Time To Pause

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Time To Pause

Dr. Rebecca Jacques
GP and BMS Menopause Specialist
BSc MBChB MRCGP DRCOG DFSRH

Menopause and Women's Health Clinic
Dr. Rebecca Jacques
GP and BMS accredited Menopause Specialist
Bsc MBchB MRCGP DRCOG DFSRH
GP Women's Lead @ C&W NHS

Helping women thrive through the perimenopause and beyond.

16/02/2026

I’m passionate about improving women’s health and last week I was honoured to speak at PAUSE. A health and Wellness event in Stratford.

I spoke about the importance of addressing stress in midlife. Whether you’re on HRT or not, lifestyle and reducing stress in midlife is critical as it directly affects how your hormones work!

Stress is your body’s survival system, designed for fight or flight. But today, many of us are under constant stress, and it affects women differently than men.

💡 Did you know?

Chronic stress can lead to:
• Raised cortisol → brain fog, poor concentration
• Gut issues → constipation or loose stools
• Low libido, weight gain, high blood pressure, increased cardiovascular risk
• Poor sleep and appetite changes

Lifestyle isn’t optional — it’s non-negotiable. Here’s how to support your body and hormones:

1️⃣ Spot the early signs of stress in your body
2️⃣ Nourish your hormones – healthy fats from oily fish, avocado, nuts
3️⃣ Reduce stimulants – coffee, alcohol, sugar, to***co
4️⃣ Feed your microbiome – reduce processed foods to support serotonin (“happy hormone”)
5️⃣ Exercise – myokines from muscles act like natural antidepressants
6️⃣ Social connection – loneliness = smoking 15 cigarettes/day; laughter boosts oxytocin & reduces cortisol
7️⃣ Prioritize sleep – poor sleep raises cortisol and can lead to weight gain
8️⃣ Set boundaries – saying no protects your health
9️⃣ Practice gratitude – focus on positives and shift your mindset
🔟 Find your purpose – taking control reduces stress and improves overall health

✨ Your body is giving you signals. Listening and acting daily can boost mood, energy, and wellbeing, and make your HRT (if you’re on it) even more effective.

Save this for when stress starts creeping in and/or share it with someone who needs it.

Thank you to Lisa Cressy (Superbeing Coaching) and Jenny MacDonald (Food Freedom Fairy) who hosted the event. They are part of Socially Shared - an amazing and supportive network for women in business.

HealthyLifestyle

15/02/2026

I often see patients who have been on the same HRT for years, or who were started on a very low dose because both they and their doctor were understandably cautious.

Over time, many people aren’t sure if they actually feel better or even whether their HRT is really working.

You may:

Feel unsure about increasing your dose

Have been told there’s “only one type” of HRT

Not realise there are many different preparations, combinations, and routes

Be experiencing side effects without recognising them

Have been told you can’t change your HRT because you might bleed

You’re not alone and your HRT can usually be tweaked.

We wouldn’t start a blood pressure medication and never review your blood pressure again, HRT should be no different.

Reasons your HRT may not be working or may need changing:

1️⃣ You’re not absorbing enough
2️⃣ The preparation isn’t the right fit for you
3️⃣ You need a different progesterone to better control bleeding
4️⃣ Your medical history has changed
5️⃣ Your symptoms may be caused by something unrelated to menopause
6️⃣ You need — or no longer need — contraception
7️⃣ Your Mirena coil has been in longer than 5 years
8️⃣ Your lifestyle has changed, so your HRT needs to change too
9️⃣ It simply hasn’t been long enough yet

If this resonates, it may be time for an HRT review — either with a GP or menopause specialist.

At Time to Pause, I prioritise you as an individual. There is no one-size-fits-all approach to menopause care.
Appointments are available online from anywhere in the country or in person.

✨ Persistent symptoms are information — not failure.

❤️Share this post with anyone who you thinks need to read this.

10/02/2026

You thought perimenopause meant hot flashes and skipped periods.
So when those weren’t happening, you assumed you were fine.

But instead, you started losing words mid-sentence. Walking into rooms and forgetting why you were there. Your brain feels foggy, scattered, not like you.

Then the anxiety shows up. Out of nowhere. No clear reason. Just a low-level hum of worry you’ve never had before.

You’re more irritable. More emotional. Snapping at people you love, or feeling flat and unmotivated even though, on paper, your life is good, which somehow makes it feel worse.

