WELCOME
Dr Radhika Vohra GP with 20+ years experience Based in Surrey
Specialises in:
General Practice, Women’s Health, Menopause, Adolescent Health, Contraception, Coils, and Implants
Qualifications and Accreditations:
MbChB, BMedSci, MRCGP Dist (2005), DFFP FRT, DCH, MCPC
Qualified at University of Birmingham UK, GMC registered, Diplomate of Faculty of Sexual & Reproductive Health, Member of British Menopause Society FIND OUT MORE
Speaker and Educator
Over 15 years experience
Trustee of the Menopause Charity
Click here to visit the Menopause Charity
Mum of two teenagers
Realistic understanding of juggling life!
INTRODUCTION
Providing online access to Primary Care information including women’s health.
Find out more about Dr Radhika Vohra and her work.
Dr Radhika Vohra is an evidence based prescriber, specialising in practising holistic medicine.
Lifestyle Medicine
Her approach is based on individual holistic care for the patient.
Evidence Based Prescriber
An advocate for good medical practice guidelines
Dr Radhika Vohra supports:
- Time with the clinician
- Continuity of care
- Ongoing support and contact with patients.
SOCIAL MEDIA
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Great to see that The Medicines and Healthcare products Regulatory Agency (MHRA), UK’s regulatory body responsible for licensing medicines has approved elinzanetant to treat moderate to severe vasomotor symptoms (hot flushes) caused by menopause. This is a huge step in offering women who undergo breast cancer treatment a choice. BUT, despite MHRA licence, it then needs to go through a separate appraisal process to determine if it will be funded and made available on the NHS.
Elinzanetant’s approval is based on results from the OASIS clinical trials, which involved over 1,400 women aged 40 to 65 across several countries. These studies showed that taking a daily 120 mg tablet of elinzanetant significantly reduced the number and intensity of hot flushes and night sweats over 26 to 52 weeks, compared to a placebo.
MHRA license is about the drug’s fundamental safety, quality, and effectiveness for a given use, allowing it to be marketed in the UK.
NHS appraisal (by NICE, SMC, etc.) is about whether the licensed drug should be funded and used within the public healthcare system, based on its value for money and clinical benefit.
A drug can be MHRA-approved and legally sold in the UK, but still not be routinely available on the NHS if it hasn’t been deemed cost-effective or sufficiently beneficial by the relevant NHS appraisal body.
So although this adds to the #menopause toolbox with new options especially in private sector, but it remains to be appraised by #nhs as a #choice for those in #nhs who cannot take or choose not to take #hrt . I hope the latter happens soon as there is a huge need. This is research and progress in women’s health! Of course we will learn more about it as we get familiar and they get feedback beyond 1 year use.
#menopause #vasomotorsymptoms #choice #breastcancer #newdrug #elinzanetant #neurokinin1antagonist
1 in 3 do not attend for cervical screening! We need more awareness and choices but for now 👇🏼
From July 1st, 2025, cervical screening is changing for many in the UK:
If you’re aged 25-49 and your cervical screening test shows you are negative for HPV, your next routine invitation will now be in 5 years, instead of 3! This is based on strong clinical evidence showing it’s just as safe.
Some of your questions:
* Why the change? We now use a more accurate HPV primary screening test. If you’re HPV negative, your risk of developing cervical cancer in the next 10 years is very low.
* Who is affected? This change applies to those aged 25-49 who attend screening on or after July 1st, 2025, and test HPV negative with no recent HPV history.
* What if I’m HPV positive? If HPV is detected, or if you have a recent history of HPV, you’ll still be invited for more frequent screenings to monitor your health.
* Already had a smear recently? Your next invitation will be based on the interval you were given at your last test. This change isn’t retrospective.
This move brings England in line with Scotland and Wales, and ensures a more personalised, evidence-based approach to cervical screening.
Cervical screening saves lives. Please continue to attend your appointments when invited.
