Our vegetarian menopause tablets are ideal for women who are looking for nutritional support to help them deal with the wide-ranging changes that occur through the menopause. However, if you are unable or unwilling to take prescribed HRT (or can't get hold of it due to the current shortage), several helpful supplements are available.

Typically starting in a woman's 40s, the precise onset of perimenopause may be difficult to pinpoint. As perimenopause marks a gradual decline in hormones oestrogen and progesterone, the rate at which each woman's levels change, and how she is affected by this over time, is unique to everyone. You might experience perimenopause for two years, or it may go on for ten: again, this is different for every woman. In fact, some women do not even report experiencing perimenopausal symptoms at all! Similarly, fluctuations in the level of progesterone, the hormone which regulates when the uterine lining is shed and also controls the intensity and duration of bleeding, can lead to irregular periods and unpredictable bleeding. Causes of irregular periods Although the menopause is dated from the last menstrual period, most women experience symptoms in the five to ten years beforehand, as the number of egg follicles (which produce oestrogen and progesterone hormones) dwindles. During this time, many women will notice a spectrum of troublesome symptoms, including:

Hayhoe, R. P., Lentjes, M. A., Luben, R. N., Khaw, K. T., & Welch, A. A. (2015). Dietary magnesium and potassium intakes and circulating magnesium are associated with heel bone ultrasound attenuation and osteoporotic fracture risk in the EPIC-Norfolk cohort study. The American journal of clinical nutrition, 102(2), 376–384.

Hi Elaine, I don’t think I can help but I can say that I was glad to read the Clinical Study undertaken by Professor John Studd.(2016) I have only taken three days worth because I had other tablets to finish, but have noticed less hot flushes during the day but still having during the night, Unfortunately it may take a bit of trial and error to see which HRT helps your personal circumstances, but Femoston 1/10 is a good one to start with. Give it 3months and keep a daily diary of how you feel etc see how you get on. Brown tablet: Calcium Prep. (Calcium Carbonate, Maltodextrin), Bulking Agent: Maltodextrin, Bulking Agent: Microcrystalline Cellulose, Sage Extract (Sage Leaf Extract, Maltodextrin), Flax Extract (Flax Seed, Maltodextrin), Soy Extract, Coating (Hypromellose, Glycerin), Anti-Caking Agent: Silicon Dioxide, Stearic Acid, Magnesium Stearate.Besides the specially formulated multivitamin tablet, they've added a combination of sage extract, flaxseed lignans and soy isoflavones, compounds known as plant oestrogens. I only take Femoston, a good multivitamin and B complex. I was offered testosterone for the fatigue but decided to wait and see how things go. There is a delicate balance of hormones within a woman's body. As your hormones change during perimenopause, the balance of chemicals within the body changes, which triggers certain responses in the brain as the body naturally adjusts. This can bring on physical as well as emotional symptoms, which vary in nature depending on your particular chemical makeup.

In the lead up to the menopause, oestrogen production reduces and then stops. As a result, the vaginal tissues lose elasticity and the lining of the urethra becomes thinner which, along with weaker pelvic floor muscles, contributes to leaking’. Same as others; used to be happy with their service, but feel their shift to "Auto-opt in subscription that you have to phone to cancel" is predatory.If menopausal symptoms are interfering with your quality of life, talk to your doctor about the pros and cons of hormone replacement therapy (HRT), which can significantly reduce symptoms. I canceled all my subscriptions few months ago by phone call. But recently I still received a parcel and got charged! Will definitely raise this case to Citizens Advise. Much appreciated you sharing Pauline. I discovered this is a mind field when it shouldn't be particularly as women make up 51% of the population ! Evening primrose oil (EPO) is a rich source of GLA: an essential fatty acid that helps to improve dry itchy skin and has a beneficial effect on calcium and hormone metabolism. Some GLA is incorporated into cell membranes, making them more flexible so that skin becomes noticeably softer and better hydrated within a few days. A study involving 69 women who had experienced menopausal symptoms for at least a year, and who had at least five flushes a day, found that sage leaf extracts reduced the frequency of mild hot flushes by 46 per cent, moderate flushes by 62 per cent, severe flushes by 79 per cent and stopped very severe flushes altogether.

Around one in three women experiences continence issues,’ says Valentina Roffi, Clinical Specialist Physiotherapist (pelvic health) and Director at Sprint Physiotherapy.

For example, oestrogen stimulates serotonin, a major mood neurotransmitter that brings on feelings of happiness. When your oestrogen levels drop, it can in turn cause a drop in serotonin within your brain, so causing feelings of sadness or depression. Oestrogen and progesterone also work to manage production of cortisol, the hormone that triggers feelings of stress, and so feelings of panic, stress and anxiety may be heightened as these hormone levels change, too. What are the symptoms of perimenopause? I was told to ring them in future so that they can advise which products would come in a non-letterbox size box. Huh??? So, I have to get a completely different product just to get things on a box?? LUDICROUS!!!! I asked why they didn't all come in the same box - apparently they like things to fit through letterboxes. Ok, I can see that - but if you're sending a box that doesn't fit then why not put it all together?!