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Our WellFemme Doctors present their highlights from the Australasian Menopause Society’s Congress in Adelaide, 24-26th November 2021.

The fact that many ended up writing full-length articles demonstrates just how passionate they are about these subjects! We’ll publish these in dedicated Blog posts over the coming months, but for now here are our “take-home messages” about menopausal health:

Dr Kelly latched onto a grab-bag of menopause-related facts:

• Menopause increases the speed of ageing by 6%
• The optimal BMI for healthy ageing is 28
• Dementia risk doubles every 5 years after menopause, reaching 41% by age 90
• Vaginal laser therapy was no more effective than “sham” treatment in recent trials
• Hydro-distention is effective treatment for painful bladder and urinary frequency
• Testosterone naturally increases in women after age 70 up to the level of 20-30 year-olds
• Women with surgical menopause may respond better to testosterone treatment
• Bariatric surgery increases women’s lives by 3 years on average
• Women are twice as likely to die after a heart attack than men
• Gestational diabetes and pre-eclampsia significantly increase cardiovascular risk, even after just 10 years

Dr Anna has qualifications in sports medicine and physical education, so it’s no surprise that she was excited by the latest evidence on the power of exercise as we age:

“Why is it so important and what can cardio and strength training do for you? Studies have shown:

• Higher aerobic fitness at midlife was associated with living longer: the fitter you are, the longer you live!
• Higher levels of aerobic fitness were associated with an 88% decreased risk of dementia compared to a medium level fitness
• Improving muscle strength and muscle mass reduces:
  • mortality (all causes of death) by 20-25%
  • cardiovascular disease by 20-25%
  • type 2 diabetes by 30%, and
  • cancer deaths by 15-20%
• Combined aerobic and muscle strengthening programmes are associated with significantly less cardiovascular disease, cancer and chronic lung disease.
• Comparisons of low, medium and high amounts of aerobic training show that those doing higher levels of aerobic training (300 mins/week) consistently lose more total weight and fat mass, and have a higher level of fitness.
• A slower gait (walking speed) is actually associated with a smaller brain!

Exercise is not optional. It is even more critically important at mid-life. We know that peri- and post menopause are associated with weight gain, body fat and composition changes and skeletal muscle loss. Aerobic and muscle strengthening exercise programmes help your overall health, longevity, and brain as well as your appearance. It is NEVER too late to start!” [The full version of Dr Anna’s post will be published in our Blog over the coming month]

Along a similar theme, Dr Lynda’s take-home message is about how diet and exercise affect your epigenetic age:

“I am passionate about a healthy diet and regular exercise as the foundation of health. Menopause is a time of change for women, a time when they can improve health and slow the ageing process. A healthy diet and exercise are the cornerstones of good health in anybody, but most especially menopausal women.

Yippee, all the things I carry on about were in the Epigenetic Age lecture. Epigenetic age is your physiological or “health age,” NOT your age in years. Your epigenetic age is DECREASED by a diet rich in fruit, vegetables and fish, moderate alcohol and doing plenty of exercise. So a healthy diet and exercise keeps you young – something I have always thought😊

Your epigenetic age is INCREASED by insulin resistance (ie. pre-diabetes), being overweight, having high blood pressure and increased fats in your blood.”

Dr Katie was forced to reflect on how we manage our time:

“We generally know what we need to do to improve our health, but one of the biggest barriers is finding the TIME to focus on your wellbeing. One talk was about Steven Corey’s time management matrix (it’s worth a google).

It was suggested that we write down what we do with our hours in each day. Be honest… I have now limited my time on social media (big time). I realised I was focussing on non-urgent, non-important tasks in my ‘free time’ and avoiding the looming big (and sometimes boring) important tasks, putting them off until they became URGENT and then feeling under pressure to complete them.”

[Dr Katie’s thoughts on this subject will be more fully explored shortly in a longer Blog post]

Our WellFemme dementia expert, Dr Marita Long paid close attention to the presentation on cognition:

We suspect that oestrogen has a protective role for the brain- just like it does for the heart and bones – because women who experience premature menopause are at higher risk of developing dementia when they aren’t treated with hormone therapy. However currently hormone therapy is not recommended specifically for primary prevention of dementia.

