Cardiff Menopause clinic

Cardiff Menopause clinic For all your perimenopause / menopause needs

04/09/2026

Has your HRT stopped working? 🤔

If symptoms return, it doesn’t automatically mean you need more oestrogen.

Hormonal fluctuations, stress, absorption and sometimes tachyphylaxis — particularly with very high doses — can all be part of the picture.

Sometimes more HRT isn’t the answer. The important thing is working out why your symptoms have returned before simply increasing the dose.

Have you experienced this?

Testosterone — the questions I get asked most 💙“Do I need HRT first?” Yes — a trial of conventional HRT comes first. And...
02/09/2026

Testosterone — the questions I get asked most 💙

“Do I need HRT first?” Yes — a trial of conventional HRT comes first. And if you’re on oral oestrogen, simply switching to a patch or gel can increase your free testosterone naturally. Sometimes that’s all it takes.

“Will it help my energy and mood?” Honestly — the evidence isn’t there yet. Randomised trials haven’t shown benefits for mood, energy or brain fog. But a new UK trial called ESTEEM has just begun looking at exactly this in 400 women. Watch this space.

“How is it monitored?” Levels are checked before starting, then every 6–12 months to make sure they stay within the normal female range.

“When should it be avoided?” Pregnancy, breastfeeding, active liver disease, a history of hormone sensitive breast cancer, or if your baseline levels are already high.

Testosterone isn’t a magic fix — but for the right woman, at the right time, it can make a real difference.

Book a consultation at cardiffmenopauseclinic.co.uk

Testosterone — the questions I get asked most 💙“Do I need HRT first?” Yes — a trial of conventional HRT comes first. And...
02/09/2026

Testosterone — the questions I get asked most 💙

“Do I need HRT first?” Yes — a trial of conventional HRT comes first. And if you’re on oral oestrogen, simply switching to a patch or gel can increase your free testosterone naturally. Sometimes that’s all it takes.

“Will it help my energy and mood?” Honestly — the evidence isn’t there yet. Randomised trials haven’t shown benefits for mood, energy or brain fog. But a new UK trial called ESTEEM has just begun looking at exactly this in 400 women. Watch this space.

“How is it monitored?” Levels are checked before starting, then every 6–12 months to make sure they stay within the normal female range.

“When should it be avoided?” Pregnancy, breastfeeding, active liver disease, a history of hormone sensitive breast cancer, or if your baseline levels are already high.

Testosterone isn’t a magic fix — but for the right woman, at the right time, it can make a real difference.

Book a consultation at cardiffmenopauseclinic.co.uk

30/08/2026

Micronised progesterone (Utrogestan) — are you taking it correctly? 💊

If you have a womb and use systemic oestrogen HRT, you need a progestogen to protect the lining of the womb.

Micronised progesterone is commonly prescribed in the UK and is usually taken at bedtime because oral progesterone can have a calming and sedating effect.

But some women experience the opposite — vivid or disturbing dreams, morning grogginess, sleepiness or mood changes.

It can be prescribed sequentially or continuously, depending on your stage of menopause and individual circumstances. In some situations, a clinician may also consider va**nal administration, although this is an off-label approach and the regimen needs to be prescribed appropriately.

If you’re struggling with micronised progesterone, don’t assume you have to put up with the side effects or abandon HRT altogether — discuss your options with your menopause clinician.

How do you get on with micronised progesterone?

25/08/2026

Brain fog or dementia? 🧠

Brain fog is extremely common during perimenopause and menopause — and it can be genuinely frightening.

The new BMS guidance highlights the important differences between menopausal brain fog and progressive cognitive decline.

Brain fog is real — but it isn’t the same as dementia.

Save this if you’ve ever worried about your memory during menopause.

24/08/2026

Joint Menopause Psychiatry clinic!

21/08/2026

Does HRT actually make you gain weight?

It’s one of the biggest concerns I hear from women — but the relationship between menopause, ageing, body composition and HRT is much more complicated than simply blaming the HRT.

HRT isn’t a weight-loss treatment, but there’s no good evidence that it causes the typical weight gain associated with midlife. Some women can also experience temporary bloating or fluid retention when starting treatment.

Have you noticed weight gain or a change in body shape around menopause?

19/08/2026

Breast cancer and va**nal oestrogens - safe to use unless you are on aromatase inhibitors ! Helps maintain tone of bladder and va**na not only helping with symptoms but preventing future problems as well

Do you know the difference between the mini pills ? The key difference is the window — how long you have to take it each...
18/08/2026

Do you know the difference between the mini pills ?

The key difference is the window — how long you have to take it each day before it stops being effective.

🕐 3-hour window — Noriday (norethisterone) and Norgeston (levonorgestrel). Traditional options, effective but strict on timing.

🕛 12-hour window — Desogestrel (Cerelle/Cerazette). The most commonly prescribed — more flexibility if you’re a little late.

🕐 24-hour window — Slynd (drospirenone). The newest option — the most forgiving if you miss a dose.

The mini pill is a great option for women who can’t take oestrogen — including those with migraines with aura, raised blood pressure, obesity, or women over 50 where the combined pill is no longer recommended.

Side effects can include irregular bleeding and spotting — but these often settle. If they don’t, switching to a different type can help.

Swipe through and save this one 👉

Book a consultation at cardiffmenopauseclinic.co.uk — in-person in Cardiff or virtual UK-wide.

General information only — not personal medical advice. # contraception

15/08/2026

What are your contraception options during perimenopause? 👇

The hormonal coil isn’t the only option.

The mini pill, implant and contraceptive injection can all be options, depending on your individual circumstances.

The combined pill can also be useful during perimenopause, but it’s generally only recommended up to age 50, after which another contraceptive method should be considered.

And the contraceptive injection, such as Depo-Provera or Sayana Press, may not be the first choice as you approach 50, particularly because of its effects on bone health.

Your age, medical history, migraine history, blood pressure, smoking status and individual preferences all matter when choosing contraception.

Address

Cyncoed Consulting Rooms
Cardiff
CF238SQ

Opening Hours

Thursday 6pm - 8pm
Friday 9am - 5pm

Telephone

+442920764611

Website

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