When the weather warms up, most of us expect to feel a little hotter than usual. We may reach for a cold drink, spend more time in the shade, or look forward to long summer evenings. However, if you’re going through perimenopause or menopause, you may notice that hot weather affects you a little differently.

Many women find that their hot flushes feel more intense during the summer months, while others notice they’re not sleeping as well, or experiencing more palpitations than usual. If you’re using Hormone Replacement Therapy (HRT), you may even wonder whether the heat affects how well your patches work.

While everyone’s experience is different, understanding how heat and hormones interact can help you manage your symptoms and enjoy the summer a little more comfortably.

Why hormonal symptoms can feel worse in hot weather

During perimenopause and menopause, your body’s ability to regulate temperature becomes more sensitive. As oestrogen levels fluctuate and gradually decline, the brain can become more reactive to even small changes in body temperature. That’s one of the reasons hot flushes happen in the first place.

When the temperature outside rises, it’s easy to see how those symptoms can become more noticeable. You may find you’re experiencing more frequent hot flushes, heavier night sweats, or feeling generally warmer than those around you. Sleep can also become more disrupted, particularly if your bedroom stays warm overnight.

Heat can affect more than just your temperature. Sweating more heavily increases your risk of becoming dehydrated, which may leave you feeling tired, dizzy, or prone to headaches. Some women also notice their heart racing or becoming more aware of their heartbeat during hot weather. It’s always worth seeking medical advice if heart palpitations are accompanied by symptoms such as chest pain, dizziness, or breathlessness.

The reassuring news is that these changes are often temporary and improve as the weather cools.

HRT patches effectiveness in the heat

If you use HRT patches, you may wonder whether sweating or spending more time outdoors affects how well they work.

In most cases, HRT patches are designed to stay in place during everyday activities, including showering and normal levels of sweating. However, during periods of very hot weather, excessive sweating can occasionally affect how well a patch adheres to the skin. If a patch begins to peel away, it may not deliver your medication as effectively.

Reassuringly, this has been looked at in clinical research. A study published in the journal Clinical Pharmacology in Drug Development tracked women wearing transdermal patches through activities including saunas, swimming, and exercise, and found that hormone delivery remained consistent with normal daily use, with only a small number of patches lifting during vigorous activity. In other words, everyday heat and sweat are unlikely to stop your patch working, though extreme heat sources like saunas and hot tubs are worth being a little more mindful of.

Applying your patch to clean, dry skin and rotating the application site as recommended can help improve adhesion.

Simple ways to help your hormones through the heat

A few small adjustments to your daily routine can make hot weather easier to manage:

  • Stay ahead of dehydration. Sip water regularly throughout the day rather than waiting until you feel thirsty, and go easy on alcohol and caffeine, as both can make hot flushes and dehydration more noticeable.
  • Be thoughtful with sun exposure. Seek shade during the hottest part of the day, generally 11am to 3pm.
  • Protect your sleep. A cool, dark bedroom, breathable bedding, and a consistent bedtime routine can all help offset the disruption that warm nights bring.
  • Dress for the temperature. Loose, breathable natural fabrics such as cotton or linen help your body regulate heat more easily than synthetic materials.
  • Build in moments to unwind. Gentle movement or a few minutes of quiet time can help keep cortisol, and the symptoms it can influence, more settled.

The NHS offers this practical guidance on staying well in hot weather – https://www.nhs.uk/live-well/seasonal-health/heatwave-how-to-cope-in-hot-weather/

Book a menopause review

If you’re finding that hot flushes, poor sleep, or palpitations are becoming more frequent, it’s also worth looking at the bigger picture. Sometimes symptoms are simply related to the weather, but occasionally they may suggest your hormone levels or treatment need reviewing.

At EssexPrivateGP, our menopause consultations are designed to give you the time to talk through your symptoms in detail. We’ll discuss how you’re feeling, review your current treatment if you’re taking HRT, and help you decide whether any changes could improve your quality of life.

Book a menopause consultation for personalised advice, treatment reviews, and practical support to help you feel more comfortable throughout the summer.

Holidays are something many of us look forward to all year. Whether you’re heading abroad for some sunshine or planning a staycation closer to home, a change of scenery should be a chance to relax and unwind. If you live with irritable bowel syndrome (IBS), though, travelling can sometimes bring a few challenges.

