The Menopause School

26/06/2026

A high frequency of anovulatory cycles in perimenopause is the reason why progesterone levels are lower when compared to before menopause transition.
It's not so much the absolute level of progesterone that contributes towards signs and indicators of a shift in ovarian ageing, it's the lack of the surge that the brain misses.
See for a longer video that explains anovulation

25/06/2026

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25/06/2026

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Learn to transform menstrual health experiences. Completely inline with the latest IMS recommendations and BS30416

24/06/2026

Not all bleeds are equal 🤔 There are some that follow ovulation and some that follow without ovulating. Yes - you can have a 'period' without ovulating.
It's called anovulation. Why is this important to know?
We only produce a surge of ovarian progesterone (P4) when we ovulate.
No P4 surge means the hormone rhythm of a regular cycle is disrupted. The brain-mind-body does not get on with a change in rhythm this big.
No P4 surges also means the lining continues to thicken, under the influence of estradiol but is unstable and can fall away inconsistently, or all in one go - hence a different kind of bleed.
The number of cycles per year that are anovulatory are well known. It's part of the ovarian ageing blueprint.
Imagine what happens to the whole person with all those changes in the rhythm 😒

16/06/2026

Recently the International Menopause Society updated their recommendations. I for one am very excited about the section on Diagnosis.
I have just recorded 4 micro tutorials about what this means to how you can now work in a much easier way with clients, particularly when you explain the real biology.
Nearly 3 years ago I came across the research mentioned by the IMS which shows -
📌There is no estrogen deficiency in perimenopause causing menopausal symptoms - in fact 45% of people show a sufficiency
➡️I committed to it there and then, because it makes so much more sense, and included it in my training content.
Now, I've gone a step further and will be sharing the 4SWANs research at every opportunity. Follow the link to find out more ⬇
https://academy.themenopauseschool.com/there_is_no_low_estrogen_in_perimenopause

31/05/2026

Goodness what a month May has been.
* Lots of webinars and calls delivered with my fabulous community of students.
A new cohort who joined us and are already steaming through the content.
* Preparation and delivery of two inspirational sessions for Dudley Voices for Choice. Across April and May I worked on this project as part of Navigating Our Womanhood Together (NOWT) alongside Birmingham & The Black Country ICB
Our aim is to develop two new easy readers for adults with learning difficulties and disabilities about menstrual cycles and menopause.
* News that NOWT won the Midlands NHS Excellent award for working in partnership, and now we are off to Manchester for the final in June!
* Guest speaker at The Allergy Free from Show - It was such an honour to be speaking to a full audience on the Hormone Health stage. I was blown away by the questions and the queue of people waiting to speak with me. Big thanks to Estelle Keeber for her undying enthusiasm and faith in me, and Rebecca Seal for making it easy for me to shine. It brings me such joy when I can help people fast and effectively realise where they are on the menstrual health timeline, and how to navigate their next best steps with ease.

19/05/2026

I recently watched a webinar by a Menopause Doctor who said that perimenopause was an ill-defined phase 🤔 That's not accurate.
The stages of ovarian aging were mapped out back in 2001 by a global collective to unify terms used in research and by clinicians. It plays a big role in the BMS book that all members receive, so I'm really not sure how it's possible for a BMS registered doctor not to know about the names and classifications of the phases along the timeline.
📌 Late Reproductive (LR) comes before Perimenopause (P) - the symptoms are remarkably similar in both, but cycle variability is different.
➡️ LR cycle length will be approx the same, but there will be subtle changes in flow length.
➡️ P has a cycle length variability of +/- 7 days.
This is why menstrual cycle tracking is so important. Even though symptoms are similar the support options will be slightly different, because the ovaries are doing different things in each pahse.

13/05/2026

NEW WEBINAR: https://academy.themenopauseschool.com/14may2026
If you are a menopause educator or mentor you need to know that the future of menopause care is about to change:
📌 Back in 2012 the SWAN study published this paper - Trajectories of estradiol clustering.
➡️ Last week on 5th May 2026 the IMS finally went public with their recommendations which now includes this work.
The direct quote from theIMS document published in Dec 2025 and the lecture last week is:
▶️ These findings indicate that the onset and peak of severely bothersome menopausal symptoms occurring earlier than described by STRAW+10, and often in the context of relative oestrogen sufficiency.
🔎 Translation: Menopausal symptoms in Late Reproductive and Perimenopause arose despite the fact that oestrogen was NOT deficient/low.

If you are curious to learn more, I am discussing that statement and the fact that the SWAN study revealed four different estradiol trajectories none of which show a deficiency in perimenopause, in a webinar on Thursday 15th May at 6pm.
Save your seat here https://academy.themenopauseschool.com/14may2026

13/05/2026

This is a highlight and a win for NOWT - Navigating our womanhood together to be mentioned in parliament.
I've been so thrilled to be a part of the project since August 2025.
This has been a co-production with grass roots community leaders in a variety of sectors, alongside NHS Black Country Integrated Care Board, not just talking about women's health, but taking action and making a real difference.