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Tuesday 9am - 4:30pm Wednesday 9am - 4:30pm Thursday 9am - 6pm Friday 9am - 12:30pm

Dr Andrew Orr, Suite 1, Benson House, 2 Benson Street, Toowong, Brisbane (2026)

21/10/2026

One of the least talked about issues many women will face in the perimenopausal and menopausal stages of live is that of bladder and faecal incontinence, along with va**nal prolapse.

I can't begin to tell you the number of women wetting themselves, pooing their pants, or having their va**nal walls poke out, all due to lack of hormones, lack of pelvic floor control, and lack of education.

While there are many causes of these 3 issues above, ranging from child birth, trauma from surgeries, stress, infections, and certain chronic diseases etc, the cause I am talking about today relates to lack of hormones (locally & systemic).

There are no over the counter supplements that are going to help these very serious & embarrassing issues.

While we often talk about Genitourinary Syndrome of Menopause (GSM), it often relates to the va**nal tissue, and symptoms of dryness, or pain with in*******se etc.

Hardly anyone is talking about the other serious issues women can, and do face with GSM, which is due to lack of vital hormones, namely estrogen. We need to start talking about it more often.

At least 50% of women will experience some form of incontinence (bladder or bowel) during the perimenopausal & menopausal years.

Between 30-50% of women will experience some form of va**nal prolapse during the perimenopausal & menopausal years too.

GSM is caused by the decline in estrogen that thins the vulva-va**nal wall, the urethra & bladder, and the bowel & re**al walls. This also impacts the pelvic floor. This then causes symptoms of vulvova**nal atrophy, incontinence (bowel and bladder), prolapse, & pelvic floor & sexual dysfunction.

This is why doing something about the decline of hormones, and pelvic floor work, is so important early on. Prevention is the key to many of these serious & very embarrassing issues. Yes, many of these issues are preventable.

If you do need help with preventing serious diseases & symptoms during the perimenopausal & menopausal stages of life, contact my clinic and find out how a qualified women's health medicine expert can help you. Contact [email protected]
In person & online consults available, no matter where you live.

20/10/2026

Atrophic vaginitis (now known as Genitourinary Syndrome of Menopause-GSM) is a va**nal and surrounding organ disorder that usually happens around menopause, but it can happen long before this time as well. When estrogen levels fall, the va**nal walls & surrounding organs & tissue, can become thin, dry, and inflamed. This then causes the surrounding tissue to lose its elasticity & become atrophied.

Gynaecological conditions such as endometriosis, adenomyosis & fibroids can make someone more prone to atrophic vaginitis as well. Many women that have atrophic vaginitis may not even know that they have it.

As many as 40% of menopausal women experience symptoms of atrophic vaginitis, but only 20 to 25 percent will seek medical help.

Many women will not seek treatment because they feel embarrassed due to the sensitive nature of the condition. Some women just put up with it believing it is normal.

Untreated, it can affect a woman’s quality of life and even lead to increased risk of prolapse & other gynaecological & urological conditions. Many of the treatments are non-invasive & are very effective in a short amount of time.
Symptoms of Atrophic Vaginitis
-Vaginal dryness
-Pain during sexual in*******se
-Thin, watery, yellow or gray discharge
-Paleness & thinning of the l***a & va**na
-Irritation when wearing certain clothes, or when on a bike seat
-More frequent urinary tract infections (UTIs), or urinary tract like infections (with no infection present)
-Vaginal Prolapse
-Incontinence (Bowel & Bladder)

There may also be a reduction in p***c hair, and the va**na may become narrower & less elastic.

This is why it is important to be managed properly with any women's health issues, and by properly investigated too. Early intervention is the key to this condition.

If you need help with perimenopause & menopausal symptoms, or symptoms that may be atrophic vaginitis, then contact my clinic and find out how I can help you.
Contact [email protected] or call +61 0451 408898. In person & online consults available.

*******se
**nalprolapse

20/10/2026

This information is not new. I learnt this information many years ago.

I have long said that if ALL women took intrava**nal estrogen, during perimenopause & menopause, even those not wanting to take systemic HRT, that it would save a lot of women's lives, and prevent them from experiencing horrific Genitourinary symptoms & diseases.