Changes to your routine, different foods, long journeys, and even the excitement of going away, can all affect your digestive system. For women going through perimenopause or menopause, hormonal changes may make symptoms such as bloating and abdominal discomfort feel even more noticeable.

If you’re worried about traveling with IBS, below we’ll explore why problems can occur and how you can prevent or manage them.

Why travel can trigger IBS symptoms

IBS affects everyone differently, but many people find that changes to their normal routine can upset the balance of their digestive system. Travelling often means eating at different times, trying unfamiliar foods, spending long periods sitting down, or coping with the stress of airports and delayed journeys. Even positive excitement can have an impact on the gut.

You may notice symptoms such as bloating, abdominal pain, diarrhoea or constipation becoming more frequent while you’re away. Dehydration, which is more common during hot weather or long flights, can also make bowel symptoms worse.

For women going through perimenopause or menopause, IBS symptoms often worsen. Many women find (and research has shown) that hormone therapy (HRT) can positively impact your gut microbiome, which in turn may help improve symptoms. If you would like to discuss your options, or if you’d like a treatment review, our team of menopause specialists are here to help guide you.

Preparing ahead of your trip

A little preparation before you travel can often make a big difference once your holiday begins. If you know certain foods trigger your symptoms, it may help to plan ahead by checking restaurant menus online in advance, or packing suitable snacks for longer trips.

There is a Flush Toilet Finder App, which can help with finding local public toilets if needed.

Staying hydrated is equally important, particularly if you’re travelling somewhere warm. Drinking bottled water regularly throughout the day and sticking to your usual diet as much as possible, especially when it comes to caffeine and alcohol-consumption, can help support normal digestion.

Guts UK offers useful guidance on IBS dietary management here – https://gutscharity.org.uk/advice-and-information/conditions/irritable-bowel-syndrome/.

If you’re taking medication for IBS, make sure you have enough for your entire trip, along with a little extra in case of unexpected delays. Also, packing some diarrhoea relief medication, paracetamol and anti-reflux medication can be reassuring, even if you don’t end up needing it. Allow yourself time to adjust and to relax, rather than trying to fit too much into the first few days.

If IBS is affecting your confidence when travelling, or you’ve noticed symptoms that are new, or have changed or worsened, EssexPrivateGP is here to help. Book a consultation today and receive personalised advice to help you feel more comfortable.

Most of us have found a lump or noticed an ache at some point, which has settled on its own. Every so often, though, a lump or persistent pain may need a closer look.

Sarcoma is a rare type of cancer, which means many people have never heard of it until it affects someone they know. That lack of awareness can make it harder to recognise the symptoms, and unfortunately it can also delay diagnosis.

A recent report from Sarcoma UK found that one in three people with sarcoma still waits more than six months for a diagnosis, even after seeking medical advice. While most lumps will not turn out to be cancer, it’s important to know what to look out for and when it’s worth arranging an assessment.

What is sarcoma?

Sarcoma is a type of cancer that develops in the body’s connective tissues. Rather than starting in organs such as the lungs or bowel, it develops in tissues including muscle, fat, nerves, blood vessels, tendons, or bone.

There are two main types. Soft tissue sarcoma is the most common and can develop almost anywhere in the body. Bone sarcoma begins within the bone itself and, although much rarer, can affect both children and adults.

As sarcomas can develop in different parts of the body, the symptoms aren’t always the same. That’s one of the reasons sarcomas can sometimes be mistaken for a sports injury, a pulled muscle, or another non-cancerous condition.

Most people who notice a lump won’t have sarcoma. However, if something is new, changing, or doesn’t seem to be improving, it’s always sensible to have it assessed.

Knowing which symptoms to get assessed

One of the most common signs of a soft tissue sarcoma is a lump that gradually gets bigger over time. It may not hurt at all, which is one reason people often leave it for weeks or even months before seeking advice. As a general guide, a lump that continues to grow, feels firm, or measures around 5cm or more, should always be assessed by a professional.

Bone sarcomas can present a little differently. You may notice persistent pain in a bone that doesn’t improve, swelling around a joint, or discomfort that’s worse at night or when you’re resting. Occasionally, the affected bone becomes weaker, making it more likely to fracture after what would normally be a minor injury.

