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From the truth about menopause sheets and PJs to the best treatments – Dr Philippa takes you back to basics

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From the truth about menopause sheets and PJs to the best treatments - Dr Philippa takes you back to basics

IT is about time the menopause was in the spotlight – and long may it continue to be.

Its symptoms can, for some women, span decades of their mid to late life.

For some women, menopause symptoms such as hot flushes can span decades of their mid to late life

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For some women, menopause symptoms such as hot flushes can span decades of their mid to late life
It's important to check for lumps and bumps in your breasts

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It’s important to check for lumps and bumps in your breasts

You may think “hot flushes” when you hear menopause, an image of a woman getting hot and bothered and fanning herself.

But there are 34 recognised symptoms, most of which are invisible to others, including joint aches and pains, headaches, and dry, itchy skin.

The genitals and urinary tract can be affected, leading to sore, itchy, painful vulva and vagina, pain during sex and recurrent urinary tract infections.

Even less obvious are the psychological symptoms women can experience.

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Low mood and depression, anxiety, “brain fog”, insomnia, fatigue and loss of libido are all symptoms commonly raised by women in menopause.

The effects can be so severe that one in ten women report having thoughts about suicide.

So you can see why it is important to keep the conversation with menopause going. Here I tackle some of the main questions:

What is menopause and why does it happen?

MENOPAUSE simply means the last period; and after you have not had a period for 12 months you have been through menopause.

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Perimenopause is the time leading up to menopause, when periods become more irregular until they stop when there are no eggs left.

The bizarre symptoms of menopause, according to a specialist

The hormones oestrogen and progesterone are on a downward trend but fluctuate during perimenopause until they flatline at menopause.

The average age of menopause is 51, according to research on white women, but African American and Hispanic women have menopause on average 8.5 months earlier.

Globally, the average age appears to be even younger.

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You don’t need blood tests for diagnosis of menopause, but if you are under the age of 45, they are offered to rule out other causes of symptoms.

Approximately one in 20 women will have an early menopause, before the age of 45.

For some women symptoms will start up to a decade before the final period – and we can’t predict how long they will last or when their intensity will peak.

A quarter of women will have no symptoms at all, or at least, very few.

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What treatments are there?

WE tell women to see their GP when their symptoms bother them and are affecting their lives. You can have treatment in perimen-opause as well as postmenopause.

GPs will offer medication to ease symptoms as appropriate, but may also discuss lifestyle changes (more on that later).

The most famous treatment is hormone replacement therapy, which does exactly what it says on the tin – it replaces the hormones that have decreased.

If you are prescribed HRT you will certainly be given oestrogen. You’ll also be given progesterone to prevent the womb lining from becoming thickened, but if your womb has been removed by hysterectomy, it is not generally needed.

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Testosterone may be offered to help treat low libido.

Many women have feared HRT due to studies earlier this decade that seemed to show it increased the risk of heart attacks, breast cancer and stroke.

With the help of your doctor, you will weigh up the generally small risks

Dr Philippa Kaye

However, the women in these studies used an older version of oral HRT that we don’t use now, and they started HRT aged 63 years, on average.

This is more than a decade after the average age of menopause.

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Research since then has shown that starting HRT within the first ten years doesn’t seem to have the same risks.

So let’s be clear: For the majority of women who can take HRT, starting within the first decade after menopause, is safe.

The change in risk of a stroke or heart attack depends on how and when you start taking HRT.

There is a small increased risk of breast cancer with HRT, but this is approximately the same rise as that related to smoking and drinking alcohol, and you can decrease your risk by trying to maintain a healthy weight and exercising regularly.

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What’s more, other benefits of HRT should not be underestimated!

These include a decreased chance of osteoporosis, muscle loss, bowel cancer and more.

With the help of your doctor, you will weigh up the generally small risks and compare them to benefits on a case-by-case basis.

There are also non-hormonal prescribable treatment options such as cognitive behavioural therapy (CBT), which can predominantly help mental health-related symptoms.

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What lifestyle changes can relieve symptoms?

AS a doctor, it is never a question of either when it comes to medication or lifestyle changes.

A healthy diet may help your symptoms. For example, cutting out caffeine and spicy food can reduce hot flushes and sweats.

Decreasing alcohol can help improve your sleep, fatigue, mood and hot flushes.

Calcium and vitamin D are vital in the diet to help protect your bones.

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And foods rich in phytoestrogens (plant-based oestrogens), such as tofu and soybeans, may be helpful.

Exercise is vital at any age, but during this time it can help protect your bones, decrease symptoms such as fatigue and hot flushes, boost your mood, improve your sleep, and reduce your risk of various cancers.