#cervicalscreening #NHS #womenshealth #HPV #smear #smearcampaign #cervicalsmear
Fantastic piece from @muirka about #alcohol in #midlife #women. Ive noticed I don’t tolerate alcohol like I used too and neither does it help my sleep or energy. What about you? I even found some friends offended that I don’t drink like I used to - but now it’s less awkward. Perhaps I’ve become more comfortable with how I feel about it?!
It’s an all too accessible, socially acceptable anchor but it’s just not good for many of us. Not helped by mass marketing towards women.
There has been an overall increase in women’s drinking in the last 50 years and lots of research into this points to loneliness, lack of purpose, sleeping difficulties and loss of midlife identity as causes. It’s all so individual but yet an important conversation to open up. Thank you @menoscandal for this piece @thekithkin .
It’s a privilege to look after my patients to the best of my ability with evidence based knowledge and support. It takes a lot, I’m progressing along side you, but it also gives #transformational medicine. Very grateful for this encouraging review on @iwantgreatcare - think of it like Tripadvisor for health care!
“ I am so very grateful that Dr Vohra has been able guide me through the distressing changes brought on by menopause. Without her knowledge, understanding and training, I would have been lost, as the menopause care provided by my NHS GP is limited at best. Dr Vohra is kind, attentive, and a knowledgeable menopausal health care provider. A vital asset to the women in the community who are lucky enough to receive her care.“
#motivation #motivationiskey #motivationmonday #motivationoftheday #menopause #midlife #menopausecare
📸 presenting oral abstract with @drbillbones at BMS Annual Conference 27th June 25 - somewhere I never imagined I’d be!
Did you know there are so many different types of #hrt regimens? Each with benefits and disadvantages that need discussion. What do you think of the ones I’ve shown you?
Practical and individualised menopause care is really important as it’s not one size fits all.
#menopause #menopausecounselling #menopausematters #perimenopause #hrt #mht #hormonereplacementtherapy
Detail: A Freedom of Information request was made to Fracture Liaison Services (FLS) in England, Wales and Northern Ireland, requesting data for all women who were seen with a fragility fracture (FF)
between the years 2017-2023.
A total of 356,229 women were referred over the 7-year period. Of these:
71449 (20%) had hip fracture,
30629 (9%) had spinal fracture
254141 (71%) had “other” fractures,
19065 (5%) had multiple fractures.
There were 851 (0.2%) women taking HRT pre fracture, and only 169 (0.05%) were given HRT post fracture, despite many being of post-menopausal age.
These fracture services are not available in all areas due to lack of funding meaning that the number of women suffering is an underestimation.
What should we be doing?? We recommend simple fixes to improve bone health:
📝 A uniform funding for fracture services so we can reach all and collect accurate data.
📝 Simple changes like a bone health screen and lifestyle advice to age 40 health check and for DEXA reporting to incorporate specific signposting to consider HRT for suitable patients.
Finally, we need to individualise care and widen the use of HRT in women > 60 for osteoporosis in addition to menopause symptom relief on a case by case basis.
Summary of the abstract presented at the British Menopause Society 2025 Annual Conference. Work by @drbillbones and myself. This was part of #giveyourbonesabreak campaign with the fabulous @menoscandal and @henpickednet which was published in @theobserveruk Oct 2024. It will be published in Post Reproductive Health Journal in autumn for health care professionals.
We need to help women live well as well as live longer. I’m not even getting into the health disparities yet. Excited to see where we can go with this research and awareness.
#bonehealth #osteoporosis #fractureliasonservice #osteopenia #bonehealthawareness #menopause #womenshealth #perimenopause #hrt #womenshealthmatters #hormonehealth #midlife #menopausesupport #menopauseawareness
#fls #fracture #makingbonesmatter
Back from the 34th Annual British Menopause Society Conference and it was an incredible opportunity to network, reconnect and learn about the complexity of current #menopause care.
The topics covered include #bonehealth and it was a pleasure to present my work with @drbillbones . More on this later!
Other topics include:
🐘Management of perimenopausal #depression
🐘Genitourinary syndrome of menopause #gsm and #vulval disease
🐘Women and #cardiovascular health including #genderbias
🐘Premature ovarian insufficiency #poi
🐘#Testosterone and biopsychosocial factors
🐘#Autism and #ADHD in women
🐘The influence of #diet #lifestyle and #exercise on Menopause transition
There is so much covered and I need to catch up with life and digest what I have learnt alongside what I can actually practically put into clinical consultations.
