The Menopause Medic

The Menopause Medic Perimenopause and Menopause Doctor. Passionate about Women's Health and Empowerment.

05/09/2026

Simple, accessible ways to embrace these middle years without the drama

If you are tired of all the conflicting arguments, absolutes and onerous protocols and want more nuance. 🙏🏻 join me here, quietly in the grey area, often in the fence gently trying to make space and sense of it all with you.

Midlife, perimenopause and menopause are not things to dread. You can avoid feel empowered, stay in control and hopefully avoid (some of) the overwhelm by making some small mindset shifts.

1️⃣ self compassion always.
2️⃣ you are 1 of 1. Unique. Precious. And your toolkit may need to reflect that. 🫶
3️⃣ trust. your. instincts.
4️⃣ there is no such thing as too young. if you are worried your hormones may be at the root of your symptoms please see a clinician to get that question answered. it often lands earlier than we have been led to believe
5️⃣ with knowledge and understanding we can face the road ahead feeling empowered.

And more than anything, this is what I want for all women.

Want to climb a mountain and do some shouting with me? What would you shout about??

👇Let me know in the comments

05/09/2026

Simple, accessible ways to embrace these middle years without the drama

Follow along if you are tired of all the conflicting arguments, absolutes and onerous protocols and want to join me here, quietly in the grey area, often in the fence trying to make space and sense of it all for you.

Midlife, perimenopause and menopause are not things to dread. You can avoid feel empowered, stay in control and hopefully avoid (some of) the overwhelm by making some small mindset shifts.

1️⃣ self compassion always.
2️⃣ you are 1 of 1. Unique. Precious. And your toolkit may need to reflect that. 🫶
3️⃣ trust. your. instincts.
4️⃣ there is no such thing as too young. if you are worried your hormones may be at the root of your symptoms please see a clinician to get that question answered. it often lands earlier than we have been led to believe
5️⃣ with knowledge and understanding we can face the road ahead feeling empowered.

And more than anything, this is what I want for all women.

Wanna climb a mountain and do some shouting with me? What would you shout about??

👇Let me know in the comments

03/09/2026

It is NOT empowering women to shout loudly about a single option vilifying others.

I deeply respect the experience, knowledge and passionate work of all the doctors out here trying to help women feel and live better in midlife and beyond.

But with the noise has come Confusion which is making a hard situation much harder to manage as clinicians and as individuals.

Women, like me, in the trenches of PMDD, perimenopause and menopause don’t necessarily want to be RIGHT. They want to feel well and life healthy long lives.

So, can we pause a moment and acknowledge that guidelines have their place, that rigorous evidence based treatments should be considered first line but that also our biology, genetics, environmental factors, early life & reproductive health experiences all influence our complex neuroendocrine system and thus is stands to reason that every experience is unique. For many, the evidence-based treatments and guidelines work. But for increasing numbers of women I See in clinic, they don’t.

What is truly empowering is having the time to listen, decode and explore what is going on (is it perimenopause, something else or a combination of things) and provide evidenced based information on ALL the options. To then use our expertise and experience to guide what may work best on an INDIVIDUAL basis. Guidelines keep us safe but don’t recognise the individuality and nuance required at what is already a discombobulating time of life.

03/09/2026

It is NOT empowering women to shout loudly about a single option vilifying others.

Apols for the unfiltered, raw (sweaty) emotive download but got thinking about this whilst out running and wanted to share my opinion on something I’ve noticed a lot in my feed recently,

I deeply respect the experience, knowledge and passionate work of all the doctors out here trying to help women feel and live better in midlife and beyond.

But with the noise has come Confusion which is making a hard situation much harder to manage as clinicians and as individuals.

Women, like me, in the trenches of PMDD, perimenopause and menopause don’t necessarily want to be RIGHT. They want to feel well and life healthy long lives.

So, can we pause a moment and acknowledge that guidelines have their place, that rigorous evidence based treatments should be considered first line but that also our biology, genetics, environmental factors, early life & reproductive health experiences all influence our complex neuroendocrine system and thus is stands to reason that every experience is unique. For many, the evidence-based treatments and guidelines work. But for increasing numbers of women I See in clinic, they don’t.

What is truly empowering is having the time to listen, decode and explore what is going on (is it perimenopause, something else or a combination of things) and provide evidenced based information on ALL the options. To then use our expertise and experience to guide what may work best on an INDIVIDUAL basis. Guidelines keep us safe but don’t recognise the individuality and nuance required at what is already a discombobulating time of life.

Or is it just me? Let me know your thoughts in the comments!
31/08/2026

Or is it just me?

Let me know your thoughts in the comments!

30/08/2026

MANY women find progesterone intolerable.

Yet, 2 powerfully dominant and I think potentially damaging narratives persist in the social media and mainstream conversation around hormone therapy:

1️⃣ Body Identical “micronised” or “bio-identical” progesterone is “natural” and significantly safer than the “synthetic” progestogen alternatives and should therefore be the ONLY option to consider ❌

2️⃣ That most early perimenopause symptoms and many later ones are due to a drop in progesterone and thus women ought to consider starting progesterone FIRST ❌

😡I see TOO MANY women in clinic who have been so indoctrinated into the belief that they MUST use micronised body identical progesterone even though it’s making them feel like 💩

Yes, micronised progesterone can be used vaginally to reduce impact of side effects.

AND we also have other effective, accessible and convenient alternatives:
✅ Dydrogesterone which has similar low breast cancer risk to micronised progesterone with FAR FEWER side effects
✅ and is combined with oral oestradiol is super Convenient combined pill form (if you are also sick of sticky gel or patch marks!)
✅ Drospirenone another synthetic Progestogen that in my experience can be far better tolerated than micronised progesterone in sensitive women AND can provide be used as contraception + cycle control for other reasons (eg PMS PMDD, migraine)
✅ & the often feared and misunderstood Mirena IUS which quite frankly a godsend for women with heavy menstrual bleeding, painful periods +/- those also requiring contraception in perimenopause.

Good perimenopause and menopause care involves nuance and personalisation, not formulaic “one sized fits all” protocols.

15/08/2026

Turns out Luxury is Wellness + Community + Recovery 🫶

But 🤫

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