Remember, it’s about looking after your mental health, too.

When it comes to menopause products, there is a huge amount on offer

Dr Philippa Kaye

Make sure you attend cancer-screening programmes for women your age, such as mammograms or smears, and do your self-checks for lumps, bumps and changes.

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When it comes to menopause products, there is a huge amount on offer – everything from “speciality” chocolate to pyjamas, face creams and supplements.

When we don’t feel at our best we are vulnerable. After all, wouldn’t it be nice if a set of sheets might be the answer to our symptoms?

While these products may help some people, there is no evidence for effectiveness of many of them.

An expensive face cream or shampoo labelled “for menopause” may well contain similar ingredients to a cheaper one.

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The way through is to get empowered and informed so that you can make evidence-based decisions about your health, which is why I wrote the book!

  • The Science Of Menopause by Dr Philippa Kaye, out now (published by DK, £16.99).

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New cervical cancer treatment cuts risk of death by 40% in ‘biggest breakthrough in 20 years’

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New cervical cancer treatment cuts risk of death by 40% in 'biggest breakthrough in 20 years'

A NEW treatment regime for cervical cancer cuts the risk of death by 40 per cent, according to a large-scale study.

Researchers in London completed a long-term follow up of patients given a short course of chemotherapy before chemoradiation – a combination of chemotherapy and radiotherapy.

There are more than 3,000 new cervical cancer cases every year in the UK

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There are more than 3,000 new cervical cancer cases every year in the UK

The findings, which follow on from those first presented in October 2023, show a 40 per cent reduction in the risk of death and a 35 per cent reduction in the risk of cancer coming back within at least five years.

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At the time of the initial results, Cancer Research UK (CRUK) hailed the shift as the biggest improvement in cervical cancer treatment in more than 20 years.

Chemoradiation has been the standard treatment for the condition since 1999, but despite improvements in care, cancer returns in up to 30 per cent of cases.

The Interlace phase III trial, funded by CRUK and University College London (UCL) Cancer Trials Centre, looked at whether a short course of induction chemotherapy prior to chemoradiation could cut relapses and death among patients with locally advanced cervical cancer that had not spread to other organs.

READ MORE ON CERVICAL CANCER

The results, published in The Lancet, are so clear that experts are calling for the regime to be used across the UK and internationally.

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Dr Mary McCormack, lead investigator of the trial from UCL Cancer Institute and University College London Hospital (UCLH), said: “This approach is a straightforward way to make a positive difference, using existing drugs that are cheap and already approved for use in patients.

“It has already been adopted by some cancer centres and there’s no reason that this shouldn’t be offered to all patients undergoing chemoradiation for this cancer.”

The trial team recruited 500 patients over 10 years from hospitals in the UK, Mexico, India, Italy and Brazil.

They were randomly allocated to receive either standard treatment or the new treatment combination.

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After five years, 80 per cent of those who received a short course of chemotherapy first were alive and 73 per cent had not seen their cancer return or spread.

Dr Kheelna Bavalia explains the process behind a cervical cancer screening and what to expect

In the standard treatment group, 72 per cent were alive and 64 per cent had not seen their cancer return or spread.

Researchers said that five patients involved in the trial have been disease-free for more than 10 years.

Professor Jonathan Ledermann, senior author of the study from UCL Cancer Institute, said: “The incremental cost for using the drugs in the Interlace trial is low, making this a new treatment that can be easily implemented in all health economies, to significantly improve overall survival.”

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Dr Iain Foulkes, executive director of research and innovation at Cancer Research UK, added: “Timing is everything when you’re treating cancer.

“The simple act of adding induction chemotherapy to the start of chemoradiation treatment for cervical cancer has delivered remarkable results in the Interlace trial.

“A growing body of evidence is showing that additional chemotherapy before other treatments, like surgery and radiotherapy, can improve the chances of successful treatment for patients.

“Not only can it reduce the chances of cancer coming back, it can also be delivered quickly, using drugs already available worldwide.”

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How to protect yourself against cervical cancer

CERVICAL cancer is most commonly diagnosed in women in their early 30s, with around 3,200 new cases and 850 deaths each year in the UK.

According to CRUK, the five-year survival rate is around 70 per cent – and the earlier it is caught, the better.

Cervical screening programmes and HPV vaccines have reduced rates and save 4,000 lives each year.

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It is vital you attend your smear test and get jabbed when invited, and that you know the symptoms of cervical cancer to look out for.

These aren’t always obvious, and they may not become noticeable until the cancer has reached an advanced stage.