What was really clear during the menopause conference was that we are blessed with passionate clinicians (it was so lovely to connect with so many) and expert researchers in the field of Menopause and it is a challenge to balance what we know with the tools we have against the amount of work there is to do.
I really do value the work all are doing and it’s a privilege to be contributing and helping this. I look forward to sharing snippets!
#bmsconf25 #education #alwayslearning #menopausematters #findingequilibrium #balancedcare #individualisedcare
Fabulous first #substack from @menoscandal 👏🏽 and delighted to be quoted with @drbillbones . This one covers #bonehealth , #hormoneawareness , #inequalities and much more!
There is so many ways of getting information now and it varies in accuracy and detail. It’s all about being informed with evidence based facts and knowing that midlife challenges are not you going mad and hormones have a large role to play. Lifestyle change, talking therapies and hormone replacement are all in the toolbox of individualised care. I’d really encourage a read and there’s one every Friday!
#menopausematters #menopause #giveyourbonesabreak #womenshealth #midlife #midlifehealth #wellinformed #awareness
This is the kind of message that brightens up my month 😃 so chuffed to get this from my Pilates teacher Tara Crossley. I feel stronger but I always wish I could have done more so this sort of message from a professional is so motivating!
Whenever you’re busy or spinning alot of plates it’s easy to drop the movement or class to catch up but I’ve made an effort to try to keep them going this year. My wellness MATTERS and as I’m getting older my body is less forgiving of the lapses. Recovery or building strength takes time. Strength training is essential for #bonehealth
There is so much advice out there, find what works for you - all I can add is it’s never too late, do little and often but don’t do none.
#rehabilitation #strength #strengthandconditioning #resistancetraining #pilates #bonehealth #bonehealthawareness #lossofbonedensity #midlife #midlifewellness #itsnevertoolate #littleandoften #pilatessavedmylife⚡️
Antidepressant use in women in midlife is highest and most commonly for over 5 years. This is a hard read as there is so much hormonal change at this stage of life coupled with life load and challenges. For many, antidepressants are not the answer and the role of talking therapies and hormonal therapy (HRT) needs to be emphasised.
Women seek more help from health care, are prescribed more antidepressants and yet struggle more and and more likely to have relationship and/or profession break down.
It’s really important to think about the impact of psychological symptoms and peri/menopause on mental health. This real world retrospective cohort study shows us that a questionnaire (MENO-D) can be used to assess mood related symptoms and that hormonal therapy is associated with significant improvement in mood in peri/post menopausal women. Of course we need more prospective and randomised control trials with longer follow-up but in the meantime we mustn’t forget that the NICE guidance advocates hormonal therapy (HRT) because of its beneficial effect on menopausal symptoms including mood change.
Every day, I hear women share terrible experiences and often their includes antidepressants have not helped. Holistic individualised care needs to start now. I’m sure many of you will resonate with this.
#moodchange #anxiety #perimenopausesupport #perimenopausesymptoms #hrt #hirmonehealth #menopausalhormonaltherapy #mht #perimenopausehealth #menopause #menopausehelp #mentalhealth #depression #antidepressants #midlife #midlifementalhealth #antidepressantsnotworking
As weight loss injectable drug use and prescriptions increase it is really important to be informed about effects and risks. It’s crucial to inform any health professional or team before health change or procedure too. Very insightful and important article in @thetimes today about what science knows about the effects on the body so far - regarding Ozempic but probably applies to Wegovy and Mounjaro too. Many users are not aware of these risks and yet many report life changing response and no side effects so being informed and aware is best. #individualisedcare #weightlossinjections #ozempic #mounjaro #wegovy
When you get sprung by a group for some menopause education and have A3 paper and a sharpie! Quite pleased with my impromptu session on #menopause today 😃 . What do you think?
Happy weekend to you all. #awarenessiskey #menopauseintheworkplace #menopausematters #educator #womenshealthmatters
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