Menopause affects all women at some stage in their life but it doesn’t have to be an unpleasant experience.
Menopause usually happens when the ovaries stop producing the female hormones known as oestrogen and progesterone. These hormones stop being produced as our ovaries begin to run out of egg cells. The fewer egg cells we have, the less our ovaries can respond to hormones released by our brains (known as FSH and LH) and in turn we produce less and less oestrogen. Due to falling oestrogen levels, many women begin to develop menopausal symptoms.
There are many management options, including natural and pharmaceutical methods, to improve and treat uncomfortable symptoms such as hot flushes, night sweats, mood changes and disturbed sleep.
Here at ROC, we have a dedicated clinic for women going through the menopause. The aim of this clinic is to provide a personalised and holistic approach to the menopause.
Our clinic involves a series of appointments to ensure we have detailed knowledge of your medical history and lifestyle factors so that we can tailor the treatment to suit you perfectly.
How do I know if I am going through the menopause?
Menopause means ‘the last menstrual period’. Periods eventually stop because of the low levels of oestrogen and progesterone but the hormone levels in fact fluctuate for several years before becoming so low as to stop periods altogether.
This means that many women will experience menopausal symptoms for years before their periods stop.
It is possible to do blood tests to check your hormone levels, including FSH, LH, oestrogen, testosterone and progesterone. These blood results together with discussing your symptoms will help us to diagnose whether you are perimenopausal (meaning ‘around the time of the menopause’).
What are the treatment options?
- Diet and lifestyle changes
- Hormone Replacement Therapy
- Alternative therapies
Not all options are suitable for everyone and at ROC we are able to discuss all the management options and tailor a plan that suits you and your lifestyle.
If you would like to read more about managing the menopause why don’t you read what our doctors have to say in our blog at
Meet our experts
Dr Julia Wallace
- Qualifications: MBChB., FRCGP., DRCOG.
- Location(s): Aberdeen
- Clinical Interest(s): Acute and Chronic Disease Management, Woman’s Health Including Contraception, Minor Surgery, Joint and Soft Tissue Steroid Injections, Personalised Preventative Medicine
Dr Julia Wallace was born in Aberdeen and qualified at Aberdeen Medical School.
She is a dedicated physician who followed her dream to be a Family Doctor and became a GP partner in an Aberdeen NHS GP Practice in 1988 soon after gaining the Membership of the Royal College of GPs and the Diploma of the Royal College of Obstetrics and Gynecology. She was awarded Fellowship of the Royal College of General Practitioners in 2006.
She is highly familiar with the healthcare set up in the Grampian and the wider Scotland as well as with the issues the local workforce faces.
Dr Claudia Carmaciu
- Qualifications: BSc., MBBS., MRCGP.
- Location(s): London
- Clinical Interest(s): Children’s Health, Women’s Health, Antenatal and Postnatal Care, Mental Health, Health Promotion, General Health
Dr Claudia (Carmaciu) Pastides is a family doctor with a passion for health promotion, continuous education and use of social media to promote awareness, encourage patient engagement and increase the spread of good quality health messages.
Dr Claudia graduated from University College of London Medical School in 2009. She is a member of the Royal College of GPs and whilst training as a GP she spent time working in Obstetrics and Gynaecology at the 2nd busiest maternity unit in the UK. This, combined with her training in other areas of medicine reinforced her dedication as a family physician with a focus on woman and child health.
Dr Nicola Harrison
- Qualifications: BSc. | MBBS. | MRCGP. | DRCOG. | DFFP.
- Location(s): London
- Clinical Interest(s): Contraception and Sexual Health, Gynaecology, Dermatology, Child Health, Allergy, Weight Loss, Preventative Health Care
Dr Nicola Harrison has been the Head of Clinical Governance of ROC London Clinic until 2017 when she was appointed as ROC London Clinic’s Medical Director. She is also the registered manager with the Care Quality Commission for the London Clinic. She graduated from Guy's and St Thomas' Medical School, London in 2003. She undertook her postgraduate training at several of London's Teaching Hospitals and during that time she gained vast experience in managing different medical conditions as well as dealing with patients of different ethnic backgrounds and cultures.
Dr Jane Johnston
- Qualifications: MBChB, MRCGP
- Location(s): Aberdeen
- Clinical Interest(s): Hormonal Health, Menopause, Breast Disease, Preventative Health Care
Dr. Johnston is a renowned Women’s Health expert that joined the ROC Clinic Team in September 2016.
Dr. Johnston graduated from the University of Aberdeen Faculty of Medicine in 1986. She undertook post-graduate training from Queen Margaret’s University College. Since then, her extensive career has seen her contribute to the Women’s Health field, with specialisms in Breast Cancer and Menopause over a combined 30 years.