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Patients usually come to see me for a variety of reasons, the most common being hot flushes and sweats,” she says. “For some women, this completely disrupts their days and nights. Others come in because they don’t like the side effects they’re experiencing on conventional HRT, the most common being weight gain and breast tenderness. Then there are those who are going through some kind of ‘ageing panic’, and start considering HRT to stop wrinkles!” She also sees women with endometriosis, infertility problems and polycystic ovary syndrome.

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