Helen the Menopause Pharmacist

20/05/2026

🚨 Forgot to take or apply your HRT? Don’t panic.

Missing one dose of HRT happens — and in most cases it’s not dangerous. What matters most is knowing what to do next.

💊 If you forgot your HRT tablet:
➡️ Take it when you remember if it’s still reasonably close to your usual time
➡️ If it’s nearly time for the next dose, skip the missed one and continue as normal
⚠️ Don’t double up unless your prescriber specifically told you to

🩹 If you forgot to change your patch:
➡️ Apply a new patch as soon as you remember
➡️ Then continue your usual schedule from that day

✨ If you forgot your gel or spray:
➡️ Apply it when you remember the same day
➡️ If you completely missed the day, just continue normally the next day

🌙 If you missed progesterone:
This is the one to pay extra attention to — especially if you still have a uterus.

Missing progesterone occasionally happens, but repeated missed doses may reduce endometrial protection.

⚠️ Contact your prescriber if:

* you miss progesterone regularly
* you’re unsure how many doses you missed
* you develop unexpected bleeding
* you’re confused about restarting your cycle

💡 Missing HRT can sometimes trigger the return of symptoms or side-effects.

That doesn’t mean your HRT has “stopped working” — your hormone levels may just be fluctuating temporarily.

Don't panic but DO ask for help if you're struggling with your HRT 💛

19/05/2026

🚨 Taking weight-loss injections while on oral HRT? Read this.

If you’re using medications like Wegovy, Ozempic, or Mounjaro, it’s REALLY important to tell your HRT prescriber — especially if you take oral progesterone.

💊 GLP-1 medications slow stomach emptying.
That can affect how well oral medications are absorbed — including:

oral micronised progesterone
oral oestrogen
other tablets and capsules

⚠️ Why this matters for HRT:
If progesterone absorption becomes less reliable, you may not be getting enough endometrial protection.

That’s why some people may need to:
➡️ switch to transdermal oestrogen (patch/gel/spray)
➡️ change the type of progesterone
➡️ or increase the progesterone dose

✨ Don’t change your HRT yourself — but do make sure your prescriber knows you’re taking a GLP-1 medication so we can review whether your regimen is still appropriate.

Your HRT plan should fit your body as it is now — including any medications affecting absorption.

If you found this helpful, please share with anyone you know who might find this helpful too 💛

18/05/2026

SUCH a common question: If you’re on cyclical HRT and you don’t get a bleed when you return to Day 1 should you continue counting with your HRT or should you change day 1 to when your bleed starts?

ANSWER:
➡️ Keep following the HRT schedule as prescribed
—not your bleed timing!

Your “Day 1” is based on the HRT cycle, not on whether or when bleeding happens. Bleeding can become lighter, irregular, delayed, or stop altogether on HRT, especially during perimenopause.

⚠️ But it’s worth checking in with your clinician if:

* you suddenly stop bleeding after previously regular withdrawal bleeds
* bleeding becomes very heavy
* bleeding happens at unexpected times
* you go several cycles with no bleed and are unsure what’s normal for your regimen

💡 Important: Different HRT regimens work differently:

* Sequential/cyclical HRT → usually expects a withdrawal bleed
* Continuous combined HRT → often aims for no bleeding eventually

Share with someone or save for later 💛

Have a great day x

17/05/2026

Menopause can feel overwhelming — but you don’t have to navigate it alone.

I’m Helen, Clinical Pharmacist Specialising in Menopause, offering private 1:1 menopause consultations over the phone.

✨ 30 minutes uninterrupted, just for you
✨ A safe space to talk openly
✨ Be heard, helped & supported to make a plan

Whether you’re struggling with symptoms, confused about HRT, or simply need reassurance and guidance, I’m here to listen and help you feel more like yourself again.

Click the link to book:
https://calendly.com/helencgoldie/bookings

It's always a privilege to help 💛

13/05/2026

This is GREAT news and a big step forward for Women's Health. Calling it PMOS instead of PCOS is such an important shift — because it finally reflects what so many women have been saying for years: this condition is about far more than “cysts.”

The new name recognises the metabolic, hormonal and whole-body impact of the condition, which could mean better understanding, earlier diagnosis, and more complete care for millions.

12/05/2026

BOOK NOW -Spaces are filling up fast!

Have your blood tests come back “normal” — yet you still don’t feel like yourself?

Your mood has shifted.
The weight feels harder to manage.
Anxiety appears out of nowhere, even though it was never something you struggled with before.

