by Dr Rebecca Poet and Dr Becky Saadian , combining medical expertise with truly individualised skincare for hormonally influenced skin concerns.

Final Thoughts: Supporting Skin Through Hormonal Change

Hormonal skin changes are a normal part of a woman’s life, but they can be effectively managed. Whether dealing with menstrual cycle acne , rosacea , or menopausal skin ageing , the most effective approach combines:

Hormonal awareness
Evidence-based skincare actives
Anti-inflammatory treatment where needed
Daily SPF
Healthy diet and hydration
Medical support when appropriate

With the right strategy, skin can remain healthy, resilient and radiant at every stage of life.

Celebrating Progress and Achievements in 2025

Tue, 30 Dec 2025 11:57:00 GMT

Celebrating Our 2025 Achievements at TWHC: A Year of Growth, Innovation & Women’s Health Leadership

By Dr Ginny Ponsford

As women’s health continues to take centre stage in both the medical community and public conversation, 2025 has been an extraordinary year of progress at The Women’s Hormone Clinic (TWHC) . From expanding our clinical team to launching new services and strengthening our role in community education, this year has been defined by growth, innovation, and a commitment to empowering women at every stage of their health journey.

A Year Marked by New Services & Stronger Care

In 2025, we introduced our new weight loss and metabolic health service , designed to support women experiencing cardiometabolic shifts during midlife hormonal changes. This service integrates our deep understanding of hormonal health with evidence-based strategies for weight management, insulin resistance, and heart health.

We also launched our redesigned website , making it easier for women to access vital information, navigate our services, and book appointments with our clinicians.

Our partnerships grew too: from becoming Klira Professional prescribers , offering personalised prescription strength skincare, to deepening relationships with wellness organisations across Sussex and beyond.

A Growing, Expert Clinical Team

We were thrilled to welcome two exceptional new doctors, Dr Becky Saadian and Dr Louise Horrocks , both bringing years of experience in medicine and women’s health. Their dedication to evidence based, individualised care has strengthened our ability to serve more women with specialist support.

This year also saw major professional milestones within our team:

Dr Saadian completed the BMS Advanced Certificate in Menopause Care , placing her among a small cohort of highly trained menopause specialists in the UK. Ongoing training with the British Menopause Society and the Marion Gluck Training Academy ensures our clinicians remain aligned with the most up to date evidence in hormone health and menopause care.

Championing Women’s Health Through Education & Community Engagement

Education and outreach remained central to our mission. Across the year, our clinicians delivered workshops, lectures, fitness studio sessions, workplace menopause talks, and community wellness events —all designed to empower women with the knowledge needed to navigate PMS, PMDD, perimenopause, menopause, and hormonal wellbeing.
These included:

Dr Poet has strengthened her relationship with Sally Gunnell’s Life’s Hurdle group , working alongside an inspiring community of women all committed to strengthening their health and well-being.
Free educational menopause workshops across gyms, yoga studios, and wellness festivals
Talks for NHS patients, GP trainees and employers.
Instagram Live Q&A sessions with trusted partners like Nudi Spray , helping women understand HRT and skincare options with confidence.

Collectively, these efforts have helped hundreds of women feel better informed, better supported, and better prepared to advocate for their own health.

Advocacy & Progress in the Wider World of Menopause Care

2025 also represented a turning point for women's health globally:

Lifestyle medicine and its role in hormone support was formally recognised on International Menopause Day .
New combination patches and progestogen options became available, giving clinicians more flexibility for personalised hormone therapy.
Two inaugural awareness days were launched: National POI Day and World Menopause and Cancer Awareness Day , increasing recognition for underdiscussed hormonal conditions.
The FDA removed the black box warnings from select HRT products, helping reverse decades of stigma and misinformation.
The NHS announced menopause checks , beginning next year, which promises earlier support for many women experiencing symptoms.

These milestones reflect long awaited progress in the global conversation around women’s hormonal health—progress we are proud to champion in our clinical work every day.

Looking Ahead to 2026: Expanding Access & Innovation

We have bold plans for the year ahead, including:

Larger, more accessible educational workshops for younger women navigating PMS, PMDD, PCOS, and endometriosis.
A new schedule of Instagram Lives with trusted partners.
The introduction of innovative diagnostic and therapeutic services, including the Ziwig endometriosis test, BRCA testing, and personalised genetic screening for skin, hair, and nutrition.
Hormone based prescription skincare tailored to women’s specific dermatological needs.
...and yes—a goal shared by clinicians everywhere—learning to create an Instagram post in under three hours!

