Menopause Isn’t Just About Hormones – It’s About Making Informed Choices Together

Menopause Isn’t Just About Hormones – It’s About Making Informed Choices Together

One of the biggest misconceptions about menopause treatment options is that every appointment ends with a prescription for hormones. It doesn’t. Some women choose menopausal hormone therapy (MHT). Some decide it’s not the right option for them. Others simply want to understand what’s happening to their bodies and learn what they can do to stay healthy as they age. Every one of those choices is valid. As doctors, our role isn’t to tell women what they should do. It’s to provide evidence-based information, explain the benefits and risks, understand what matters most to each individual, and make decisions together. This approach is called shared decision making, and I believe it is one of the most important parts of good menopause care. There is rarely one “right” answer By the time women reach their forties and...

Osteoporosis & Osteopenia

Protecting Bone Health After MenopauseOsteoporosis (reduced bone strength with increased fracture risk) and osteopenia (lower-than-normal bone density, but not yet osteoporosis) are common in women after menopause. Bone loss accelerates in the first 5–10 years after menopause, largely due to declining oestrogen (the hormone that protects bone).What Happens to Bone After Menopause?Oestrogen plays a key role in maintaining the balance between bone breakdown and formation. After menopause:Bone resorption (breakdown) increasesBone formation cannot keep upNet bone loss occurs, increasing fracture riskWomen can lose up to 10–20% of bone density in the early postmenopausal years.The Role of OestrogenOestrogen is one of the most effective therapies for preventing bone loss.Evidence shows:Menopausal hormone therapy (MHT) reduces fracture risk by ~30–40%It improves bone mineral density (BMD) at the spine and...

Managing Period Pain with Dr Sian

Painful Periods that disrupt your life are not normal – Endometriosis could be the cause

Endometriosis is a chronic inflammatory condition where tissue similar to the endometrium (lining of the uterus) grows outside the uterus, commonly affecting the ovaries, pelvic lining , and bowel. It affects around 1 in 9 women and can significantly impact quality of life, fertility and mental wellbeing. Diagnosis There is no longer a requirement for surgical confirmation -laparoscopy - to make a diagnosis. Current guidelines support a clinical diagnosis (based on symptoms), Common symptoms: Dysmenorrhea (painful periods, often severe and worsening over time) Chronic pelvic pain (ongoing pain in the lower abdomen) Deep dyspareunia (pain with deeper sexual intercourse) Pain with bowel movements, often cyclical (worse around periods) Subfertility Imaging plays a role but does not exclude disease: Transvaginal ultrasound (internal pelvic scan) is first-line and useful for identifying...

The Menopause Client Agonists for weight loss

GLP-1 Agonists for Weight Loss, What You Need to Know

GLP-1 agonists such as Mounjaro and Wegovy® were originally developed to treat type 2 diabetes, but in recent years, they’ve gained widespread attention for a different reason: supporting significant weight loss. These medications work by mimicking a hormone called glucagon-like peptide-1 (GLP-1), which helps regulate: • Appetite • Insulin secretion • Glucose metabolism The result? You feel fuller for longer, have fewer cravings, and are more in control of your eating—especially helpful during midlife, when metabolism slows and managing weight becomes increasingly challenging. How GLP-1 Agonists Support Weight Loss GLP-1 medications like Wegovy and Mounjaro help: • Reduce appetite and hunger • Slow gastric emptying (helping you feel full) • Improve insulin sensitivity This mechanism makes them a valuable tool in midlife weight management, particularly during menopause, when hormonal changes often lead to weight gain around...

Menopause Conference Insights – So Hot Right Now Reflections

Recently, I had the privilege of attending the So Hot Right Now menopause conference — a powerful gathering of health professionals, researchers, advocates, and women with lived experience. It was inspiring to be in a space where menopause was not just acknowledged but openly discussed and even celebrated. A Shift in the Menopause Conversation — Finally! For too long, menopause has been treated as something women should quietly endure. What struck me most at this menopause conference was that we are finally witnessing a shift. Menopause is no longer being swept under the rug as a taboo topic. Instead, there is a growing recognition that this stage of life is pivotal, and with the right information and support, it can be a time of empowerment, renewal, and...

So Hot Right Now – Menopause Conference Sydney 2025

Sydney’s latest buzz isn’t just about the stunning harbour views —it’s about the redefining menopause conference that’s so hot right now and stirring up quite a debate. This isn’t your typical clinical gathering; it’s a dynamic mix of expert insights and engaging voices, headlined by prominent figure Dr Louise Newson. Known for her active online presence and her clinic in the UK, Dr Louise Newson brings a wealth of practical experience and clinical expertise to the table. Alongside her, other medical social media figures like Dr Kelly Casperson are also making their mark, offering relatable advice and bridging the gap between clinical insights and everyday experience. The Power of Personal Experience For many, menopause is a journey filled with personal triumphs and challenges . Dr Louise Newson...

My Journey to Becoming a Menopause GP: A Commitment to Women’s Health

I began my medical training in the United Kingdom, where I developed a deep respect for evidence-based care. As I worked as a GP in Australia, I quickly noticed that many women navigating menopause were not receiving the tailored attention their unique needs required. The standard consultation often felt too brief to address the complexities of this transformative stage. Alongside this was the misrepresented WHI study, which scared both women and health professionals away from using oestrogen and progesterone during menopause. Determined to bridge this gap, I pursued further specialization in menopause care. I immersed myself in the latest research and clinical best practices to ensure that my approach was both comprehensive and compassionate. Recognizing that quality women's health care takes time, I established a dedicated clinic...

Talking to Your Partner About Menopause: A Guide to Real Conversations

Menopause can be a wild ride—one minute you're fine, the next you’re sweating through your sheets, snapping at the dog, and wondering if your brain has just up and left the building. It’s a lot. And while you’re dealing with the rollercoaster of symptoms, your partner might be standing there, bewildered, not knowing what to do or say. The key? Communication. Here’s how to start the conversation without it turning into a battleground. 1. Pick Your Moment Menopause chats shouldn’t happen mid-argument or in the middle of a hot flush meltdown. Choose a time when you’re both calm and can talk without distractions. A relaxed walk or a quiet dinner at home works well. 2. Be Honest, But Keep It Simple You don’t need to give them a full medical...