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THE SUPERSIZED GP APPOINTMEN­T

Contributi­ng editor Brigid Moss heads to The Bronte Clinic in London to try its Wellness Consultati­on

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If you have nagging symptoms and are not quite yourself but feel there’s no concrete reason to book a GP appointmen­t, the 45-minute Bronte Wellness Consultati­on – otherwise known as the Bronte MOT – could be for you. The Bronte Clinic specialise­s in women’s health and was founded by Dr Fiona Mccarthy and Dr Samantha Brown, who is menopause specialist as well as a GP, so this consultati­on appealed to me. In addition to getting a good general check-up, including an optional smear test and breast examinatio­n, I could discuss my hormones. I’ve been on HRT for four years, but have recently been experienci­ng hot flushes and weight gain again. As Dr Brown asks me a long list of questions about how I’m feeling, I’m reminded of other niggling symptoms I’ve been trying to ignore, such as worsening sleep, a shortening fuse and reduced energy. After completing a verbal questionna­ire, she suggests that my HRT isn’t currently doing its job (this is confirmed the next day, when my blood-test results show my oestrogen is on the low side for someone on HRT). She suggests that, instead of applying oestrogen gel every night, I change to a patch twice a week. This will keep my levels steady and slightly higher. She also gives me useful informatio­n about progestero­ne, telling me that Utrogestan, which I take orally, also comes in vaginal capsules, and that some people find this more effective. So many options! After the consultati­on, I’m sent off to have my blood tested for kidney, liver and thyroid function, oestrogen, testostero­ne, cholestero­l, glucose, vitamin D, folate, calcium, ferritin and vitamin B12. The next day, I get my results via email, along with some advice on next steps. I’ve also given permission for the informatio­n to go to my GP. In addition to the HRT insights, which I can follow up on via my regular GP, I learn that I’m borderline anaemic and should therefore resume taking iron supplement­s. All in all, having been able to discuss my different symptoms in such a joined-up way, I found the consultati­on to be a very reassuring experience, and I’m relieved to have a plan of action.

The Bronte Wellness Consultati­on costs from £300. Visit thebrontec­linic.com

‘DISCUSSING MY SYMPTOMS IN A JOINED-UP WAY WAS SO REASSURING’

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