In my journey to becoming a menopause doctor I have come across some inspirational stories and tragic ones. I’ve seen women giving up careers or struggling in relationships, and others who have beat their symptoms and thrived. Midlife is a time to celebrate achievements and accomplishments, and I love being able to help women do just this.
I didn’t think I was bad enough
This is something I hear on a regular basis, sometimes from women who have spent years struggling before seeking help. If it’s affecting your quality of life in any way, it is bad enough! There are many avenues of care from nutritional therapy to hormone replacement therapy (HRT), that no matter what your symptoms are you don’t have to suffer in silence. Its not only hot flushes that can be troublesome, in fact the psychological symptoms such as anxiousness, mood changes, and brain fog can be the most debilitating.
Do your research!
Before going to see your GP do your research! Unfortunately some women are refused the treatment they need, as the menopause training GPs and gynaecologists get is very varied. Go in armed with information! There are great websites such as the menopausedoctor.co.uk, or menopausematters.co.uk to find out what is right for you. Read my blog on ‘What you need to know before seeing your doctor.’
No one size fits all
What works for one woman doesn’t always work for another. For some changing their lifestyle, such as reducing alcohol or caffeine intake, combined with healthy eating, can be enough to settle their symptoms. Others find acupuncture, herbs or yoga make a difference. For many, their symptoms will exceed the benefits of complimentary therapy or lifestyle change, but HRT will give them the relief they need.
Looking at your diet and lifestyle around midlife, is the cornerstone to good health and feeling great. There is a complex interplay between our gut hormones, brain hormones, sex hormones, thyroid and adrenal glands. A healthy diet, high in plant based foods, healthy fats and proteins, and free from refined carbohydrates, will keep you blood glucose levels in check, and look after your gut microbiome. The association between what you eat and how you feel becomes all the more apparent in midlife.
Take time out for self care, and relaxation. Yoga, meditation, mindfulness, exercise or simply a walk in nature, will reduce our levels of cortisol, which has a direct impact on our menopausal symptoms and weight gain.
Think about the future
Midlife is a time to take stock and think about our future health. After menopause a woman’s risk of cardiovascular disease (heart attack or stroke), osteoporosis (bone thinning) and dementia increase, due to the fall in the protective hormone oestrogen. Eating a Mediterranean-style diet, regular weightbearing exercise, reducing alcohol and stopping smoking are ways to reduce this risk. Starting hormone replacement therapy, within 10 years of the menopause, has also been shown to reduce these long term risks.
Menopause At Work
Know your rights! Employers have a duty to ensure health and safety of all employees. Talk to your line manager and be open about your symptoms, or ask human resources for an assessment. Small changes such as providing you with a desktop fan or making sure you’re near an opening window can make a big difference. You could ask for access to a quiet room for a break, or even flexible working. According to government guidance, as long as you have worked continuously for the same employer for 26 weeks , you have the right to request flexible working. 1 in 10 women consider giving up work due to their menopause symptoms, don’t let that be you.
I was former shadow of myself until I met Dr Uddin. I'd become over-weight, depressed and I was barely functioning but immediately after my initial consultation with Dr Uddin, I felt relief. For the first time in a long while, I felt hope and I was able to anchor myself in her care. Dr Uddin is not only highly-qualified but also empathetic and intuitive. She listened and asked all the right questions. Within days I felt better in myself, Just knowing that I had someone that I could trust and that I was finally getting the help I so desperately needed. Dr Uddin provided me with a roadmap map and coached me along the way. I stuck with her 360-degree treatment plan and 6 months later I can honestly say that I don’t know where I’d be today without her. I feel better, wiser and more peaceful about the changes I’m going through. I have so much love, respect and gratitude for Dr Uddin. If you’re looking for professional, holistic support on your journey back to wellness. You’ve found it here. Resh, 2021, yell.com.
Truth is, I’ve had a fairly warped relationship with food ever since I can remember and after 30 years+ of disordered eating and then more recently coming into perimenopause, I felt totally resigned. And, despite the fact that I’d seen therapists in the past, I continued to struggle when it came to implementing and sustaining good habits. Things finally began to shift when I met Sabrina. Sabrina became my north star for all things nutrition. The combination of her expertise, wisdom and deep intuition made her approach to nutritional therapy potent . Sabrina took me under her wing and she was able to help me cut through deep mental barriers. She was able to help me accept myself, where I was in my life and most crucially, she was able to help me to internalise the fact that nutrition is more than food. She helped me understand that food is both life-force and a pleasure to be enjoyed – and on a practical level - she helped me to implement changes specific to my own needs. Today I'm a different person. I'm still on my journey but I'm finally learning a new way and I don't know where I'd be without her. Thank you so so much for showing up for me Sabrina. If you know you need support in altering your relationship with food and in building new habits and routines around food to help you feel better inside and out - you’ve struck gold. Resh, 2021.
I wanted you to know how grateful I am for your help over the last half a year. Despite everything, I wouldn’t give up my experience over that time because of the skills and understanding I’ve gained. Thank you for being a part of that. In particular, thank you for your warmth, non-judgement, and compassion which have helped me relate to myself in a new way.
Dr Uddin took time to explain my symptoms and the risks and benefits of treatment options. She is knowledgeable in her field and I would recommend to any woman going through the change! Anna, 2020, yell.com
Sabrina’s passion for living and her exciting, interesting and fun style make her a hit with her audiences. She knows what she is talking about and is very well researched and empowering. Dr Ava Eagle Brown, Master Coach, July 2018