Depending on where a sarcoma develops, there can be other symptoms too. For example, a tumour in the abdomen may cause ongoing discomfort, swelling, or changes in bowel habits. These symptoms are much more likely to have another explanation, but if they persist or continue to change, they’re worth discussing with your GP.

If you or someone close to you is diagnosed with sarcoma, it’s important to remember that you’re not alone. Sarcoma UK offers an excellent Support Line (here – https://sarcoma.org.uk/support/sarcoma-uk-support-line/), along with local and online support groups, providing practical advice, information, and emotional support for patients and their families.

If you’ve noticed a lump that’s growing, persistent pain that isn’t improving, or any other unexplained symptoms, don’t ignore them. Book an appointment with EssexPrivateGP for a thorough assessment and, where appropriate, rapid access to scans and specialist investigations.

Acting early can provide reassurance and, if further treatment is needed, help ensure it starts as soon as possible.

Alcohol Awareness Week (6–12 July) is a good opportunity to think about how alcohol affects our health. Most of us know that drinking too much can be harmful over time, but many women are surprised to learn that alcohol can also have an impact on hormones, sleep, and the way they experience perimenopause and menopause.

That doesn’t mean you need to stop drinking altogether. For many women, it’s simply about understanding how alcohol affects the body and recognising when it could be making certain symptoms feel worse than they need to.

At EssexPrivateGP, we often speak to women who have noticed that they’re not sleeping well, feeling more anxious, or struggling with more frequent hot flushes than they used to. According to a 2024 UK survey by Newson Health, one in three women report drinking more alcohol during perimenopause or menopause, with almost a third saying they drink specifically to try to ease their symptoms. However, alcohol can sometimes make those symptoms more noticeable.

How alcohol can affect hormones

During perimenopause and menopause, hormone levels naturally begin to change. As oestrogen and progesterone fluctuate and gradually decline, it’s common to experience symptoms such as hot flushes, night sweats, mood changes, and irregular periods.

Alcohol can add to these changes. It can influence oestrogen levels and the way the body processes hormones, which means some women find their menopausal symptoms become more noticeable after drinking. You may notice that a hot flush feels more intense after a glass of wine, or that you wake feeling more anxious or irritable the following morning.

While some women notice very little difference, others find that even a small amount of alcohol seems to trigger symptoms they hadn’t experienced before. That’s why it’s worth paying attention to how your own body responds rather than assuming every experience will be the same.

There’s also a physical, longer-term picture worth knowing about. Research published in the British Journal of Cancer has examined how alcohol consumption relates to oestrogen metabolite levels in postmenopausal women. This is part of a wider body of evidence showing a dose-related relationship between alcohol and breast cancer risk that starts even at modest intake levels. It’s a good reminder that alcohol’s effects on hormones can matter for longer-term health too.

Small changes that can help

If you’d like to explore whether cutting back could ease your symptoms, you don’t need a dramatic overhaul – for most women, it’s about small, sustainable adjustments rather than an all-or-nothing approach. A few simple habits can make a noticeable difference:

  • Build in alcohol-free days each week rather than drinking a little every day
  • Track your units – Drinkaware’s unit calculator makes this easy, and many women are surprised by the total
  • Notice your triggers – stress, poor sleep, and social occasions are common ones, so having a plan (or a go-to alternative drink) can help

Many women also notice better sleep after lowering their alcohol intake for a few weeks. They often notice they’re sleeping more deeply, waking with more energy, and feeling better able to cope with the day ahead.

If you’re finding it hard to cut down, or alcohol feels like it’s become harder to control than you’d like, NHS provides this support information – https://www.nhs.uk/live-well/alcohol-advice/alcohol-support/ including the National Drinkline number (0300 123 1110), and it’s something you can also raise with us in confidence.

Support with menopause symptoms

If you’ve noticed that your sleep has changed, your hot flushes seem worse, or your energy levels aren’t what they used to be, alcohol may be partially to blame. Hormonal changes, stress, thyroid problems, and other medical conditions can also cause similar symptoms.

To discover the cause of your symptoms we offer menopause consultations. We’ll talk through your symptoms, lifestyle, medical history, and any concerns you have before discussing the most appropriate next steps. Book a menopause consultation at the EssexPrivateGP to receive personalised advice and support.

