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Pessaries and vaginal prolapse Pelvic organ collapse, also known as pelvic organ prolapse, occurs when the muscles and tissues that support the pelvic organs weaken or stretch, causing one or more of the organs (such as the bladder, uterus, or rectum) to drop from their normal position. This can result in uncomfortable symptoms like pressure, urinary incontinence, and even difficulties with bowel movements. Vaginal Pessary A vaginal pessary is a removable medical device that is inserted into the vagina to provide support for pelvic organs and alleviate the symptoms of pelvic organ collapse. It essentially acts as a supportive scaffold, helping to lift and position the organs back into their natural place. This can significantly improve comfort, alleviate pressure, and enhance overall quality of life for women experiencing pelvic organ collapse. Benefits of Pelvic Floor Exercises Pelvic floor exercises, also known as Kegel exercises, offer a valuable and non-invasive approach to improving pelvic health. These exercises target the muscles that support the pelvic organs, promoting strength and resilience. Regular practice of pelvic floor exercises can bring about numerous benefits: Prevent and Manage Pelvic Organ Prolapse: Strengthening the pelvic floor muscles can help prevent the onset or progression of pelvic organ collapse by providing essential support to the organs. Improved Bladder and Bowel Control: Pelvic floor exercises can enhance urinary and fecal continence, reducing incidents of leakage and incontinence. Enhanced Sexual Well-Being: A strong pelvic floor contributes to improved sexual sensation and satisfaction for women. Reduced Back Pain: Strong pelvic muscles can help alleviate lower back pain and discomfort. Postpartum Recovery: Pelvic floor exercises are particularly beneficial for postpartum women, aiding in the recovery of pelvic muscle tone after childbirth. Performing Pelvic Floor Exercises Pelvic floor exercises are simple to perform and can be seamlessly integrated into your daily routine: Identify the Muscles: Begin by identifying your pelvic floor muscles. Imagine stopping the flow of urine or tightening the muscles you would use to prevent passing gas. Correct Technique: Lie down, sit, or stand comfortably. Inhale deeply, then as you exhale, gently contract your pelvic floor muscles. Focus on lifting and squeezing, without engaging your abdomen, buttocks, or thighs. Hold and Release: Hold the contraction for a count of 5, then release for a count of 5. Gradually increase the duration of both the hold and release as your muscles become stronger. Frequency: Aim for 3 sets of 10 repetitions each day. Be patient; it may take a few weeks to notice significant improvements. Consistency: Consistency is key. Incorporate pelvic floor exercises into your routine to maintain and enhance pelvic health. ​ By embracing pelvic floor exercises and considering options such as a vaginal pessary under the guidance our Urogynaecologist specialist nurse, women can take proactive steps toward improving pelvic organ support and overall well-being. Explore our services

< Back Testosterone Initial Consultation £195 Book Now About Our comprehensive consultation, available in-person or via videolink, lasts up to 50 minutes and is priced at £195.00. Please note that a blood test (Sex Hormone Binding Globulin, SHBG, and Testosterone) is required prior to the consultation. We offer this blood test in our clinic for £95.00. If you have already had the blood test via the NHS or another service, please forward the results to the clinic. This consultation is suitable for anyone who: Is on a stable HRT plan Is looking to introduce testosterone into their current plan During your consultation, we cover: Overview of Current HRT Regimen: Discuss your current hormone replacement therapy (HRT) regimen, including dosage and frequency. Medical History: Review your medical history, including any symptoms you're experiencing, menstrual history, and any previous diagnoses or treatments. Discuss Symptoms: Address any ongoing symptoms or concerns related to menopause. Identify opportunities for improvement in symptom management and overall well-being. Discuss Lifestyle Changes: Explore lifestyle modifications that may complement HRT in managing menopausal symptoms. Provide suggestions for optimising health and well-being through lifestyle adjustments. Discuss Libido, Energy, and Cognition: Evaluate libido levels and discuss any changes or concerns. Assess energy levels and cognitive function, considering their impact on daily life. Discuss strategies for enhancing libido, energy, and cognitive function. Testosterone Treatment Prescription: Explanation of testosterone treatment options for addressing menopausal symptoms. Criteria for prescribing testosterone and its potential benefits. Details regarding the delivery of testosterone treatment to your home the next day. Personalised Management Plan: Establish a follow-up plan to monitor your progress and adjust treatment as needed. This may include scheduling regular check-ups, monitoring hormone levels, or tracking changes in symptoms. Complimentary Bristol Menopause Information Brochure: Receive tips and suggestions for your ongoing support. Our aim is to provide a comprehensive approach to integrating testosterone into your HRT plan, ensuring you receive the best care possible. Book your consultation today and take a proactive step towards enhanced wellbeing and symptom management. Book an Appointment Book a testosterone review 6 months after starting treatment here . Discover how we support testosterone treatments in our health fact sheets . Book Now Discover our range of menopause supplements, available to order today! Shop Now

