Menopause & Women’s Hormonal Health

Perimenopause

Perimenopause is the transitional phase leading up to menopause, usually beginning in a woman’s late 30s to mid-40s. During this time, your oestrogen and progesterone levels fluctuate unevenly, leading to a variety of physical, emotional, cognitive, and skin-related symptoms — even while menstrual cycles may still appear normal.

Because symptoms can mimic everyday stress or lifestyle fatigue, many women go undiagnosed and unsupported during this key hormonal shift. At our clinic, we offer a comprehensive, evidence-based approach to recognising and managing perimenopause — helping you feel informed, empowered, and back in control.

Common Symptoms of Perimenopause

Irregular or heavier menstrual cycles
Worsening PMS or mood changes before periods
Sleep disturbances, especially early waking
Increased anxiety, irritability, or low mood
Fatigue, especially mid-cycle
Brain fog, word-finding difficulties
Skin changes: acne, dryness, sensitivity
Migraines or new-onset headaches
Breast tenderness or bloating
Reduced libido and vaginal dryness
Midsection weight gain or difficulty losing weight

Our Personalised Approach

We treat perimenopause as a whole-body event, not just a reproductive one. Your symptoms are influenced by the nervous system, gut, thyroid, skin, and metabolism, as well as your hormones.

Here’s how we support you:

Hormone & Health Testing
Cycle-timed blood testing (oestrogen, progesterone, testosterone, DHEA, cortisol, thyroid, etc.)
Advanced wellness testing if indicated (e.g. nutrient panels, inflammation markers)

Symptom Mapping & Medical Consultation
We take time to understand your symptom patterns, lifestyle, emotional health, and history. We look at the whole picture, not just test results.

Treatment Options

Standard HRT: For clients eligible and interested in regulated, licensed hormone replacement through NHS or private prescription
Bioidentical HRT (BHRT): Compounded, personalised hormone therapy for women who require a more tailored, integrative approach
Targeted supplementation to support hormone clearance, adrenal health, and mood
NESA therapy for nervous system support, improved sleep, and energy balance
Skin and aesthetic care for hormone-related skin issues (e.g. adult acne, laxity, dryness)

All prescriptions and treatment decisions are made following blood tests and clinical assessment, and reviewed at regular intervals.

Why Early Support Matters

Supporting women in perimenopause reduces the long-term risk of:
Insomnia and anxiety becoming chronic
Metabolic changes leading to stubborn weight gain
Misdiagnosis (e.g. being prescribed antidepressants for hormonal mood swings)
Skin and hair changes becoming more advanced
Hormone “burnout” leading to more intense menopausal symptoms later

By taking action now, we help you future-proof your health and stay connected to your vitality.

What to Expect From Your Perimenopause Consultation

1. In-depth consultation: medical history, lifestyle, cycle review, skin/hair health
2. Optional blood testing, timed appropriately to your menstrual cycle
3. Individualised treatment plan including prescription hormones (HRT or BHRT if appropriate), supplements, nutrition, and treatment therapies
4. Follow-up and review every 3–6 months to adjust your plan and support your progress