In this episode of The Good GP Podcast, host Dr Krystyna de Lange welcomes back Dr Marita Long to discuss the important topic of menopause. With her extensive experience in women's health, Dr Long provides clear and concise definitions that help demystify the terminology surrounding menopause.

Explaining key terms such as menopause, perimenopause, premature menopause, and premature ovarian insufficiency. She outlines the clinical nuances and the symptomatic variations that can occur during these different stages. Providing an in-depth look at the symptoms that women may experience during the perimenopause to post menopausal transition, including mood changes, sleep disturbances, hot flashes, and cognitive changes like brain fog.

Moving into the assessment phase, Dr Long dives into the appropriate investigations and when they are indicated. She emphasises the importance of a comprehensive evaluation for women in the midlife phase, noting when hormonal evaluations might be necessary and when they can be misleading or unneeded.

The discussion also covers non-pharmacological management strategies, focusing on lifestyle modifications such as exercise, diet, stress management, and self-care practices. Dr Long highlights how interventions like cognitive behavioural therapy (CBT) and certain lifestyle changes can alleviate symptoms and improve overall well-being during this critical time.

They aim to equip general practitioners with the knowledge and tools needed to support women going through menopause more effectively and empathetically, reinforcing the importance of individualised care and thorough assessment.

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