Dr Nadia Samuel

Dr Nadia Samuel For information purposes only. No medical advice will be issued here. If you have a medical issue or

06/05/2026

HRT after the “window of opportunity” — is it still beneficial?

While starting hormone therapy within 10 years of menopause or before age 60 offers the most cardiovascular benefit, that doesn’t mean it’s off the table later on.

For women starting HRT beyond this window, the goals shift:
➡️Symptom relief (hot flashes, sleep, mood)
➡️Improvement in quality of life
➡️Support for bone health and fracture prevention
➡️reduced all cause mortality, heart disease and diabetes

The key message? It’s not “too late” — but it is more nuanced.

💡 The decision to start or continue HRT in older women should always be a shared, informed discussion balancing benefits, risks, and personal priorities.

’sHealth
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27/04/2026

Uterine Artery Embolization at Tapion Hospital

27/04/2026

Fibroid Embolization
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27/04/2026

Uterine Artery Embolization service is available
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14/04/2026

✨ The “Window of Opportunity” for HRT ✨

Did you know there’s a best time to start hormone replacement therapy?

The “window of opportunity” refers to starting HRT:
➡️ Before age 60
➡️ Or within 10 years of menopause

Why does timing matter?

💡 Starting HRT within this window may:
✅reduced all cause mortality ⚰️
✅Help protect bone health 🦴
✅May have a more favorable effect on heart health ❤️
✅reduced risk of diabetes
✅reduced risk of dementia 🧠

👩🏽‍⚕️ The key message:
HRT is not one-size-fits-all — timing, symptoms, and individual risk factors all matter.

✨ Early discussion = better outcomes


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02/04/2026

🌿 Evening Primrose Oil & Menopause — does it really work?

You’ve probably heard about evening primrose oil as a “natural” option for menopause symptoms… but what does the evidence actually say? 👇🏽

✨ It contains gamma-linolenic acid (GLA), which may help with inflammation and hormone-related symptoms.

🔥 Some women report improvement in:
• Hot flashes
• Night sweats
• Breast tenderness

⚠️ BUT here’s the truth:
The research is mixed and inconsistent — it doesn’t work for everyone, and it’s not considered a first-line treatment.

If your symptoms are affecting your quality of life:
There are more effective, evidence-based options available — and you deserve relief.

These are available at
The Health Emporium- Blue Coral mall
The Supplement Store - JQ mall


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30/03/2026

🌿 Black Cohosh & Menopause

Black cohosh is one of the most popular “natural” remedies for menopause symptoms… but let’s break it down 👇🏽

✨ It’s a plant extract thought to act on serotonin pathways — not estrogen.

🔥 It may help with:
• Hot flashes
• Night sweats
• Sleep disturbance

📊 What does the evidence say?
Results are mixed — some studies show benefit, others show no difference from placebo

💊 If you try it:
Give it about 6–8 weeks to assess effect.

It’s an option for mild symptoms — but for moderate to severe menopause symptoms, there are more effective, evidence-based treatments available.

These are available at
The Health Emporium- Blue Coral mall
The Supplement Store - JQ mall


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17/03/2026

Bleeding while on HRT can be worrying—but it’s not always a sign that something is wrong.

💡 In the first 3 months of starting or dose adjustments on HRT, irregular bleeding or spotting is quite common as your body adjusts.

🚩 However, you should seek medical advice if:
• Bleeding starts after you’ve been stable on HRT for a while (>3 months)
• It’s heavy or prolonged
• It happens after s*x
• It continues beyond 3 months

✨ The key message: don’t ignore it—get it checked.

Most causes are benign, but we always want to rule out anything serious and make sure your treatment is right for you.


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17/03/2026

Postmenopausal bleeding is never “normal.”

Any vaginal bleeding that occurs after menopause (12 months without a period) should always be checked by a healthcare professional. While there are many possible causes—such as vaginal dryness, polyps, or hormone therapy—sometimes it can be a sign of something more serious like Endometrial Cancer.

The important message: don’t ignore it.

Early evaluation can make a huge difference. Most causes are treatable, and reassurance is always better than uncertainty.

If you or someone you know experiences bleeding after menopause, seek medical advice promptly.

Your health matters at every stage of life. 💜


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20/01/2026

We are happy to host Professor Joe Brookes for a second UAE workshop at Tapion Hospital.

We will be offering a regular service for this procedure. If this is something that you are interested in, please contact us
Dr Nadia Samuel @ Tapion Hospital 4592249/4852249

Professor Jocelyn Brookes profile can be found here https://www.doctify.com/uk/specialist/dr-jocelyn-brookes

20/01/2026

✨ Uterine Artery Embolization (UAE) — When and When Not to Do It ✨

💠 Indications:
• Symptomatic fibroids (heavy bleeding, pelvic pressure, pain)
• Adenomyosis

💢 Contraindications:
🚫 Pregnancy
🚫 Active pelvic infection
🚫 Suspected uterine or cervical cancer
⚠️ Caution if fertility is desired

Studies have shown a 40% chance of pregnancy after UAE in women who wanted to get pregnant, with no increased risk of pregnancy complications.


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20/01/2026

✨ Uterine Artery Embolization (UAE) is a minimally invasive procedure used to shrink fibroids by blocking their blood supply. It helps relieve heavy bleeding, pain, and pressure—without major surgery.
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