
The Perimenopause
The menopause doesn’t arrive with a bang on your 50th birthday. Instead, your body helpful gives you a gentle (or not so gentle) run up. This is called the peri-menopause.
I had been suffering for years with menopause related UTIs and vaginal atrophy and had got nowhere with the NHS. After my consultation, Angela prescribed HRT and gave me suggestions for things I could do to help with the constant pain I was experiencing. Three months on and I feel like a new woman! I can't fault my experience with Spiced Pear.
The service provided by Spiced Pear is simply first class. The conversation is friendly and supportive and no subject is off limits. But even more importantly you leave the Consultation with a personal Care Plan and a set of very clear practical next steps to keep you moving forward towards your own health goals.
My session with Dr Angela Wright was both incredibly informative and deeply validating. The combination of clear information and a personalised care plan made me feel truly seen and heard for the first time. Angela’s approach was caring, compassionate, and genuinely supportive.
After going through menopause following chemotherapy in my mid-30s, I spent the next twenty years struggling to understand the impact of low oestrogen on my body and found very little relevant guidance. I’ve suffered silently for so long, but now, thanks to Spiced Pear, I finally feel like I’m getting part of my life back. I’m genuinely grateful for the care and expertise I’ve received.
I have seen Angela three times now over the course of 18 months. I can talk openly with her about my perimenopause journey and she has made suggestions of changes to lifestyle and HRT. Each time I see her I learn more.
An invaluable investment into myself at a crucial time of life.
Don’t hesitate to have a consultation
I can not thank Angela enough after suffering over a year with premenopaus and going back and for my GP they was not helping me I would highly recommend
I cannot speak highly enough of Dr Angela. She is so helpful and knowledgeable and helped me out of a hole when things were really very difficult with menopause and hormones. I felt listened to and cared for. We talked through my history for a whole hour and I was then given a very personalised treatment plan. If I ever email Dr Angela, she gets back to me very quickly indeed. If you're struggling with hormone issues and you are able to pay privately. I would really really urge you to as it could change your life beyond measure! My GP juts doesn't have the time or knowledge to be able to help me and things were becoming dire for me but now I feel on track and in control. Thank you spiced pear, I think you're awesome!
Dr.Sharma was very knowledgeable and thorough in her first menopause consultation with me. She was the first one to not make me feel like I was just a whiner. She was very patient while listening to all I was feeling and did an excellent job with explaining all the options that were available to me. The care plan and treatment she got me on has been so incredibly helpful that my whole family is thankful to her. I can't recommend her enough! Thank you Dr.S
I was very impressed by my consultation. Angela put me at ease instantly, listened to my experiences and offered balanced, evidence based information which enabled me to make informed choices from a range of different options. Highly recommended.
I had a video appointment with Angela S last night to discuss my upcoming hysterectomy and to get a better understanding of going into surgical menopause and how to navigate it post op and what I need to do to ensure I can manage it and maintain good health as I am 32. Angela explained everything in perfect detail, she was extremely thorough, empathetic and made the whole process of understanding it all so easy. I know a lot about women's health but this is a new territory for me which I was feeling overwhelmed about. But Angela definitely has made me feel confident, calm and that I have all the information and knowledge I need. Knowing I have that support too has meant a lot. Thank you Angela :)
Spiced Pear Health is run by two extremely highly regarded doctors, Angela Sharma and Angela Wright. Both of them are menopause specialists and, untypically, they are both trained in psychosexual therapy. This makes their service uniquely placed to support all aspects of their patients' health and wellbeing during their menopause. I have worked with both of them professionally and I have received care as a patient in their service. I can't recommend them highly enough.
At the start of the menopause I visited a private specialist after my then GP told me my symptoms were psychosomatic. I struggled for years with what I now know is progesterone sensitivity. Going on and off HRT. Feeling exhausted without it and dreadful with progesterone on it. For the last couple of years, I've been going back and fore to my GP but have not felt heard or understood and like I was wasting their time. I wanted to try a particular progesterone that I had heard others had tolerated but kept being told I couldn't have it. I found spiced pear and read their article on progesterone sensitivity and I finally understood what was going on. I made appointment with Dr Wright and we explored a number of options. I went from feeling out of options and on the verge of giving up, to heard, hopeful, and with a number of options going forward. The consultation with Dr Angela Wright was informative and I felt completely heard. Totally recommend!