While the evidence evolves we need to work on all the other modifiable risk factors- eat well, exercise daily, don’t smoke and limit your alcohol intake, keep socially engaged and ensure that you get good quality sleep. The disease process for dementia starts 20-30 years before it is evident so the key message is – make the changes now! Take time to prioritise your health and enjoy the benefits for now and in the future. [More of Dr Marita’s insights about dementia and cognition also in a near-future Blog post]

Finally, Dr Ruth has a few words about the magic “window of opportunity” for HRT:

“At the AMS Congress last week there was an update on data from the Women’s Health Initiative (WHI) Study.  This was a massive study done in the US a number of years ago, and when the initial results came out in 2002 it lead to confusion and fear around HRT in women, especially in regards to higher breast cancer risk.  Subsequent studies from the WHI data have clearly showed that in younger women and those close to menopause there are more benefits than risks for HRT.

There is a “window of opportunity” for starting HRT, which reduces the risk of developing cardiovascular disease and has minimal risk for breast cancer.  This opportunity window is for women under 60 years old or women that are still within 10 years of going through menopause. HRT for the vast majority of these women is extremely safe and effective for menopausal symptoms, whilst reducing risk of heart disease, colon cancer, diabetes and osteoporosis  : )

OUR FAVOURITE RESOURCES FROM THE CONGRESS:

Infographic “Understanding the risks of Breast cancer” from the Bristish Menopause Society

AMS pre-appointment guide for discussing menopause with health professionals

Revised Global  Consensus Statement on Menopausal Hormone Therapy

Book: “Managing Hot Flushes and Night Sweats: A cognitive behavioural self-help guide to the menopause” by Myra Hunter.

Guide: “Considering Surgery to Reduce Your Risk of Ovarian Cancer?” Royal Melbourne Women’s Hospital.

The Decreased Sexual Desire Screener

Online strength training course for healthy ageing from Project Three Six Twelve

What is WellFemme About?

If you can’t find the professional help you need for your menopause or perimenopausal symptoms then book a Telehealth consultation with an expert WellFemme menopause doctor.

WellFemme is Australia’s first dedicated Telehealth menopause clinic, servicing locations nationwide including: Melbourne, Sydney, Adelaide, Darwin, Perth, Hobart, Brisbane, Dubbo, Bendigo, Broken Hill, Broome, Alice Springs, Launceston, Cairns, Mildura, Lightning Ridge, Kalgoorlie, Albany, Toowoomba, Charleville, Port Headland, Katherine, Ballarat, Coober Pedy, Bourke, Albury… and your place! 🙂

Menopause expert Dr Kelly Teagle, Exercise Physiologist Gillian Logan and Nutritionist Kate Freeman reveal what’s really important to stay fit and healthy through the Next Phase of your life.

Menopause Recap

Menopause is when you’ve had no ovulations for 12 months, usually between 45 and 55yo. This is usually signalled by a loss of periods for 12 months, unless your periods had already stopped due to a hysterectomy or hormonal contraceptives like the Mirena IUD. The hormonal fluctuations of perimenopause (and the associated symptoms) can start many years before you actually reach menopause.

Live-streamed Diet and Exercise workshop, Wed 17th June, 2020

Your Body Changes at Menopause

Due to the changes in hormones during perimenopause, especially oestrogen, our bodies change.

One of the changes you may notice is an increase in belly fat (known as central adiposity) and more total body fat. Besides just not feeling great about how our shape is changing, the increased body fat more importantly impacts on our overall health and wellbeing, putting us at higher risk of chronic disease. Research has shown that if your waist is >90cm and/or your waist to hip ratio is > than 0.85, this places you into this higher risk category for health issues – like hypertension, cardiovascular disease and metabolic diseases like diabetes.

In addition, if your Body Mass Index is less than 30 the severity of your menopause symptoms, like hot flashes, unexplained mood swings and sleep disturbances can be less.

Other physiological changes in menopause include

• reduced bone density
• change in muscle fibre type so we can lose strength
• disturbed sleep
• increased mood swings and anxiety

Nutrition after Perimenopause

Very few Australians eat in accordance with recommended nutritional guidelines. If we did there would be hugely reduced rates of diabetes, heart disease, obesity, cancers, and other chronic diseases.

As we age we require less calories because of overall reduction in activity levels and reduced lean muscle mass (which burns calories 24/7). Our bodies are also less efficient at absorbing nutrients as we age, but we still require the same amount of nutrients so what we eat has to be more nutritionally dense and less calorie dense.

Eating this way also lets you eat bigger portions of food for the same amount of calories, so you feel fuller with less calories. It also helps in losing weight or preventing weight gain.

