“There is no reliable clinical evidence available that indicates proof of harm caused by different doses of HRT prescribed, and a huge amount of data from clinical experience as the UK’s largest menopause clinic supports the benefits of different doses.”
Other medics – even those working in the private field – have also voiced concerns. Dr Nina Fuller-Shavel, a consultant gynaecologist at Synthesis Clinic in Stockbridge, Hampshire, sees women who have typically given up on the NHS. She says, “We do prescribe HRT but in very conservative doses. Often, I think private clinics can put everything down to the menopause without considering other factors such as thyroid issues or metabolic disorders.
She says: “I have had some patients shouting at me if I don’t offer them testosterone as a first-line treatment. They threaten to go private, which they are entitled to do, of course. She says: “There are many dedicated doctors and nurses in the NHS and we want to give patients our time. Women want to be listened to and many of us want to help and are trained to do so. But there needs to be funding for longer appointments and we need more innovative ways of working. At the moment, there is no funding for longer appointments. This two-tier system is leading to an ever-increasing widening in the inclusion agenda, with a Caucasian majority seeking help.
Expert verdict: While the spray may feel cooling, a hot flush is actually caused by the brain. Typically, the thermoregulatory centre in the brain tries to keep us within a certain temperature range. But during the perimenopause, it reacts to even tiny temperature changes, leading to a hot flush. This spray may feel nice but won’t solve the problem.The Emsella Chair is available in some private clinics and is designed to be used by women hoping to improve their pelvic floor.
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Source: Glasgow_Live - 🏆 4. / 97 Read more »