These changes are common during perimenopause and menopause, but that doesn’t mean you have to navigate them alone.

Join Dr Helen Goldie Helen the Menopause Pharmacist and Jules from Wyse Pilates on Saturday 13 June in Mintlaw for an empowering and informative wellbeing morning designed to help you better understand the changes happening within your body.

Dr Helen Goldie will share expert insight into perimenopause and menopause, helping you understand the impact hormonal changes can have on mood, metabolism, sleep, anxiety, HRT and overall wellbeing.

Following the talk, Jules will guide you through a supportive Pilates session focused on:
• Pelvic floor and core support
• Joint and bone health
• Strength and stability
• Nervous system regulation through movement and breathwork

A morning to learn, move and feel supported in a welcoming environment.

TO BOOK A SPACE, please contact;

info@wysenutrition.co.uk

🩷

09/05/2026

I gave a talk on menopause today… and abandoned my slides within minutes.

Not because I wasn’t prepared, but because the women in the room needed something far more important than another polished presentation: they needed to be heard.

Women are so used to being dismissed, rushed, or forced into neat clinical boxes that when someone actually listens, the whole conversation changes.

Because women’s health is never one-size-fits-all. You can walk into a room with an agenda and all the “right” talking points — but the real work begins when you pay attention to what women are actually saying. Somewhere in our rush to help we may have forgotten to listen.

Today reminded me that the most meaningful conversations happen when we stop trying to deliver perfectly polished information and start responding to the women in front of us. Reading the room matters. Listening matters. Curiosity matters.

Sometimes the slides can wait. The conversation can’t.

06/05/2026

Different women are looking for different results and that's why we're so excited to help them develop their own MenoMAP uniquely for their menopause journey 💗

05/05/2026

To BOOK: Please book via Wyse Nutrition & Pilates via messenger or email: info@wysenutrition.co.uk 🧘‍♀️

If you’ve been feeling like your body is changing and you’re not quite sure why… this is for you.

Join us for a powerful and supportive morning designed to help you better understand your body, move with confidence, and feel more in control through midlife and beyond with myself, Helen - the menopause pharmacist, and the very talented, Jules Wyse, Pilates instructor for all levels.

Together, we’ll guide you through:

• Understanding what’s changing – hormones, metabolism, muscle and why symptoms like fatigue, poor sleep and weight resistance show up
• Movement that works with your body – targeted Pilates for core, pelvic floor, strength and nervous system support
• Fuel, hormones & recovery – simple, effective strategies around nutrition, sleep and supplementation
• Open Q&A – real conversations, real guidance

This is not about restriction or quick fixes.
It’s about education, empowerment, and giving you the tools to feel like you again.

✨ Limited spaces available to keep the experience personal and supportive ✨

04/05/2026

HRT Patch Not Working Like You Expected?

Before you start worrying about changing your dose or giving up on your patch—try these top 5 tips 👩‍⚕️

HRT patches are designed to give a steady, reliable dose of estrogen throughout the day…..but technique really matters.

1. Your skin prep = everything
Your skin is the gateway for absorption. Any barrier = less hormone getting in.
➡️ Clean, dry, product-free skin is key
➡️ Avoid moisturising shower gels on that area
➡️ Dry thoroughly (yes—even a quick hairdryer blast helps)

2. Lotions = your enemy 🚫
Only in the patch area!
Creams, oils, fake tan—all sit in the upper skin layers and block absorption.
You can still use them… just not where your patch goes.

3. Don’t touch the sticky side
This one catches people out all the time.
Fingerprints = reduced stick + reduced dose delivery
➡️ Wash hands well
➡️ Handle edges only
➡️ Apply firmly in one smooth motion

4. Stick it like you mean it
The medication sits in the adhesive—so contact matters.
My pro tips:
✔️ Warm the patch between your hands first
✔️ Make sure skin is warm + dry
✔️ Press firmly and smooth out air bubbles
✔️ Hold your palm over it for a few seconds to secure
(and if it still doesn't stick then take a hairdryer to it for a few seconds but DON'T burn yourself!).

5. Consistency & placement matter
➡️ Change on time, every time
➡️ Rotate sites (don’t use the exact same spot)
➡️ Lower abdomen or buttock = best absorption zones but always before the waist.

💬 Most “patch not working” issues are actually application issues—and fixable.

✨ But if you’re still getting symptoms —it’s time to review your dose or type with your prescriber.