Such a positive experience with Dr Angela Sharma. I had an initial consultation and a follow up 3 months later. I had unsuccessfully tried to see and speak to my GP many times and just felt down about my whole situation. I now feel in control and I am in the process of passing the prescribing over to my GP, which has still been supported by Dr Sharma. Well worth every penny. Thank you
Great experience with Dr Sharma, felt listened too and I was treated as an individual, not just based on average patient responses. Great actionable advice along with prescriptions that have gotten me back to being me. Dr Sharma clearly explained everything to me and made sure I understood everything. Highly recommended
Truly the best spent money in a while. This was one of the most thorough and informative consultation I have ever had. I am well read on perimenopause and menopause but talking with Dr Angela made me feel heard, validated and understood. She was meticulous with the information quoting the latest research and providing accurate information on the medications at hand so that we can find the right fit for me. The whole experience was thorough, informative, clear and with a good dose of empathy that immediately made me feel better. Very happy to have been given their clinic as a recommendation!!!!
The service provided by Spiced Pear is simply first class. The conversation is friendly and supportive and no subject is off limits. But even more importantly you leave the Consultation with a personal Care Plan and a set of very clear practical next steps to keep you moving forward towards your own health goals.
Speedy, attentive and empathic service. Lots of expertise. Great follow up via email afterwards. Just a world apart from battling to communicate with GPs... Had my first appointment this week, have a thorough care plan already, will hopefully make a big difference to my health.
I cannot thank Dr Angela Wright and her team enough for the help and support given to me during a time I really needed it most. The care and genuine compassion I was given went above and beyond and really exceeded my expectations. Thank you so much !
Quite simply, the appointment with Spiced Pear Health is the best money I have ever spent on myself. Dr Sharma listened very carefully to my history, and offered advice on diet, exercise and HRT medication. As a result, I feel more empowered to manage POI, and am now feeling the benefits of improved sleep, better hormone balance, improved exercised and diet, as well weight loss.
I came to Spiced Pear Health after more than 12 months struggling with issues. Dr Angela Wight was absolutely fantastic and knew exactly how to help me. The session was hugely beneficial and she was just so good at getting to the heart of the problem and giving excellent care. Thank you
I was one of the many women offered antidepressants by my GP. I felt let down and totally unheard, i refused these and carried on, my symptoms only getting worse, it had already taken so much to get to that point. By chance i found spiced pear online and reached out, Dr Angela replied straight away. During the consultation i felt heard, actually seen! All my questions were answerd and more, i was given information to read in my own time but also tips and recommendations. I was surprised how instant the HRT worked for me, the relief was immence. Over time we have fine tuned the prescription. Angela is always there when i need her, since i have been with Spiced Pear life has been hectic and i honestly dont know how i would have coped. I wish i had found them sooner but so grateful to have them now!


I had been suffering for years with menopause related UTIs and vaginal atrophy and had got nowhere with the NHS. After my consultation, Angela prescribed HRT and gave me suggestions for things I could do to help with the constant pain I was experiencing. Three months on and I feel like a new woman! I can't fault my experience with Spiced Pear.
The service provided by Spiced Pear is simply first class. The conversation is friendly and supportive and no subject is off limits. But even more importantly you leave the Consultation with a personal Care Plan and a set of very clear practical next steps to keep you moving forward towards your own health goals.
My session with Dr Angela Wright was both incredibly informative and deeply validating. The combination of clear information and a personalised care plan made me feel truly seen and heard for the first time. Angela’s approach was caring, compassionate, and genuinely supportive.
After going through menopause following chemotherapy in my mid-30s, I spent the next twenty years struggling to understand the impact of low oestrogen on my body and found very little relevant guidance. I’ve suffered silently for so long, but now, thanks to Spiced Pear, I finally feel like I’m getting part of my life back. I’m genuinely grateful for the care and expertise I’ve received.
I have seen Angela three times now over the course of 18 months. I can talk openly with her about my perimenopause journey and she has made suggestions of changes to lifestyle and HRT. Each time I see her I learn more.
An invaluable investment into myself at a crucial time of life.