Every June, Men’s Health Week arrives with a simple but powerful message: men’s health matters, and it deserves attention.

According to the Men’s Health Forum, 12.5% of men in the UK are suffering from one of the common mental health disorders, and yet many go undiagnosed and unsupported.

For many men, the classic response to feeling run-down, low in mood, or constantly fatigued is to push through – putting it down to a busy life, a bad patch, or simply getting older. But what if those symptoms are telling you something more specific?

The silent symptom problem

In a survey of over 1,000 employed men conducted by Opinion Leader for the Men’s Health Forum, 34% agreed or strongly agreed that they were constantly feeling stressed or under pressure.

Stress is real, and it takes a genuine toll. But stress doesn’t always tell the whole story. For a significant number of men, the tiredness, flat mood and reduced drive they put down to everyday pressure may have a physiological cause that can be identified and addressed.

When it’s more than stress

Low testosterone is more common than most men realise. Testosterone levels fall with age and may lead to loss of muscle tone, increased weight, and risk of heart disease and diabetes, with links to sluggishness, loss of libido and low mood. The Men’s Health Forum’s Testosterone FAQs offers a useful starting point for men wanting to understand more.

What’s striking is just how many men are experiencing symptoms without ever receiving a diagnosis. A UK-based study using community data found that nearly half of male respondents reported a symptom profile suggestive of testosterone deficiency, yet only 5% had received a formal diagnosis. That’s an enormous gap between what men are experiencing and what is being identified and treated.

Thyroid function is another piece of the puzzle that frequently goes unexamined in men. An underactive or overactive thyroid can produce symptoms including fatigue, mood changes, weight fluctuation, and cognitive fog – mirroring both depression and the effects of chronic stress.

Similarly, metabolic issues such as insulin resistance can drain energy, affect concentration, and contribute to persistent low mood, often quietly and gradually.

Our men’s health assessments can provide answers

The theme running through Men’s Health Week is that men deserve the same access to answers that everyone else does. Fatigue, irritability, low libido, and difficulty concentrating may be the body’s way of signalling that something needs attention.

At EssexPrivateGP, we offer tailored men’s health assessments including a comprehensive physical examination and discussion about your medical history. This can lead to blood testing including PSA screening, lipid profile testing (for cholesterol), thyroid profile, and checking HbA1C (glucose/sugar) levels. We’ll also carry out any other tests as indicated by the examination.

If you’ve been putting off that check-up or have questions about your health, book a confidential appointment with EssexprivateGP today.

Earlier this year, a condition affecting 1 in 8 women worldwide got a new name, and it’s one that finally reflects the reality of living with it. Polyendocrine Metabolic Ovarian Syndrome, or PMOS, replaces the term Polycystic Ovary Syndrome (PCOS) following a 14-year global collaboration between clinicians, researchers and thousands of women with lived experience.

If you’ve been navigating unexplained symptoms, such as irregular periods, persistent fatigue, low mood, weight changes or unwanted hair growth, this change matters for you.

Why was PCOS renamed to PMOS?

The old name did women a disservice. For too long, the name reduced a complex, long-term hormonal disorder to a misunderstanding about ‘cysts’ and a focus on ovaries – contributing to missed diagnoses and inadequate treatment. In reality, many women with the condition don’t have ovarian cysts at all. The new name shifts attention to the hormonal and metabolic complexity at the heart of the condition.

PMOS is characterised by fluctuations in hormones, with impacts on weight, metabolic and mental health, skin, and the reproductive system. This broader framing validates what so many women have experienced: a condition that touches every aspect of their health, often for years before diagnosis.

The symptoms of PMOS

PMOS presents differently in each person, which is part of what makes it so difficult to pin down. Symptoms usually start in adolescence, although some women do not develop them until later in life, and many do not recognise early symptoms as part of an underlying condition.

Common signs include irregular or absent periods, difficulty conceiving, unexplained weight changes, acne, excess facial or body hair (hirsutism), fatigue and low mood. The condition carries long-term health implications, with those affected at increased risk of developing type 2 diabetes, heart disease and endometrial cancer.

Not just a reproductive condition

One of the most significant shifts the new name brings is an acknowledgement that PMOS is not primarily a fertility problem. It is a systemic hormonal and metabolic condition. The mental health burden alone is considerable — anxiety, depression and disordered eating are all significantly more prevalent in women with PMOS than in the general population.

