Premature Menopause Clinic London

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Premature Menopause Clinic London We provide a fully comprehensive clinical service to women with health-related problems and fertilit

Cognitive symptoms are widely experienced during the menopause transition (some have few symptoms while others have much...
10/10/2026

Cognitive symptoms are widely experienced during the menopause transition (some have few symptoms while others have much more) and, when severe, can disrupt women’s working lives and negatively impact their psychological health.

The objective of this qualitative, exploratory study from Sharron Hinchliff et al. was to understand women’s experiences of cognitive changes at work during menopause, including how they navigate these difficulties.

Participants were recruited from the 1,043 individuals who completed the MARIE-UK WP2a quantitative component. The study involved in-depth interviews with 50 women aged 43–67 years (mean 52.3) recruited for the MARIE-UK (WP2a) project.

What did we find?
Many participants in the study experienced cognitive changes at menopause, such as brain fog and memory problems, which negatively impacted their mental health at work. Participants experienced loss of confidence in their abilities, an increase in anxiety, and a change in their sense of self.

Here is a quote from one of the participants - “I worked freelance so I can choose to work when I want to. I don’t have to phone in sick to anybody, so if I can’t go to work I just need to catch up at some other point. But I just couldn’t go to work, couldn’t drive the car, couldn’t do appointments.”

Those who received workplace support managed to break the spiral of resource loss and better cope with the detrimental effects of the symptoms.

The results highlight that interventions to support workplace wellbeing are required, particularly as the proportion of menopausal women in paid employment increases.
https://www.frontiersin.org/articles/10.3389/fgwh.2026.1878423

Here are the latest Clinical Guidelines from the American College of Physicians for Pharmacologic Treatments for Females...
06/10/2026

Here are the latest Clinical Guidelines from the American College of Physicians for Pharmacologic Treatments for Females With Menopausal Vasomotor Symptoms.

The guidelines provide recommendations and evidence base for following treatments
* Alpha agonist: clonidine
* Anticholinergic: oxybutynin
* Estrogen monotherapy
* Estrogen in combination with bazedoxifene
* Estrogen in combination with progestogen
* Gabapentinoid: gabapentin
* Neurokinin receptor antagonists (NKRAs): elinzanetant and fezolinetant
* Progestogen monotherapy
* Selective serotonin reuptake inhibitors (SSRIs): citalopram, escitalopram, and paroxetine
* Serotonin-norepinephrine reuptake inhibitors (SNRIs): desvenlafaxine and venlafaxine

https://www.acpjournals.org/doi/10.7326/ANNALS-26-01205

The guidelines provide useful summary of current treatments both hormonal and non-hormonal as we know ‘one size does not fit all’.
The one point that needs highlighting though is that initiation and duration of treatment with HRT as well as combinations of hormones used should be individualised and not be based on arbitrary age or time limits.

There is so much new research being published about menopause, hormone changes, lifestyle, HRT, cognitive health and ris...
05/10/2026

There is so much new research being published about menopause, hormone changes, lifestyle, HRT, cognitive health and risk of dementia. Every few weeks, new study results are reported which add a little bit to our existing knowledge. Are these significant enough to change clinical practice? What do they mean when we counsel patients?

What is certain at present and what is uncertain? We will try to address there topics in our upcoming RCGP event on 14th October 2026.

Please join us on the day by clicking the link or search menopause events on the RCGP website to register -
https://engage.rcgp.org.uk/event/a2kWS000000eYPZ/ev07209?recordId=a2kWS000000eYPZ

Healthcare professionals can join even if you are not a RCGP member.

Thank you Prof Aimee Spector and Dr Alba Soares Pereira for putting this together 🙏🏻.

Social media (SM) has become one of the commonest routes for obtaining health-related information and advice.Not all con...
03/10/2026

Social media (SM) has become one of the commonest routes for obtaining health-related information and advice.

Not all content on SM is accurate and restrictions imposed by various platforms can limit what is discussed or presented on various channels.

Here is an interesting study from Hariharan et al. which evaluated how menopause-related sexual dysfunction is represented in content from top menopause creators on TikTok, including symptom frequency, content framing, and creator characteristics.

They performed a cross-sectional content analysis in October 2025 using the keyword “menopause.” The 100 most-viewed TikTok videos posted between April and October 2025 were identified, and the 10 most influential content creators were selected based on follower count and engagement metrics.

Sexual symptoms were infrequently mentioned: vaginal dryness (3.5%), libido changes (7.9%), arousal difficulties (1.3%), dyspareunia (2.0%), and or****ic challenges (0.1%). Broader menopause-related symptoms were discussed more frequently, including mood changes (31.2%), hot flashes (13.5%), and bone or joint pain (12.9%). Most videos focused on symptom validation or empowerment (51.6%), followed by management strategies (19.3%) and product endorsements (13.2%). Among the 10 most influential content creators, one was a medical professional.