A Final Word of Thanks

As 2025 draws to a close, we want to express heartfelt thanks to all the women who placed their trust in us this year. Whether through appointments, workshops, emails, or community events, supporting you across your health journeys remains our greatest privilege.

Here’s to a healthy, empowered, and inspiring 2026—for our clinic, our community, and women everywhere.

Menopause Symptoms No One Talks About: What You Need to Know

Thu, 18 Dec 2025 08:00:02 GMT

When most people think about menopause symptoms , the usual suspects come to mind: hot flushes , night sweats , and mood swings . But there’s a whole category of symptoms that rarely get discussed—yet they affect more than half of women.

By Dr Louise Horrocks

These include vaginal dryness , pain during sex , bladder irritation , and recurrent urinary tract infections (UTIs) . Collectively, these issues are known as Genitourinary Syndrome of Menopause (GSM) , and they can significantly impact quality of life.

What Is Genitourinary Syndrome of Menopause (GSM)?

As oestrogen levels decline during menopause, the tissues in the vagina and urinary tract undergo changes. This can lead to:

Vaginal dryness and soreness
Painful sex and reduced libido
Urgent or frequent urination
Recurring urinary tract infections
Urinary leakage

These symptoms often develop gradually, so many women assume they’re simply “part of getting older.” But here’s the truth: you don’t have to live with them.

Why Women Stay Silent

Embarrassment is the number one reason women don’t seek help. Talking about intimate symptoms can feel awkward—especially if your GP is someone you’ve known for years. Others worry they’ll be dismissed or don’t realise these issues are hormone-related, especially when symptoms appear years after menopause.

Effective Treatments for GSM

I want to reassure you; I talk to women about these symptoms every day, you’re not alone and you don’t have to suffer in silence. There are proven routine treatments that can make a real difference, often within weeks:

Vaginal moisturisers for daily comfort
Low-dose vaginal oestrogen for restoring tissue health
Pelvic floor support for bladder control
Non-oestrogen options for women who can’t take hormones

Some newer treatments may not be available through the NHS but can be prescribed privately.

Ready to Take the Next Step?

You don’t have to live with discomfort, avoid intimacy or manage bladder symptoms alone. At The Women’s Hormone Clinic , we offer:

✅ Remote consultations across the UK
✅ Minimal wait times
✅ A relaxed, supportive approach

Book your consultation with me today
Or

Contact The Clinic for more information

Coping with PMDD During the Christmas Holidays

Mon, 15 Dec 2025 08:00:05 GMT

For many, the festive season is a time of joy, connection, and celebration. But if, like me, you live with Premenstrual Dysphoric Disorder (PMDD) , Christmas can feel overwhelming.

By Dr Becky Saadian

The combination of hormonal changes, busy schedules, and heightened expectations can make symptoms harder to manage. Here are some caring, practical strategies to help you navigate the holidays with greater ease:

Prioritise Rest and Boundaries

Give yourself permission to say no to events or traditions that feel draining.
Protect downtime for rest even if it means stepping away from the bustle.
Remember - boundaries aren’t selfish — they’re essential for wellbeing.
Schedule in something that is downtime and self care for you such as a facial, massage, yoga class - just having something relaxing to look forward to can help.

Nourish Your Body

Aim for balanced meals to stabilise energy and mood.
Allow yourself festive treats BUT keep healthy snacks on hand to avoid sugar crashes (this can worsen hormone disruption). Treats in moderation!
Stay hydrated — festive drinks can be dehydrating and worsen fatigue. Alcohol can lower mood making you feel worse, having a glass of water in between each alcoholic drink can help keep you hydrated.

Gentle Movement and Calm

Short walks, stretching, or yoga can ease tension and lift mood.
Try relaxation techniques such as deep breathing or guided meditation- useful apps include: CALM, Headspace and Breathwrk.
Even five minutes of calm can make a difference.

Communicate Openly

Share with loved ones how PMDD affects you, so they understand your needs.
Let them know what helps — whether it’s quiet time, practical support, or simply patience.
Honest conversations reduce pressure and foster connection.
Hope - A Guide to PMDD for Partners and Caregivers by Aaron Kinghorn is an excellent, easy to read book that can be purchased online.

Manage Expectations

Focus on what matters most to you, not on creating a 'perfect' Christmas.
Simplify traditions — small, meaningful moments often bring the most joy.
Celebrate in ways that feel authentic and manageable.