Don’t hesitate to have a consultation
I can not thank Angela enough after suffering over a year with premenopaus and going back and for my GP they was not helping me I would highly recommend
I cannot speak highly enough of Dr Angela. She is so helpful and knowledgeable and helped me out of a hole when things were really very difficult with menopause and hormones. I felt listened to and cared for. We talked through my history for a whole hour and I was then given a very personalised treatment plan. If I ever email Dr Angela, she gets back to me very quickly indeed. If you're struggling with hormone issues and you are able to pay privately. I would really really urge you to as it could change your life beyond measure! My GP juts doesn't have the time or knowledge to be able to help me and things were becoming dire for me but now I feel on track and in control. Thank you spiced pear, I think you're awesome!
Dr.Sharma was very knowledgeable and thorough in her first menopause consultation with me. She was the first one to not make me feel like I was just a whiner. She was very patient while listening to all I was feeling and did an excellent job with explaining all the options that were available to me. The care plan and treatment she got me on has been so incredibly helpful that my whole family is thankful to her. I can't recommend her enough! Thank you Dr.S
I was very impressed by my consultation. Angela put me at ease instantly, listened to my experiences and offered balanced, evidence based information which enabled me to make informed choices from a range of different options. Highly recommended.
I had a video appointment with Angela S last night to discuss my upcoming hysterectomy and to get a better understanding of going into surgical menopause and how to navigate it post op and what I need to do to ensure I can manage it and maintain good health as I am 32. Angela explained everything in perfect detail, she was extremely thorough, empathetic and made the whole process of understanding it all so easy. I know a lot about women's health but this is a new territory for me which I was feeling overwhelmed about. But Angela definitely has made me feel confident, calm and that I have all the information and knowledge I need. Knowing I have that support too has meant a lot. Thank you Angela :)
Spiced Pear Health is run by two extremely highly regarded doctors, Angela Sharma and Angela Wright. Both of them are menopause specialists and, untypically, they are both trained in psychosexual therapy. This makes their service uniquely placed to support all aspects of their patients' health and wellbeing during their menopause. I have worked with both of them professionally and I have received care as a patient in their service. I can't recommend them highly enough.
At the start of the menopause I visited a private specialist after my then GP told me my symptoms were psychosomatic. I struggled for years with what I now know is progesterone sensitivity. Going on and off HRT. Feeling exhausted without it and dreadful with progesterone on it. For the last couple of years, I've been going back and fore to my GP but have not felt heard or understood and like I was wasting their time. I wanted to try a particular progesterone that I had heard others had tolerated but kept being told I couldn't have it. I found spiced pear and read their article on progesterone sensitivity and I finally understood what was going on. I made appointment with Dr Wright and we explored a number of options. I went from feeling out of options and on the verge of giving up, to heard, hopeful, and with a number of options going forward. The consultation with Dr Angela Wright was informative and I felt completely heard. Totally recommend!
Such a positive experience with Dr Angela Sharma. I had an initial consultation and a follow up 3 months later. I had unsuccessfully tried to see and speak to my GP many times and just felt down about my whole situation. I now feel in control and I am in the process of passing the prescribing over to my GP, which has still been supported by Dr Sharma. Well worth every penny. Thank you
Great experience with Dr Sharma, felt listened too and I was treated as an individual, not just based on average patient responses. Great actionable advice along with prescriptions that have gotten me back to being me. Dr Sharma clearly explained everything to me and made sure I understood everything. Highly recommended
Truly the best spent money in a while. This was one of the most thorough and informative consultation I have ever had. I am well read on perimenopause and menopause but talking with Dr Angela made me feel heard, validated and understood. She was meticulous with the information quoting the latest research and providing accurate information on the medications at hand so that we can find the right fit for me. The whole experience was thorough, informative, clear and with a good dose of empathy that immediately made me feel better. Very happy to have been given their clinic as a recommendation!!!!
The service provided by Spiced Pear is simply first class. The conversation is friendly and supportive and no subject is off limits. But even more importantly you leave the Consultation with a personal Care Plan and a set of very clear practical next steps to keep you moving forward towards your own health goals.
Speedy, attentive and empathic service. Lots of expertise. Great follow up via email afterwards. Just a world apart from battling to communicate with GPs... Had my first appointment this week, have a thorough care plan already, will hopefully make a big difference to my health.
I cannot thank Dr Angela Wright and her team enough for the help and support given to me during a time I really needed it most. The care and genuine compassion I was given went above and beyond and really exceeded my expectations. Thank you so much !