The authors concluded that menopause-related sexual dysfunction is underrepresented in content from top menopause creators despite its high prevalence.
This study has several limitations - restricted to English-language content, relatively short study period, limitations on generalisability of findings and no assessment of accuracy/quality of information.
But it identifies some important possible themes - persistent stigma surrounding sexual dysfunction, impact of content moderation policies and algorithmic preferences from SM platforms, more validation-focused content with limited discussion of management strategies, need for greater transparency regarding commercial relationships and sponsorships and the prominence of nonmedical voices which could reflect a gap in clinician communication around menopause and sexual health.

03/10/2026

As part of the Bloomsbury Festival, here is ‘Picturing our Menopause’ a unique exhibition from Elizabeth Dalziel which brings to life varied personal stories, portraits and perspectives on menopause.

The exhibition held in collaboration with ‘Menopause Support’ founded by Diane Danzebrink coincides with menopause awareness month and runs throughout October at Brunswick Square Gardens in London. Do visit if you can.

Thank you Elizabeth and Diane for the opportunity to be a small part of this story!

01/10/2026

As part of the Bloomsbury Festival, here is ‘Picturing our Menopause’ a unique exhibition from Elizabeth Dalziel which brings to life varied personal stories, portraits and perspectives on menopause.

The exhibition held in collaboration with ‘Menopause Support’ founded by Diane Danzebrink coincides with menopause awareness month and runs throughout October at Brunswick Square Gardens in London. Do visit if you can.

Thank you Elizabeth and Diane for the opportunity to be a small part of this story!

It’s time for yet another webinar!Join us in the evening today at 6:30 pm for a free webinar on - ‘Hormone Replacement T...
01/10/2026

It’s time for yet another webinar!

Join us in the evening today at 6:30 pm for a free webinar on - ‘Hormone Replacement Therapy - what are the different options and what do the current guidelines recommend?’.
We will also discuss about how do we balance the oestrogen and progestogen doses in HRT.
Everyone and all questions welcome!

Thank you Roger Prentis and Katie Day at Midlife Matters for this opportunity as always.

To join us - search for Midlife Matters Menopause Meetings on tickettailor.com website or click
https://www.tickettailor.com/events/rdpi/1033447

This Royal College of Obstetricians and Gynaecologists (RCOG) online event focuses on crucial topics in female reproduct...
28/09/2026

This Royal College of Obstetricians and Gynaecologists (RCOG) online event focuses on crucial topics in female reproductive endocrinology across the life course including:

* Female reproductive physiology and pathophysiology
* Diagnosis and management of menstrual, ovulatory and endocrine disorders
* The safe use of contraceptive and hormone replacement therapies 
Do join us on coming Friday 2nd October.
Register on the RCOG website or
https://rcog.eventsair.com/female-reproductive-endocrinology-oct-2026

Here is a paper on a unique menopause economics 💰 model developed by Dr Gayathri Delanerolle and colleagues. Traditional...
27/09/2026

Here is a paper on a unique menopause economics 💰 model developed by Dr Gayathri Delanerolle and colleagues.

Traditional behavioural finance (which examines how cognitive biases, emotions, and context shape economic decision-making) often assumes cognitive stability, rationality, and consistent risk evaluation, based largely on male-dominated samples.

Emerging evidence from the Menopause and Ageing Research in International Environments (MARIE) WP2a program, encompassing over 6,300 women across thirteen countries, suggests that the menopause transition brings about significant neurocognitive, emotional, and sociostructural changes that may influence financial decision-making processes. These influences remain under-theorised within current behavioural economics models.

This study proposes a new conceptual framework - the Behavioral Finance-Menopausal Cognition (BF-MC) Model - a first of its kind, that integrates menopause-related cognitive, psychological, and sociostructural dynamics with behavioural finance theory.

The BF-MC Model identifies four interrelated domains: (1) neurocognitive regulation, (2) affective-behavioral regulation, (3) sociostructural mediation, and (4) economic adaptation and resilience. The model reframes midlife women’s financial behaviour as a dynamic biopsychosocial process rather than a deficit, highlighting adaptive responses to fluctuating cognitive and emotional resources and provides a conceptual framework to understand how menopausal cognitive and psychosocial changes may shape financial decision-making.

As a clinician, this paper has been a whole new learning for me and has introduced me to the world of menopause and 💵 economics. The next step will be to build up on the work of these amazing researchers from across the world 🌍 from Asia and Africa to Europe and the Americas.

https://journals.lww.com/menopausejournal/abstract/10.1097/gme.0000000000002881~integrating-menopausal-neurocognitive-and-psychosocial?redirectionsource=fulltextview

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