Positive Change Health

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Positive Change Health Private Health Clinic Specialising in Menopause Care

The menopause space is getting a bit frightening. And not because it’s Halloween 👻Don’t get me wrong. I LOVE what HRT ca...
30/10/2026

The menopause space is getting a bit frightening. And not because it’s Halloween 👻

Don’t get me wrong. I LOVE what HRT can do. I’m a pharmacist and menopause specialist and I see how life-changing these medicines can be.

But I’m increasingly concerned about the misinformation, the miracle claims and the idea that more hormones must always mean better results.

Meanwhile, women who feel absolutely dreadful are being bombarded with conflicting advice, often delivered with enormous confidence.

And how on earth are they supposed to know who to trust?

A big following isn’t a clinical qualification.

Women deserve evidence, honesty and individualised care. Not more confusion.

What’s the scariest menopause advice you’ve come across? 🎃

Too young for menopause? Not necessarily.Imagine being in your 20s or 30s, experiencing changes to your periods, anxiety...
25/10/2026

Too young for menopause? Not necessarily.

Imagine being in your 20s or 30s, experiencing changes to your periods, anxiety, poor sleep or hot flushes, and never considering that your hormones might be involved.

Because surely you’re too young?

That’s why awareness of Premature Ovarian Insufficiency (POI) matters.

For some women, getting a diagnosis can be a long and confusing process. And for others, the diagnosis itself can bring difficult questions about fertility, future health and what happens next.

POI deserves to be recognised, investigated and managed appropriately. No woman should have her symptoms dismissed simply because of her age.

Today, on World POI Day, let’s help more women recognise that menopause-related symptoms aren’t exclusively something that happens in your 40s and 50s.

🌼 For reliable information and support, visit Daisy Network a UK charity dedicated to supporting people affected by POI.

Share this. Someone might recognise themselves in it.

‘Oh, I’ve just got my period’It’s easy to think that when you notice some unexpected bleeding, especially if you’re goin...
22/10/2026

‘Oh, I’ve just got my period’

It’s easy to think that when you notice some unexpected bleeding, especially if you’re going through menopause or taking HRT.

But is it actually a period? And how do you know when bleeding is normal and when it needs checking out?

Some bleeding is expected, particularly if you’re taking sequential HRT. And spotting or bleeding can be quite common when starting or changing HRT.

But not all bleeding is normal, and it’s important not to automatically put it down to your hormones.

I’ve broken down what’s expected, what’s not, and when you should get it checked.

📌 Save this post for future reference. It’s one of those things that’s useful to know!

19/10/2026

How long can a woman take HRT for?

This was the question I was asked during the medical panel at the Scottish Pause Summit.

My answer? Indefinitely.

There is no arbitrary age or time limit for taking HRT, provided the benefits continue to outweigh the risks.

But that doesn’t mean continuing the same treatment indefinitely without review.

As women get older, their hormone requirements may change. Some may benefit from a lower dose, a different preparation or may no longer need systemic HRT.

For women taking oral oestrogen, treatment should be reviewed around age 60, with consideration given to switching to transdermal oestrogen (patches, gels or sprays) because of its more favourable blood clot risk profile.

And for women considering starting HRT later in life, particularly over 60 or more than 10 years after menopause, the decision requires careful individual assessment.

The message? HRT should be reviewed, not automatically stopped because of age.

Have you ever been told you need to stop HRT after a certain number of years?

💜 World Menopause Day 2026 💜This year’s theme, chosen by the International Menopause Society (IMS), is Chronic Pain at M...
18/10/2026

💜 World Menopause Day 2026 💜

This year’s theme, chosen by the International Menopause Society (IMS), is Chronic Pain at Midlife: From Recognition to Evidence-Based Care.

We often associate menopause with hot flushes, night sweats and brain fog, but the relationship between menopause and chronic pain receives far less attention.

The IMS has published its 2026 White Paper exploring the complex relationship between hormonal changes, pain perception and chronic pain during midlife.

It’s an important reminder that persistent pain deserves to be recognised, appropriately assessed and managed with individualised, evidence-based care.

📖 You can access the White Paper here:
https://www.imsociety.org/wp-content/uploads/2026/09/IMS-White-Paper-2026.pdf

WomensHealth

Still not feeling right 3 months into HRT?It doesn’t necessarily mean you need more HRT.Sometimes it’s about stepping ba...
07/10/2026

Still not feeling right 3 months into HRT?

It doesn’t necessarily mean you need more HRT.

Sometimes it’s about stepping back, looking at what’s actually changed and working out what needs addressing next.

Good menopause care isn’t just prescribing hormones. It’s knowing what to look for when things aren’t quite working.

📩 DM CONSULT if you’d like specialist menopause support.

07/10/2026

She’d tried HRT.
She’d had blood tests.
She’d been told everything was ‘normal’.

But she didn’t feel normal.

She was exhausted but wired. Struggling to think clearly. Her mood had changed. She was snapping at her family. Her s*x drive had disappeared.

So we didn’t just look at her HRT.

We looked at her.

What was going on with her health. Her medications. Her symptoms. Her stress levels. Her life. What she’d already tried, what had helped and what hadn’t.

We adjusted her HRT.
We assessed whether testosterone was appropriate.
And we monitored her response.

When she came back for her three-month review, she was like a different person.

She couldn’t have been more grateful that she’d decided to have a specialist consultation.

Not because there’s one magic HRT prescription that fixes everything.

But because sometimes menopause is complex. And sometimes you need someone with the time and specialist knowledge to properly unpick what’s going on.

If you’re reading this thinking,

‘I just want to feel like myself again’

I see you.

DM me ‘CONSULT’ and I’ll send you some information about how I can help.

04/10/2026

Awareness matters. Of course it does.

But most of the women who come to my menopause clinic are already very aware of menopause.

They don’t need me to tell them menopause exists.

They come because they need help.

And yet I still regularly hear from women who’ve been told:

‘You’re too young.’

‘You can’t have that.’

‘It will give you cancer.’

‘You’ve been on HRT for too long.’

So who needs to be more aware?

All of us.

Women need the information to recognise and understand what’s happening to them.

But the people they turn to for help need the knowledge and confidence to know what to do next.

Because if we want women to have a better experience of menopause, awareness needs to lead somewhere.

Awareness. Acknowledgement. Action.

Awareness of menopause.
Acknowledgement of its impact.
Action that leads to appropriate, individualised care.

That’s what meaningful menopause awareness looks like to me.

PCOS is being renamed PMOS —> Polyendocrine Metabolic Ovarian Syndrome to better reflect the true nature of the conditio...
12/05/2026

PCOS is being renamed PMOS —>
Polyendocrine Metabolic Ovarian Syndrome
to better reflect the true nature of the condition.

For years, the name ‘Polycystic O***y Syndrome’has been misleading. Many women with PCOS don’t actually have ovarian cysts, and the condition involves far more than the ovaries alone.

It’s a complex hormonal, endocrine and metabolic condition that can affect many areas of health.

The proposed name change follows years of global research and collaboration with women living with the condition, healthcare professionals and patient organisations.

Support for the change is strong, with many believing it could improve:

✨ awareness
✨ earlier diagnosis
✨ understanding
✨ access to better care
✨ future research and funding

There will be a transition period where both PCOS and PMOS are used while awareness grows.

Most importantly, women living with the condition helped drive this change and their voices have been central to the conversation ❤️

Resources in comments 👇

Source: Monash Centre for Health Research and Implementation

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