Services · Women’s Health

Women's health.

Women’s health is influenced by hormones, digestion, energy, sleep, stress, nutrition and life stage.

This support is for women seeking a more personalised approach to hormonal wellbeing, menstrual health, fertility, pregnancy and postpartum, perimenopause, menopause and long-term vitality.

Katia choosing ingredients from a pantry

Who this is for

You may recognise some of this.

Cravings you cannot account for. Mood that swings hard enough that your family has learned to check the date. A week or more of every month lost to PMS. Bloating that arrives with your cycle and leaves with it. Periods painful enough to cancel things. Periods that have stopped being predictable. Trying to conceive, or recovering from a pregnancy, and wanting your body in the best shape you can manage. Or something has shifted and you cannot name it — which is often how perimenopause begins.

Perhaps you mentioned it and were told it was normal, or your age. Perhaps you never mentioned it at all. Blood tests are built to find disease, and they are good at it — they are not built to explain why you feel unlike yourself when nothing shows up. Your cycle, or the absence of one, is a monthly report on your health. Read alongside how you eat, how you move, how you sleep, your history — some of which starts before you were born — and where your own biology differs from the average, it usually shows a pattern.

Common does not mean normal.

Most women have some of this. Few are told what is behind it.

The egg you release next cycle is already forming.

Eggs mature over about three months.

Perimenopause can start in your late thirties.

Symptoms often arrive long before periods stop.

Areas of support

What women come to me with.

It all comes back to hormones — what they are doing, and what is influencing them.

Hormonal wellbeing The whole picture: what your hormones are doing, and what is driving it.
Menstrual cycle changes Cycles that have shortened, lengthened, stopped or become unpredictable.
PMS, mood swings and painful periods The week before, and the days you plan the rest of your life around.
Fertility, pregnancy and postpartum The months before trying, through pregnancy, and the year after.
Perimenopause or menopause Sleep, mood, energy and the changes that arrive before the obvious ones.
Mood, cravings or energy changes Afternoon crashes, sugar cravings, and feeling unlike yourself.
Long-term women’s health & vitality Bone, heart and metabolic health in the years that follow.

Why Katia

Where the practice started.

Katia knows what it is to be told there is nothing wrong with you. After years of unexplained symptoms — a cycle that never settled after coming off the pill, constant illness, exhaustion that sleep did not touch — she went looking for answers and ended up retraining. Women’s health is where the practice began, and it is still the largest part of it. She is also a mother, and several years into perimenopause herself. None of that is a qualification — the training below is. But it does mean she has usually been where a client is sitting.

  • MSc, Personalised Nutrition · Middlesex University
  • Registered with BANT and the CNHC — both numbers public
More about Katia →
Katia Demekhina

How we work together

Three months is about three cycles.

Long enough to see whether something has changed, and to adjust it if it has not

01. The first conversation

Your history, your symptoms, and where you are in your cycle or your transition.

02. The plan

What to change, in what order, and why.

03. Two follow ups

Across three months, so changes can be judged against more than one cycle. Some people stop there. Others carry on with occasional follow-ups.

Kind words

Feedback from clients.

“My PMS has been very mild. Some breast tenderness, but no pain, stable mood and energy levels, pretty good sleep. Amazing!”

Susan Y.C.

“I got rid of the feeling of permanent anxiety and, as a bonus, the skin on my face changed.”

Lera T. · August 2023

“Period duration went back to normal. The past year or so it got a lot longer, sometimes lasting two weeks. However this last one was 5 days in total, which is back to normal.”

Maggie

Questions

Questions about women’s health support.

What women’s health concerns can we explore?

The conversation may include cycles, hormone transitions, energy, mood, food, sleep, stress and the goals that matter to you. Katia looks at the wider context before suggesting practical next steps.

Do I need to be at a particular stage of my cycle?

No. Start with what you are experiencing now and bring any patterns or notes that feel useful. The first consultation is used to understand your context and priorities.

Will nutrition support replace medical care?

No. Nutrition support complements your existing healthcare. Ongoing symptoms or concerns should be discussed with your GP or relevant clinician; recommendations stay within the agreed scope.

My blood tests came back normal. Is there any point in seeing you?

Often, yes. Standard blood tests are designed to find disease, and they are good at it. They are not designed to explain why you feel unwell when nothing is wrong. Most of what Katia works with sits in that space — how you eat, how you sleep, how your cycle behaves, and what your symptoms have in common. A normal result tells us something useful. It rarely tells us everything.

Will this replace what my doctor is doing?

No. Katia works alongside medical care, not instead of it. She does not diagnose conditions and does not advise on medication — those are your doctor’s. If something you describe needs medical attention, she will tell you, and would rather you went.

 

Do I need to be at a particular stage of my cycle to start?

No. You can start at any point. If your cycle is relevant to what we are looking at, Katia will ask you to track it for a while, so that we are working from your pattern rather than from an average.

 

Do I have to give up foods I like?

Almost never, and it is rarely where we start. Most of the first changes are additions — more protein, more fibre, more variety — because those are the ones that hold. A plan built on removal tends to last about three weeks.

 

How long before I notice anything?

It depends on what we are working on. Digestion and energy often shift within a few weeks. Anything involving a cycle needs two or three cycles before there is a pattern worth reading. Better to say that at the start than have you wondering at week three.

 

I am not sure my symptoms are “bad enough”. Should I still come?

Yes. Most people who come to Katia have been managing something for years on the grounds that it was not serious enough to mention. Tiredness, bloating, a cycle that has changed, feeling unlike yourself — none of those need to reach a threshold before they are worth looking at. And if she thinks you need a doctor rather than her, she will say so.

 

Your turn

You are usually the last one looked after.

This is where that changes.