Menopause
‘I had a challenging menopause experience, so I built an app to help others like me’

When 43-year-old personal trainer Kate Rowe-Ham noticed her first menopause symptoms, she found the lack of support alarming.
“I felt very lonely. I didn’t know what I needed to do and I didn’t know what I needed to change to make my journey more manageable,” she remembers.
After a lot of research and reflection, she worked out she needed to make some fundamental changes in her life.
“I realised I had to take a more holistic approach. So I started looking to improve the way I was exercising, the way I was eating, the way I was sleeping and the way I was resting.”
As a result, she built Owning Your Menopause, a first-of-its-kind app offering live and on-demand workouts for women going through menopause.
“I wanted to help empower and educate women while providing them with the much-needed information and support they need,” Kate says.
“I realised we need to stop looking for quick fixes. A lot of women think if they start taking HRT they are going to be fine. But in reality, they need a range of lifestyle changes. HRT is there, but things like diet and exercise are fundamental.”
Considering the increased risk of heart disease, osteoporosis and type two diabetes, Kate says it’s even more important to encourage women entering menopause to manage their symptoms holistically.
“I myself have a diagnosis of osteopenia and, for me, HRT is a really important factor in that puzzle, but building my strength, giving up alcohol and making sure I’m nourishing my body are key. Something as simple as lifting weights can be a game changer for your mental health, bone health, muscle health, heart health and brain health.”
But while she’s all about adopting a healthier lifestyle, the tech entrepreneur says she understands the challenges that come with building new habits.
“I think most of us don’t put our lifestyle first because we are at a stage where we cater for everybody else’s needs. We’re managing elderly parents, we’ve got kids during exams, and we always tend to put ourselves last,” she explains.
“When I ask women to give up alcohol or quit sugar, they often get upset and see that as being something that’s been taken away from them. But what I would love them to realise is that it’s not. Give it 30 days and you will feel amazing.
“Change is not going to happen overnight, especially if you are menopausal. But it is possible. Once that happens, you’re flying.”
With her app already available worldwide, Kate’s biggest goal is to change attitudes towards menopause and improve support for women struggling with symptoms.
“My aim is to use the app to make policy changes and support women holistically,” she says.
“It’s all well and good having a menopause policy in place. The key part is supporting women and getting them up and running again.”
News
‘Limited scientific evidence’ for most menopause supplements, expert says

Many menopause supplements contain ingredients with limited evidence for symptom relief, while formulations and prices vary widely, a study has found.
Researchers analysed 201 products sold by nine major UK retailers, comparing their ingredients, doses and monthly costs.
Prices ranged from £1.50 to £95 a month, while no single ingredient or category of ingredient was common across all products.
The study, carried out by University College London, found that 80 per cent of products contained herbs, 77 per cent contained vitamins and 74 per cent contained phytoestrogens, naturally occurring plant compounds found in foods including soy and flaxseed.
Vitamin B6 was the most common vitamin, while red clover and sage were the most frequently identified plant ingredients.
Researchers said more evidence was needed on the effectiveness and safety of supplements marketed for menopause symptoms.
Professor Joyce Harper, senior author of the study and professor of reproductive science at University College London, said: “The menopause supplement market is growing rapidly, despite limited scientific evidence that many of these products improve menopause symptoms.
“Some social media influencers promote these products as effective solutions, despite many claims not being supported by scientific evidence.
“This can contribute to the spread of misinformation and help drive a rapidly growing menopause supplement market, leading some women to spend substantial amounts of money on supplements in the hope of improving their symptoms and overall wellbeing.”
Half of the supplements did not contain vitamin D, while less than 24 per cent contained calcium.
The British Menopause Society and International Menopause Society have highlighted vitamin D and calcium as important for maintaining bone health and preventing osteoporosis after menopause.
Researchers also identified botanical ingredients that may carry risks, including black cohosh.
Poppy Sullivan, first author of the study, said: “Certain botanical ingredients in some menopause supplements may also have risks.
“Black cohosh, in particular, is known to carry a potential risk of liver toxicity.”
The amounts of vitamins and minerals included in different products also varied widely.
Sullivan said: “Some nutrients can have adverse effects when consumed in excess over time.
“For example, excessive vitamin D intake can theoretically lead to high calcium levels, which could cause adverse effects such as vomiting and confusion.”
The study found little empirical evidence supporting the effectiveness of even the most expensive products.
Researchers called for more high-quality research, including clinical trials, to determine whether menopause supplement ingredients are effective and safe.
They said the findings could also help healthcare professionals understand the wide variation in supplement formulations.
The researchers acknowledged that the analysis may not have included every menopause supplement available in the UK.
Menopause
High street bakery chain Gail’s reveals menopause plan