The Link Between Diet and Mental Health

Mental health issues are incredibly common around perimenopause, with women 3x more likely to have depression at menopause than pre-menopausally. The Jean Hailes article “Foods for your future” quotes studies demonstrating that a Mediterranean diet is linked to higher psychological resilience, ie. coping better with stress.

“The Mediterranean diet is rich is natural wholefoods, with a particular focus on vegetables, as well as olive oil, fruits, legumes and wholegrains,” …”In this study, consuming high amounts of antioxidants present in these foods and including a large variety of fruits and vegetables was associated with higher mental resilience and stress-coping ability.”

A Mediterranean diet has also been shown to reduce risk of heart disease, type 2 diabetes and some cancers. That leads us to…

Heart Health

Heart disease and dementia are the equal highest killers of Australian women. CVD was responsible for 1/3 of all female deaths in 2016 (around 28000 women). A Mediterranean diet is not only protective of your mental health, it also is protective against heart disease.

Other key strategies to improving heart health are:

• Decrease saturated fats and increase monounsaturated fats
• Increase soluble fibre in your diet such as oats, barley and psyllium which can reduce cholesterol, and
• Eat high fibre/ wholegrain for optimal nutrition and bowel health.

Bone Health

Bone density drops sharply with the estrogen decline at menopause. Calcium intake is important for bone health. Good sources include dairy (such as milk, yoghurt and cheese), sardines or salmon (with the bones in). Calcium is also found in vegetarian/vegan-friendly food such as calcium-enriched tofu, soy, almonds and broccoli. Vitamin D helps uptake of calcium; if you are dark skinned, vit D deficient or don’t get much sunlight a vit D supplement might be helpful.

Iron

Perimenopause often brings frequent or heavy periods (menorrhagia), which can lead to iron deficiency. If you have menorrhagia ask your doctor about getting your iron level tested. Ways to improve your iron levels include lean red meat, or eating green leafy vegetables with a carbohydrate and some vitamin C to boost its absorption. Avoid eating your iron-rich foods or taking iron supplements with tea or calcium-rich foods such as dairy, as they inhibit iron absorption in the gut.

Soy

About one-third of women may get some improvement in their menopausal symptoms from eating soy- these are the women with the right type of gut bacteria to process it into the required molecules.

Protein

Quality lean proteins help you build and retain lean muscle mass, and can help you feel full at meals. Protein also contains zinc which is protective against mood disorders and is important for brain functions like memory, learning and concentration.

How Good is Your Nutritional Intake?

Take the Healthy Eating Quiz to compare your nutritional intake to the Australian healthy eating guidelines.

 The quiz is linked to the “No money, No time” recipe planning site, which ties in with quiz’s recommendations.

Does Menopause Cause Weight Gain?

Scientific studies show that central weight gain is associated with increasing Body Mass Index (BMI) rather than menopause itself.

BMI increases in response to lifestyle changes, many of which are exacerbated by hormonal changes however. For example, it’s harder to exercise and make good food choices when you’re exhausted from lack of sleep caused by hot flushes. As previously mentioned, the women who changed what they were doing managed to avoid weight gain.

What’s Estrogen Got To Do With It?

Importantly, evidence confirms that reduced estrogen levels lead to more centrally-located fat deposition, so whatever weight you do gain tends to go on around the middle. This is yet another risk factor for heart disease.

The key to avoiding tummy fat accumulation then is to maintain a healthy weight during the menopausal transition through physical activity and healthy eating… It can be done!

Reduced estrogen levels also led to a reduction in incidental movement in animal studies, so there may be hormonal triggers contributing to reduced activity levels. It really does take extra effort to remain active after menopause

How to NOT Gain Weight at Menopause

Lauren Williams from Griffith University found that the average weight gain during menopausal transition is 2.5kg. Contributors include hormonal changes amplified by life changes: physical work reduces, alcohol intake increases for many women, busier at work, more disposable income and eating out more.

Importantly, ALL women are prone to weight gain during menopausal transition, regardless of having a lifetime of good fitness habits. NONE OF US ARE IMMUNE!

BUT here is the really exciting thing: Lauren’s research shows that women who changed something at perimenopause DID NOT GAIN WEIGHT.

Basically, the key to not gaining weight at menopause is to not do the same things you’ve been doing pre-menopausally. Increase your activity levels, decrease your portion sizes, cut out snacks, cut out alcohol, increase the proportion of non-starchy vegetables on your plate… just do something differently to shift the balance between calories in and calories out.

