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I qualified from Guy's Hospital Medical School (University of London). After foundation years in London and Yorkshire, I initially worked in North Derbyshire as a GP, passing the Membership of the Royal College of GP's exam. Training and working as a GP gave me a thorough appreciation of the importance of 'holistic' care and health promotion across the life stages.
I pursued my interests by training in Community Contraception, Sexual and Reproductive Healthcare and became a Diplomate of the Royal College of Obstetricians and Gynaecologists, and a Fellow of the Faculty of Sexual and Reproductive Healthcare of the Royal College of Obstetricians and Gynaecologists. Much of my current NHS work involves training the next generation of clinicians, which I thoroughly enjoy.
Throughout my career, women have sought evidence-based advice and support with all aspects of our significant midlife 'change': the menopause. Although a natural stage, it has until recently been a taboo subject to discuss and struggle with. I have over 20 years' experience of working in menopause clinics as a British Menopause Society (BMS) Recognised Menopause Expert, having attained their highest level of certification, the Advanced Certificate in the Principles and Practice of Menopause Care.
Throughout that time, I have helped women through the menopause in the context of many other health problems, including but not exclusively:
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ADHD
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Anxiety
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Bone health
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Breast, uterine, ovarian cancer (history & family history)
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Diabetes
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Early menopause
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Endometriosis
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Genitourinary syndrome of the menopause
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Heart disease and high blood pressure
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Loss of libido (sexual desire)
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Mental health
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Migraines
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Perimenopause
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Premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD)
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Premature Ovarian Insufficiency (POI)
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Progesterone Intolerance
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Sexual difficulties
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Surgical menopause
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Testosterone replacement
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Thyroid problems
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Vaginal Atrophy
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Venous thrombosis (history and family history)
People also attend Sexual Health Services seeking advice and treatment for sexual difficulties. I have been a College of Sexual and Relationship Therapists (CoSRT) accredited therapist for 18 years, also attained the Diploma of the Institute of Psychosexual Medicine and worked in Sheffield's Sexual Medicine service between 2012 and 2017.
When Sheffield's Sexual Medicine service was decommissioned in 2017 and North Derbyshire's Community Menopause and Sexual Medicine services were decommissioned in 2018, I set up 'Peak MPST' so I could continue to share my expertise.
Publications:
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Smith A, Ridley NA. Evaluation of a community menopause service using patient stories. In: Free communication and poster presentations from the British Menopause Society 23rd Annual Conference. Menopause International 2013. 19(3) 107–114
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Reuter S, Smith A. Implanon: user views in the first year across three family planning services in the Trent Region, UK. European Journal of Contraception and Reproductive Health Care 2003; 8: 27-36.
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Smith A, Reuter S. An assessment of the use of Implanon in three community services, Journal of Family Planning and Reproductive Health Care (JFPRHC) 2002:28 (4):193-196.
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Smith A. Conference report: Staff awareness, acceptance and compliance with locally developed guidelines within a community contraception and sexual health service, JFPRHC 2002: 28 (1): 39-40 (Schering Prize for best poster).
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Smith A. Young people’s contraception and sexual health: report of a local needs assessment in Staveley, North Derbyshire, JFPRHC 2001:27 (1): 29-32.
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Smith A. Personal view: My MFFP dissertation, JFPRHC 2000:26 (4): 231-232.
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