Menopause & Perimenopause Care
Personalised, doctor-led menopause care
Menopause is a natural life stage, but the hormonal changes that accompany it can significantly affect physical health, emotional wellbeing, and long-term disease risk.
Dr Naomi provides personalised, evidence-based menopause care for women at all stages of the menopause transition — from early perimenopause through to post-menopause.
Consultations are unhurried, compassionate, and focused on helping you feel better now, while also protecting your long-term.
What is menopause?
Menopause occurs when ovarian hormone production gradually declines, leading to reduced levels of oestrogen, progesterone, and testosterone.
It is diagnosed when periods have stopped for 12 consecutive months, typically between the ages of 45 and 55 — though some women experience menopause earlier or later.
Symptoms often begin several years beforehand, during perimenopause, and can fluctuate over time.
While menopause is a natural process, its impact on quality of life and future health should not be dismissed or minimised.
Common menopause symptoms
Menopause affects women differently, but commonly reported symptoms include:
Hot flushes and night sweats
Sleep disturbance and fatigue
Mood changes, anxiety, or low mood
Brain fog, poor concentration, and memory difficulties
Joint aches and muscle pain
Vaginal dryness, urinary symptoms, or reduced libido
Changes in weight and body composition
Dry hair, dry eyes, tinnitus
Symptoms may be subtle or severe, short-lived or long-standing — all experiences are valid.
How Dr Naomi can help
Dr Naomi offers specialist menopause care grounded in current evidence and national guidelines.
During your consultation, care may include:
- A detailed review of symptoms, medical history, and medications
- Discussion of lifestyle, stress, sleep, and health priorities
- Assessment of long-term health risks associated with low oestrogen
- Individualised advice on hormonal and non-hormonal treatment options
- Personalised prescribing and monitoring where treatment is appropriate
- Ongoing review and support as your needs change
Care is collaborative and tailored — there is no one-size-fits-all approach.
Hormone replacement therapy (HRT)
Hormone Replacement Therapy (HRT) is a safe and effective treatment for many women experiencing menopausal symptoms.
HRT can:
- Improve hot flushes and night sweats
- Support sleep, mood, and cognitive function
- Improve vaginal and urinary symptoms
- Protect bone health
- Reduce future risk of cardiovascular disease and type 2 diabetes when started appropriately
HRT is available in different forms, including patches, gels, sprays, tablets, and vaginal preparations.
Dr Naomi will discuss the potential benefits and risks of HRT with you, ensuring decisions are informed, personalised, and reviewed regularly.
Lifestyle support and non-hormonal options
Menopause management is not just about HRT.
Lifestyle factors play a crucial role in symptom control and long-term health. Your care may include guidance on:
Nutrition to support metabolic, bone, and cardiovascular health
Exercise strategies to preserve muscle mass and bone density
Sleep optimisation and fatigue management
Stress physiology and emotional wellbeing
Preventive screening and risk reduction
This integrated approach supports both symptom relief and healthy ageing.
Hormonal health beyond oestrogen
During menopause, fluctuations in many hormones — including testosterone — can affect energy levels, libido, mood and muscle strength. Dr Naomi provides clinical assessment and interpretation of relevant hormone levels where clinically appropriate, including testosterone, to support a personalised care plan.
When to seek menopause support
You may benefit from a menopause consultation if:
- Symptoms are affecting your quality of life or confidence
- You feel your concerns have been dismissed or minimised
- You want clear, evidence-based advice about HRT
- You are unsure what treatment options are right for you
- You want to take a proactive approach to long-term health after menopause
You do not need to be “struggling enough” to seek help.
Where consultations take place
Dr Naomi currently sees patients at Sunninghill Clinic, Ascot.