Women's health in midlife and beyond
Hormonal and physical changes can affect bleeding, sleep, sexual wellbeing, the bladder and general health. A consultation helps distinguish expected changes from symptoms that need assessment. There is no single treatment that suits every woman.
Symptoms and individual assessment
Changes in sexual desire, weight, sleep and skin can occur around menopause but can also have other causes. We consider your symptoms, medical history, current medication and personal risk factors. Nutrition, movement and other practical measures can be discussed alongside medical options.
Hormones and treatment options
Hormonal and non-hormonal treatments may help particular symptoms. Whether a treatment is suitable depends on the expected benefit, risks and your preferences. Hormone treatment is not prescribed solely because a woman has reached a certain age, and testing is used when it answers a relevant clinical question.
Pelvic-floor exercises and bladder symptoms
The practice information includes instruction in specific pelvic-floor exercises for mild leakage. Ask about the available support from trained staff or a pelvic-floor physiotherapist. Assessment matters because stress leakage, urgency and other bladder problems can require different approaches.
Discharge, irritation and vulval skin conditions
Persistent discharge, itching or inflamed skin around the vulva should be examined to identify infections, dermatitis or other causes. Bioresonance has also been discussed as a complementary approach in cooperation with another practitioner. This is not an established substitute for diagnosis or evidence-based treatment, and no improvement can be promised on that basis. Please discuss any complementary approach openly with your doctor.
Preventive care and check-up intervals
Recommended checks depend on age, previous findings and individual risk. The next visit is agreed according to your situation; a fixed eight-month interval is not appropriate for everyone. New bleeding, persistent pain or other unusual symptoms should be assessed promptly instead of waiting for a routine check.
Cosmetic gynaecology and private care
The practice has also provided information about wrinkle treatment, liposuction and correction of areas that concern a patient. If you are considering an aesthetic procedure, ask about current availability, qualifications, alternatives, risks and costs. A personal preference for a different appearance does not itself establish a medical need.
More about menopause · Private appointments · Contact the practice