< Back Jenna Young Phlebotomist Jenna Young is a qualified Phlebotomist, patient chaperone and trainee healthcare assistant. ​ ​

You can order a prescription outside of a consultation here Please note: All prescriptions are charged at £25. This is a non-refundable fee that will be taken when you complete the purchase of your medication with the relevant pharmacy. This fee does not include the cost of the medication. This is charged in addition by the selected pharmacy. You can only use this service if you are under the care of Bristol Menopause Clinic. The below form is for medication that has been previously prescribed ONLY. Requests for any medication that has not been previously issued will be declined. You must be up-to-date with all your appointments in order to use this service. If you are due a follow-up, please schedule this appointment. You can then access your prescriptions at no additional administration fee. If you are not sure if you are up-to-date, please contact us at hello@bristolmenopause.com , or call our patient support team on 0117 452 5747 . Prescription Order Form Name Date of Birth Email Prescription details Submit Thanks for submitting!

< Back 50-minute Menopause Consultation From £195 Book Now About Experience our comprehensive menopause consultation, available in-person or via videolink, starting from £195.00 for a 50-minute session. Are you unsure if you're experiencing menopausal changes or symptoms? Perhaps you're already on Hormone Replacement Therapy (HRT) but not feeling your best? Whether you seek guidance on treatment options or prefer a holistic approach without HRT, our consultation caters to your needs. During your consultation, we cover: Health Assessment: Evaluate symptoms related to menopause such as hot flashes, night sweats, mood swings, and changes in menstrual cycle. Assess overall health status including medical history, current medications, and any pre-existing conditions. Review Current Lifestyle: Discuss lifestyle factors such as diet, exercise, stress management, and sleep patterns that may impact menopausal symptoms. Identify any habits or behaviours that could exacerbate symptoms or affect overall health. Provide Advice and Guidance on Treatment Options: Educate on various treatment options for managing menopausal symptoms, including hormone replacement therapy (HRT), non-hormonal medications, and lifestyle modifications. Discuss the risks and benefits associated with each treatment option to facilitate informed decision-making. Prescribe Appropriate Treatments: Prescribe HRT according to established guidelines from organisations such as the British Menopause Society, NICE, and the International Menopause Society. Consider individual patient preferences, medical history, and severity of symptoms when determining the most suitable treatment regimen. Discuss Supplements and Lifestyle Changes: Provide information on dietary supplements. Offer guidance on lifestyle changes including regular exercise, stress reduction techniques, and adequate sleep to support overall well-being during menopause. Letter Informing GP of Consultation: We send a letter to your GP informing them of the consultation and prescribed treatments, ensuring continuity of care. Private Prescriptions Available: You will have the option to obtain a private prescription for menopausal treatments if required. Moreover, you receive a personalised management plan for ongoing support, including regular follow-ups and monitoring of progress. As a gesture of support, you'll also receive a complimentary Bristol Menopause information brochure. By thoroughly discussing symptoms, assessing needs, and offering tailored advice and treatment options, we aim to support patients in managing their menopausal transition effectively and improving their overall quality of life. Book your consultation today and take control of your menopause experience. Discover how we help perimenopause and menopause in our health fact sheets Book Now Discover our range of menopause supplements, available to order today! Shop Now

< Back Ultimate Wellwoman Blood Test £290 Book Now About Calcium, Albumin, Corrected Calcium, Phosphorus, Uric Acid, Lipids, HbA1c, Thyroid Function Test, Full Blood Count, Liver Function Test, Renal Function Test, CRP, Vitamin D and B12, Folate, Ferritin, Magnesium, Testosterone, Prolactin, Cortisol, SHBG, Oestradiol, LH, FSH Book an Appointment Book Now Discover our range of menopause supplements, available to order today! Shop Now