Quite simply, the appointment with Spiced Pear Health is the best money I have ever spent on myself. Dr Sharma listened very carefully to my history, and offered advice on diet, exercise and HRT medication. As a result, I feel more empowered to manage POI, and am now feeling the benefits of improved sleep, better hormone balance, improved exercised and diet, as well weight loss.
I came to Spiced Pear Health after more than 12 months struggling with issues. Dr Angela Wight was absolutely fantastic and knew exactly how to help me. The session was hugely beneficial and she was just so good at getting to the heart of the problem and giving excellent care. Thank you
I was one of the many women offered antidepressants by my GP. I felt let down and totally unheard, i refused these and carried on, my symptoms only getting worse, it had already taken so much to get to that point. By chance i found spiced pear online and reached out, Dr Angela replied straight away. During the consultation i felt heard, actually seen! All my questions were answerd and more, i was given information to read in my own time but also tips and recommendations. I was surprised how instant the HRT worked for me, the relief was immence. Over time we have fine tuned the prescription. Angela is always there when i need her, since i have been with Spiced Pear life has been hectic and i honestly dont know how i would have coped. I wish i had found them sooner but so grateful to have them now!
I was made to feel Normal. I was understood even when I didn’t understand myself.
[....] Now I’m quietly confident all is working the right way. I’m feeling more energised, I’m sleeping so well on a night, it’s so lovely.
Best money I’ve ever spent on myself.
As specialist menopause doctors, we understand the transformative impact of the menopause on every aspect of your life. Managing it properly takes much more care and expertise than a “one-size-fits-all” solution.
We are menopause specialist doctors, who also treat PMS/PME and PMDD. We were trained in the UK by the British Menopause Society and have extensive training in sexology too. We will provide expert advice through our online consultation.
We give you the time to explain your story in your own words and work with you to find the best plan. We will:

It’s such a relief to come across a truly professional, dedicated, & caring doctor such as Dr Sharma. She listens, is passionate & forensic about finding the right solution to your problem & then compassionately & medically treats you back to health & happiness.
SophieThe two Angela's first connected at a European Sexology Conference, over their shared passion for managing women's health properly.
This clinic is the result of their passion. You can read more about their story here.
At Spiced Pear, you will not find a cookie cutter approach. We understand every woman is unique, and we believe the art of optimising a woman's health is in listening attentively, and then bespoking any plan so that it works in her particular body, life and world.

Thank you Dr Wright. So clear, lots of good detail, but not too much so as to overload my peri-menopausal brain! The online format worked really well. So helpful.
SusanWe are experienced doctors with Clinical Sexology & British Menopause Society Advanced Menopause Specialist training and qualifications.
We are also women who have experienced hormonal imbalance ourselves and know that this struggle is real.
Women are more than their hormones, and treatment is more than HRT. We are also trained in the medical and psychosexual aspects of sexual dysfunction, and have spent many years managing patients with chronic diseases.
Spiced Pear Health sits at the centre of your general health, hormonal dysfunction and sexuality. We understand how they are all interlinked and impact each other.
I felt that no one understood. Your assurance that I didn't just have to put up with them & give up, gave me hope.
LisaI have found the support and advice from Dr Angela at Spiced Pear Health life changing. After several years of struggling with very difficult menopause symptoms and not being listened to by a range of GP's, just having someone sympathetic to talk to has been fantastic. But then for the treatment to work so quickly has been transformative. I really wish I had known about Spiced Pear Health years ago. Dr Angela is friendly and positive and instantly put me at ease. I was given time to talk through my issues and felt like no question was too stupid to ask.
Helen
The menopause doesn’t arrive with a bang on your 50th birthday. Instead, your body helpful gives you a gentle (or not so gentle) run up. This is called the peri-menopause.

It’s amazing how much, and at the same time how little, is written and spoken about the menopause. Many people can’t even say it out loud, preferring the ominous and threatening “the change”.

The article discusses progesterone sensitivity, a condition affecting some women, leading to symptoms akin to PMS or PMDD due to hormonal fluctuations. It emphasizes the importance of recognizing this sensitivity for effective management and treatment, especially for those with severe symptoms impacting daily life.
Throughout this website, we use the term women when describing people who experience hormonal symptoms. However, we acknowledge not only those who identify as women require access to menopause and hormone health information. For example, some trans men, non-binary people, intersex people or people with variations in sex characteristics may also experience menopausal symptoms and PMS/PME or PMDD, and we warmly welcome everyone who needs this support in our clinic.
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