POI, early or surgical menopause

When menopause comes early

For some women, menopause happens much sooner than expected.

This might be because the ovaries have stopped working naturally before the age of 40, known as Premature Ovarian Insufficiency (POI), or because of surgery that removes the ovaries, leading to surgical menopause.

Whatever the cause, the sudden change in hormone levels can bring both physical and emotional challenges. At Jaya Life, we understand the impact of this and we’re here to help you make sense of what’s happening, regain balance, and look after your long-term health.

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Recognising the symptoms

When oestrogen levels fall, whether gradually or suddenly, you may notice a range of changes such as:

  • Hot flushes and night sweats

  • Brain fog, poor focus or memory lapses

  • Low energy or ongoing fatigue

  • Sleep difficulties

  • Changes in mood or increased anxiety

  • Vaginal dryness or discomfort

  • Reduced libido

  • Irregular or stopped periods (in POI)

  • Joint or muscle aches

  • Palpitations

In surgical menopause, these symptoms can arrive quite suddenly after surgery, often feeling stronger or more disruptive. This is why specialist care and early support make such a difference.

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Why specialist care matters

Losing oestrogen earlier in life doesn’t just cause immediate symptoms, it can also have longer-term effects on bone strength, heart health, cognitive wellbeing, and emotional resilience.

Dr Lucy Mather

That’s why the British Menopause Society (BMS) and NICE recommend that most women with POI or surgical menopause consider hormone replacement therapy (HRT), unless there’s a medical reason not to.

Replacing the hormones your body no longer produces helps protect your future health and can bring significant relief from symptoms.

At Jaya Life, we combine evidence-based medical guidance with compassionate, holistic care, helping you feel well today while protecting your health for tomorrow.

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Our approach to POI and surgical menopause care

We take a holistic, personalised approach, combining specialist medical knowledge with compassionate care. We take the time to understand your story, explore your symptoms in depth, and create a plan that supports both your immediate wellbeing and long-term health goals.

Here’s what you can expect:

    • Pre appointment questionnaire to complete (which is reviewed before your consultation).

    • In-depth exploration of your symptoms, medical history, and health goals.

    • Space to discuss everything that’s been worrying you, without being rushed.

    • All treatment options discussed, including HRT, non-hormonal approaches, and lifestyle strategies.

    • Support for heart and bone health, emotional wellbeing, and long-term prevention.

  • A personalised plan you can share with your NHS GP for seamless, ongoing care.

  • For most women, HRT is the key treatment to replace missing hormones and protect bone, heart, and cognitive health. We’ll tailor your treatment, whether oestrogen alone, combined therapy, or vaginal oestrogen, to your specific needs and medical background.

  • Follow-up consultations to refine and adapt your care as your needs change.

  • We work closely with other local specialists including Pelvic Health Physio, Weight Loss Services, Nutritionists and Dermatologist.

Appointments are available in person at our clinic near Caernarfon, North Wales, or online wherever you are in the UK.

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Take the first step towards feeling like you again

Your symptoms are valid, and there are safe, effective ways to address them. Whether you’re just starting to notice changes or have been struggling for years, specialist care can make a real difference, now and for your long-term health.

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Not ready to book a full consultation? You can also schedule a free, 15-minute call with Dr Lucy Mather, with no obligation to book an appointment, to discuss your situation, ask questions, and explore what care options might suit you.

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