with Dr Ismat
Menopause, PCOS, PMS, Endometriosis, Fertility, Hormones, Health
Available on Monday
Fenchurch Street Clinic
Same day consultation
From 30 minutes
|Follow up||30 minutes|
|HRT Appointment with Dr Ismat||£65||£110|
* additional costs for blood test
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A woman is born with her full complement of eggs. As a woman approaches the menopause, levels of oestrogen, progesterone, and testosterone (all produced by the ovaries) start to decline and trigger hormones eg FSH (produced in the brain) become elevated – in effect trying to push the ovaries to keep going.
In this peri menopausal period (which can last years) the resultant hormones can be very erratic and many menstrual cycles are anovulatory (ie don’t always release an egg).
Medically we recommend HRT for menopausal symptoms; particularly the low dose trans dermal oestrogen gel; this is good for menopausal symptoms and also for medical benefits (such as cardiovascular protection, bone support -reducing risk of osteoporosis, supporting collagen, overwhelming fatigue, brain fog, migraines and memory difficulties etc). Through the skin there is no associated increase in thrombotic risk and this form of body identical oestrogen is very safe.
We can also look at medications to reduce testosterone levels for women where excess body hair (hirsutism) is a problem. Acne can also be problematic and skin concerns and again addressing this is multifaceted- we can look at hormonal issues or specific dermatological management or a combination of all.
The key is a very individualised approach, according to clinical symptoms.
It is a good thing for women to be empowered and area of and knowledgeable about their own hormones, menstrual cycle, general health and fertility. It is a fascinating science and there is so much that we can manage and support with profound and positive impacts. I really enjoy working with patients and supporting them on a holistic journey to good health.
I would be happy to discuss things in detail and on an individual basis as every woman is very different so a detailed picture and variety of management options need to be formulated specifically.
I am also happy to discuss bio-identical hormones and the various options and pros and cons here.