This sits alongside the broader conversation about women’s hormonal health that we began in our blog on endometriosis. Just as endometriosis is frequently dismissed or delayed in diagnosis, PMOS has long suffered from the same systemic blind spots. Both conditions remind us that women’s hormonal health deserves to be taken seriously, investigated thoroughly, and treated with care.

Support and resources

Verity, the UK’s leading PMOS charity, offers evidence-based information, community support and guidance on managing the condition. There’s a dedicated PMOS name change resource page.

The full announcement from the Endocrine Society, including details of the international research process behind the renaming, can be read here.

At EssexPrivateGP, we support women with their hormonal health and offer tailored assessments for women experiencing symptoms that may point to PMOS or other hormonal conditions.

If you’ve been putting off that conversation or feel your symptoms haven’t been properly explored, book a confidential appointment with EssexPrivateGP today.

When life is busy with balancing work, family, and everything in between, it’s easy for your own health to slip down the priority list – and easy to assume that how you’re feeling is ‘just stress’ or ‘just getting older.’ Preventative health screenings are about taking a small amount of time now to reduce uncertainty later, and to catch potential issues early, when they are most treatable.

Here we’ll look at what to expect from a preventative health screening for women, and why they are so important.

Why preventative screening matters in midlife

The NHS provides excellent screening programmes, but they don’t cover every stage of a woman’s life in detail. For example, breast screening in the NHS typically starts from age 50, and while this is effective for population-level prevention, it does leave a gap for women in their 30s and 40s who may still have risk factors or concerns.

Even more significantly, there is no routine NHS screening programme for ovarian cancer, which means many women only come to attention once symptoms become more advanced. According to Target Ovarian Cancer, if diagnosed at the earliest stage, around 9 in 10 women will survive, but unfortunately two thirds are diagnosed late, when treatment is more complex and outcomes are less favourable.

Symptoms of ovarian or breast conditions can often be subtle or easily attributed to stress, hormonal changes, or digestive issues. For more information on ovarian cancer symptoms and risk, Target Ovarian Cancer offers clear and reliable patient guidance (here).

The conditions most likely to be missed in women

Heart disease is widely perceived as a male problem, but it is actually the leading cause of death in women in the UK. Research found that women have a 50% higher chance than men of receiving the wrong initial diagnosis following a heart attack, partly because women often experience different symptoms – nausea, jaw pain, fatigue or back pain rather than the classic chest pressure that doctors are trained to recognise. Around 100 women are admitted to hospital with a heart attack every day in the UK. Knowing your blood pressure, cholesterol, and blood sugar levels is one of the most effective ways to understand your personal risk before symptoms ever appear.

Thyroid dysfunction is another condition that is frequently overlooked in midlife women. Symptoms including fatigue, weight changes, mood shifts, and poor sleep so closely mirror those of perimenopause. Studies suggest that around 1 in 8 women will experience a thyroid condition at some point in their lives, and prevalence increases significantly during the perimenopause. A simple blood test can distinguish between the two, yet many women go undiagnosed for years.

These are conditions that affect large numbers of women in midlife, often quietly and without dramatic warning signs, which is exactly why a structured health check makes such a difference.

What a women’s health check includes

At EssexPrivateGP, our women’s health screening is designed to look at the bigger picture. It begins with a detailed conversation about your family history, lifestyle, and any symptoms or concerns you may have, because context matters just as much as test results.

From there, we carry out a physical examination, which can include a breast check to assess for any changes such as lumps, skin texture differences, or nipple changes. While most breast changes are benign, early assessment is key. Symptoms such as new lumps, changes in shape or size, skin dimpling, or nipple discharge, should always be checked promptly rather than monitored at home.

We also measure blood pressure and perform blood testing, which can include markers for diabetes, cholesterol, and thyroid function. These tests help build a clear picture of your cardiovascular and metabolic health, areas that can change significantly during perimenopause and menopause.

In addition, we can include an ovarian cancer blood test (CA125), which may be used alongside other assessments where appropriate. While CA125 is not a standalone diagnostic tool, it can provide useful information when interpreted in context with symptoms and clinical findings.

