Sadly there is not enough provision for women to really understand perimenopause and menopause and what is happening to them during midlife within the NHS.  Some GP's are excellent and some practices do now have a menopause specialist or can refer to a specialist hospital clinic.  But equally many women have been left disappointed and confused and not really knowing where to go for menopause help and advice.  And a private consultation can be out of reach for so many due to the often huge cost.

But the last few years have seen a big rise in health services within the private arena for women during perimenopause and menopause.  I have been contacted by a few of these and will be sharing my experience with the different options over the coming weeks and months.  

On this blog post I am telling you about Health & Her and their new affordable online menopause clinic.

​With Health & Her you can see a menopause GP online for an in-depth review of your symptoms, tailored treatment plans and prescription recommendations.

This blog post is as much about me researching osteoporosis as it is about giving my readers some information of what it is all about.  My knowledge up until now has been that women are more at risk of osteoporosis than men (but men can get it too) and that our declining hormones in midlife are a risk factor, I also know that taking HRT and doing regular exercise, especially strength training can really help reduce your risk.  But when I was approached to write a blog post about it, I obviously wanted to find out more and check my facts ... and there is much more to it, for starters I learnt that as well as osteoporosis there is osteopenia and brittle bone disease as well - read on!

Now as you know I am a huge supporter of women taking HRT if they possibly can and that doing regular exercise and especially incorporating strength training into your routine can have a massive positive impact on our health overall in midlife.  And maintaining a healthy weight is important, we all know the risks associated with obesity but losing a lot of weight can also reduce our bone density.

Whenever I get together with my girlfriends one conversation that always comes up is menopause and hot flushes.  It used to be children and before that boyfriends then weddings ... oh how things change!  So with the warmer months coming up I thought I would pass on the best solution I found to help with the pesky problem of sleepless nights due to night sweats and/or hot flushes.  And one simple change you can make that really does work, I know because I have done it, and I have not looked back, is to invest in a wool duvet.  Let me explain ....

Tomorrow is Time to Talk Day, an initiative organised by Time to Change, a social movement who aims to change the way we all think and act about mental health problems.  Some of you may have seen a few of my recent social media posts and blogs where I have mentioned that I have been having a very low period of depression and anxiety.  I also explained in my new year blog post that I wanted to be more open and honest on my blog so Time to Talk Day seemed like the most appropriate time to share and talk and may be help someone else.

I have never gone public with this.  In fact I didn't even really know it had a name until I was nearly 30.  But I suffered most of my childhood, through my teens and well into adulthood, well until quite recently really.  I have emetophobia which is the fear of vomiting - it can include a fear of vomiting oneself in private or public, a fear of seeing vomit, a fear of watching or hearing the action of vomiting and a fear of feeling nauseous.  

In addition I do have episodes of anxiety, mild depression and insomnia.  I also had post-natal depression and I have had anxiety and low mood associated with hormone imbalances during peri-menopause.  The phobia is less of an issue in my day to day life now but depression and insomnia continue to plague me from time to time and I am still working on the best ways to deal with it when it does reappear.

But this is me, this is the bit that no one apart from my closest family and friends see, this is the me I usually keep private and if I do tell someone, I am usually met with surprised 'but you seem so confident!'  I have also accepted that I am an introvert, that I don't enjoy big events and I don't enjoy too much social media visibility - like changing room selfies!

I am currently in the midst of a particularly bad episode of low mood / depression and so opening up about my struggles helps me cope a bit more and find some perspective.  Last year was full on for me with, among other challenges, waving my daughter off to university then the long Christmas and New Year period with two bereavements and an even longer grey January.  Thank goodness that is over.   On my walks this week I have seen signs of spring.