femalegp

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Women’s health Specialist GP and educator specialising in perimenopause, menopause, and mental health; offering 1:1 consultations, business education, local community walks and resources that improve access to care

15/05/2026

For a long time, women’s symptoms were split into separate boxes: psychiatry, gynecology, pain, bladder, gut, sleep, migraines, anxiety…

But hormones don’t work in one body system.

As a GP, I now regularly find myself discussing hormone effects with psychiatrists, breast surgeons, pain specialists, pelvic health clinicians, and physicians.. because hormones influence the brain, immune system, blood vessels, metabolism, connective tissue, and more.

Sometimes nobody connected the dots because everyone was looking at a different piece of the puzzle.

Women have often recognised these patterns long before medicine had language for them. Now we need to integrate these dots into routine healthcare

10/05/2026

Always inspiring, motivating and validating having a catch up with a like minded soul.

08/05/2026

What happens when you invite wāhine to gather at the whare to kōrero about ikura (periods), perimenopause, menopause, and our bladders?
You get a room full of wāhine.. from rangatahi to kaumātua.

You realise you’re not alone. You make friends. You learn.
You know you are seen, heard, and validated.
There is hope- but more than that, there is action.

And you know this is not the end. You all know it can’t be. Wāhine plan, and demand.
A monthly hui.
Stronger voices.
And a shared commitment to keep spreading the word.

And how did it start? Through trust and connection. A few wāhine, with different backgrounds, strengths, experience, and hopes. But an unequivocal, universal fact is that they know they will bring about that change. Together.

The power of connection, and intuition

08/05/2026

What happens when you invite wāhine to gather at the whare to kōrero about ikura (periods), perimenopause, menopause, and our bladders?
You get a room full of wāhine.. from rangatahi to kaumātua.
You realise you’re not alone. You make friends. You learn. �You know you are seen, heard, and validated.
There is hope- but more than that, there is action.

And you know this is not the end. You all know it can’t be. Wāhine plan, and demand.�A monthly hui.�Stronger voices.�And a shared commitment to keep spreading the word.

And how did it start? Through trust and connection. A few wāhine, with different backgrounds, strengths, experience, and hopes. But an unequivocal, universal fact is that they know they will bring about that change. Together.

The power of connection, and intuition

01/05/2026

Some dreams may be coming true today!!! I’ve been invited to share my mahi with local wāhine and their whānau .. about the whole hormonal hīkoi. To be able to listen to challenges, share my knowledge in a safe space. And today isn’t just about the kōrero on the… this is the start. The wāhine coming, I’ve been told are about making a difference. They also believe, so I’ve been told, that we need to enable everyone to see hauora through a hormonal lens. Let’s change the world. Thanks Te Matau-a-Māui, and Waiohiki for this honour. Next step… even bigger 🦶🏻

25/04/2026

It’s been a slower, more intentional start to 2026 than I expected. But it’s starting to gain a force that I never expected.

After a year ( or 3) of feeling a bit uprooted, I’ve realised how important it is to stay small for a moment… to consolidate, to grow roots again, to get steady.

At the same time, my thinking is expanding.

I’m starting to look more closely at the bigger picture, how systems, policy, and conversations shape what we see every day in clinic. Because I need to know this.

However I keep coming back to the same question:
what actually creates change in women’s health?

Right now, it feels like education.
Better conversations.
Earlier understanding.
More shared knowledge.

It seems obvious to me. Really obvious. But, resistance has thus far been a plenty. Am I ‘just really naive’. I don’t know... But I know that I need to ask. To gather more evidence.

But I’m also still learning. Still listening. Still figuring it out.

So this year feels like a mix of both:
🌱 staying grounded
🌿 and slowly growing outward

I’m excited… and curious to see where it leads.

If you have thoughts.. I’d genuinely love to hear them.
I’m tempted to post.. Discuss: education in womens health...
Kōrero welcome 🤍

“I’m just not feeling like myself.”As a GP, this used to be one of those statements that made my heart sink a little, be...
18/04/2026

“I’m just not feeling like myself.”

