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The Dr Louise Newson Podcast

243 - Contraception during perimenopause: HRT, the pill and the Mirena coil

The Dr Louise Newson Podcast

Dr Louise Newson

Health & Fitness, Mental Health, Medicine

4.8798 Ratings

🗓️ 13 February 2024

⏱️ 35 minutes

🧾️ Download transcript

Summary

In this episode, Dr Louise is joined by Dr Clair Crockett, a GP and menopause specialist at Newson Health. Dr Clair has completed diplomas in Obstetrics and Gynaecology, and Sexual and Reproductive Health, and fits coils and implants. Here, she discusses some of the challenges for perimenopausal and menopausal women when it comes to contraception, and the importance of individualisation. She gives an insight into the hormones used in the contraceptive pill and HRT and shares how the Mirena coil can be transformative for some women. Finally, Dr Clair suggests three things to consider about contraception: Spend some time gathering information, talking to other women about their experiences with contraception and considering what your priorities are. Your healthcare professional can also help you make your decision. Remember that side effects of contraception are quite unusual but that if something doesn’t work for you, you can change your mind. It’s OK to take time to find the best contraception for you.  Some forms of contraception may mask perimenopausal symptoms so if you’re not sure if this is happening to you, track your symptoms and how you are feeling so you can get guidance from your healthcare professional. Click here to find out more about coil fitting services at Newson Health

Transcript

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0:00.0

Hello, I'm Dr Louise Newsome. I'm a GP and menopause specialist, and I'm also the founder of the Newsome Health Menopause and wellbeing centre here in Stratford-Pon-Avon.

0:21.6

I'm also the founder of the free Balance app.

0:25.6

Each week on my podcast, join me and my special guests where we discuss all things perimenopause

0:31.6

and menopause. We talk about the latest research, bust myths on menopause symptoms and treatments,

0:38.2

and often share moving and always inspirational personal stories.

0:43.7

This podcast is brought to you by the Newsome Health Group,

0:46.9

which has clinics across the UK dedicated to providing individualised perimenopause and menopause care for all women.

1:02.4

So on the podcast today, I've got somebody who's been on the podcast before, actually,

1:06.6

and somebody who works incredibly closely with me is very highly regarded as a clinician and

1:11.8

menopause specialist and full of enthusiasm for the work that we're doing. So Dr. Claire Crockett has

1:17.7

worked with us for a little while and like all of us actually who work in the clinic, really

1:22.5

keen for individualised choice and working closely with patients to understand their needs and what they want

1:29.7

out of their consultation, but also treatment choices as well. So welcome again, Claire,

1:34.4

coming today. Thanks, Louise. Thanks for inviting me. Pleasure to be here. So we thought today,

1:39.8

actually, we will talk about menopause and perimenopause, of course, because it's, you know,

1:44.4

that's all I think about. But actually, we wanted to talk about contraception. And that might feel a bit

1:49.7

strange for some people because a lot of people think menopause is loss of fertility. And indeed,

1:56.7

for many years it's been defined as loss of periods. and some specialists will say it's loss of fertility as well.

2:02.9

Now, of course, our ovaries stop working or don't work as well during the perimenopause and stop working in the menopause.

2:09.5

But our ovaries don't just switch off overnight unless we have them removed in an operation.

2:15.1

And so if our ovaries are still functioning, they're still producing some

2:18.5

hormones, not enough for our body's requirements often. But if our ovaries are still working,

...

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