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Fiona Clark

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Fiona Clark

Fiona is the author of MenoWars, a journalist, menopause advocate & co-founder of the Menopause Research & Education Fund charity.

She is a passionate supporter of women, women's health & evidence-based information on menopause. Here at the Harley Street Emporium our mission is to provide you with the best evidence based information we can on women’s health with a particular focus on skin, menopause and vaginal
health. Over the years we have worked closely with dermatologists, gynaecolgists, menopause experts as well as aesthetic doctors and plastic surgeons. All of the information on this site is unbiased, trustworthy and based on best medical practices. Our aim is to provide you with the information you need to make informed decisions about your health care choices - whether that be HRT, skin care or seeking advice on pelvic floor or bladder issues. The products recommended are no different. They are formulated with evidence-based active ingredients to ensure efficacy. If you have questions or are struggling to find reliable information- you’ve come to the right place - we are happy to help!

24/08/2025

Did you know that there were so many stages of menopause?

12/08/2025

So, the MHrA has approved the Australian product Androfemme for the treatment of hyposexual desire disorder (HSDD) which is great - but that doesn’t unfortunately mean you’ll be able to get it today.
The press release from manufacturer says it will probably not be available until sometime in 2026 and then it will need to be approved by individual ICBs.
So, good news but not immediate access.
This makes the UK the 4th country in the world to issue a license for this testosterone product.
I hope that helps.

09/08/2025

Don’t forget to join and me Sunday at 7pm where she’ll explain all!
・・・
Hot of the press (Source: Pharma Times , https://pharmatimes.com/news/gedeon-richter-launches-nalvee-in-uk-to-expand-hrt-options-for-menopause/)

We finally have a new progestogen option available to give alongside oral or transdermal oestrogen. Dydrogesterone 10mg can now be prescribed to women in the UK as an alternative option to micronised progesterone (Utrogestan, Gepretix) or other progestins. Some women do not get on with ‘natural’ progesterone or they don’t want or have side effects with the Mirena coil. Dydrogesterone has so far only been available in combined HRT options (Femoston) and we are really excited that it has now launched as a standalone medication. Particularly when combined with transdermal oestrogen, it offers more flexibility regarding the oestrogen dose compared to the oral combined options(Femoston) and this also reduces blood clot risk.

This is really good news for many women!

06/08/2025

with .repost
・・・
🚨 Exciting update in ’shealth and !

Nalvee (10mg dydrogesterone) has been (re)launched in the UK as a stand-alone progestogen tablet – a development I have been eagerly awaiting.

🌟 Why is this such a big deal?
Nalvee expands our options for:

•The progestogen part of HRT

•Treatment of dysmenorrhoea, endometriosis, dysfunctional uterine bleeding, irregular cycles and PMS.

Everyone responds differently to medications – the more options we have, the better we can tailor treatments to each individual.

✅ What are the key benefits of Nalvee
• Body-similar: Comparable to micronised body-identical progesterone, with current data showing lower risks of blood clots and lower breast cancer risk in the long term (important as it’s the progestogen part of HRT that influences breast cancer risk).

• Better bleeding control: More predictable, lighter patterns – less disruption for patients.

• Less androgenic: Reduced PMS-like side effects such as low mood, acne, and loss of libido.

💊Why this changes practice
Dydrogesterone has been available in combined HRT tablets (e.g., Femoston), but these limit oestrogen choice and dose flexibility.

🥳With Nalvee as a single tablet, we can now personalise care – combining it with patches, sprays, or gels of choice, and adjusting oestrogen doses to suit each individual’s symptoms.

✨ More options mean more personalised, tailored treatments for my patients.

For personalised, expert advice with your menopause or women’s health journey, get in touch.

22/07/2025

The BMS has released guidance on blood tests looking at oestrogen levels - when you need them, when you don’t, what they show and much more is included.
If you want to know more Dr Clare Spenser, , menopause GP and member of the BMS and I will be chatting about this on 29th at 11am.
There’s a lot in there and hopefully we’ll clear up a lot of confusion on when you needs tests, what they show, protecting bones and much more.
Join us then!

16/04/2025

Thank you - important to know!
・・・
New guidelines for clinicians have just been published on the management of women on HRT who then start weight loss injections.

If you have a BMI over 30 it is important to be on transdermal estrogen (through the skin). The choice of progestogen for endometrial protection is also important as some women are getting unexpected bleeding if on oral progestogens and then starting the injections e.g. semaglutide (Wegovy) and tirazepatide (Mounjaro).

If you are on HRT and weight loss injections, you can read the summary (accessible to all) and discuss this with your prescriber. You may want to give them a copy of the guidelines as they may not be aware of them. You may need to change your oral progesterone dose, change the method of delivery, change to a combined patch or consider having a Mirena coil instead.

The same issues will apply to those on these injections to manage their Type 2 diabetes.

The guidelines are at thebms.org.uk -> Publications -> BMS Tools for Clinicians

Has this happened to you if you’re using these?

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Opening Hours

Monday	4pm - 7pm
Tuesday	9am - 7pm
Wednesday	9am - 7pm
Thursday	9am - 7pm
Friday	4am - 7pm

Website

https://hellomenopause.net/, https://mref.uk/

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Here at Harley Street Emporium our mission is to provide you with the information you need to make informed choices about your skin care and skin care treatments - whether that be with skin care products, aesthetic procedures or cosmetic surgery. and to let you book with some of the UK’s top Plastic Surgeons, Aesthetic Doctors and Dermatologists.

Our site features the best anti-aging products on the market, made by the very people who have dedicated their lives to skin care – dermatologists, cosmetologists and plastic surgeons. All of the information on this site is non-advertorial, unbiased and based on best medical practices. The content is written by doctors or people with a strong science background who can understand clinical studies and can sort strong evidence from anecdote so you know your getting the information you can rely on.

You can get to know the medical practitioners and book a consultation and you can source top quality skin care products.

They are: - formulated by the best in their field with ingredients in the right concentrations to ensure they are effective, - have the scientific evidence behind them to prove their effectiveness.