< Back Looking After Your Emotional Health Through The Menopause Menopause Advice, Mental Health, Stress, Wellbeing 28 Nov 2023 We shine a light on the emotional and psychological aspects of navigating menopause, offering guidance and support for nurturing mental well-being during this phase of life. Understanding Emotional Changes A lot of people talk about hot flushes and night sweats that can affect women through the menopause. However, it isn't just about physical symptoms; it's a journey that can significantly impact mental health. Fluctuating hormone levels can contribute to mood swings, irritability, anxiety, and even depression for some women. Strategies for Emotional Wellness Open Communication: Discuss your feelings and experiences with trusted friends, family, or a healthcare professional. Talking about your emotions can provide relief and support. Stress Management: Adopt stress-reducing techniques such as deep breathing exercises, yoga, or meditation to alleviate anxiety and promote relaxation. Prioritise Self-care: Dedicate time for activities that bring you joy and relaxation. Whether it's reading, gardening, or simply taking a warm bath, self-care is essential for mental well-being. Remember, prioritising mental well-being isn't selfish; it's a vital aspect of overall health. Dedicate time for activities that bring you joy, relaxation, and comfort, especially during challenging periods. Seek Support: Joining support groups or seeking counselling can provide a safe space to share experiences and gain valuable insights from others navigating the same journey. Managing Mood Swings Identify Triggers: Recognize factors that exacerbate mood swings and find ways to manage or avoid them. Keeping a journal might help identify patterns. Healthy Lifestyle Habits: Regular exercise, a balanced diet, and adequate sleep can positively impact mood and overall well-being. Therapeutic Support: If feelings of distress persist or interfere with daily life, seeking therapy or counselling can offer valuable tools and support to navigate challenging emotions. Healthcare Provider Consultation: Discuss any significant changes in mental health with a healthcare professional. They can provide guidance and explore potential treatment options if necessary. Hormone Replacement Therapy can help to stop the mood swings and help with to calm the rage and irritability. Cognitive Behavioural Therapy can also help. This involves talking to a trained therapist to help you deal with these symptoms. Recognising Depression and Seeking Help Persistent feelings of sadness, hopelessness, or loss of interest in activities you once enjoyed could signal depression. It's crucial to seek professional help if these feelings persist or interfere with daily life. Conclusion: Navigating the emotional roller coaster of menopause can be challenging, but by acknowledging and addressing these changes, women can take proactive steps toward maintaining positive mental health. It may well involve using HRT or CBT or even a combination of both. Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. ​ You'll be so glad you did! Contact Us

< Back Janet Howe British Menopause Society Registered Specialist Nurse Janet Howe is a British Menopause Society Registered Menopause Specialist and an independent Prescriber who has been in nursing for 37 years, 26 of those in general practice specialising in women's health. Janet is a distinguished figure in women's health, holds the esteemed title of being a British Menopause Society Registered Menopause Specialist and an independent Prescriber. With an impressive 37-year career in nursing, including 26 years dedicated to general practice with a specialisation in women's health, Jan brings a wealth of experience to her practice. Jan's expertise extends across contraception, sexual health, and in-depth knowledge of the menopause, including Hormone Replacement Therapy (HRT). Notably, she is proficient in fitting Mirena coils and contraceptive implants, showcasing her commitment to providing a comprehensive range of services as an independent prescriber. Currently on the path of academic advancement, Jan is working towards her Masters in Advanced Clinical Practice, a testament to her dedication to staying at the forefront of her field. Beyond professional expertise, Jan intimately understands the menopausal experience, having personally navigated its physical and mental aspects. Her empathetic approach is further highlighted by her memberships in both the British Menopause Society and the International Menopause Society. Jan's passion for women's health is evident in her desire to ensure that all women have the opportunity to access menopausal care. She envisions a landscape where women are supported through this transformative phase of life, emphasising her commitment to the well-being of her patients. ​ ​