Of course there will always be an exception to the rule, but overall there are actually no credible studies showing anything negative about topical low dose intrava**nal estrogen use.

Women are dying from symptoms ( recurrent urinary tract infections, sepsis etc) relating to Atrophic Vaginitis, or what we now call Genitourinary Syndrome of Menopause (GSM).

Not only that, women are suffering years of urinary issues, bladder infections, bladder incontinence, bowel incontinence, pain with in*******se, abnormal va**nal bleeding, va**nal pain, and other excruciating symptoms & disease, all because if not having intrava**nal estrogen.

There are no over the counter supplements that can prevent, or treat GSM.

The fact is, ALL women can have topical low dose intrava**nal estrogen even those with certain cancer risks (past, present of future), or those who have diagnosed cancers. Topical low dose intrava**nal estrogen only acts on the local tissue and is not systemic.

If your healthcare provider is telling you anything different, and also not looking at the bigger picture during the menopausal & menopausal stages of life, then you are seeing the wrong healthcare provider.

If you are taking a topical intrava**nal estrogen and having issues with it, it may be from specific additives or alcohol etc, and you may need to look at having a compounded preparation made up, which does not have nasty excipients, and has a carrier cream for sensitive skin & tissue.

If you do need help with getting the right help & management, and the right information, and holistic view of your overall health in the perimenopausal & menopausal stages of life, then contact my clinic and find out how a qualified women's health medicines expert can help you.

Contact [email protected]
In person & online consults available, no matter where you live.

19/10/2026

Every day I get asked about all things related to bioidentical hormones.
Before I start, I will say this....

Not all bioidentical hormones are of the same quality, same efficiency, or have the same quality control as individually recommended/prepared compounded bioidentical hormones from a proper regulated compounding lab.

If you are buying bioidentical hormones without a script, off some internet site, or getting them in some health food store etc, then they highly likely aren't proper bioidentical hormones.

This is where all the issues start, just like any supplement or medicine you are thinking of using. If it isn't being prescribed, via script from a qualified healthcare provider, then the chances are that it is poor quality, and you won't know what you are actually getting. This is why they probably won't work for you either.

That aside, more an more people are turning to bioidentical hormones, instead of artificial ones. It all gets back to preference of the health care provider, and the consumer at the end of the day.

There are now also pharmaceutically mass produced bioidentical hormones out there, but you need to read what's in it first.

There is no denying that artificial hormones & synthetically made medications all have the potential to cause side effects. Sometimes it isn't actually the active ingredient causing issues, but the additives, preservatives & fillers. These can be anything from dyes, metals, talc, gluten, and all sorts of nasties.

This is why more people are looking into individualised compounded medicines, especially individually compounded bioidentical hormones.

Bio-identical hormones are hormones that are biologically identical to the hormones that your body makes. (their chemical structure is identical to your own natural hormones.)

Bioidentical hormones come in various forms, including pills/capsules, patches, creams, & gels etc. Bioidentical hormones should be custom made by a compounding lab, according to a healthcare practitioners prescription, and according to the individuals healthy condition & needs. These definitely don't have all the nasty additives of mass produced hormones from big pharma.

19/10/2026

There is no doubt about the benefits of hormone replacement therapy (HRT) when hormones become deficient during perimenopause & menopause.

The one thing I want to make clear first up is that HRT encompasses ALL hormones that need replacing in the body, not just estrogen.

Estrogen alone is not enough for most individuals during perimenopause & menopause. Other crucial hormones such as progesterone, DHEA & testosterone will also highly likely be needed by many.

The other thing I want to make clear is that HRT alone, is not enough when it comes to serious disease prevention, along with longevity, when it comes to the perimenopausal & menopausal stages of life.

Many are led to believe that HRT alone, and taking a pill, or putting on a patch, is their saviour to all their health issues & longevity, but nothing could be further from the truth.

Women still need crucial nutrient replacement to maintain their body, and prevent serious diseases like osteoporosis etc. While estrogen is bone & tissue protective, it still needs crucial nutrients to be available in the body to be able to increase calcium, vitamin D & other nutrient absorption.

Every woman still needs to be taking crucial nutrients during these stages of life. Diet alone is not enough unfortunately. That being said, women still need to be maintaining a healthy balanced diet of protein, beneficial carbohydrates, water, electrolytes & other nutrients.