But you might notice:

  • Unusual bleeding (often after sex, between periods, or after the menopause)
  • Pain and discomfort during sex
  • Vaginal discharge (often unpleasant smelling)
  • Pain in your lower back, between your hip bones or in your lower tummy

Women are invited to have regular cervical screenings between the ages of 25 and 64. How often depends on your age.

The HPV vaccine, which helps protect against the virus, is recommended for children aged 12 to 13 and people at higher risk from HPV.

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Source: NHS and Cancer Research UK

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Mens Bodybuilding

Going Back Where it Started to See Where It’s Headed

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Going Back Where it Started to See Where It’s Headed

Anyone who has a passion for sport knows that it can be a journey. The thing about falling in love with a sport, or better yet a lifestyle, is that you often end up on a journey you never expected, but absolutely needed. Putting your whole self into something and grinding day in and day out is bound to change a person and almost always for the best. 

Craig Bongelli had a passion for martial arts and boxing in his teens and knew what it meant to work hard in the gym. It wasn’t until he attended a Highland games event and met Scotland’s strongest man that his focus turned elsewhere. He wanted to be big and strong and went on a mission to become just that. Unfortunately, he suffered a back injury while deadlifting at age 21. While searching for ways to navigate this injury and prevent future injuries he discovered Louie Simmons, the owner of Westside. A book read turned into a phone call and eventually turned into an invite to Westside and ultimately a lasting mentorship.

Craig fell in love with powerlifting and Westside helped him get there. Since then, Louie has passed away and the gym has been passed on to a new and well-trusted owner taking on a new direction for training. Change can often be hard but Craig was excited to see where Westside was going. Wanting to see how the gym had changed, Craig headed back to see what he could accomplish in 4 weeks and decided to share his experience with everyone. 

Episode 1

In episode 1 of the Westside docuseries, Craig heads back to Westside to check out their new training philosophy and program. After being away for several years he wanted to see what Westide has been up to since Louie, the previous owner and his mentor, passed away and Tom took on ownership. Craig was ready to see what Westside gymgoers were up to as well as what he could accomplish by implementing their new training system and tracking specific metrics over 4 weeks. 

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Episode 2

Week one was a real doozy for Craig. Episode 2 dives into Craig’s first week back and training and how it was totally soul-crushing. As a long-time athlete, he was ready for a challenge but was not expecting to be totally obliterated. You get to see what a rough start he had being back at the gym and how this challenge motivated him to get serious and persevere. 

This episode also explains more information about the specific program that Craig followed, even getting into what nutrition and recovery looked like while living and breathing the Westside lifestyle. 

Episode 3

Having knocked out two weeks, Craig started to catch some momentum and get into the groove of things which is captured in episode 3. Aside from the excitement he felt about being back at Westside again and getting ingrained into the group he also shared insight into the emotional challenges he experienced with being away from home and his family. This episode really gets into discussions about working hard and pushing yourself even when things get tough.  

Episode 4

Heading into the 4th week, and 4th episode, it was time to find out if Craig accomplished all he wanted to and what he learned about himself and fitness during the experience. It’s time to find out if his hard work paid off by diving into his end results. The docuseries is rounded out with discussions between Craig and Tom about the experience and the gym. 

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Where It’s Going

With this docuseries, Craig hopes to expose athletes from all backgrounds to what he believes to be the best training system in the world. He wants to show people that if you truly give something your all you can accomplish more than you ever expected of yourself, especially when applying the right methodologies. He hopes that by sharing where he started with Louie and Westside and where he believes it can take others today, he will pay back even just a small portion of the debt he feels he owes to them. 

If you have been looking for something to light a fire inside of you and get you motivated to pursue your goals then you won’t want to miss out on the story Craig tells throughout this docuseries. If you weren’t excited about transforming your life through fitness before watching this then there is a good chance that you will be after.

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Womens Workouts

Vaadiyo me exercise 👍#smartysarin

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Vaadiyo me exercise 👍#smartysarin

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Womens Workouts

30 MIN Full-Body MILITARY MONDAY Killer HIIT Workout – No Equipment, No Repeat, Advanced

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30 MIN Full-Body MILITARY MONDAY Killer HIIT Workout - No Equipment, No Repeat, Advanced



New week, means new Killer Military Monday HIIT workout for you guys! You can expect 30 minutes of hardcore HIIT exercises focusing on strengthening all the major muscle groups, finishing with 5 minutes of cool-down stretches. Stand up straight, and bring your energy! Let’s get it done!

Please remember that we all are different and that you can make this your OWN workout… take a longer break when you need to.