< Back Follow-up Menopause Consultation From £135 Book Now About Our follow-up consultation is designed to ensure continued patient care and monitor your progress, available for up to 30 minutes at £125.00. We recommend a 3-month follow-up appointment after your initial consultation. Thereafter, your clinician will recommend a frequency most suitable for you. This consultation is suitable for anyone who: Is already an existing patient who has been seen within the last 12 months Requires a review of their current HRT plan Feels like symptoms have returned or changed During your consultation, we cover: Review Current Symptoms & Assess Needs: Discuss any ongoing symptoms related to menopause. Evaluate the effectiveness of current treatment in managing symptoms. Address any concerns or new symptoms that have arisen since the last appointment. Review Health Assessment: Reassess your overall health status, considering any changes since the last visit. Review Current Lifestyle: Discuss lifestyle factors that may impact menopausal symptoms, such as diet, exercise, stress management, and sleep. Explore any changes in lifestyle since the last appointment and their effects on menopausal symptoms. Provide guidance on lifestyle modifications to alleviate symptoms and improve overall well-being. Adjust Treatment if Necessary & Prescribe: Assess the need for adjustments to current treatment based on symptom control and lifestyle factors. Discuss alternative treatment options or adjunct therapies that may better address individual needs. Collaboratively decide on any changes to the treatment plan, considering efficacy, side effects, and patient preferences. Prescribe appropriate treatments, with private prescriptions available. Update Your GP: Summarise the discussion and any changes made to the treatment plan. Provide recommendations for ongoing management of menopausal symptoms to ensure continuity of care. Personalised Management Plan: Establish a follow-up plan to monitor your progress and adjust treatment as needed. This may include scheduling regular check-ups, monitoring hormone levels, or tracking changes in symptoms. Our goal is to provide a supportive and comprehensive approach to managing your menopausal symptoms, ensuring you receive the best care possible. Book your follow-up consultation today and continue on your path to optimal wellbeing. Book an Appointment Discover more about how we support the perimenopause and menopause in our health fact sheets Book Now Discover our range of menopause supplements, available to order today! Shop Now

< Back Mirena Coil fitting £195 Book Now About This consultation is suitable for anyone who: Would like to have the Mirena coil fitted for contraceptive purposes Would like to have the Mirena coil fitted for HRT (progesterone) purposes Needs an option to manage heavy menstrual bleeding Please note this does not include the cost of the Mirena Coil, which is charged at an additional £140.00. During your consultation, we cover: Initial Telephone Call: Discuss coil options and procedure details. Consultation: Discuss your medical history, including any past or current medical conditions, medications, and allergies. Explain how the Mirena coil works and how it will be inserted into your uterus. Obtain consent: You'll be asked to sign a consent form indicating that you understand the procedure, its benefits, and potential risks. Physical Examination: Perform a pelvic exam to assess the size and position of your uterus and ensure there are no contraindications to the insertion. Assessment & Fitting: Placement of the Mirena Coil: The Mirena coil will be inserted into your uterus through your cervix. A speculum may be used to visualise your cervix, and a special inserter device will place the coil in the correct position. You may experience cramping or discomfort during this part of the procedure. Aftercare: Once the coil is in place, you will be provided with instructions on what to expect in the hours and days following the insertion, including any potential side effects or complications to watch for. Advice and guidance for aftercare. It's essential to communicate openly with your practitioner throughout the process and to ask any questions you may have about the procedure or the Mirena coil itself. Book your consultation today and take an important step towards effective contraceptive and hormonal management. Book an Appointment Discover more about how we support contraception in our health fact sheets. Book Now Discover our range of menopause supplements, available to order today! Shop Now

< Back Kim Jones Operations Director Kim Jones plays a pivotal role, diligently overseeing the seamless operation of the clinic. With a focus on organisational efficiency and management, Kim ensures that the clinic functions smoothly to provide optimal care and services. Her dedication to the administrative aspects of the clinic contributes to the overall success of our menopause and women's health clinic. ​ ​

< Back Peri-menopause Blood Test £175 Book Now About (To be taken Day 2-5 period) FSH, LH, Oestradiol, Prolactin, Testosterone, SHBG, Free Androgen Index, Total Thyroxine 4, TSH, Free Thyroxine 4, Thyroglobulin Antibodies, Thyroid Peroxidase Antibodies. Book an Appointment Book Now Discover our range of menopause supplements, available to order today! Shop Now