Why Am I So Bloated?

Bloating can be caused by many things, not all of them dietary. Hormones and fluid retention are big culprits. Think not just of estrogen and progesterone but also stress hormones if you’re very stressed or anxious.

Medical causes can include a variety of gut disorders like infections, inflammatory bowel diseases, coeliac disease, abdominal fluid (from some serious disorders including cancer), eating disorders and reflux. Significant or persistent pain associated with bloating should always be investigated by your GP.

Dietary Causes of Bloating

• Constipation – if you’re backed up and things aren’t moving through quickly this will often cause bloating. Ensuring you’re consuming adequate fibre and drinking enough water can help with this.
• Fecal loading– This is what happens when the amount of poo you’re eliminating is insufficient for the amount of food you’re ingesting… basically a big traffic jam of poo in your bowels. It’s actually quite a common cause of generalised abdominal pain, and can be present even if you think you’re “going” regularly. Your GP can order an abdominal xray to diagnose it and give you advice about the right kind of laxatives the get that traffic jam moving.
• Gas – gas production from bacteria in your gut can also cause bloating, and sometimes you just need to let the gas out. Don’t hold in farts! An increase in pre-biotic foods (foods that feed your gut bacteria) can lead to more gas production. Foods like onion, garlic, legumes, some vegetables and fruits – all really healthy foods – give your bacteria something to ferment which creates gas. This is nothing to be worried about and often settles down after a few weeks of the extra fibre.
• IBS – irritable bowel syndrome is a complex cluster of gut symptoms that greatly impair an individual’s wellbeing and quality of life. Stress, hormones and other life events can exacerbate IBS symptoms, or they could be the result of a food intolerance. If you suspect you may be intolerant to certain foods, don’t guess and just eliminate. See an accredited practicing dietitian for a systematic approach to determining your food intolerances and maximising your gut health.

Where Can I Get Help with my Diet?

Kate Freeman and her team at the Healthy Eating Clinic offer a free Telehealth Nutrition Assessment with a gut health dietitian. What have you got to lose?

***NEXT WEEK: Kate’s top tips to lose weight and keep it off***

The Importance of Exercise

The good news is that with lifestyle changes like improved diet and increased exercise we can change our shape and body composition ie. increase muscle and reduce fat. It can also help reduce the impact of the severity of peri-menopausal symptoms.

The other benefits of exercise that you may be aware or unaware of include:

• Improved immunity (important during a pandemic) and reduced inflammation.
• Improved mental health including better managed depression and anxiety and a positive effect on mood and motivation.
• Improved self-esteem – you feel stronger and look better.
• Improved sleep quality – you may find you fall asleep faster, sleep longer and in a deeper sleep waking refreshed.
• Increased muscle mass which boosts our metabolic rate that increases your body’s ability to burn calories; but it also keeps us strong helping us age well, reducing the incidence of aches and joint pain which may often be the first sign of menopause.
• Improved bone health and bone density (declining oestrogen results in less calcium absorption and bones are not as strong as they used to be) ie osteoporosis. It’s scary to think over 50% of women over 60 suffer fractures related to osteoporosis.
• You also tend to eat better – speaking from experience when I exercise, I don’t want to undo the benefits of what I have just done by indulging in high sugar or processed food.
• Prevent Chronic Conditions – exercise reduces the risk of disease like diabetes, cardiovascular disease, breast cancer and lower back pain.
• Helps us reduce effect of stress and better manage stress – research shows that exercisehas a huge impact on mental health.

How much and what type of exercise?

Try to achieve the following each week:

• cardiovascular exercise: if you are new to exercise aim for a minimum of 150 minutes of moderate intensity cardiovascular exercise building it up to 300 minutes. For example, try walking, cycling, swimming or jogging at a moderate pace. Or, if you have been exercising for a while and you are comfortable exercising aim for 75-150 minutes of vigorous exercise e.g. interval training. However, if your goal is weight loss aim for 300 minutes of moderate exercise. This is to get you to the point where your energy coming in is less than the energy going out
• strength/resistance-based exercise: 3 sessions per week at least, preferably on non-consecutive days, doing 8-10 different exercises;
• balance exercises to reduce falls risk;
• stretching 5-10 minutes after exercise and during the week;
• pelvic floor exercises daily;
• and limit the amount of sitting for long periods like desk work and tv time by changing positions and what you are doing often e.g. stand up every 20 minutes, walk around during ad breaks etc.

