‘The NHS has failed abysmally’: the region where women are cut off from menopause care

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‘The NHS has failed abysmally’: the region where women are cut off from menopause care
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With no NHS menopause clinics in in Devon or Cornwall, women are being forced to drive hundreds of miles for treatment and paying thousands for private care 💬 'Why is it so difficult to access the help we need? Nobody listens' 🔎 luciemheath reports

Dr Craven said she is one of six GPs in Devon who have undertaken or are in the process of undertaking specialist menopause training, which is done in her own time at a personal cost of £1,500.“But if you’re not at one of those practices and you just see somebody who’s got normal GP knowledge then there’s nowhere to go. That’s it; you’re at your limit.”are often spending years in misery without receiving proper treatment.

Ms Fowles is now about to pay £500 for a telephone consultation with a private menopause doctor based in London after a recent blood test indicated there is a problem with her hormone levels. She decided to go private as the wait to see her GP is one month.Cat Jewitt, from Plymouth, entered early menopause aged 42.managing two departments in the supply chain industry, and she ended up suicidal in February 2021.

The National Institute for Health and Care Excellence guidelines for doctors treating psychological symptoms in menopausal women suggest considering HRT and cognitive behavioural therapy , but advise against prescribing antidepressants to those who have not been diagnosed withMs Jewitt was prescribed a high dose of HRT by her GP last year, but said she still experienced symptoms including “crushing anxiety”, hot flushes, night sweats and insomnia.

“I’m self-employed, having given up about half our household income because of the menopause. I had a really well paid job. I’ve always worked hard. I got to where I wanted in my career and I just slowly stepped away from it.”Exmouth-based Jinty Sheerin, a patient who helped start the campaign for a menopause clinic in Devon, said many private NHS clinics have been popping up in the area filling the gap left by the lack of NHS provision.

“It is quite frightening. There’s a lot of people making a lot of money off the back of this,” she said. “We know this is an important issue and we are working with partners to assess local needs with a view to informing future service provision. We have started this piece of work and have engaged Healthwatch to provide further insight into current access for menopause care in Devon. We have also established a group of clinicians with an interest in this field who have met to begin developing useful resources and information for patients.

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The effect of COVID-19 on women’s experiences of pregnancy, birth and postpartum in Indonesia: a rapid online survey - BMC Pregnancy and ChildbirthThe effect of COVID-19 on women’s experiences of pregnancy, birth and postpartum in Indonesia: a rapid online survey - BMC Pregnancy and ChildbirthBackground The interrelationship of psychological and social factors in the current COVID-19 pandemic has been highlighted in research mainly focused on the global north. The impact of lockdowns can exacerbate psychological distress and affect access to services. Less is known about the psychosocial impact on women in the context of lower-middle income countries (LMICs); the aim of this study was to capture the impact of COVID-19 on women’s experiences of pregnancy, birth and postpartum in Indonesia. Methods We conducted a rapid cross-sectional online survey of women across all 34 provinces in Indonesia to capture participants’ experiences. Data were collected between 10th July to 9th August 2020 including demographics, effects on general and mental health and impact on service use. Descriptive statistics and thematic analysis were used to analyse responses, including those women who self-identified with a pre-existing mental health problem. Results Responses were obtained from 1137 women, this included pregnant women (n = 842) and postpartum women (n = 295). The majority of women (97%) had accessed antenatal care during their pregnancy, but 84% of women reporting feeling fearful and anxious about attending visits, resulting in some women not attending or changing provider. A small number (13%) were denied the presence of a birth companion, with 28% of women reporting that their babies had been removed at birth due to protocols or baby’s health. Feeling anxious was a common experience among women (62%) during their pregnancy, birth or postnatal period, with a small number (9%) feeling depressed. Lockdown measures led to tensions within personal and family relationships. Conclusions Women in Indonesia reported that the pandemic added an increased burden in pregnancy, birth and post-partum period: physically, psychologically, spiritually and financially. Maternity services were disrupted and health insurance cover lacked responsiveness, which either directly or indire
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