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Mid-Life MoT — Why Women Need a Mid-Life Health Check

As women reach mid-life, natural hormonal changes — especially the decline in oestrogen during perimenopause and menopause — affect many parts of life: mood, sleep, metabolism, bone and muscle health, pelvic floor function, digestion and long-term cardiovascular/metabolic risk. A dedicated Mid-Life MoT is a focused, proactive health review that helps you understand what’s changing, spot early warning signs, and build a personalised plan so you can feel stronger, healthier and more confident.

Why a Mid-Life MoT matters
  • Manage hormonal changes
    Falling oestrogen can cause hot flushes, mood changes, disrupted sleep and skin changes. A MoT identifies how symptoms are affecting you and whether hormone replacement therapy (HRT) or other strategies may help.
  • Support metabolic health
    Hormone shifts often slow metabolism and change body composition. Tailored nutrition and lifestyle advice helps protect weight, energy and metabolic markers.
  • Preserve muscle & bone strength
    Oestrogen helps maintain bone density and muscle. Early assessment of osteoporosis risk and strength-building plans reduce fracture and sarcopenia risk.
  • Address pelvic floor concerns
    Mid-life changes can weaken the pelvic floor, increasing urinary leakage or prolapse risk. Early assessment enables effective conservative treatment (exercises, physio).
  • Improve digestive and postural health
    Manual therapy and screening can identify treatable causes of bloating, scar-related restrictions, GERD/reflux and postural issues that affect daily comfort and movement.
  • Prevent chronic disease
    This life stage can raise risk for heart disease and diabetes. The MoT screens for risk factors and creates prevention strategies.

  
Overall, the Mid-Life MoT empowers women to understand their bodies, choose appropriate treatments, and optimise health for the decades ahead.

What’s included
  • Hormonal health assessment & HRT advice — review of symptoms, risks and options; evidence-based guidance tailored to you.
  • Osteoporosis risk assessment — bone health screening and advice for prevention.
  • Nutritional & lifestyle advice — practical guidance for energy, weight management and metabolic health.
  • Pelvic floor examination — assessment and exercise prescription or referral if needed.
  • Manual therapy — hands-on treatment for bloating, scar tissue, GERD/reflux and related soft-tissue restrictions.
  • Postural & movement screening — identify postural drivers of pain or dysfunction and corrective strategies.
  • Personalised exercise programme — strength, balance and mobility plan tailored to your goals and any limitations.
  
About Tracey Gjertsen

Tracey holds the British Menopause Society Certificate in the Management of Menopause and is highly qualified to offer expert guidance on HRT, nutrition and lifestyle for mid-life women. With over 40 years’ experience working across every life stage, Tracey blends clinical expertise, empathy and lived experience — she is actively navigating her own journey into older age, which informs a warm, practical approach to care.

Who will benefit most?
  • Women in perimenopause or post-menopause experiencing new symptoms
  • Anyone wanting to protect bone, muscle and metabolic health proactively
  • Women with pelvic floor, digestive or postural complaints seeking targeted treatment
  • Those considering HRT and wanting an expert, personalised discussion
  
FAQs

How long does the MoT take?
Initial assessment typically includes a consultation and physical checks usually lasting about 90 minutes.

Will I be prescribed HRT?
HRT is an option discussed only if appropriate and desired. The MoT provides personalised, evidence-based advice so you can make an informed choice.

Is the pelvic floor exam invasive?
Pelvic floor assessment is explained fully beforehand; consent and your comfort are prioritised. Non-internal assessments and conservative options are always available.

Do you offer follow-ups?
Yes — ongoing support, therapy sessions and exercise programme reviews are available to help you implement and sustain changes.

Ready to book?

Book your Mid-Life MoT to take control of this life stage with confidence.

Book your appointment online today.

5/5

“Through Pilates, Tracey has helped me to improve my strength and flexibility. She is an exceptional professional who takes time to understand my injury issues and provides me with the information to manage them effectively. Tracey has a great sense of humour which makes the class fly by and I couldn’t trust my body with anyone else!”

Mrs Thomas, Lincolnshire

5/5

“Tracey is very professional, expert and caring in all aspects of her work. She strikes the optimum balance between providing challenge, and being respectful and responsive to the individual nature of each client or student.”

Miss CS, Lincolnshire

5/5

“Imagine that you are standing in a sports shop and you are looking at all of the beautiful colours of running shorts and leggings. Then think about the feeling of knowing that you are not able to buy anything other than the black ones , because they are the ones that can hide those embarrassing moments that happen when you are out running and you have the audacity to try and run a little bit faster than a snail or have to run uphill or on some uneven ground…!

Everywhere you look there are adverts for products that will hide the problem but won’t really solve it. Luckily I was attending a group Pilates session with Tracey and happened to notice that she had a 6 week pelvic health course running straight after my normal session. With a bit of trepidation, I booked on, wondering what on earth I was letting myself in for….. I needn’t have worried, this went well beyond the “squeeze and hold” technique that we are all told about, which is great when you struggle to squeeze in the right place and the hold phase is a bit short and very temporary! I learnt a bit of extra biology that I didn’t know before and this really helped. The exercises were surprisingly varied but incredibly beneficial, and in just 6 weeks, my pelvic floor felt stronger than it had in years. Most importantly, I had the tools and the knowledge to carry on well beyond the course, and I continue to practice every day … Now if you will excuse me I have some pink patterned running leggings to buy…”

A Happy Runner

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