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Perimenopause, Properly

@perimenopauseproperly

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Research over reassurance · HRT properly explained
Half of women quit HRT before it works — don't be one.
↓ Free 7 questions to ask at your HRT review
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Your GP probably mentioned hot flushes. They probably didn't mention this. Oestrogen plays a direct role in cognitive function. Blood flow to the brain. Neurotransmitter activity. Neural connection maintenance. When oestrogen declines, cognitive symptoms can appear — sometimes years before the hot flushes. The brain fog isn't anxiety. It isn't burnout. It isn't you getting older. It's oestrogen. And here's the clinical part that matters: Cognitive symptoms respond more slowly to HRT than vasomotor ones. Hot flushes may improve in weeks. Cognitive clarity can take 3-6 months. If you're judging your HRT by hot flushes alone — you may stop before the cognitive benefit arrives. Track the brain fog separately. Week by week, not day by day. It belongs in your GP conversation. Save this 🔖 Free guide on my profile 👆 #hrt #perimenopause #brainfog #menopause #womenshealth #hrtjourney #perimenopausesupport #hrtuk #womenover40 #menopausesymptoms #cognitivehealth #perimenopauseproperly by @perimenopauseproperly
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3 months ago
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10-minute appointment. Months of waiting. And we walk in with vibes. The free GP Review Pack changes the conversation. 7 specific questions + a one-page summary template. Hand it to your GP. They'll thank you Link in bio. Save this #HRT #Perimenopause #Menopause #HRTUK #WomensHealth #HRTReview #PerimenopauseSupport #MenopauseSupport #HRTJourney #WomenOver40 #PerimenopauseTok #UKMenopause by @perimenopauseproperly
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4 months ago
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50% of UK women on HRT stop taking it. Most of them at exactly the wrong time. Research: Bunnewell et al., BJOG 2025 I built a free guide of the 7 questions to ask your GP at your next HRT review. Walk in armed with data. Walk out heard. Link in bio Save this for your next appointment. #HRT #Perimenopause #Menopause #HRTUK #WomensHealth #HRTReview #PerimenopauseSupport #MenopauseSupport #HRTJourney #WomenOver40 #PerimenopauseTok #UKMenopause by @perimenopauseproperly
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4 months ago
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The difference between getting dismissed at your appointment and actually being heard usually isn't luck — it's one piece of paper. You know something's wrong. But in the room it comes out as "I just feel a bit off" — and that's easy to wave away. A feeling is easy to wave away. Evidence isn't. Walk in with a dated record of your symptoms and "I feel off" becomes something that can't be dismissed. And over 45, NICE diagnoses perimenopause on your symptoms — not a blood test (NG23). So your written record isn't just backup. It's the actual evidence. The one step: two weeks of notes before you go — each symptom, dated, scored 1–10, plus your sleep. Take it in and put it on the desk. What would you add to the list? 👇 The ready-made template is in the free guide on my profile 👆 #perimenopause #menopause #womenshealth #GPappointment #menopausesupport by @perimenopauseproperly
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5 days ago
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Nobody warns you about the week-3 dip on HRT. You start treatment, feel a lift… then around week three the floor drops out, and you're convinced it isn't working. Here's the reframe: that dip often isn't the treatment failing — it's your body adjusting to a signal it hasn't had in a long time. And it tends to come right before things settle. Why it matters: around half of women stop HRT, often before it's had a real chance to work (Bunnewell et al., BJOG 2025 — a review of 32,000+ women). The week you're most likely to quit is often the week before it turns. So if you're in the dip — don't quit blind. Note when it started, and give it the full window before you decide. Did anyone actually warn you this could happen? 👇 Free guide on my profile to help you track it 👆 #perimenopause #menopause #HRT #hormonehealth #womenshealth by @perimenopauseproperly
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7 days ago
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I did my Master's research on why people stop taking treatments that work. Then I looked at HRT — and it's one of the worst. Around half of women stop taking HRT, often in the first few weeks — right before it would have started working. (A 2025 systematic review of 32,213 women found 51% discontinue.) And here's the part that gets missed: it's rarely that the treatment failed. It's that no one explained the timeline — the dip, the wait, what "working" is even supposed to feel like. That gap is the whole reason this account exists. I'm not here to reassure you — I'm here to show you the research and help you walk into your GP appointment prepared. I'm breaking this down properly through October, one piece at a time. So — did anyone actually explain to you what to expect when you started? 👇 📚 Bunnewell et al., BJOG 2025 (systematic review, 32,213 women) #perimenopause #menopause #HRT #hormonehealth #womenshealth #menopausematters #perimenopauseproperly by @perimenopauseproperly
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11 days ago
