Dr. Golda

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Menopause Doctor | Health Speaker| drgolda.com

26/10/2026

Progesterone is often the first hormone to fall in perimenopause, sometimes years before your periods change. That can show up as poor sleep, anxiety, heavier or more erratic periods, PMS that gets worse, and feeling "wired but tired."

If you take oestrogen as part of HRT and still have a womb, you need a progestogen alongside it to protect the lining. But progesterone isn't only there for protection. Some women find body identical micronised progesterone helps with sleep and mood too.

There's no one-size-fits-all HRT. The right type, dose and route depends on your symptoms, your cycle, your history and your preferences, and it often needs adjusting over time.

My clinic is opening soon. Tap the link in bio to find out more and be first to book.

This post is for general information only and isn't personal medical advice. HRT isn't suitable for everyone, so please speak to a doctor about your own symptoms and circumstances.

25/10/2026

Skin changes in perimenopause and menopause are real, and so is the glow you can get back. ✨

Last week I joined the brilliant Alice, senior make-up artist at Charlotte Tilbury Liverpool, at John Lewis Liverpool to talk about how to boost glow and hydration through perimenopause and menopause.

Why does skin change? As oestrogen falls, skin makes less collagen and holds less water. That's why many of us notice dryness, dullness and fine lines.

What helps:
💧 Hydrate from the inside and out: water, plus a good humectant like hyaluronic acid
🧴 Layer a rich moisturiser to lock it in
☀️ SPF every single day, the best anti-ageing step there is
🥑 Eat enough protein and healthy fats to support your skin
💬 Talk to your GP if symptoms are affecting your quality of life, as HRT can help some women with skin changes too

And then I confessed my secret: deep down, I want to be J Lo. 😂 Alice gave me that gorgeous glow with a classic Charlotte Tilbury look, and I'm not mad about it.

Swipe for a sneak peek 👉

Menopause is not the end of glow. It's just a new chapter that needs a slightly different routine.

Thank you to Alice and the Charlotte Tilbury and John Lewis Liverpool teams for having me. 💛

Medical disclaimer: education only, not medical advice

21/10/2026

Dense breasts: the breast cancer risk factor most women have never heard of

I had my first mammogram at 40 in Canada. Back in the UK, routine screening starts at 50.

I’m seeing breast cancer in younger women, and some of them were told they were too young to worry.

Three things to know:

1. Your family history matters, on both sides.
2. Your breast density matters. Ask about it.
3. If you’re high risk (BRCA, strong family history), earlier screening and MRI may be right for you.

Any lump, change in shape, pain, ni**le change or skin change or something that doesn’t seem right: see your GP now.
🚨Don’t wait for an invite.

💕Share this with someone who needs it.
💕Tell me your experience in the comments.

Earlier this year I visited where Tammy fitted me. She was kind, knowledgeable and made the whole experience feel easy and comfortable. I've always loved going to Bravissimo for their size inclusivity and positive body image. They treat women's bodies as normal, and that matters. When women feel at ease with their breasts, they're more likely to notice a change and talk about it, which is exactly why this conversation belongs everywhere, from the fitting room to the GP surgery to the workplace.

Medical disclaimer: This post is general information only and does not replace medical advice and is not personal medical advice.
Always check with your own doctor about any health issues.

20/10/2026

A woman’s age should not change how seriously she is taken. When a male colleague heard mine, I felt less than, and I am a doctor.

Earlier this month I held a menopause and skin event with Charlotte Tilbury at John Lewis Liverpool to mark Menopause Awareness Month. I spoke about perimenopause and menopause, and a Charlotte Tilbury makeup artist followed with a masterclass on mature skin.

I did not do it to tell women how to look. I did it because so many women tell me they feel unfamiliar in their own skin during menopause, and they deserve to feel strong in it. Makeup can be a fabulous tool for some women, a small ritual that lifts how they feel. Others do not need it or want it, and that is just as valid. Feeling confident looks different on every woman.

What stays the same is this: menopause does not make you less capable, less worthy or less visible. Share this with a woman who needs to hear it, and tell me what makes you feel strongest in your own skin.

Information here is general and not a substitute for medical advice. Please speak to your own doctor about your care.

19/10/2026

Brain fog in perimenopause and menopause is real, common and often dismissed. If you have lost your words in a meeting, read the same email three times or walked into a room and forgotten why, you are not losing your edge. Menopause brain fog is a recognised symptom, and it can quietly wear down your confidence at work and at home.

Here is the secret: HRT (hormone replacement therapy) is not right for everyone. It can be life-changing for many women with perimenopause and menopause symptoms, but for some it is not suitable and for others it is not enough on its own. In the UK the conversation often becomes HRT or nothing, and that leaves women stuck.

