Dr Sohère Roked

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Dr Sohère Roked

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A UK-based practising GP looking at combining the best of conventional medicine and lifestyle change

Follow me on Twitter: https://twitter.com/The_Holistic_Dr

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11/10/2026

There are some changes during perimenopause that don’t always make it onto the typical symptom lists but they can have a huge impact on how you feel day to day.

You might find yourself saying no to plans you would once have looked forward to. You get home from work and have nothing left for the evening. Clothes you used to love don’t make you feel like you anymore. You become less spontaneous, your interest in intimacy changes, or brain fog starts making you question your own confidence.
Sometimes these changes happen so gradually that you don’t notice how much of yourself you’ve quietly stopped enjoying.

And then comes the thought I hear from so many women:
“I just don’t feel like myself anymore.”
Perimenopause can affect far more than your periods. If things have changed and you’re struggling, you don’t
simply have to accept this as your new normal. There are conversations we can have and options we can explore.

Dr Sohère x

07/10/2026

Perimenopause doesn’t just affect the person experiencing it — it can impact relationships, family life, work and the way you feel day to day.

And when someone you love is going through it, you might not always know what to say or how best to help.

Sometimes support is listening. Sometimes it’s learning not to take a change in mood personally. Sometimes it’s simply noticing that they’re struggling and taking something off their plate without being asked.

You don’t need to have all the answers but understanding what they may be experiencing can make an enormous difference.

Swipe through for some simple ways you can support someone you love through perimenopause ➡️

And perhaps send this to someone who might need to read it.

30/09/2026

PCOS is about so much more than irregular periods.

It can affect your skin, hair, weight, fertility, energy, mood and metabolic health and yet many women spend years trying to understand why they don’t quite feel like themselves.

For PCOS Awareness Month, I want to remind you that there isn’t one single way PCOS looks, and symptoms can vary hugely from person to person.

Understanding what is happening with your hormones is an important first step towards finding the right support for you.

If you suspect you may have PCOS, or you’re struggling with symptoms despite already having a diagnosis, speak to a healthcare professional rather than feeling you simply have to put up with them.

29/09/2026

Healthy ageing isn’t about trying to stop yourself from getting older. It’s about supporting your body so you can continue to feel strong, energised and well as you do.

For Healthy Ageing Month, I want to shift the conversation away from anti-ageing and towards ageing well.

That means looking at the bigger picture - your hormones, sleep, nutrition, movement, stress, muscle and bone health, and how you’re actually feeling day to day.

Symptoms like persistent fatigue, poor sleep, brain fog or feeling unlike yourself shouldn’t automatically be dismissed as “just getting older”.
We can’t stop the years passing, but we can be proactive about how we support our health through them.

19/09/2026

A few days ago, it was World Su***de Prevention Day, and it got me thinking about some of the women I see in my clinic who are really suffering with their menopause and perimenopause symptoms. For some women, this stage of life is far more than hot flushes and changes to their periods.

I see women experiencing overwhelming anxiety, low mood, loss of confidence, insomnia, exhaustion and a feeling that they simply don't recognise themselves anymore. Some tell me they feel as though they've completely lost the person they used to be.

And while we should never assume that changes in mental health are just hormonal, we do need to recognise that perimenopause and menopause can have a significant impact on emotional and psychological wellbeing.

If you're struggling, please don't feel that you simply have to push through it or wait for things to get better. Speak to someone. Speak to your GP. Ask for help. And if you feel your symptoms could be connected to perimenopause or menopause, ask for that to be part of the conversation too.

There are options. There is support. And most importantly, you deserve to be listened to and taken seriously.

If you are experiencing thoughts of su***de or feel you may be in immediate danger, please seek urgent help through emergency services or a crisis support service such as The Samaritans - Call 116 123

***dePreventionDay

15/09/2026

The 3pm crash isn’t a personality trait… 🥱
If you find yourself reaching for another coffee or something sugary every afternoon just to make it through the rest of the day, try choosing a snack that combines protein, healthy fats and/or fibre for more sustained energy.