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I get a version of this message almost every day. And every time I'm reminded why I'm building this. You were never going mad. You were just under-informed. Those are completely different things. If this is you — you're in the right place 🤍 Free guide on my profile 👆 #perimenopause #menopause #womenshealth #hrt #perimenopausesymptoms #womenover40 #perimenopausesupport #hrtjourney #menopauseawareness #womensrights #midlifewomen #perimenopauseproperly by @perimenopauseproperly
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11 days ago
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I get a version of this message almost every day. And every time I'm reminded why I'm building this. You were never going mad. You were just under-informed. Those are completely different things. If this is you — you're in the right place 🤍 Free guide on my profile 👆 #perimenopause #menopause #womenshealth #hrt #perimenopausesymptoms #womenover40 #perimenopausesupport #hrtjourney #menopauseawareness #womensrights #midlifewomen #perimenopauseproperly by @perimenopauseproperly
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12 days ago
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You're not sleeping badly because you're stressed. You're sleeping badly because your oestrogen dropped. These are different problems. Perimenopausal sleep disruption has a specific pattern: → Waking consistently between 2-4am → Racing heart on waking → Feeling of heat → Cannot return to sleep Not random. Not stress. A pattern. Here's the mechanism: Oestrogen regulates sleep two ways: 1. Core body temperature at night When oestrogen drops — temperature regulation becomes erratic. Sleep architecture breaks. 2. Serotonin and melatonin production Both critical for sleep initiation and maintenance. When oestrogen fluctuates — so do both. You wake up because your sleep chemistry has changed. Not because you have something to worry about. HRT addresses both mechanisms directly. Sleep hygiene addresses behaviour. HRT addresses the chemistry. If chemistry is the cause — behaviour change alone won't fix it. Track your sleep pattern before your next appointment. Time of waking. How you feel. Whether there's heat. That's clinical data. Free GP review pack, link in the bio. Save this 🔖 Free guide on my profile 👆 #perimenopause #perimenopauseanxiety #hrt #menopause #womenshealth #perimenopausesymptoms #hrtjourney #womenover40 #perimenopausesupport #hormonehealth #anxietyawareness #perimenopauseproperly by @perimenopauseproperly
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13 days ago
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Things perimenopause does that sound completely made up. They're not. → Forgetting words mid-sentence → Ears ringing for no reason → Crying at an advert → Feeling claustrophobic in your skin → Waking at exactly 3am every night All of this is the oestrogen. None of it is you losing your mind. Save this for the next time you feel like you're going mad 🤍 Free guide on my profile 👆 #perimenopause #menopause #womenshealth #hrt #perimenopausesymptoms #womenover40 #perimenopausesupport #hrtjourney #menopauseawareness #womensrights #midlifewomen #perimenopauseproperly by @perimenopauseproperly
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14 days ago
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You're not sleeping badly because you're stressed. You're sleeping badly because your oestrogen dropped. These are different problems. Perimenopausal sleep disruption has a specific pattern: → Waking consistently between 2-4am → Racing heart on waking → Feeling of heat → Cannot return to sleep Not random. Not stress. A pattern. Here's the mechanism: Oestrogen regulates sleep two ways: 1. Core body temperature at night When oestrogen drops — temperature regulation becomes erratic. Sleep architecture breaks. 2. Serotonin and melatonin production Both critical for sleep initiation and maintenance. When oestrogen fluctuates — so do both. You wake up because your sleep chemistry has changed. Not because you have something to worry about. HRT addresses both mechanisms directly. Sleep hygiene addresses behaviour. HRT addresses the chemistry. If chemistry is the cause — behaviour change alone won't fix it. Track your sleep pattern before your next appointment. Time of waking. How you feel. Whether there's heat. That's clinical data. Save this 🔖 Free guide on my profile 👆 #perimenopause #perimenopausesleep #hrt #menopause #womenshealth #sleepproblems #perimenopausesymptoms #hrtjourney #womenover40 #nightsweats #perimenopausesupport #perimenopauseproperly by @perimenopauseproperly
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17 days ago
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What your GP sees in a 10-minute appointment. What they can't possibly see. These are not the same list. WHAT THEY SEE: → How you present in the room today → Whether you seem distressed → Their last notes on your file → Your general history WHAT THEY CAN'T SEE: → How you felt at 3am last Tuesday → Your symptom pattern over 8 weeks → Whether bad days cluster around your cycle → Whether your compliance has been consistent None of that exists in the appointment unless you bring it. Your GP is not the problem. 10 minutes with no pre-prepared data limits any clinician — not because they're bad at their job. Because clinical decisions require information. The gap between what your GP sees and what they need is structural. The only person who can close it is you. Not with a list of complaints. With documented, structured data. That's what the free guide helps you build. Save this before your next appointment 🔖 Free guide on my profile 👆 #hrt #perimenopause #hrtreview #menopause #womenshealth #hrtuk #perimenopausesupport #gpappointment #womenover40 #hrtjourney #menopausesupport #perimenopauseproperly by @perimenopauseproperly
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17 days ago
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