Women also need to be doing weight baring exercises for bone health & longevity also. Let's not forget the importance of good mental health practices & seeing a counsellor too.

Lastly, lets not forget the importance of topical intrava**nal estrogen in the prevention of Genitourinary Syndrome of Menopause (GSM), and the serious issues GSM can cause.

Management of perimenopausal & menopausal diseases & symptoms requires a holistic view of the body, not just hormones.

If you do need help with managing the perimenopausal & menopausal stages of life, then contact my clinic and find out how a qualified women's health medicine expert can help you. Contact [email protected]

In person & online consults available, no matter where you live.

18/10/2026

There is a big difference between symptom management and disease prevention.

Many women in perimenopause and menopause are using supplements, and so called 'happy hormones' bought online, or over the counter, which are often just rubbish and making false claims. Not only that, even if they do help symptoms slightly, they are not helping with hormones, and they are not helping prevent very serious disease states.

Symptom management does not prevent chronic disease states, and without proper hormonal and supplement replacement, many will end up with chronic physical and mental health issues. This is why many women are going a little cray cray in these stages of life too.

Some of the serious disease states women in these stages of life are at risk of are Atrophic Vaginitis, Prolapse, Osteoporosis, Hip Fractures, Cardiovascular disease, Breast cancer, Ovarian cancer, other cancers, serious bladder & gynaecological issues, dementia and other cognitive decline issues, just to name a few.

Once in menopause, a woman is menopause for life and this is why early intervention in perimenopause is crucial.

The issue for many is that they are not being managed properly, or they are trying to manage it themselves. This is why so many suffer and continue to experience minor symptoms and major disease states, that they do not need to be suffering.

With proper care, guidance and management from a women's health expert, women can better navigate the perimenopause and menopause stage in life, and live a normal life doing it. Don't keep putting it off. Do something about it now.

If anyone needs help with menopausal symptoms and how to be guided through the Perimenopausal & Menopausal stages in life, please contact my friendly staff and find out how I can assist you with a multimodality integrative medicine approach.

Contact [email protected] or call +61 0451 408 898. In person & online consults available, no matter where you live.

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18/10/2026

Each year, millions of women will go through perimenopause & menopause, and many are enduring unnecessary symptoms, and then getting serious diseases, that are associated with this life transition. Most of these diseases are preventable.

About 5 in 10 women will report perimenopausal & menopausal symptoms disruptive enough to interfere with their life, or work performance. Let's face it, hot flushes are just one of the minor symptoms compared to the serious other symptoms women can & do endure.

Yet, many women are not getting appropriate treatment, all due to misinformation & BS that they have heard, or been led to believe.

Most of this is due to bias, social media, and uneducated healthcare practitioners, not knowing the facts around treatments & therapies that could give a woman a normal life during these stages.

A big part of this misinformation was due to the million women's study in 2002, which reported that hormone replacement led to risks for cardiovascular events, and breast cancer.

Recent research and analysis has shown the opposite. Hormone therapy, along with other treatments, have been shown to have a helpful effect on cardiovascular and bone health, and generally reduce the risk of early death for women in the early perimenopausal & menopausal period.

Women also need to know how important that estrogen, and other hormones and crucial nutrients, is for them in this stage of life, and there are also many choices for hormone therapy now, and not all of them are artificial.

There will always be people who jump to the negative when it comes to hormone therapy during menopause, but we also need to be real about the facts that without hormone therapy, women are at risk of atrophied va**nal tissue & surrounding organs, gynaecological cancer risks, mental health issues, serious bone breakage, and early death.

If you need help with navigating the perimenopausal/menopausal stage of life, and the facts around treatments, then contact my clinic and find out how I can help you.

Contact [email protected] or call +61 0451 408898. In person & online consults available.

17/10/2026

Today the 18th of October is World Menopause Day. It a time to talk about all things menopause, and bring awareness & education to what this stage of life brings for women. This should also include Perimenopause as well.

It is also a time to honor women reaching these stages of life too.

Unfortunately the perimenopausal and menopausal stage of life is very misunderstood by many, because it hasn't been taught to women, and many are now suffering the consequences of lack of quality care and management through these stages of life.

