Menopause doesn’t have to be treated as one cure suits all, Dr Joanne Horgan provides a comprehensive service with a monitored and bespoke treatment package. Treatment includes body identical (Bioidentical) HRT, which matches the body’s hormone and not readily available on the NHS, as well as conventional and compound HRT prescriptions. Your medical history and lifestyle factors will be discussed.
Dr Joanne Horgan MBBS, MRCGP
What are the common symptoms of the menopause?
Some women have very few or even no symptoms and their periods simply stop happening. However, for the majority of women it is not so straightforward and around 80% of all women experience several symptoms. The symptoms you may experience vary between diﬀerent women. These symptoms often have a very negative impact on your life and can really aﬀect your relationships with your partner, family and work colleagues.
Symptoms include hot ﬂushes, night sweats, sleep disruption, insomnia, exhaustion, mood swings, palpitations, chest pain, breathlessness, depression, anxiety, hair loss or thinning, vaginal dryness, bladder weakness, incontinence, urinary tract infections, lack of libido, change of body shape, dry eyes, dry mouth, memory loss, poor concentration, brain “fog”, aching joints and muscles, headaches and migraines.
Menopause and Perimenopause symptoms can include the following:
- mood swings
- lack of focus/foggy moments
- thinning hair and wrinkling skin
- unexplained weight gain
- hot flushes
- low sex drive
- thyroid issues
- cholesterol disorders
- heart disease
- chronic fatigue/lack of energy
- leaky bladder syndrome
- urinary tract infection
Appointment – £240 (plus associated menopause blood tests)
Skin Problems – effects during Menopause and Perimenopause
Oestrogen is very important for the development of collagen, which is a supporting protein in the skin and provides strength and structure to the skin.
As oestrogen levels reduce during the menopause and perimenopause, your skin can become less mobile and thinner. The low oestrogen levels can result in there being less blood ﬂowing to the epidermis (upper layer of your skin) and also more water loss from your skin leading to your skin becoming less hydrated. You may notice that your skin becomes more tired looking and develops more ﬁne lines and wrinkles. The skin often becomes less elastic and looks less glowing as hormone levels decline.
Your skin can become drier and become itchy. This itchiness can occur during the day and night and be really troublesome. Some women notice abnormal sensations to their skin, such as numbness, tingling, prickling or a crawling sensation (called formication).
During the perimenopause and menopause, many women also experience acne and skin pigment changes.
Menopausal skin is more susceptible to UV damage causing deeper wrinkling and sun damage like age spots and lentigo, which are small brown spots on the skin.
The maintenance of melanocytes (cells that manufacture the pigment melanin) is under the control of oestrogen. The number of melanocytes in your skin reduces during the perimenopause and menopause. This results in there being less of the protective melanin and your skin can appear lighter. Menopausal skin is therefore more prone to sun damage.
In areas of the skin that have been exposed to UV rays over the years, melanin synthesis increases during the menopause. This can result in brown “age spots” appearing on your face, hands, neck, arms and chest.
It is really important to use a good moisturiser regularly to improve your skin’s hydration. Moisturisers smooth and protect the upper layers of your skin and can work to prevent trans-epidermal water loss.
It is essential that you use a sunscreen with a minimum SPF 30 to protect against UVB rays and avoid sun damage. Sunscreen should be reapplied every few hours. You should also consider wearing a wide brimmed hat.
Taking hormone replacement therapy (HRT) can improve skin hydration by replacing oestrogen levels in your body. Many women who take HRT often notice that their skin becomes brighter with an improved texture and tone. HRT can also reduce ageing of your skin. Your skin often looks ﬁrmer and plumper as the oestrogen works to strengthen the collagen and elastin ﬁbres.
For the majority of women under 60 years of age, the beneﬁts of HRT outweigh the risks.
For specialist skin consultants who can provide expert treatments, visit www.surreyskincare.co.uk
Dr Joanne Horgan MBBS, MRCGP
After having a long wait time of 3 1/2 weeks for an appointment with my NHS Dr, I decided to book in with the private gp clinic. This was quick and simple my appointment was the following week (could have been sooner if I were available). The reception staff greeted me with warm smiles as did Dr Soin. Very professional and knowledgeable. I would book in again.
I had an appointment earlier this week with Joanne Horgan to discuss various options to manage my menopause. We spent some time going through my background and following comprehensive blood tests Joanne has made excellent recommendations for me. She has a wealth of experience and an extremely warm... Readmore and friendly manner. I would thoroughly recommend Joanne if you want help managing your menopause. I only wish I had found her sooner!!!
I saw Dr Horgan last week. Very impressed with the service I received. Very nice Dr to talk to who listens, answers questions and takes time to discuss. Will definitely use again.
I spent an hour with Joanne recently talking through my menopause issues and could not be happier. Blood tests were taken the same day and results were available 2 days later. Joanne made some much-needed changes to my existing treatment and I would thoroughly recommend her if you're looking for help with managing your menopause. She has a warm and friendly manner and her knowledge in this area is first class
Offered an appointment within the hour, really great fast efficient service!
Felt very confident with what was happening, Joanne talked me through the whole procedure, whilst it was happening. Have already recommended it to friends and family. Am delighted with the results.
Friendly,helpful,efficient and very professional! Would definitely use them again!!
Very helpful doctor, I visited the surgery on a recommendation and wouldnt hesitate to see Dr Horgan again
Very friendly, quick, efficient and professional!! Would definitely use again!!
Fab doctors really great service
Menopause specialists Near me Woking, Guildford, West Byfleet, Longcross, Addlestone, Weybridge, Esher, Walton-on-Thames, Sunbury, Epsom, Ewell, West Ewell, Chertsey, Oxshot, East Horsley, Chobham, Cobham, Camberley, Egham, nearby Windsor, Ascot, Byfleet, Ripley, Send, Ottershaw, East Molesey, Bracknell, Ascot, Sunningdale, Wentworth, near by Camberley, Virginia Water, Windsor, Windlesham, Surrey, Berkshire, Esher