Some of my go-to options:
🥜 Apple slices + peanut or almond butter
🥣 Greek yoghurt + berries + a sprinkle of nuts or seeds
🥚 Boiled eggs + oatcakes
🧀 Cottage cheese + wholegrain crackers
🥕 Hummus + carrots, cucumber or peppers
🌰 A small handful of nuts + a piece of fruit
🍫 A couple of squares of dark chocolate + nuts
🍌 Banana + peanut butter

And don't forget hydration because sometimes that afternoon slump feels even worse when you've barely drunk anything since your morning coffee!

Of course, an occasional afternoon dip is completely normal. But if you're regularly exhausted, struggling to function without caffeine or sugar, or your fatigue feels disproportionate to your day, it's worth looking beyond your snack drawer.

Sleep quality, stress, nutrition, iron or B12 levels, thyroid function and hormonal changes can all play a part.
Your body may be asking for more than another coffee.

06/09/2026

Does everything suddenly feel… TOO MUCH?
The noise. The emails. The children asking you something while you’re trying to do something else. Plans you would normally look forward to. A tiny inconvenience that somehow feels like the final straw. And you find yourself thinking: “Why can’t I cope with things like I used to?”

For some women, this can be one of the less obvious experiences of perimenopause. Hormonal fluctuations can influence mood, sleep and how we respond to stress. Add poor sleep, work, family life and an already overloaded nervous system into the mix, and your usual capacity to deal with everyday demands can feel very different.
You may notice more irritability, anxiety, overwhelm or simply a feeling that your resilience has disappeared.

It doesn’t automatically mean hormones are responsible - there are many reasons we can feel overwhelmed - but if this is a new change alongside other symptoms such as changes to your periods, sleep, temperature, mood or energy, it’s worth looking at the bigger picture.

One of the things I want more women to understand about perimenopause is that it isn't just about hot flushes. Sometimes the first thing you notice is that you simply don’t feel quite like yourself anymore. And that deserves to be listened to.

02/09/2026

“My PMS never used to be this bad… so why does the week before my period suddenly feel horrendous?” This is something I hear from so many women in their 40s.

During perimenopause, your hormones don’t simply decline in a nice, predictable line. They can fluctuate..sometimes quite dramatically ..and this can change the way you experience the days leading up to your period.

For some women, PMS symptoms they’ve always experienced become more intense. For others, these symptoms seem to appear almost out of nowhere. And no, you don’t simply have to grin and bear it every month.

If you’ve noticed a significant change in your cycle, mood or how you feel before your period, it’s worth discussing it with a doctor.

Perimenopause can begin while you’re still having regular periods - your cycle doesn’t have to disappear before your hormones deserve attention.

30/08/2026

Has a glass of w**e suddenly started feeling very different?

You may find that alcohol affects you more quickly, disrupts your sleep, triggers night sweats or leaves you feeling unusually anxious the following day even if you haven’t changed how much you drink.
During perimenopause, fluctuating hormones can already affect sleep, mood, temperature regulation and the way your body handles stress. Alcohol can amplify some of these symptoms, which may explain why your usual drink no longer feels as enjoyable or as easy to recover from.

Alcohol can make you feel sleepy initially, but it often fragments sleep later in the night. It can also contribute to dehydration and may worsen hot flushes, palpitations or next-day anxiety in some women.
You don’t necessarily have to give it up completely. Start by noticing your individual response: what you drink, when you drink it, how much you have and how you feel that night and the following day.
If your body is responding differently, it isn’t a lack of tolerance or willpower. It may simply be asking for a different kind of support during this stage of life.

Has your relationship with alcohol changed during perimenopause?

29/08/2026

When you think of menopause symptoms, hot flushes and changing periods probably come to mind.
But what about an itchy or crawling sensation across your skin? A burning mouth? Heart palpitations? Tinnitus? A frozen shoulder? Or suddenly noticing that your body smells different?
Hormonal changes can affect far more of the body than many women realise. Oestrogen receptors are found throughout the body, which is why perimenopause and menopause can sometimes present in unexpected ways.
Of course, these symptoms can have other causes and shouldn’t automatically be blamed on hormones—particularly if they are new, severe or persistent. But if they appear alongside changes to your cycle, sleep, mood or temperature regulation, it is worth discussing the full picture with a qualified doctor.
You are not imagining it and you deserve more than being told it is simply part of getting older.

Which unexpected symptom caught you by surprise?

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