Plan Ahead

Track your cycle so you know when symptoms may peak.
Build in extra rest or lighter commitments during those days.
Having a plan helps you feel more in control.
Remember to order any medication well in advance so you don't run out over Christmas.

Remember - PMDD is not your fault, and coping during Christmas is about kindness to yourself.

If symptoms feel overwhelming, The Women’s Hormone Clinic is here to help you - our all female GP team are experts at helping women manage with PMDD. We can offer virtual consultations from the comfort and privacy of your own home. Click on the link to see our availability and get booked in.

Happy Holidays!

Becky

HYROX: Rediscover Your Strength

Mon, 08 Dec 2025 18:01:46 GMT

Why HYROX is the Ultimate Midlife Fitness Game-Changer

Menopause and perimenopause often bring big changes—physically, mentally, and emotionally. But this stage of life doesn’t mean losing your strength, confidence, or energy. In fact, it can be the perfect time to unlock a new kind of midlife power. Whether you’re already active, easing back into a routine, or planning those New Year fitness goals, there’s a way to feel unstoppable: HYROX training.

By Dr Ginny Ponsford

This weekend, I took part in my third HYROX event and I can tell you that it is more than a workout—it’s a structured, empowering fitness experience that blends functional strength with endurance. It’s making waves as a safe, effective, and confidence-boosting option for women navigating menopause.

And I’m not alone in my enthusiasm; entries for new events sell out quicker than Oasis tickets.

So What is HYROX?

Put simply it is a series of eight one kilometre runs interspersed with eight different functional strength exercises. It sounds grueling (and it is!) but that doesn’t begin to explain the atmosphere, sense of camaraderie or sheer joy of completing the challenge.

Why Does it Matter for Midlife Women?

Rebuild & Preserve Muscle Mass

As estrogen levels drop, muscle mass naturally declines. HYROX’s strength stations help rebuild lean muscle, boosting metabolism, improving balance, and keeping you strong and capable. Tip: Research shows resistance training 2–3 times per week is one of the most effective ways to maintain muscle during menopause.

Support Heart Health

Cardiovascular fitness becomes even more important in midlife. HYROX’s blend of running and functional movements helps counter heart-health risks and keeps your endurance high.

Reduce Stress & Lift Your Mood

Endorphins matter. HYROX-style intervals can improve sleep, ease anxiety, and help you feel grounded, calm, and energised—perfect for managing the emotional ups and downs of menopause.

Strengthen Your Bones

Weight-bearing exercises protect bone density, a key priority for long-term health during peri- and post-menopause.

Build Confidence & Community

HYROX isn’t just about physical strength—it’s about belonging. Training with others creates motivation, accountability, and a sense of pride in every achievement.

Why HYROX is the Perfect Midlife Fitness Solution

Whether you’re returning to the gym, completely new to strength training, or simply curious, HYROX offers a safe, supportive, and energising way to look after your mind and body through menopause and beyond. And training with a goal in mind is always more effective.

Ready to Feel Unstoppable?

Start your HYROX journey today and discover how strength and endurance training can transform your midlife experience.

�� Join a HYROX class near you or explore beginner-friendly training plans now!

�� Have a chat with your clinician who will give you the advice you need about safely introducing exercise into your routine and can even offer athlete specific blood tests to help you get the most out of your training.

Premenstrual Syndrome: Taking Back Control

Mon, 17 Nov 2025 15:47:26 GMT

Do you ever feel anxious, irritable and overwhelmed in the run up to your period? Do you think it's hard to control your temper and feel just not like yourself?

These are common signs of premenstrual syndrome (PMS) which is a term used to describe a number of physical and emotional symptoms you may experience in the run up to your period. The exact cause is not clearly understood but it is thought to be due to a change in your hormone levels in the second half of your cycle. Notably a rapid fall in the level of progesterone, (our soothing, calming, and relaxing hormone), could very well be at play.

For some women, the first time they really begin to notice symptoms of PMS is as they enter the perimenopause as their natural hormones, and in particular, their progesterone levels begin to fall. For others, as they hit perimenopause, their lifelong PMS symptoms become more intense and start to appear earlier and earlier in their cycle. It is really important to acknowledge the enormous impact that these symptoms can have on a woman’s life and the impact they can have on those around them at home and in the workplace.

So what can we do about it?