I am a doctor who trained and practised in both the UK and Canada, including in Vancouver. What I saw there was a broader question asked first: not just “should I take HRT?” but “what is going on in my body, and what do I need?” That means looking at sleep, stress, gut health, nutrition and movement alongside the evidence on treatment, including NICE guidance and British Menopause Society recommendations.

If you are struggling with brain fog, poor sleep, low confidence, anxiety or other menopause symptoms, ask your own doctor three things at your next appointment. What is causing my symptoms? What are all my options? What else could be making this worse? You deserve more than “it’s just your age.”

Save this post for your next appointment and send it to a friend who needs to hear it. Tell me in the comments: has anyone ever offered you a choice beyond HRT or nothing?

Medical disclaimer: this post is general education and not a substitute for medical advice. Please speak to your own doctor about your care.

17/10/2026

I've practised medicine in both Canada and the UK, and the difference in how perimenopause and menopause are approached is real.

In Canada, I was trained to look at the whole picture. In UK primary care, it can be a quick conversation about symptoms and little else.

Here's what I think deserves more attention:

🔹 Thyroid and autoimmunity. Thyroid problems and thyroid antibodies can look a lot like perimenopause: fatigue, low mood, brain fog, weight changes, poor sleep. If it's missed, you can be treated for the wrong thing.

🔹 Sleep architecture. Not just "I sleep badly", but how you're sleeping: 3am waking, night sweats, light unrefreshing sleep. Sleep is often the first thing to change in perimenopause.

🔹 Personalising HRT. Oestrogen, progesterone and testosterone are not one-size-fits-all. Dose, type, route and timing all matter, and what suits one woman may not suit another.

🔹 Testosterone on HRT. For some women, testosterone is worth discussing, particularly for low libido that hasn't improved with oestrogen.

Having worked in both countries, I combine North American integrative thinking with evidence-based medicine, so you're listened to and the plan is individual to you.

If you've been told "it's just your age" and you don't believe it, you're allowed to ask for more.

Weight loss support: link in bio ⬆️

Educational content only, not medical advice. Please speak to your own doctor before starting, stopping or changing any treatment.

16/10/2026

Falling oestrogen and progesterone can shorten the hair growth phase, make strands finer, and leave you seeing more hair in the brush or the shower. Stress, low iron, low ferritin and thyroid problems can add to it, so it's worth getting these checked rather than guessing.

HRT can help some women. Replacing oestrogen (with progesterone if you have a womb) may support hair density and quality, alongside other symptoms like hot flushes, poor sleep and brain fog. It isn't a guaranteed fix, and the right type and dose depends on you.

If you're noticing thinning, speak to a doctor who will look at the whole picture, including bloods, your history and your options.

I'm Dr Golda, a GP with a focus on women's health and menopause. My clinic is opening soon in the UK. Join the waitlist via the link in my bio and you'll be among the first to hear when appointments open.

General information only, not medical advice. Please speak to your own doctor about any health related issues

15/10/2026

If you have ever sat in your car and cried for no reason you could name, this is for you.

Perimenopause and menopause are not talked about honestly enough. Women are told it is stress, or anxiety, or just getting older, and they leave the appointment feeling that they are the problem. You are not the problem. Your symptoms are real, and you deserve a doctor who listens.

Send this to the woman in your life who needs to hear it, and save it for the days you start to doubt yourself.

Join my clinic waitlist - the link is in my bio

Whatever you are going through in life, never ever quit, keep on going and don’t let them win.

This post is general information only and is not medical advice. If you are worried about your symptoms, please speak to your own GP or healthcare professional.

06/09/2026

Have you ever been told your bloods are normal, and still felt like something was missing? Testosterone is one of three key hormones women need across their lives, working alongside oestrogen and progesterone, yet it is rarely tested and rarely discussed. Having worked as a doctor in both Canada and the UK, I bring together the best of both systems, testing all three hormones and building your care around your own levels rather than a generic dose that fits everyone. You are not imagining how you feel, and you deserve a plan built around your body, not a chart. My clinic opens later this year, bringing this approach to women here, and the waitlist is open now, link in bio.

This post is for educational purposes only and is not a substitute for personalised medical advice. Please consult your doctor about any health issues.

19/05/2026

How much longer can you survive on no sleep?
Another year of 3am waking? Another year dragging through days you should be living? You have tried everything. Melatonin, meditation, counting sheep, accepting this is just how it is now. Nothing has worked.
Because nothing else was designed for menopause nights.
Dr Golda Sleep addresses what generic apps miss. Doctor-voiced stories that understand night sweats, racing thoughts and exhaustion that coffee cannot touch. Medical-grade support built specifically for menopause.

🌙 Start tonight.

🌙 sleep.drgolda.com

Try 3 days free

This content is for educational purposes only and does not constitute medical advice. Consult your healthcare provider before starting any new sleep program.

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