Menopause


Take a Pause- to talk about Menopause

(for colleagues only)

Dates for sessions:

Date Time
Monday 3rd October 2022 8am-9am
Wednesday 2nd November 2022 12noon-1pm
Monday 5th December 2022 8am-9am
Wednesday 11th January 2023 12noon-1pm
Monday 6th February 2023 6pm-7pm
TBC TBC

Join on your computer or mobile app using this link:

Click here to join the meeting

Or join by entering a meeting ID
Meeting ID: 363 104 074 815
Passcode: 4aKdzk

Menopause Information Leaflets

Menopause Support at Sherwood Forest Hospital NHS Foundation Trust

Menopause Leaflet- MSK

Menopause Leaflet- Fatigue

World Menopause Day 2022 Event Resources and Videos

(For colleagues only)

Tuesday 18th October 2022 saw SFH colleagues come together with colleagues from across Nottingham and Nottinghamshire ICS. 

The presentations and videos can be found in the table below:

Agenda item:

Speaker

Presentation, Resources and Links

National Menopause Improvement Programme

Suzanne Banks CBE , Clinical Programme Lead, NHSE

National Menopause Improvement Programme

Menopause Fact Sheet

Our Menopause stories- Premier of our filming

Amy Goudlstone

Our Menopause Stories from SFH Colleagues (13 mins)

Menopause and HRT

Dr Sonja Rees

Menopause and HRT video (40 mins)

 

How does the menopause affect Men?

Dr Andy Haines

Male Menopause video (7 mins)

Mental Wellbeing- How can CBT help Menopause symptoms?

Becki Bowen, Thrive App

CBT and the Menopause video (21mins)

Free sign up to the app here: Thrive Sign up

 

Your bladder and the menopause

Morgan Lowe, Pelvic Health Physiotherapist

Your Bladder and the Menopause

Request a referral to Pelvic Health Physiotherapy via your GP

Living Well through the menopause including healthy weight and sleep

Jess McQuade, Your Health Your Way integrated Wellbeing Service

Living Well through the Menopause including Weight Management and Sleep

Support in Your Area (yourhealthnotts.co.uk)

Supporting colleagues experiencing menopausal symptoms through Allyship

AlIson Pearson,

Equality, Diversity and Inclusivity

Allyship

Join SFH Women's Network: sfh-tr.wis.support@nhs.net

Question and Answer Session

Question Answer Author
Re CBT - I feel like a fizzy bottle of cola that has been shaken up - I'm scared that if I start to examine or share my feelings, my bottle of pop will explode and spray everywhere...and I will embarrass myself. How can you let air out of the bottle safely a bit of a time without it feeling scary?
Answers coming soon  
What can I do if I’m on HRT and my body still hurts. Joint pain stopping me exercise, fatigue is horrendous
   
I appear to be on sequential HRT but I don't have periods in the breaks on progesterone - is this an issue?
   
How do you know when your menopause officially starts if you have an old Mirena coil? I take HRT (oestrogen and Progesterone) and also have a Mirena (6 years plus but nobody seems concerned).
   
Can the menopause make you feel like you have Asperger's type symptoms? I feel I want to sit on my bed, put headphones on and shut out the world - everything is too noisy, too stimulating and "in my face". Even "simple" conversations feel too much... I am on HRT but it isn't helping with this. Is this normal?
   
My friend still suffers with awful hot flushes, she is 62 now and went through her menopause over 10 years ago, what is causing these?    

My friend still suffers with awful hot flushes, she is 62 now and went through her menopause over 10 years ago, what is causing these?

   
Could using on Mirena coil for long years predispose you to early menopause symptoms?    
I started menopause at the age of 58 (a year ago) and have been on a combined HRT treatment since then. How much benefit will I receive from the treatment?    
It was mentioned on a slide ( for women reaching menopause naturally and not on oral contraception)   Does it not apply to any hormonal contraception ie Depo IUS?
   
Why is sex so incredibly painful 5+ years after first experiencing symptoms? Is there anything else that might help as the creams form GP have not helped. Would the Physiotherapy team be able help?    
My HRT is out of stock, what are the alternatives that will be suitable?

Use the following website to identify the alternatives:

https://thebms.org.uk/news/british-menopause-society-update-on-hrt-supply/

GP practice 

 
Does HRT increase risk of Breast cancer

See Menopause and HRT presentation: Menopause and HRT video (40 mins)

 
Are there any risks to taking HRT?

HRT has the best effect of all treatment options for menopausal symptoms, however risks may include increasing risk of breast cancer, stroke, clots in legs or chest and in some cases cardiovascular disease. There are also other cancer's that depend on oestrogen and this may increase the risk of their occurance or reoccurance. This is why an individual assessment is necessary to advise.

 
I have had cancer so cannot have HRT, What are the alternative options?

There are non-hormonal options for symptoms, in particular hot flushes. These treatments don't work in all women but some may find them beneficial, especially if there are pre-existing risk factors for HRT.

 
I have high blood pressure so have been advised that I cannot have HRT, What are the alternative options?

There are non-hormonal options for symptoms, in particular hot flushes. These treatments don't work in all women but some may find them beneficial, especially if there are pre-existing risk factors for HRT.

 
Is HRT Safe?

As with all medicines there are risks and benefits. For most women HRT is generally considered safe. However it is important to discuss with your doctor about your specific risk factors and how they may impact you as an individual. I am always keen on taking a holistic approach and considering treatment tailored to the individual. For example, if hot flushes dominate with no other symptoms, a trial of non-hormonal treatment and Cognitive behavioural therapy may suit best. If the predominant symptom, however, is vaginal discomfort and itching, then a discussion around vaginal HRT +/- lubricants and other vaginal treatments should be explored.

Dr Maddock-Khan

How long can HRT be taken for?

This is entirely dependant on the individual and what they need from HRT. There isn't a set 'limit', however longer duration of use will increase the risk of breast cancer for example. 

 
     
What is the Thrive app access code? SFHFT Amy Gouldstone