In all cases, whether perimenopausal or not, following a healthy diet that focuses on maintaining a well-balanced blood sugar is vital. Regular exercise, minimising alcohol intake and getting sufficient sleep as well as taking supplements such as magnesium and B vitamins will also help. If anxiety is a major factor then a daily supplement of Ashwagandha can be very beneficial.

For moderate PMS, supplementary progesterone therapy in the second half of the cycle can be extremely beneficial. In some cases, overriding the body’s natural cycle with a body-identical combined contraceptive pill such as Zoely, taken with no breaks brings relief. In other cases, hormone replacement therapy involving natural oestrogen and progesterone is used.

Whether PMS has always been a part of your life and you’d like to take back control, or if you have developed cyclical mood changes more recently and want to understand what is happening and how to tackle it, our specialist clinicians are ready to listen. We are able to help you find the right strategy whatever your stage of life.

World Mental Health Day

Mon, 17 Nov 2025 15:44:39 GMT

On World Mental Health Day we want to draw your attention to the critical role that your hormones play in your mental health.

The hormonal changes we experience during the perimenopause and menopause can have a profound effect on our mental health, with depression, anxiety, mood swings, and loss of self-esteem and confidence being extremely common. Women commonly describe losing their sense of self and this can have a significant impact on their relationships both at work and at home.

Fluctuations in hormone levels including oestrogen, progesterone, and testosterone can have a direct effect on our mood. In particular, progesterone is an anti-anxiety hormone that is important for sleep, whilst testosterone is known to elevate the mood and boost stamina. We must also not underestimate the effects that changes in body shape, fertility and the quality of sleep can have on our mood and self-esteem.

Regulating hormone levels during this time with hormone replacement therapy is a very effective way to tackle the mental health issues associated with this time in a woman’s life and can be far more effective than traditional antidepressant medications. Lifestyle interventions such as exercise, dietary changes, and reducing alcohol intake are also very important.

Above all it is important to remember you are not alone and there is help available either via your GP, a specialist hormone clinic , or via support charities such as the Samaritans.

A Short Guide to Transdermal Oestrogens

Mon, 17 Nov 2025 15:40:20 GMT

There are multiple approaches to HRT (Hormone Replacement Therapy), the medicine-based process for relieving symptoms of menopause. In this short guide, we look at the effectiveness, benefits, and risks of transdermal oestrogens.

What are transdermal oestrogens?

Transdermal oestrogens are applied directly to your skin as using either patches, gels, or sprays. Replacing oestrogen helps in manage the majority of menopausal symptoms. Oestrogen has also been shown to be effective in maintaining or increasing bone mineral density . When HRT is taken within 10 years of menopause or below the age of 60 it can reduce the risk of cardiovascular disease. The advantage of transdermal delivery is that it allows oestrogen to enter your bloodstream directly, avoiding your liver, which reduces the risk of blood clots (VTE) or stroke seen with oral forms.

Who is the transdermal method best suited to?

Transdermal HRT is particularly suited for women who want to take HRT for their menopausal symptoms but have a history of, or risk of blood clots, liver disease, migraines or are deemed higher risk for cardiovascular disease or stroke. It’s also a good option for those who would benefit from a non-oral method of medication due to gastrointestinal disease or a history of gastric bypass surgery. Additionally, it can benefit women who seek a steady release of hormones without the peaks and troughs that sometimes occur with oral HRT.

What is venous thromboembolism (VTE)?

Venous thromboembolism ( VTE ) is a serious condition where blood clots form in the deep veins, primarily in the legs (known as deep vein thrombosis, or DVT). These clots can dislodge and travel through the bloodstream to the lungs, causing a potentially life-threatening blockage called a pulmonary embolism (PE). VTE can result from various factors, including prolonged immobility such as long-haul flights, certain medical conditions, surgery, or a genetic predisposition to clotting.

Is transdermal HRT more suitable for people at risk of VTE?

Yes, transdermal HRT is generally considered more suitable for individuals at risk of VTE. Unlike oral HRT, transdermal HRT delivers hormones directly into the bloodstream through the skin, bypassing the liver. This method reduces the impact on clotting factors and liver metabolism, leading to a lower risk of developing blood clots compared to oral oestrogen. Therefore, for those with a history or heightened risk of VTE, transdermal HRT is the preferred choice.

Which type of transdermal HRT is most effective?

The effectiveness of transdermal HRT – whether in the form of patches, gels, or sprays – is generally considered similar across the different delivery methods. The choice between them depends on personal preference, lifestyle, skin sensitivity, and ease of use.