As I have mentioned before, the reason why many women were not educated about this stage of life is because not too long ago women did not live much beyond perimenopause, let alone live to experience menopause, and the very serious consequences of unmanaged disease states during this stage of life.

Once in menopause, women are in menopause for life, and menopause is not just some phase you go through and then it is over. Women around the world need to be better educated, and have better support in this stage of their life.

There is a lot of misinformation out there due to unreliable sources, and even lack of education on all side of the healthcare profession.

This is why early intervention is crucial, and should begin during the perimenopausal stage of life, where women begin to experience early symptoms of menopause, and are also in the early stages of very preventable diseases.

Just remember the importance of hormone & nutrient replacement therapy during these stages of life, and no, it won't give you cancer. In actual fact, you at at more risk of getting cancer by not taking hormone replacement therapy, than you are by taking it.

If you need help with navigating the perimenopausal & menopausal stages of life, or help with symptoms, and preventing very serious disease states that women do get in these stages of life, then contact my clinic and find out how a qualified women's health medicine expert can help you. Contact [email protected] or call +61 0451 408 898

17/10/2026

There is a big difference between symptom management & disease prevention. This is something that we need all to understand.

Unfortunately many women in the perimenopausal & menopausal stages of life are being sold all manner of concoctions, using smoke & mirror techniques.

Women are basically being gaslit into wasting money on supplements and medicines that may not even work, or may only offer slight changes in symptoms at best. Many of the changes individuals are getting are placebo, based on clever marketing and undisclosed additives such as caffeine etc.

Worse still, many of these so called "Happy Hormones" & "Happy Supplements" are super expensive, and can have horrible side effects as well.

The worst part of all of these smoke & mirror medicines & supplements is that they offer no protection and prevention of serious diseases women will get in this period of life, if they don't supplement crucial nutrients, or replace vital hormones that are deficient, or becoming deficient.

The one thing that we know for sure is that these so called medicines and supplements do not replace hormones, and they do not regulate hormones either.

If they did, they would be on a script and tightly regulated. But unfortunately many of these supplement and medicines have no regulation at all, and do not disclose everything within them.

This is why it is so important to see a qualified healthcare provider when it comes to dispensing of any medicines & supplements, and why it is also important to see a qualified womens health expert when it comes to perimenopausal & menopausal symptoms. By doing so, not only can it help your physical & emotional health, but it could actually help you live a longer and healthier life.

If you need help in perimenopause, or menopause, or help with knowing what medicines, supplements & hormones the body needs in these stages of life, then contact my clinic and find out how I can help you. Contact [email protected] or call +61 0451 408898. In person and online consults available, no matter where you live.

16/10/2026

There is a lot of misinformation given to women, when it comes to perimenopause and menopause. Women are also putting themselves at risk of serious harm due to misperceptions, and lack of education as well.

All too often when I talk to women in the menopause stage of life, and ask them what are they doing as far as prevention of serious health issues, I often hear the all too often phrase "Oh I don't need to worry about that anymore. I went through all that menopause stuff years ago"

I then have to educate them on these very important facts.
"Menopause is not just a phase that you go through and then it is done".
"Once you are in menopause, you are in menopause until the day you die".

While those hot flushes and night sweats may have settled, there are unseen disease states such as atrophic vaginitis, prolapses, urogynaecological conditions, mental health issues, osteoporosis, cardiovascular disease etc, that also need prevention & management during this phase of life.

This is why hormone replacement during this phase, or during the perimenopause phase is so important. You also need crucial nutrients during this time too.

There are also many different forms of hormone replacement, and not all of them are synthetic.

Regardless, you can't replace crucial hormones, with pills and potions bought at the chemist, or off the internet. You need hormones to replace the hormones you are now deficient in.

Lastly, hormones replacement & crucial nutrient replacement, is not just about controlling symptoms of perimenopause & menopause. They are also needed to prevent very real and preventable diseases at these stages of life. Without these crucial things, many will end up debilitating disease states, or even end up in an early grave.

You can't manage these stages of life yourself. You will need the help of a women's health expert. If you need help with proper management of perimenopause & menopause, then contact my clinic and find out how I can help you. Contact [email protected] or call +61 0451 408 898. In person or online consults available, no matter where you live.

Dr Andrew Orr

21/10/2026

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Tuesday	9am - 4:30pm
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