Sleep is a mess. You fall asleep, then wake between 2 and 4am wide awake. Tired but wired. Workouts that used to energise you now wipe you out, and recovery takes longer than it ever did.

Your periods change, but not in the way you expected. They’re heavier. Clottier. Closer together. PMS hits harder than it did in your 20s or 30s.

Your body starts shifting even though nothing else has changed. Weight settles around your belly. Coffee makes you jittery. Alcohol hits harder. Your heart races randomly. Your joints ache. Headaches appear more often.

At night, you wake up sweaty, but during the day, you feel cold. Noise feels louder. Stress feels heavier. Things you used to handle easily now feel overwhelming.

Then there are the quieter changes no one warned you about. Drier skin. More hair in the shower. Libido doing its own unpredictable thing.

And the most confusing part?
You’re told you’re “too young.”
Or that your blood tests are “normal.”

What no one explains is that perimenopause isn’t about hormones being low, it’s about them fluctuating. And it can start years earlier than expected.

So if you’re reading this thinking, this is me, you’re not broken. You’re not imagining it.
You’re not alone. 💛

And if this resonates, follow for honest advice, support, and practical tools to help you embrace perimenopause and menopause with confidence.

06/02/2026

Menopause symptoms can be exhausting, especially when you don’t feel listened to.

The right advice, reassurance, and treatment can be genuinely life-changing. Feedback like this reminds us why expert menopause care and personalised HRT support matter.

If menopause is affecting your sleep, mood, confidence, or daily life, support is available and you don’t have to just “put up with it”.

04/02/2026

Reviews like this mean so much!! ⭐️⭐️⭐️⭐️⭐️

When advice, reassurance, and the right treatment come together, the impact can be life changing.

If you’re considering HRT or need expert menopause advice, we’re here to help.

01/02/2026

Want to invest more in your self-care and wellbeing but not sure where to start?
We hear you 💚

I’m so excited to be presenting at PAUSE: mind, body, soul, a beautifully curated event where you can explore a taster menu of self-care and wellness experiences, try them out, see what resonates, and decide what you’d love to explore further.

Come and discover a different way to experience self-care, all in one place ✨
Tickets via sociallyshared.co.uk/events
(Discounted tickets available for members!)

30/01/2026

✨ Thank you to everyone who joined me last night for my talk on the menopause transition and heart health. I genuinely loved the energy in the room, the questions, the conversations, and the openness around a topic that really matters ❤️

As promised, you’ll find a link to the British Heart Foundation in my bio for trusted information and support.

👉 If this topic resonates with you, please share my page with friends, family, or colleagues , awareness is one of the most powerful tools we have.

Let’s keep the conversation going. Menopause matters. Heart health matters and talking about it matters most.

27/01/2026

I’m really looking forward to speaking this Thursday evening at 7pm for Action Menopause Warwickshire 💜
We’ll be talking about menopause and heart health- what every woman should know, why it matters, and how small changes can make a big difference.
Hope to see you there!

26/01/2026

Have you noticed a ringing in your ears?

It’s a lesser-known symptom of menopause and like many changes, it can be confusing or even worrying. During menopause, levels of oestrogen and progesterone decline. This can affect the auditory system and potentially contribute to tinnitus.

During a Menopause Consultation, I will look at possible causes, and ways to manage symptoms. You don't need to suffer through the menopause- there is help available.

www.timetopause.co.uk/about/

22/01/2026

Another lovely review ❤️ This is exactly why I love the work I do in my clinic, i’m so grateful for the trust my patients place in me.

20/01/2026

Hormones, symptoms and treatment options are complex. That’s why seeing a qualified, regulated professional is so important. Someone who is properly trained, governed by a UK regulatory body, and working within evidence-based guidelines.

A trusted professional will:
• Take your symptoms seriously
• Offer safe, personalised options
• Be accountable for the care they provide
• Support you properly - not guess or generalise

12/01/2026

Hot flushes. Brain fog. Sleep that’s gone AWOL. If you’ve been told it’s “normal” and to get on with it, this is for you.

I support women across the UK with personalised, expert care at every stage of menopause.

If you're feeling dismissed or struggling to get a GP appointment, contact me today.

www.timetopause.co.uk/contact-us/

Address

Holly Grange, Holly Lane, Balsall Common
Coventry
CV7 7EB

Website

http://www.timetopause.co.uk/, https://www.bhf.org.uk/-/media/files/heart-matters/bias-and-biology-summary.pdf?rev=56108

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