As a GP, this used to be one of those statements that made my heart sink a little, because in a 15-minute consult, it can feel overwhelming. Vague. Hard to pin down. Easy to worry you won’t do it justice.

But I’ve come to realise something important.

That discomfort?
That sense of not knowing where to start?
That’s my signal.. not the patient’s problem.

Because for the person sitting in front of me, this is not vague at all.
They are struggling.

And actually.. this phrase is incredibly meaningful.

Coslov et al. (2024) explored this exact experience in perimenopause, and “not feeling like myself” was a common and consistent way women described what they were going through.

And once you see it - you can’t unsee it.

This is what I see in clinic every week:
* Women who feel different in their bodies.
* Different in their mood, their thinking, their tolerance.
* A quiet sense that something has shifted.

So if you’re a patient, or someone who cycles through hormones.. pause and consider:
👉 Could this be perimenopause?

And if you’re a clinician:
Don’t brush past it. Lean into it.

Ask:
👉 “What do you mean by not feeling like yourself?”
👉 “When did that start?”
👉 “What feels different-emotionally, physically, cognitively?”

And if you’re still not sure where to go next.. use your usual frameworks.
Your surgical sieve. Your differentials.

But don’t forget to include:
👉 Could this be hormonal?
👉 Could this be perimenopause?

Because often.. it is.
And when we recognise it early, we can actually do something about it.

💬 Tag a friend who could do with this..
whether they’ve said it, you’ve said it to them, or you simply want to support them to feel like themselves again.

🎁 I’ll be giving away 4 courses (for you + a friend) on Tuesday evening.

For more on what hormones are doing and how appropriate hormone support can improve wellbeing:
www.femalegp.co.nz

Courses in bio

16/04/2026

Iron deficiency has become a bit of a pet project of mine.

So many women I see in perimenopause have had years of heavy periods..

Perimenopause care isn’t just about MHT.
It’s about looking at the whole picture.

Menstrual flow → chronic blood loss → iron deficiency (± anaemia)

And that can look like:
🔎Fatigue
🔎Brain fog
🔎Low mood
🔎Reduced resilience

From a clinical perspective, this matters.

Chronic heavy menstrual bleeding can lead to:

😥Iron deficiency even with a “normal” Hb
😥Compounding physical, cognitive, and emotional symptoms

So management isn’t just hormonal.

It includes:

🩷Asking about menstrual flow (not just cycle length)
🩵Checking iron studies (not just haemoglobin)
💜Treating both the cause (hormonal patterns) and the consequence (iron depletion)

Perimenopause isn’t just a hormonal state..
it’s cumulative physiology.

Sometimes what we’re seeing isn’t “just menopause”…
it’s the downstream effect of years of blood loss.

15/04/2026

Take 2… because I needed photographic evidence 📸

Not pretty. Not perfect. But something always better than nothing

Today at the park in Palmy I jumped up to a pull-up bar… and did it.
Then did it again.

Five years ago I could run faster than I can now, but I didn’t feel safe in my body.
I didn’t feel strong (and to be honest I didn’t actually realise how much of a barrier that was, or how weak I really was)

Now?

I can lift our Canadian canoe.
I can play at the park with my whānau and still have enough left to do cartwheels.
Hyrox, gym play, moving with people I love - that’s my happy place.

I don’t spend much time thinking about “longevity”…
but this is what it looks like for me.

Not just living longer..
but moving into my 80s and 90s with:

Strength (now for then)
Connection (people… and dogs 🐾)
And a body I trust

This wasn’t about chasing performance.
It was about learning that my body could hold me.

Turns out… it can.

Thanks team

07/04/2026

I always find fitting in things a bit more challenging in the school holidays. But I’ve decided I want to be able to run faster so I need to put in the mahi! Clinic today was (predominantly) made of virtual appointments. So Black sports attire, ready and raring to go. All I needed to do was change my shoes, cardi off, and a runner was underneath! Then protein powder ready to go. All fuelled and cup filled for my final virtual consult. How do you make your exercise as easy as possible?!

Address

140 Carlyle Street
Napier
4110

Opening Hours

Wednesday 9am - 3pm
Friday 9am - 5pm

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