04/09/2026
1) There is no ONE hormone replacement treatment which is best for every woman. Women’s genetics, past medical histories, response to hormones, preferences and life circumstances are all different. Our job as clinicians is to give an honest, evidence based appraisal of the options- not to take the decision away or push specific agendas.
2) Menopause is not, in my opinion, a “natural” process. Life expectancy for the average woman in the developed world has increased exponentially. We are now, on average, spending more of our lives in reproductive hormone deficiency than we ever did and the repercussions for our health increase proportionately.
3) Libido in women is one of the most over-simplified areas of menopause care. Yes, hormones and biological drive for intimacy are a critical part of the conversation but they’re not the whole conversation and for some women, replacing hormones is not a magic bullet. Holistic conversations regarding sexual health should be starting early.
4) Turning up to a menopause consultation with notes, information, investigation results, etc should never be something to be embarrassed about. I always encourage patients to come armed with information and questions. I want you to get the maximum out of your time with me!
5) “The whole is greater than the sum of its parts”. Great menopause care is about seeing the bigger picture, collaborating seamlessly with other professionals to give the patient the best outcome. My team of clinical partners are invaluable to me and when women come to see me and we work as a collectively to meet all of the patients needs.