WORKOUT DETAILS

👉🏼 Duration: 35 MINS
👉🏼 No Equipment
👉🏼 50 Sec Work, 10 Sec Rest
👉🏼 Level: Medium to Advanced
👉🏼 No Repeat

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* with Cool Down Stretches

Music: https://www.epidemicsound.com

📷 GEAR I USE:
Camera: https://amzn.to/3aticKD
Lens: https://amzn.to/3cCiujR
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Microphone: https://amzn.to/34VaKXH

💪🏼 MY HOME TRAINING GUIDE: http://growingannanas.com

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» Subscribe to my Channel for weekly workouts: http://bit.ly/2QLvpXn
» Instagram: http://bit.ly/2ZSdHFR
» Facebook: http://bit.ly/2SVkgpE
✉ Contact (business inquiries): anna@fyndafit.com

D I S C L A I M E R

If you are a newbie start with a simple and easy exercise before attempting all advanced exercises. Performing exercises out of your capability might strain your muscles and you may get injured.

This channel offers health, fitness and nutritional information. You should not rely on this information as a substitute for, nor does it replace, professional medical advice, diagnosis, or treatment. By performing any fitness exercises without supervision like with this video, you are performing them at your own risk. See a fitness professional to give you advice on your exercise form. Growingannanas will not be responsible or liable for any injury or harm you sustain as a result of this video.

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I battled mystery headaches for ten years – doctors thought I’d had a stroke but it was something much rarer – The Sun

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I battled mystery headaches for ten years – doctors thought I’d had a stroke but it was something much rarer – The Sun

A MODEL with a rare brain condition says she fears never seeing her two kids grow up — as she tries to raise £26,000 for pioneering surgery abroad.

Deana Hendry, 32, needs specialist treatment after being told there was nothing the NHS could do to permanently fix a malformation, which makes the back of her brain sag through the base of the skull.

Mum and model Deana Hendry, 32, has a rare brain condition and says she fears never seeing her two kids grow up — as she tries to raise £26,000 for pioneering surgery

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Mum and model Deana Hendry, 32, has a rare brain condition and says she fears never seeing her two kids grow up — as she tries to raise £26,000 for pioneering surgeryCredit: Chris Eades
Deana was diagnosed in 2021 after suffering symptoms for ten years

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Deana was diagnosed in 2021 after suffering symptoms for ten yearsCredit: Deana Hendry,

Deana, diagnosed in 2021 after suffering symptoms for ten years, said: “Nobody knew what was causing it but I had chronic head and neck pains.

“When it got really bad and I went to the hospital, at first they thought I’d had a stroke.

“Then I got a phone call telling me I had an incurable brain condition.”

The model, of Banbury, Oxon, was diagnosed with Arnold-Chiari malformation, which affects roughly one in 2,000.

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Most have no symptoms and never even realise they have it.

There are four main types, but type 1, called Chiari I, is the most common and occurs when the lowest part of the back of the brain extends into the spinal canal.

Many cases are triggered by part of the skull not being large enough to contain the brain.

The condition is normally treated in the UK with decompression surgery, where a chunk is taken from the back of the skull to allow the brain to expand away from the spinal cord.

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If left untreated it can cause early-onset dementia or put too much pressure on the spinal cord, causing disability.

 Deana, mum to Bartholemew, four, and Isabella, two, said: “The fear of leaving them to look after me, and the fear of leaving them without me, is what’s making me find a way to get through it.”

Who was Sammy Basso, the oldest living survivor of progeria? (1)

She is hoping to fund trial surgery in Barcelona, Spain, to permanently stop the malformation growing.

Deana has been told there was nothing the NHS could do to permanently fix a malformation, which makes the back of her brain sag through the base of the skull

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Deana has been told there was nothing the NHS could do to permanently fix a malformation, which makes the back of her brain sag through the base of the skullCredit: Chris Eades

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I feared menopause would make sex a chore but Kenny and I are back to daytime romps, says Gabby Logan

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I feared menopause would make sex a chore but Kenny and I are back to daytime romps, says Gabby Logan

A DECADE ago the menopause was rarely spoken about, certainly not in public.

Despite the fact it affects every woman, “the change” was considered taboo and frequently suffered in silence.

Gabby Logan, 51, first realised she was perimenopausal at the age of 47, but didn’t recognise it as such

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Gabby Logan, 51, first realised she was perimenopausal at the age of 47, but didn’t recognise it as suchCredit: Getty
Gabby says HRT reignited her libido after becoming so disinterested in sex with her husband she worried it would 'become a duty’

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Gabby says HRT reignited her libido after becoming so disinterested in sex with her husband she worried it would ‘become a duty’Credit: Getty

Now menopause is discussed everywhere; in podcasts, documentaries, and social media, and targeted with a growing market of products including supplements and herbal remedies to help ease its symptoms.

