Women’s health
Perimenopause
Changing periods, disrupted sleep or shifting energy can make everyday life harder. Bring your concerns together in a plan for movement, food, rest and emotional support, alongside your clinician’s advice.
A connected care plan.
The starting point
Build strength, support daily wellbeing and navigate the transition with confidence.
For women whose changing periods, sleep or symptoms are affecting daily life before menopause. Your clinician helps clarify what is happening and whether symptoms need investigation. Your care plan starts with what you would like help with.
Make it personal.
02 / Your planKeep it connected.
03 / Your next stepReview it together.
What would support look like for you?
A clinician guides care. A coach helps you carry the plan into daily life. Your centre agrees the support available.
Care that fits your everyday life.
A shared plan, shaped around the person and reviewed by their clinician.
Where would you like to begin?
Strength for everyday life+
A movement plan may combine strength, balance and activities such as walking. Exercise choices take account of joint comfort, bone health and concerns such as bladder leakage.
Sleep and symptom support+
Talk through disrupted nights, stress and the effect symptoms have on your day. Practical routines sit alongside medical review or specialist psychological and sleep care where needed.
Habits that fit a busy week+
Nutrition and coaching focus on realistic meals, activity and recovery. The aim is a routine that can adapt to work, caregiving and changes in how you feel.
What would you like to know next?
What would the first steps be?↗
- Assessment
Review your symptoms, bleeding pattern, medical history and daily demands. Discuss which assessments are relevant to your concerns.
- Your plan
Agree priorities across medical care, movement, food, sleep and emotional support, with a manageable starting routine.
- Practice
Develop your routine through guided sessions and home practice. Share changes in symptoms so the plan can respond.
- Review
Discuss what is easier, what remains difficult and how symptoms affect your day. Adjust the plan or seek further clinical assessment as your needs change.
How would progress be reviewed?↗
Your clinician chooses measures relevant to your goals. Examples may include:
- Strength, balance and everyday activity goals
- Sleep and the effect symptoms have on your life
- Changes in periods and health measures chosen by your clinician
Who could support me?↗
- Gynaecologist or menopause-aware physician
- Physiotherapy and nutrition support as indicated
- Psychological support and health coaching as appropriate
Your centre confirms which professionals are involved and how you will meet.
How does my coach help me keep going?↗
Your coach helps turn the agreed plan into everyday action: manageable goals, workable routines and conversations about what is getting in the way. You agree how to stay in touch and bring questions back to the care team. Medical decisions remain with your clinician.
Meet the coaching roleCan we discuss money or work pressures?↗
Money worries can be part of the wellbeing conversation, including care costs, household responsibilities and pressures at work. Your coach can help you organise priorities and explore practical money habits. This is financial wellbeing education, not advice on financial products.
Explore financial wellbeing supportHow does this fit my existing care?↗
You can seek support proactively, before any hospital admission is needed. If surgery or another treatment becomes part of your care, preparation and recovery follow your medical team’s guidance. Everyday routines can be adapted around that episode and reviewed afterwards.
Our referral approachAn interactive service guide. Your choices stay on this page.
Your questions, answered.
Do I need to wait until my periods stop?
No. You can discuss symptoms and daily health during the transition. Your clinician can assess what is happening and help decide the support that is appropriate for you.
Can I join if I take hormone replacement therapy?
Your clinician can advise. A movement and lifestyle plan can sit alongside prescribed treatment; decisions about starting, changing or stopping hormone therapy remain part of your medical care.
Will I need a full set of hormone tests?
Not everyone needs the same investigations. Your clinician selects tests according to your age, symptoms and medical history rather than using one panel for every participant.
Clinical perspective
New or concerning bleeding needs medical assessment. Hormone therapy and other medicines are individual clinical decisions. Movement and wellbeing support do not promise to eliminate symptoms or change the course of menopause.
Further reading
Start a conversation
Start with your story.
Find your local centre and discuss what support may be right for you.