How hard do I need to work?

To know if you are working at the right level:

• At a light intensity you can talk comfortably and sing comfortably and feel like you could go like this all day – will burn energy at a slow and steady rate.
• At a moderate intensity you can talk comfortably but not sing and feel like you are slightly challenged – will burn energy at a moderate rate.
• At a vigorous/high intensity you can neither talk nor sing comfortably. You’re working hard at a level you can sustain for a short period and and feel like you are really challenged – will burn energy at a faster rate.

Tips for starting and staying motivated

• Talk to an exercise physiologist to assess you, support you, to help set goals and keep you accountable. Find me at www.clearep.com.au.
• Start slow and build up the amount of time. For example, start with 10 minutes and build up to 30 minutes a day.
• Make a plan for the week – when, where and what you are going to do.
• Use an exercise tracker and set a goal for increasing your average steps each week.
• Find a buddy to exercise with.
• Aim for consistency and doing some form of activity most days.
• Enjoy the great feeling you get at the end of each session and focus on the benefits – enhanced mood, increased self-esteem and increased energy.
• Find the exercise you love and do lots of that!

Reframe Your Thinking About Menopause

Start looking at perimenopause as an opportunity rather than a burden; an opportunity to remind us to take care of ourselves. Take stock of where you are up to in regard to your health and well being and ask yourself the following questions:

• Am I exercising at the optimal level for me?
• Am I eating to meet my nutritional needs?
• Am I getting enough sleep and practicing good sleep hygiene?
• Am I looking after my mental health with good strategies to manage stress, competing priorities anxiety and mood changes?

If you can answer yes to all the above, you’re well set up for good long-term ageing and an independent healthy life well into your 80s and 90s.

Where Can I Get Help With Exercise Planning?

If you’re finding it hard to to get started with exercise Gillian will send you her activity planner and tracker and to help you on your way. Email her at gilllogan6@gmail.com

Tune in for next week’s Blog post: Kate’s top tips for losing and maintaining weight.

REFERENCES:

• RACGP: Obesity and weight management at Menopause
• The Conversation: How to Beat Weight Gain at Menopause
• Jean Hailes for Women’s Health: Foods For Menopause
• Better Health Channel: Menopause and Weight Gain
• Medical Journal Article: Physical Activity and Health during the Menopausal Transition
• The Conversation Podcast: How Your Diet Should Change with Each Stage of Life

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What is WellFemme About?

If you can’t find the professional help you need for your perimenopausal symptoms then book a Telehealth consultation with an expert WellFemme menopause doctor.

WellFemme is Australia’s first dedicated Telehealth menopause clinic, servicing locations nationwide including: Melbourne, Sydney, Adelaide, Darwin, Perth, Hobart, Brisbane, Dubbo, Bendigo, Broken Hill, Broome, Alice Springs, Launceston, Cairns, Mildura, Lightning Ridge, Kalgoorlie, Albany, Toowoomba, Charleville, Port Headland, Katherine, Ballarat, Coober Pedy, Bourke, Albury… and your place! 🙂

Weight gain at menopause is common, but not inevitable. In fact, around 60% of women avoid it. How do they do it? Read on…

For many women, the journey through menopause is a roller coaster of symptoms including hot flushes, night sweats, sleep disturbance, dry and itchy skin, mood changes, anxiety, depression and weight gain. For some, it can be relatively uneventful.

Menopause is medically defined as not having any menstrual bleeding for 12 months. Most women reach this milestone between the ages of 45 to 55.

Even though weight gain is common, you can beat it by using menopause as an opportunity to reset your eating and exercise habits.

Read more: Thinking of menopausal hormone therapy? Here’s what you can expect from your GP

Do women gain weight at menopause?

Australian women tend to gain weight as they age.

During menopause, women also experience a shift in how fat stores are distributed around the body. Fat tends to move from the thigh region up to the waist and abdomen.

A review of studies that quantified changes in body fat stores before and after menopause found total body fat mass also increased significantly.

While the average weight increase was only about one kilogram, the increase in percentage total body fat was almost 3%, with fat on the trunk increasing by 5.5% and total leg fat decreasing around 3%.

Average waist circumference increased by about 4.6 centimetres and hips by 2.0 centimetres.

