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Perimenopause is the time during which the body transitions to menopause which is the end of periods. Perimenopause symptoms can occur from mid to late 30s and includes:

• changes in menstrual cycle - i.e. shorter, longer, heavier periods,

• joint and muscle aches,

• breast changes,

• sleep and mood changes

• skin and eye dryness.

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There is increased disease risk from perimenopause onwards for women including autoimmunity, loss of bone and muscle strength and metabolic diseases. We provide comprehensive perimenopause consults that includes autoimmune, hormone, bone and muscle health and metabolic health and inflammation.

 

We provide individualised treatment plans focused on the pillars of health and wellbeing, body identical hormone replacement therapy and evidence-based herbal/nutritional support.

Menopause occurs after periods have ceased for over 12 months in women who are over 45 years. Menopause symptoms can persist for years after the periods have stopped. 

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Some women cruise through perimenopause but as hormone levels drop after menopause they need hormonal support, supplement support of want guidance regarding lifestyle changes that will support them to age well.

 

Estrogen and progesterone hormones work on every cell in the body so after menopause there are can changes in all body systems that need support.

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In particular 80% of post-menopausal women experience genitourinary syndrome of menopause with symptoms of vaginal dryness and discomfort, pain with sex, changes in libido, recurrent urinary tract infections which can be supported with hormone replacement therapy.

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Menstrual health is a complex interaction of hormones, genetics, and lifestyle and environmental factors.  We work with women from teens to menopause including those experiencing:

• polycystic ovarian syndrome – PCOS,

• acne,

• heavy or painful periods,

• pre-menstrual symptoms,

• endometriosis.

• thyroid issues

• Hypothalamic-pituitary-adrenal axis dysfunction (HPA axis dysfunction).

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We provide comprehensive menstrual health consults that includes evaluation of hormonal, metabolic health, inflammation and lifestyle and stress. We provide individualised treatment plans focused on the pillars of health and wellbeing, body identical hormone replacement therapy where appropriate and evidence-based nutraceutical/nutritional/pharmaceutical support. 

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Infertility has complex, multi-dimensional causes that we investigate and manage with a broad lens, considering both partners' biology, hormones, lifestyle and environmental factors as well as stressors, and emotional impact.

 

Our integrative treatment is focused on using nutrition, mind body medicine, evidence-based herbal/supplements, lifestyle interventions and conventional medications where indicated. We also work with couples to optimise their health prior to conception

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Movement and exercise is an important element of health and wellbeing. People who exercise have increased fuelling requirements due to training. 45 percent of New Zealand women who recreationally exercise are at risk of under-fuelling and having a relative energy deficit which deprives the body of energy for essential functions such as building bone and muscle, repairs, enzyme, hormone and neurotransmitter production, and immune function.

 

This has negative consequences for hormone health, heart health, bone health, mental health and wellbeing, as well as recurrent injury, illness and reduced performance. RED-S also occurs in men.

 

Our holistic approach for women in training  involves assessments and investigations to monitor energy availability and effects on overall health. We work with clients both prevent and recover from RED-S and to train in alignment with hormonal menstrual cycle. 

Sleep, rest, recovery and bonding for mama are so important in the early days of the post-natal period. We advocate all mamas see a pelvic physio to rehab their pelvic floor and core muscles to support them to get back to their pre-pregnancy activity.

 

Additionally we love to work with mamas who want integrative support for mood, energy and breastfeeding.

Sexual health is an important aspect of wellbeing for many people. We don't shy away from difficult conversations and take a holistic approach to sexual health and work with clients with a wide range of conditions including:

• Recurrent bacterial vaginosis/ vaginal thrush/ vaginal dysbiosis

• Dealing with pregnancy loss, difficult birth and post-abortion.

• Improving sexual function: sexual pain, low desire/libido, low pleasure, difficulties with orgasm. 

• Dealing with consent, boundaries, 

• Chronic pelvic pain

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Integrative psychosexual medicine includes investigating hormones and health conditions and exploring attitudes, values and perspectives on sex. Our integrative management includes education around sexual anatomy and physiology, body identical hormones - where indicated, improving communication and learning new ways to approach old patterns.​

We are interested in supporting people with various chronic health conditions such as gut issues including:

• Irritable bowel disease

• Inflammatory bowel disease

• Reflux

• Gut Dysbiosis

• Thyroid conditions

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We also work with individuals with intense lifestyle change to reverse metabolic disorders, induce remission or slow progression of conditions such as:

• Heart disease

• Diabetes

• Fatty liver disease

• High blood pressure

• High cholesterol

• Chronic kidney disease

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If you are keen on a taking holistic approach to your health and wellbeing but don't see you health concerns here, contact us and see if lifestyle and integrative medicine could work for you.