Increased awareness – fuelled by The Sun’s Fabulous Menopause Matters campaign – has been a life-saver. But with more information available than ever, it can be difficult to know where to find accurate advice.

If you want to know the symptoms of perimenopause – the lead-up to your final period – or whether you should be avoiding certain foods or using hormone therapy, Sun Health is here to help cut through the noise.

Dr Philippa Kaye – GP and author of the new book The Science Of Menopause – answers the most common questions on the subject and BBC presenter Gabby Logan shares her own experience of it.

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Gabby Logan says HRT reignited her libido after becoming so disinterested in sex with her husband she worried it would “become a duty’.

The Welsh presenter, 51, first realised she was perimenopausal at the age of 47, but didn’t recognise it as such.

Rather, Gabby says she just felt like a “lesser version of herself”.

I couldn’t think that it had anything to do with the menopause. I was only in my mid-40s

And while the mum of two credits HRT with bringing her back, she has also taken up cold swimming among other lifestyle hacks to feel good again.

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Gabby, who is married to ex-Scottish international rugby Kenny Logan, tells Sun Health: “I was feeling like a lesser version of my usual self. I didn’t know what was wrong with me.

“I’ve always been into health and fitness, and I started being extra careful about what I ate and I was training more — things that normally made me feel really good — but were now having no effect.

The bizarre symptoms of menopause, according to a specialist

Out of control

“I couldn’t think that it had anything to do with the menopause. I was only in my mid-40s.”

But it was only when Gabby invited broadcaster Mariella Frostrup on her podcast, The Mid Point, in 2020 that everything clicked at last.

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Gabby, who has 19-year-old twins Lois and Reuben with Kenny, says: “She was talking about her menopause, describing the symptoms — anxiety, im­patience, shouting at family and friends, losing your temper over silly things, feeling a bit out of control and not on top of stuff, feeling tired a lot of the time with low energy levels and having brain fog.

“I thought, ‘Hello? This sounds very familiar’.

“My libido was definitely affected by the menopause and perimenopause. I found I didn’t want to have sex with my husband as much, and it felt like something I was going to have to do even if I didn’t really want to.

“It was almost like, ‘Is this going to become a duty?’ So many women say this and I didn’t want to become one of them.

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“I wanted to keep enjoying having sex. When I understood that I could get my former sex drive back, it was an enormous relief.” Gabby saw a doctor who prescribed HRT after tests revealed her hormones were “on the floor” and she likely only had a couple of periods left.

“I was surprised to hear this but not particularly emotional about it. I just wanted to feel like me again,” Gabby says.

My libido came back within about a week and our sex life was back on track — even to the extent of having daytime sex. Our kids will kill me if I say any more!

“I’d had a very healthy relationship with Kenny. I loved him and fancied him, and hadn’t been able to understand why I no longer wanted to have sex as much as I had before.

“My libido came back within about a week and our sex life was back on track — even to the extent of having daytime sex. Our kids will kill me if I say any more!”

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The couple faced more challenges when Kenny was diagnosed with prostate cancer in 2022, requiring surgery.

And while Gabby admits she has felt “bereft” transitioning to an “empty nest”, she focuses on hobbies to fill the void.

She says: “I regularly go cold-water swimming.

“It’s something I kind of fell into by accident.”

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It’s one of several habits that relieve her menopause symptoms.

She says: “The menopause affects our physical and mental wellbeing, things like heart health and the threat of osteoporosis. Exercise can help guard against both, particularly weight training for osteoporosis.

“Simple walking and cycling are great things to do.

“What helps me is being as holistic as I can.

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“I make sure I take all the right vitamins and minerals for a woman of my age.

“It’s also a good idea to read up on the menopause before it actually happens so that it doesn’t overwhelm you.

“There’s nothing like prepping before midlife actually hits.”

Talking of HRT, Gabby says: 'My libido came back within about a week and our sex life was back on track — even to the extent of having daytime sex'

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Talking of HRT, Gabby says: ‘My libido came back within about a week and our sex life was back on track — even to the extent of having daytime sex’Credit: Getty
It was only when Gabby invited broadcaster Mariella Frostrup on her podcast, The Mid Point, in 2020 that everything clicked at last

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It was only when Gabby invited broadcaster Mariella Frostrup on her podcast, The Mid Point, in 2020 that everything clicked at last

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