Other bad news is that once postmenopausal, women have lower total daily energy needs. This is partly because body fat requires less energy to maintain it compared to muscle. So even if your weight doesn’t change, the increase in body fat means your body needs fewer kilojoules each day.

In addition to this, the menstrual cycle had a small energy cost to maintain ovarian function. This amounted to about 200 kilojoules a day, which is now “saved”.

The bottom line is that unless your transition to menopause is accompanied by a reduction in your total energy intake or an increase in your physical activity, you’re at high risk of weight gain.

But there is some good news

Around 60% of women manage to avoid weight gain at menopause.

They manage this by either decreasing the total amount of food they eat, cutting down on fat and sugar, using commercial weight loss programs, doing more exercise, or a combination of all these.

They key thing is that they change some aspects of their lifestyle.

So what works best?

Until recently, only three major studies had tested interventions.

The Women’s Healthy Lifestyle Project compared the impact of receiving support to improve diet and exercise habits over four years covering menopause, to making no changes at all.

Women who changed their lifestyle had lower body weights, less abdominal fat and better blood sugar levels compared to those in the control group.

The second study, of 168 women, enrolled them into a 90 minute Nordic walking program, three times a week.

This was associated with a reduction in weight, body fat and waist circumference, as well as blood levels of bad cholesterol and fats, highlighting the benefits of endurance walking.

The third study divided 175 Nigerian women into two groups: one group undertook a 12-week circuit training exercise program, the other was a control group.

Women in the exercise group reduced their waist circumference relative to their hips, indicating a reduction in abdominal fat, even though their total body weight did not change.

Read more: Health Check: what’s the best diet for weight loss?

The 40-something trial

More recently, we studied 54 women aged 45-50 years in the “40-Something” trial.

We randomly assigned half the participants to receive healthy eating and physical activity support from health professionals, using motivational interviewing to encourage behaviour change. The other half received information only and were asked to self-direct their lifestyle changes.

Our aim was to prevent weight gain in women who were in either the overweight or healthy weight range as they entered early menopause.

We encouraged women who were overweight to reduce their body weight to achieve a body mass index (BMI) in the healthy weight range (BMI 18 to 25). We encouraged women already in the healthy weight range to maintain their weight within one kilogram.

We gave all women the same healthy lifestyle advice, including to eat:

• 2 serves of fruit and at least 5 serves of vegetables every day
• 1-1.5 serves of meat or meat alternatives
• 2-3 serves of dairy
• wholegrain breads and cereals.

And to:

• limit foods high in fat and sugar
• cut down on meals eaten outside the home
• engage in moderate to vigorous physical activity for 150-250 minutes per week
• sit for less than three hours per day
• take at least 10,000 steps per day.

Women in the intervention group had five consultations with a dietitian and exercise physiologist over one year to provide support and motivation to change their eating habits and physical activity.

After two years, women in the intervention group had lower body weights, less body fat and smaller waist circumferences compared to the control group who received information pamphlets only.

When we evaluated changes based on their starting BMI, the intervention was more effective for preventing weight gain in women initially of a healthy weight.

Of all the health advice, eating five serves of vegetables and taking 10,000 steps per day were the most effective strategies for long-term weight control during menopause.

Read more: What is a balanced diet anyway?

Although weight gain, and especially body fat gain, is usual during the menopausal transition, you can beat it.

Rather than menopause being a time to put your feet up, it’s a time to step up your physical activity and boost your efforts to eat a healthy, balanced diet, especially when it comes to the frequency and variety of vegetables you eat.

Clare Collins, Professor in Nutrition and Dietetics, University of Newcastle; Jenna Hollis, Conjoint Lecturer, University of Newcastle, and Lauren Williams, Professor of Nutrition and Dietetics, Griffith University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

_______________________________________________________________________________________________________________________________________________

What is WellFemme About?

If you can’t find the professional help you need for your perimenopausal symptoms then book a Telehealth consultation with an expert WellFemme menopause doctor.

WellFemme is Australia’s first dedicated Telehealth menopause clinic, servicing locations nationwide including: Melbourne, Sydney, Adelaide, Darwin, Perth, Hobart, Brisbane, Dubbo, Bendigo, Broken Hill, Broome, Alice Springs, Launceston, Cairns, Mildura, Lightning Ridge, Kalgoorlie, Albany, Toowoomba, Charleville, Port Headland, Katherine, Ballarat, Coober Pedy, Bourke, Albury… and your place! 🙂