Specialist support for hormonal changes, symptoms, and whole-body health during midlife

Menopause is a natural life stage that marks the end of menstrual cycles, but symptoms often begin years before periods stop completely. This earlier phase is known as perimenopause, when hormonal fluctuations can start to affect physical, emotional, and mental wellbeing.
hormonal changes begin, symptoms may fluctuate, and cycles can become irregular. Can last 8-10 years prior to menopause.
defined as 12 months since the last period. Average age is 51.
the years following menopause, when some symptoms may settle, while others can persist or change.
Symptoms can appear at any stage and vary significantly from person to person. For many women, understanding what is happening — and how to manage symptoms — is the first step toward feeling better.
There are over 30 recognised menopause-related symptoms. Some of the more common ones include:
Hot flushes and night sweats
Sleep disturbance or insomnia
Fatigue or low energy
Brain fog or difficulty concentrating
Mood changes, anxiety, or low confidence
Joint or muscle aches and stiffness
Weight changes or changes in body composition
Pelvic health symptoms, such as bladder changes or discomfort
Changes in libido or discomfort with intimacy
Increased sensitivity to stress or reduced resilience
Symptoms don’t always fit neatly into one category, and it’s common for physical, emotional, and lifestyle factors to overlap — particularly during perimenopause.


Support during menopause and perimenopause focuses on helping you understand your symptoms and how hormonal changes may be affecting your body. Many symptoms are linked, and support looks at the whole picture rather than treating one issue in isolation.
Support may include:
A comprehensive discussion of symptoms, health history, and lifestyle
Education around hormonal changes and how they may be affecting your body
Assessment and treatment of joint and muscle pain, including stiffness, aches, or reduced mobility
Individualised exercise support as part of treatment, tailored to symptoms, energy levels, and goals
Guidance to build strength, resilience, and confidence with movement
Support with pelvic health symptoms where relevant, as part of a wider whole-body approach
Lifestyle strategies addressing stress, sleep, energy, and daily habits
A personalised plan designed to fit your life, symptoms, and priorities
This whole-person approach allows symptoms to be addressed together, rather than focusing on one area in isolation.
You may wish to seek support if symptoms are affecting your quality of life, confidence, relationships, sleep, or ability to do the things you enjoy — or if you simply feel that something has changed and want clarity and guidance.
Support can be helpful whether symptoms are mild, fluctuating, or more persistent, and at any stage of perimenopause or menopause.
Appointments take place at the clinic in Winscombe, supporting women across North Somerset.
A Menopause MOT provides a structured, supportive starting point to explore symptoms, understand what may be contributing to how you’re feeling, and identify practical next steps to support your health and wellbeing.
If you’re unsure whether a Menopause MOT is right for you, you’re welcome to get in touch to discuss your options.
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Thrive and Shine Women's Wellness Studio
Corner House
Woodborough Road
Winscombe
BS25 1AQ
07862620259
Thrive and Shine Women’s Wellness provides Physiotherapy, Pilates, menopause support, and remedial hypnosis / CONTROL method for women across Winscombe, Weston-super-Mare, Cheddar, Axbridge, and North Somerset.
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