The Menopause

Menopause has long been a taboo subject, but that’s changing – fast.

Yet, despite all this, we are (understandably) confused by the amount of information that exists and what we can do to help us transition through this phase of our lives.

The average age of menopause in the UK is 51. But it’s an average, meaning there are younger and older women in the mix, too. This figure is the point at which women’s periods stop completely. Peri-menopause (the time leading up to periods stopping for good) can last for 10 years before this. So women can be peri-menopausal with symptoms throughout their entire 40’s!

Common menopausal symptoms we can expect to have include hot flushes and night sweats. However, very few realise that tiredness, low mood, urinary symptoms, reduced libido (sex drive) and even joint pains can be related to their menopause. Symptoms can often last for some time with women reporting having systems more than five years after their first hot flush.

Consultant Obstetrician and Gynaecologist Miss Poonam Pradham has over 25 years experience in her field and advises her patients daily as to how best to manage the Menopause with special interest in vaginal laxity and urinary incontinence.

With the latest knowledge including HRT (Hormone Replacement Therapy), diet and lifestyle, Poonam is available to advise and help you, whatever your age, optimise your health and wellbeing during this time.


Consultant Gynaecologist & Menopause Expert
Fellow Royal College of  Obstetrics and Gynaecology
Member British Menopause Society

Frequently Asked Questions

The menopause is when a woman stops having periods and is no longer able to get pregnant naturally… The menopause is a natural part of ageing that usually occurs between 45 and 55 years of age, as a woman’s oestrogen levels decline. In the UK, the average age for a woman to reach the menopause is 51.

In the months or years leading up to menopause (perimenopause), you might experience these signs and symptoms:

  • Irregular periods
  • Vaginal dryness
  • Hot flashes
  • Chills
  • Night sweats
  • Sleep problems
  • Mood changes
  • Weight gain and slowed metabolism

A woman is born with a finite number of eggs, which are stored in the ovaries. The ovaries also make the hormones estrogen and progesterone, which control menstruation and ovulation. Menopause happens when the ovaries no longer release an egg every month and menstruation stops.

Although there is a usual range for how long menopause symptoms last, each woman’s journey is unique. The transition often takes about four years, but some symptoms may last longer.

Your Skin and Menopause

Menopause causes many changes to your skin…
You lose some fat under your skin and your skin’s elasticity drops. That, combined with dryness caused by hormonal changes, can cause sagging — especially around the neck, jawline, and cheeks — and fine lines and wrinkles.

Your menopause-related emotions can range from mild mood swings to severe depression. Anxiety may make you feel worried, preoccupied, nervous, or panicky. Many mild emotional symptoms of menopause can be managed through lifestyle changes, such as finding ways to relax and reduce stress.

Some women gain more belly fat at this time than others. This may partly be due to genetics, as well as the age at which menopause starts. … Bottom Line: Hormonal changes at menopause result in a shift in fat storage from the hips and thighs to visceral fat in the abdomen

Effective Tips to Lose Belly Fat (Backed by Science)

  • Eat Plenty of Soluble Fiber
  • Avoid Foods That Contain Trans Fats
  • Don’t Drink Too Much Alcohol
  • Eat a High-Protein Diet
  • Reduce Your Stress Levels
  • Don’t Eat a Lot of Sugary Foods
  • Do Aerobic Exercise (Cardio)
  • Cut Back on Carbs, Especially Refined Carbs.

Hormone replacement therapy (HRT), also known as menopausal hormone therapy (MHT) or postmenopausal hormone therapy (PHT, PMHT), is a form of hormone therapy used to treat symptoms associated with female menopause.

Taking HRT reduces your risk of heart attacks and stroke. Many women notice that taking HRT improves their mood, sleep and general quality of life. They also notice they think more clearly and generally have more energy.

The main benefit of HRT
The main benefit of HRT is that it can help relieve most of the menopausal symptoms, such as:

  • hot flushes
  • night sweats
  • mood swings
  • vaginal dryness
  • reduced sex drive

Side effects of HRT

  • fluid retention
  • bloating
  • breast tenderness or swelling
  • headaches
  • indigestion
  • depression

HRT and Breast Cancer

The commonest reason why women are scared of taking HRT is the increased risk of breast cancer which is actually very small, if present. Some studies have not actually shown there is a link between taking HRT and breast cancer. During your consultation Miss Pradham will assess your medical history and advise on the optimum plan for you.

Contact Us to organise your consultation