Taking a proactive approach to your health

Preventative screening ensures you give yourself the same level of care you give to everyone else in your life. Many women tell us that once they’ve had a comprehensive health check, they feel more confident making decisions about their lifestyle, future planning, and overall wellbeing.

At EssexPrivateGP, we take time to listen, explain results clearly, and support you in understanding what your body is telling you – including whether symptoms that feel like ‘just menopause’ may warrant further investigation.

If you want a clearer picture of your health, book a women’s health check to explore your options today.

Skin changes are a natural part of getting older, but during midlife, particularly around perimenopause and menopause, those changes can become more noticeable.

You may find your skin is suddenly drier, more sensitive, or developing patches of pigmentation that weren’t there before. While many of these shifts are linked to hormonal changes, it’s still important to know what’s normal and when it is worth getting things checked.

With May being Skin Cancer Awareness Month, highlighting the importance of early detection, now is a good time to take a closer look at your skin.

Why the skin changes during midlife

As oestrogen levels decline during perimenopause and menopause, the skin’s structure and function begin to shift. Oestrogen helps maintain collagen, hydration, and elasticity, so when levels drop, skin can become thinner, drier, and less resilient.

You may notice increased dryness or itching, even if your skin has always been relatively balanced. Fine lines can become more pronounced, and wounds may take longer to heal. This slower healing is partly due to reduced collagen production and changes in blood flow to the skin.

Research published in the Journal of Cosmetic Dermatology (2025) confirms that oestrogen deficiency during menopause leads to measurable reductions in collagen, elasticity and skin hydration – and that HRT can help support collagen synthesis and skin quality for some women.

Skin conditions like melasma, which causes darker patches of skin, often on the face, can become more noticeable during hormonal transitions. The British Skin Foundation reveals these changes can be particularly visible in women of colour and may be influenced by both hormones and sun exposure. The British Skin Foundation notes that sun cream containing iron oxides can provide added protection against visible light, which may be particularly relevant for those managing melasma.

Skin changes that need closer attention

Most midlife skin changes are benign, but it’s important to stay aware of anything new, changing, or unusual. A mole that changes shape, size, or colour should always be assessed. The same goes for any lesion that bleeds, crusts, or doesn’t heal within a few weeks.

You might also notice rough patches, new growths, or areas of skin that look different from the surrounding tissue. These don’t automatically mean skin cancer, but they do warrant a closer look. Skin cancer is one of the most common cancers in the UK, and early detection makes treatment far more straightforward.

Pigmentation changes linked to hormones tend to appear gradually and symmetrically, often across the cheeks, forehead, or upper lip. In contrast, irregular or rapidly changing pigmentation should be reviewed to rule out more serious conditions.

Assessments for skin concerns

At EssexPrivateGP, we offer dedicated appointments to examine moles, pigmentation, and other skin concerns in a calm, relaxed setting. We’ll look closely at any areas of concern, discuss your medical history and risk factors, and advise whether monitoring, personalised treatment, or referral to a specialist is needed.

These assessments are particularly useful during midlife, when multiple changes may be happening at once. Having an expert view helps separate normal hormonal changes from anything that needs further investigation.

Alongside medical checks, there are simple ways to support your skin day to day. Protecting against sun exposure with a high-factor, broad spectrum SPF is especially important when dealing with pigmentation, as UV exposure can worsen conditions like melasma.

If you’d like to learn more about specific skin conditions, the British Skin Foundation offers reliable, patient-friendly information on melasma and a wide range of other conditions. Their guide Navigating melasma: a guide for women of colour and menopausal skin (click here) is particularly useful for anyone experiencing pigmentation changes during hormonal transitions.

If you’ve noticed changes in your skin or would like reassurance, EssexPrivateGP is here to help. Book a skin assessment to check moles, pigmentation, or any areas of concern.

Bowel cancer is a topic nobody likes to talk about, but recent years have thankfully brought greater awareness, thanks in part to Dame Deborah James, known as Bowelbabe. Her openness about her diagnosis and treatment helped millions of people understand the importance of recognising the signs early.

April is also Bowel Cancer Awareness Month, which coincides with Active April, Bowel Cancer UK’s fundraising campaign encouraging people to get moving every day throughout the month.

Almost a third of UK adults (32%) don’t know that regular exercise can reduce the risk of developing bowel cancer, according to a YouGov poll commissioned by the charity.

Knowing the symptoms of bowel cancer, understanding your risk factors, and having access to early detection tools, can make all the difference in spotting potential issues sooner rather than later.

Symptoms to watch out for

Bowel cancer doesn’t always cause obvious symptoms in its early stages, which is why awareness is so important. When symptoms do appear, they can include changes in bowel habits such as diarrhoea, constipation, or a feeling that your bowel hasn’t emptied completely. You may also notice blood in your stool, or darker, tarry stools, which shouldn’t be ignored.

Unexplained abdominal pain, bloating, and cramping can also be signs, as can a persistent urge to go to the toilet that doesn’t go away. Weight loss without trying, fatigue, or a general feeling of being unwell are sometimes overlooked but can indicate that something isn’t quite right.

It’s worth noting that many of these symptoms can also be caused by less serious conditions, such as irritable bowel syndrome, infections, or haemorrhoids. The thing to watch out for is if symptoms are new, persistent, or worsening. Bowel Cancer UK has this helpful information here > https://www.bowelcanceruk.org.uk/about-bowel-cancer/symptoms/

The importance of early diagnosis

Bowel cancer is treatable and curable, especially if diagnosed early.

Screening programmes in the UK, including NHS bowel screening for those aged 50-74, have helped identify cases earlier. However, although bowel cancer is more common in the over-50s, it can affect people of all ages. In fact, more than 2,600 people under 50 in the UK are diagnosed every year.</p>

This is where private testing can complement standard screening. The qFIT test offered at EssexPrivateGP, is a simple, non-invasive stool test that can d

etect traces of blood, which may indicate early changes in the bowel. It’s quick, convenient, and provides valuable insight that can guide the next steps, whether that’s monitoring, further investigation, or referral to a specialist.

By acting on symptoms early and using available tools like qFIT, you can take a proactive approach to your health. Remember, catching bowel cancer early often means more treatment options and a much higher chance of successful outcomes.

Exercise and bowel cancer risk

Staying physically active – by taking part in at least 150 minutes of moderate intensity exercise such as fast walking, cycling, or swimming each week – can lower the risk of bowel cancer by around 20%.

Yet despite this, only around six in ten adults are currently reaching this target. Many people are missing out on one of the most straightforward ways to reduce their risk.

This is precisely the kind of awareness Bowel Cancer UK’s Active April campaign is trying to build. Whether it’s a daily walk, a bike ride, or a dance class, building regular movement into your routine is one of the most positive steps you can take for your bowel health. You can find out more and sign up to Active April here > https://www.bowelcanceruk.org.uk/support-us/fundraise/active-april/

Alongside exercise, a diet rich in fibre, limiting processed and red meat, not smoking, and keeping alcohol intake within recommended limits are all steps worth considering. Bowel Cancer UK has a helpful overview of risk factors and how to reduce them on their website here > https://www.bowelcanceruk.org.uk/about-bowel-cancer/risk-factors/reducing-your-risk/

Support with symptom concerns

Dame Deborah James’ work and advocacy have had a profound impact on bowel cancer awareness. Her story also reinforces the importance of listening to your body and seeking early medical advice. Even if symptoms seem minor or intermittent, getting them checked can make a real difference.

If you’ve noticed changes in your bowel habits, unexplained abdominal discomfort, blood in your stool, or persistent fatigue, please don’t hesitate to get in touch with our friendly team. We’re here to listen, discuss your symptoms, and guide you toward the support and information you need.

April is Stress Awareness Month, an event aimed to increase public awareness about the causes, effects and management of stress.

Stress is something most of us live with to some degree. However, when stress becomes constant, it can start to affect the body in unexpected ways.

If you’ve been feeling unusually tired, struggling with your weight, or finding your sleep disrupted, stress may be playing a bigger role than you think.

Stress is closely linked to hormone function, particularly cortisol, the thyroid, and the systems that regulate sleep and metabolism. Once you understand how these pieces fit together, it becomes much easier to see why you’re feeling the way you are.

The cortisol connection

When you’re under stress, your body releases cortisol, often referred to as the stress hormone. In short bursts, it’s helpful, keeping you alert, focused, and ready to respond. The problem arises when cortisol levels stay elevated for long periods.

Chronic stress can keep your body in a constant state of alertness, which over time may disrupt sleep patterns, increase appetite, and make it harder to switch off mentally. You may notice that you feel wired but tired – exhausted, yet unable to fully relax.

Cortisol also influences how your body stores fat. Higher levels are associated with increased abdominal weight, even when diet and exercise haven’t changed significantly.

It’s also worth knowing that chronically elevated cortisol can reduce the production of other key hormones – including progesterone, oestradiol and testosterone – which themselves play an important role in mood, energy, and resilience. This hormonal knock-on effect is one reason why sustained stress can feel so all-encompassing.

Stress, thyroid function and energy

Your thyroid plays a central role in regulating metabolism, energy, and temperature. While stress doesn’t directly cause thyroid disease, it can influence how well your thyroid functions and how your body responds to thyroid hormones.

According to the British Thyroid Foundation, ongoing stress can affect the balance of hormones involved in thyroid regulation, potentially worsening symptoms such as fatigue, low mood, and difficulty concentrating. For some people, this can feel very similar to an underactive thyroid.

You could find yourself feeling sluggish, struggling with brain fog, or noticing subtle weight changes. As these symptoms overlap with other conditions, including burnout and hormonal changes, they’re easy to dismiss or misinterpret.

This is where blood testing can be helpful. Checking thyroid function, along with related markers, can help rule out underlying imbalances that may be contributing to how you’re feeling.

Sleep, perimenopause and overlapping symptoms

Sleep disruption is one of the most common complaints linked to chronic stress. When cortisol remains elevated, it can interfere with your natural sleep-wake cycle, making it harder to fall asleep or stay asleep through the night.

For women in their 40s and early 50s, there’s often another layer to consider: perimenopause. The decline in progesterone can make it harder to manage stress and maintain restful sleep. Falling oestradiol levels affect the brain’s emotional centre, contributing to mood swings, anxiety, and a sense of overwhelm. Meanwhile, testosterone, which helps regulate emotional responses, also begins to decline.

The result is that stress and perimenopause symptoms often look almost identical: disrupted sleep, low mood, brain fog, weight changes, and a general feeling of being unlike yourself.

In reality, it’s often a combination of both – and understanding which is driving your symptoms is key to finding the right support.

Practical steps to support yourself

While professional support is important, there are also small daily steps that can help you manage stress and protect your wellbeing:

  • Breathe deeply – Even two to three minutes of slow, paced breathing (in for a count of four, out for four) can help calm your nervous system. British Heart Foundation has a good breathing exercise page here > https://www.bhf.org.uk/informationsupport/heart-matters-magazine/wellbeing/breathing-exercises
  • Move your body – Choose something you enjoy, whether that’s walking, yoga, or gardening. Regular movement supports mood and helps regulate cortisol.
  • Prioritise sleep – A consistent bedtime, a screen-free wind-down, and avoiding caffeine after 4pm can all make a real difference.
  • Connect with others – Social connection supports mood and helps release feel-good hormones, even when it’s the last thing you feel like doing.
  • Spend time in nature – Even a short walk outdoors can improve mental wellbeing and help break the cycle of tension.

For further guidance and self-help resources, the Stress Management Society offers practical tools and support for managing stress day to day. Visit https://www.stress.org.uk/

Support with stress

At EssexPrivateGP, we offer a range of blood tests that can assess thyroid function, and other markers linked to metabolic and hormonal health. But testing is just the starting point.

For many women, the missing piece isn’t just stress management – it’s hormonal balance. Where appropriate, hormone replacement therapy (HRT) can make a significant difference to mood, sleep, energy, and stress resilience. Our doctors take the time to understand your full picture, including your symptoms, cycle, lifestyle, and history, before recommending the right approach for you.

Whether that’s hormonal support, targeted testing, lifestyle guidance, or a combination of all three, we’re here to help you feel like yourself again.

If you’re feeling out of sync with your energy, sleep, or weight, book a consultation with one of our female doctors to explore what’s really going on, and the options available to you.

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EssexPrivateGP is a trading name of Medical Commercial Ltd, which is registered in England and Wales under company number 06807384. Registered Address: Beckwith Barn Warren Estate, Lordship Road, Writtle, Essex, England, CM1 3WT