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DianePorterfield-Bourne Menopause Nurse Practitioner


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  • DianePorterfield-Bourne
    Getting this far requires gumption, something you have in spades.
    June 21
  • DianePorterfield-Bourne


    Good afternoon and thank you for your message.

    Is DCS ductal breast cancer? I assume so if you had to stop HRT and had the treatments. Have you been told you definitely can't have HRT? Was it an Oestrogen positive cancer? It might be worth clarifying from your GP or Oncologist.

    Your GP can prescribe other medications that could help the hot flushes.

    There are a few things that you could try. Reducing or stopping any warm/hot drinks, alcohol and spicy foods. Something that I have read into and seems very effective is CBT, cognitive behavioural therapy. Talking through strategies that may help you. Also mindfulness, yoga, relaxation all help de stress us which for many women help reduce flushes. These may help but HRT would be the most effective treatment, so worth discussing further.

    I hope all goes well for you and please keep in touch.

    Best Wishes

    Diane Porterfield Bourne.

    June 14
  • Webby

    Hi, I went through the menopause at 52, I am now 68 and suffer badly with flushes and night sweats. I was on HRT but due to a DCS I had to come off before surgery and radiotherapy. Over the years I have tried herbal relief, tablets which treat depression/flushes, hypnotherapy, acupuncture, etc etc and Absolutely nothing works! Nothing triggers the flushes. Do you have any advice?

    June 13
  • DianePorterfield-Bourne


    Thank you for your question. Many women ask how do I know if I'm in the menopause... it is based on age and symptoms and less so on your periods. If you don't have periods you have no way of guessing!!

    Please make sure your implant is in date and any concerns please discuss with your GP. Your implant will provide Progesterone but not Oestrogen and menopause really is about the lack of Oestrogen.

    If your implant is in date this does not have to be removed. You can make an appointment with your GP and ask about HRT. You will only need Oestrogen replacement as you have the progesterone via the implant. Please have a think about HRT, read information on here @Blanka_C will advice too.

    Please let me know how things go.

    Best Wishes

    Diane Porterfield Bourne.

    June 13
  • DianePorterfield-Bourne


    Thank you for writing into me at Live Better With Menopause. You said that you had a hysterectomy 11 years ago but they left your ovaries and that you are peri menopausal.

    When you have a hysterectomy you are really being put into the menopause. When your ovaries are preserved, on average they only continue to produce Oestrogen for a few years. Peri menopause is the time leading up to the first day of your last period. As you haven't had a period since your hysterectomy you are post menopausal. Your symptoms you are describing are classic symptoms of low Oestrogen. Can I ask why you have only just been started on HRT?

    You have every right to discuss with health practitioners your HRT and dose. What dose are you taking? If you have been taking it for for more than 6 weeks and haven't noticed much improvement I think you have a right to ask if they can increase it.

    Please let me know how you get on. I am sure other ladies are in a similar situation and would love to hear your experiences.

    I hope I have answered your questions and please keep me posted!

    Best Wishes

    Diane Porterfield Bourne.

    June 13
  • Baribar51

    Hi Diane, my bane is Maria. Just wanted to ask you. I had a hysterectomy 2009. Kept my ovaries. I have been told by go I am now in the perimenopause did have hot flushes, low libido, joint pains and anxiety. Went on HRT patches over a month ago, end of April. The lowest dose. No hot flushes, still have low libido, anxiety and joint pains and a lot of weight gain, 2-3 stone. Presently 13 stone and 5 ft 5. Nurse who prescribed wants me to have this dose until end of July (3months). Should I say to nurse and/or gp that I need a higher dose or something else? I look forward to hearing from you.

    June 12
  • DianePorterfield-Bourne
    You received 5 Likes. We like that.
    May 27
  • Heatherjane47


    Im 48. My periods have been erratic for a couple of years.

    Last year I had the contraceptive implant fitted & periods became almost non existent until 3 weeks ago I had a very heavy one.

    Since then I've vewn feeling extremely emotional & anxious.

    How do i know if its menopause?

    Should i have the implant removed so i get a clearer idea on what is going on?

    May 26
  • DianePorterfield-Bourne

    Good afternoon.

    I just wanted to ask how everyone is doing? It's a weird time isn't it. Lock down rules are starting to change but I don't know about you but my emotions have been like a roller coaster the last few months. Not like me at all.....

    Has anyone else felt the same?

    Diane Porterfield Bourne.

    May 21
  • DianePorterfield-Bourne


    Hi Kay,

    Thank you for getting back to me. Unfortunately I have never heard of these products and would never back anything that was not a pharmaceutical product.

    There are many products claiming to help with menopause. Researched does not always mean that clinic trials have been conducted robustly. I only advice on best practice.

    HRT is researched and understood. We have years of research demonstrating the benefits and also risks, as with all prescribed medication. HRT is prescribed to many women all over the world but it really is a personal choice.

    I would suggest you speak to a qualified medical herbal practitioner who can explain herbal medicine before taking herbal supplements that may or may not help you.

    And always ensure your GP knows any herbal supplements you take.

    Good luck.

    Best wishes

    Diane Porterfield Bourne.

    May 19
  • KayLove

    I’m slightly confused, I thought you were a part of the team that works with Femmennesence Who are scientist and medical professionals that created these products using Macca.

    I was directed to reach out to you. 

    I stopped taking the progesterone and I’m waiting for the hormones from the pellet to wear off. In the meantime I’m taking vitamins to help fight off the affects of all the changes my body will go through since I will Not have the pellet procedure done again and will have to rely on my body getting by with the adjustment to the new hormone levels 

    I have spoken with my GP and she goes by how I feel, she doesn’t like to push unnecessary meds or hormones ... she said if I feel better without HRT go with that and we’ll see what type of adjustments need to be made as we go along 

    as for the bleeding and cramps an ultrasound was done and there is a fibroid in my uterus ... she wants to wait it out to see if now that I’m off the progesterone, the cramps and bleeding will subside, before looking into surgery or any other procedures. 

    I was really hoping to find out your recommendation for that particular product Maccapause, you said it has not proven to be effective, yet they state that they’ve done clinical testing and it was proven to be affective, hence the confusion

    May 16
  • DianePorterfield-Bourne
    You received 5 Awesomes. We like that.
    May 11
  • DianePorterfield-Bourne
    Answering questions is a great way to show your support for a community!
    May 9