Patches – Provide a steady release of hormones and are changed once or twice a week. They are convenient but can cause skin irritation for some users.
Gels – Applied daily, allowing for more flexibility in dosing. They’re less likely to cause skin irritation but require careful application and takes time to absorb before you can get dressed.
Sprays – Also applied daily, they are a newer option and can be an alternative for those who have skin reactions to patches or issues with gels.

Ultimately, the “most effective” type is the one that best aligns with your personal preference and in consultation with a healthcare professional.

Are there any risks in using transdermal oestrogens?

Yes, like all forms of HRT, transdermal oestrogens do carry some risks, although they might be lower in certain aspects compared to oral oestrogens. The key risks include:

Hormone-sensitive cancers – Use of oestrogens has been linked to an increased risk of certain hormone-sensitive cancers , notably breast cancer. Be sure to discuss personal and family cancer histories with a hormone specialist before starting treatment.
Skin reactions – Some individuals may experience skin irritation or allergic reactions at the site of application, particularly with patches.
Endometrial hyperplasia and cancer – In women with an intact uterus, oestrogen therapy can increase the risk of endometrial hyperplasia and cancer so progesterone must also be added to protect the lining of the uterus.
Other side effects – These can include breast tenderness, nausea, headaches, and mood changes, although they may be less severe than with oral oestrogens.

Regular monitoring and appropriate screenings are important during the course of your treatment, to minimise the risk of any serious complications. It is important to keep up to date with routine health screenings such as mammograms and cervical smears and to perform regular breast self-examination.

Need help regaining your hormone balance?

Hormone imbalance can occur at any time during a woman’s life. We understand the impact these symptoms can have on you, your family, your work, and your relationships. We offer advice, support, and treatment to get you back to feeling you again. Book a video consultation with us today or speak to our practice manager for further details.

The Impact of the Gut Microbiome on Health and Wellness

Mon, 17 Nov 2025 15:33:36 GMT

Recent research is shedding light on the significant role of the gut microbiome in our overall health and susceptibility to various illnesses. The gut microbiome, a complex community of microorganisms residing in our digestive tract, has been linked to numerous bodily functions and health outcomes. As scientists delve deeper into this area, the potential for groundbreaking discoveries continues to grow.

One area of interest is the effect of fermented foods on the immune system. Fermented foods, rich in beneficial microbes, not only stimulate the immune system but also support the growth of other beneficial microorganisms in our gut. Among these foods, kombucha—a fermented tea—has gained popularity for its numerous health benefits.

Research indicates that regular consumption of kombucha can significantly reduce oxidative stress and inflammation, enhance the liver detoxification process, and improve gut health by addressing intestinal dysbiosis, an imbalance in gut bacteria. These findings highlight the potential of kombucha as a natural, health-promoting beverage.

Furthermore, we are beginning to understand how the gut microbiome influences hormone metabolism. This is particularly relevant for women undergoing menopause, a phase marked by hormonal fluctuations. Recognising the importance of gut health during this transition, we are thrilled to partner with a local company, @ holoskombucha , to provide our workshop attendees with a selection of delicious, organic kombucha drinks.

Our collaboration with Holos Kombucha allows us to offer our attendees not only a tasty beverage but also a means to support their gut health during the menopause transition. As we continue to explore the profound impact of the gut microbiome on health, we look forward to deepening this partnership and discovering more ways to enhance wellness through natural, fermented foods.

https://holoskombucha.com/collections/shop-now

PMDD and Relationships

Wed, 20 Aug 2025 13:22:49 GMT

PMDD can cause interpersonal conflict and destroy relationships. For the final part of PMDD awareness month, Dr Becky Saadian talks to Aaron Kinghorn. Aaron is a board member of IAPMD (International Association for Premenstrual Disorders) and author of ‘Hope A Guide to PMDD for Partners and Caregivers’. Aaron has had 15 years’ experience of living alongside PMDD through supporting his wife, Jude. He has also provided direct peer support to hundreds of partners with PMDD. Aaron is also the co-author of a first-of-its-kind study looking into the lived experience of partners of women with PMDD

Aarons book: ‘Hope A Guide to PMDD for Partners and Caregivers’ , can be purchased on Amazon. All proceeds go to IAPMD .

Examining the impact of premenstrual dysphoric disorder (PMDD) on life and relationship quality: An online cross-sectional survey study. Hodgetts, S and Kinghorn A. 2025.