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Menopause is an important life event for women.

We believe that symptomatic women should be assessed individually and may be offered hormone replacement therapy  (HRT) as part  of a holistic approach to management of the menopause. 

Lifestyle modification with advice on diet, exercise, smoking and alcohol should be an integral part of this.

We will discuss your health with you. Not everybody wants or needs HRT but we will make sure you are aware of all possibilities.

Please come and see us if you are concerned about any aspect of your health at this time or if you simply just want more information. 

  • In the past Menopause was seen as the threshold of old age. It can now be seen as a new beginning.
  • Every woman’s experience of Menopause will be different.
  • Menopause can increase the risk of Heart Disease, Breast Cancer and Osteoporosis.
  • Simple improvements in lifestyle, at this time, can protect women from serious health problems later in life.
  • A simple health check or ‘MOT’ for all women around the time of Menopause can assess risk of developing these and other diseases and develop a plan to optimize your health.

What is the Menopause?

This is the natural end to your menstruation and fertility. Women’s ovaries stop producing hormones between the ages of 44 -55 years of age. The average age of menopause in Ireland is 52 years. Menopause is considered when a woman (of this age group) has been without a menstrual cycle for 12 months. However the symptoms can span a 12 year period and peri-menopausal symptoms may  begin even long before a woman’s menses stop. This experience is very individual and can be a very challenging time with a multitude of physical and emotional symptoms.

Reduced hormone production of progesterone and oestrogen may unfortunately lead to reduction in bone density and thus an increased risk of fracturing bones in later life. It is very important for menopausal women to get their Bone Density reviewed at regular intervals as treatment can greatly alter the onset and progression of Osteoporosis.

Common symptoms of the Menopause?

Symptoms may occur whilst still menstruating – peri-menopausal- or when the menopause commences. The symptoms vary greatly from person to person in terms of frequency and severity and may be quite debilitating.

Common symptoms are as follows:

  • Changes in the pattern of your cycle e.g. periods heavier, irregular.
  • Hot flushes 
  • Night sweats
  • Depression/Anxiety
  • Mood swings
  • Memory loss/ Poor concentration
  • Vaginal dryness/loss of libido
  • Thinning of hair
  • Joint Pains
  • Bladder symptoms
  • PMS symptoms
  • Loss of confidence and sense of self                                               

What can I do?

Dietary changes, Exercise, Complimentary therapies, Hormone replacement therapy (HRT), and other recognised medical treatments may all be considered in challenging menopausal symptoms.

The use of herbal products as an alternative to conventional HRT is not supported by reliable data and in many cases their safety is untested.

‘BIO identical’ or ‘compounded’ HRT products are not recommended alternatives to conventional HRT.

Regular Bone DEXA Scans are recommended to avoid osteoporosis and prevent its progression. Thus avoiding disability and fractures as we grow older. Learn about: DEXA BONE SCAN.

  • Dietary changes
    Avoidance of certain foods and drinks – caffeine, tea, alcohol and spicy foods – which are known to trigger hot flushes may lessen the severity of hot flushes.
  • Exercise
    Exercise for the menopausal woman helps you to sleep better, aids weight loss, combats stress and tension and generally improves the quality of life. Fast walking or cardiovascular exercise tailored to your specific abilities is the most suitable form of exercise. More gentle forms of exercise such as yoga which teach controlled breathing techniques can be very useful in coping with such symptoms as flushes and sweats.
  • Complementary therapies
    There is little scientific evidence that complementary therapies are effective in relieving menopausal symptoms. Evening primrose oil, red clover, soy and dong quai may have some role to play in the short term relief of such symptoms as hot flushes but evidence is lacking. Their safety is yet undetermined and therefore cannot be recommended for patients on certain medications or with a history of breast cancer.
  • Medications
    When simple measures are ineffective some types of medications may be very helpful used to control vasomotor symptoms of flushing and sweats. These are low doses of SSRI/SNRI. Please discuss with your doctor for further information.
  • HRT – yes or no?
    The advantages and disadvantages of hormone replacement therapy have long been debated. Select patients may benefit greatly, but they are not recommended for all women. Many studies have shown that HRT medication in excess of 3-5 years duration may slightly increase the risk of breast cancer.
    HRT can be extremely effective in the short term control of menopausal symptoms providing the patient fits the criteria required to take HRT safely. The general rule when using HRT is to use as little as possible for the shortest time possible.

Further information is available: