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Understanding menopause

Dr Elise Dallas at The London General Practice has a strong interest in women’s health and has completed specialist menopause training with the British Menopause Society. Her work focuses on improving women’s wellbeing throughout midlife, with an emphasis on symptom management, long-term health, and reducing the risk of chronic disease.

Menopause is a natural stage in a woman’s life that marks the end of menstrual cycles and reproductive years. It usually happens between the ages of 45 and 55, with the average age of onset being around 51, although this can vary from person to person.
Perimenopause, often called the menopausal transition, is the phase leading up to menopause. It can begin several years beforehand and is commonly associated with hormonal changes, shifting cycle patterns, and the first signs of menopausal symptoms. For some women, this stage is relatively mild; for others, it can be more disruptive and emotionally challenging.
Dr Elise Dallas

Dr Elise Dallas

General Practitioner | Specialist in Women’s Health and Menopause Care

Managing menopause symptoms

Women may experience a wide range of symptoms during perimenopause and menopause, and these can differ significantly from one person to another. Common symptoms include hot flushes, night sweats, mood changes, vaginal dryness, low libido, irregular periods, brain fog, and sleep problems, all of which can affect day-to-day comfort and confidence.
These symptoms can also influence work, relationships, and overall quality of life, especially when they occur together or become persistent. Understanding the cause of these changes is often the first step toward finding the right support and treatment.

Hormone replacement therapy

One commonly used treatment for menopause symptoms is hormone replacement therapy, or HRT. This involves replacing falling hormone levels in the body, usually oestrogen and progesterone, and sometimes testosterone, depending on individual needs. HRT can be highly effective in easing symptoms such as hot flushes, night sweats, and vaginal dryness.

It is important to consider each woman’s medical history, current health, and personal preferences, as HRT is not suitable for everyone. However, for many women, especially when started before the age of 60, the benefits of HRT outweigh the risks. A personalised approach is essential to finding the most appropriate option.

Lifestyle modifications

Nutrition plays an important role in supporting overall health during menopause. A balanced diet containing plenty of fruit, vegetables, whole grains, lean protein, and healthy fats can help maintain energy levels and support hormonal wellbeing. Some women also find that reducing caffeine, alcohol, and spicy foods helps ease hot flushes and improve comfort.

Regular movement is equally valuable. Activities such as walking, swimming, yoga, or strength training can help improve mood, reduce stress, support bone health, and aid weight management. Sleep also matters, and creating a calm bedtime routine and comfortable sleep environment can make a real difference. Emotional wellbeing should not be overlooked either, and mindfulness, counselling, or support groups can be helpful for managing anxiety, low mood, and stress.

If you are experiencing menopausal symptoms and want expert guidance, The London General Practice offers specialist support through its menopause clinic. Book a consultation with LGP today to receive personalised care and practical treatment options tailored to your needs.

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