Gail’s has unveiled a menopause action plan offering new workplace support to thousands of staff ahead of legal reforms due in 2027.
The high street bakery chain will offer new benefits including 24/7 digital GP access and a new employee assistance programme, according to The Times.
It will also explore new online training for staff, including specific training for management.
Gail’s people director Miranda Burgum told The Times: “All we’re trying to do is talk freely and for it not to be a forbidden subject. It’s helping our managers and teams understand that this isn’t a taboo.”
“We’re going to develop the education with our managers, so it will be threaded through all our policies
“It will look at induction training, it will look at the types of people we need to make sure that we make reasonable adjustments for.
“And if somebody needs some sort of risk assessment, we’re going to be looking at [that].”
The move comes ahead of reforms due to be introduced in spring 2027 under the Employment Rights Act.
UK employers with 250 or more employees will be legally required to publish and update official menopause action plans.
The plans are intended to support employers to take effective action to improve workplace gender equality and support employees experiencing menopause.
Menopause
Menopause frequently missing from electronic health records – study

Menopause is often absent from women’s electronic health records, a study of nearly 396,000 women has found.
Researchers found menopause appeared almost seven times more often in participant surveys than in electronic health records (EHRs).
The findings suggest important reproductive health information, including age at menopause, may often be missing from health records used for research.
Audrey Hendricks, associate professor of bioinformatics at CU Anschutz and the study’s principal investigator, said: “Ultimately, we cannot study what we do not measure. We cannot treat what we do not know.
“Menopause has enormous implications for women’s health, but if we don’t consistently capture when menopause occurs and other important reproductive health information, we limit our ability to understand how this transition affects disease risk and health outcomes.”
Researchers at the University of Colorado Anschutz analysed data from women taking part in the National Institutes of Health’s All of Us Research Program.
They compared menopause information reported by participants in surveys with menopause diagnoses recorded in their electronic health records.
Around 193,000 menopause observations were identified in survey data, compared with approximately 28,000 diagnoses in EHR data.
Menopause was documented in electronic health records for only about 7 per cent of women in the dataset.
Nearly all participants with a menopause diagnosis recorded in their EHR also reported menopause in survey data. However, substantially fewer women had menopause documented in their health records.
Other important information was also frequently unavailable, including age at menopause, which researchers may use when examining links between menopause and chronic disease risk.
Menopause is a physiological transition that can affect cardiometabolic health and many other aspects of women’s health.
Researchers said relatively little is known about how factors including the timing and type of menopause influence health outcomes across diverse populations.
Large-scale programmes such as All of Us combine participant surveys, electronic health records and genomic data, but menopause-related research depends on relevant reproductive health information being available.
Missing menopause information can make it harder to investigate how the transition relates to health and disease.
The findings may also help researchers using All of Us data define menopause-related study populations, design studies and estimate how many participants are needed.
Hendricks said: “We have an enormous opportunity to use large-scale datasets to understand women’s health across the menopause transition and to identify who may be at greater risk for disease.
“But we need to make sure that the information researchers need is actually being collected.
“We must do a better job of capturing women’s health information, including reproductive health and measures related to menopause.”
Researchers said more complete and consistent collection of menopause and reproductive health information could help future studies examine factors such as age at menopause and their relationship with disease risk and health outcomes.
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