Do I Need a Menopause Coach? 5 Signs You're Ready for Support

You've been managing this on your own for a while now.

Reading articles. Trying different approaches. Telling yourself you'll figure it out eventually.

But underneath that, there's often a quieter realisation:

This isn't getting any easier.

Perhaps you're struggling with your energy, sleep, mood or concentration. Perhaps you've tried changing your diet or exercise routine but haven't found an approach you can sustain. Or perhaps you're simply overwhelmed by the amount of menopause advice available and don't know where to start.

You might be wondering whether a menopause coach could help, or whether you should be able to work things out yourself.

The answer depends on your circumstances, what you're experiencing and the kind of support you're looking for.

Let's explore five signs that coaching might be worth considering, as well as how to decide whether it's the right next step for you.

Why Do Women Hesitate to Ask for Support?

Before looking at the signs, it's worth acknowledging some of the reasons women put off seeking help.

"I should be able to handle this myself"

You're capable and resourceful. You've managed demanding jobs, family responsibilities and other challenging periods of life.

So why should menopause be any different?

The reality is that perimenopause and menopause can bring changes that affect several aspects of daily life at once. You may be dealing with disrupted sleep, changing energy levels, mood changes or difficulty concentrating, all while trying to keep up with your usual responsibilities.

You don't have to wait until you can no longer cope before exploring your options.

Asking for support can be a practical decision, not a sign that you've failed to manage things yourself.

"Maybe it's not bad enough yet"

You're still functioning. You're getting through work, looking after your family and managing your responsibilities.

But you're more tired than you used to be. You're finding it harder to concentrate. Everyday tasks seem to require more effort.

It can be tempting to compare yourself with women who appear to be struggling more.

You don't need to reach a particular level of distress before seeking support. If changes in your wellbeing are affecting your everyday life, it's reasonable to explore what might help.

If symptoms are new, persistent or concerning, speak with your doctor or another appropriate healthcare professional to understand what may be causing them.

"I can find all this information online for free"

You absolutely can find a great deal of information about menopause, nutrition, exercise, sleep and stress online.

The question is whether you can identify what's relevant to your circumstances and put it into practice consistently.

You might know that eating well, moving regularly and prioritising sleep can support your health, yet struggle to turn that knowledge into a routine that fits your life.

That doesn't mean you lack willpower. It may mean you need a different approach.

"It feels self-indulgent"

If you're used to putting everyone else's needs first, spending time and money on yourself can feel uncomfortable.

You may feel that you should be able to manage without help, or that your own wellbeing should come second to work and family commitments.

But your wellbeing matters, too.

Exploring support is one way to consider your own needs alongside the responsibilities you already carry.

"What if it doesn't work?"

This is a reasonable question, particularly when you're considering paying for support.

Coaching cannot guarantee that your symptoms will improve, and it isn't a substitute for medical assessment or treatment. Its usefulness depends on your circumstances, your goals and the work involved.

If you're weighing up the potential benefits against the investment, read Is Menopause Coaching Worth It? Real Results Explained.

For now, let's look at whether the kind of support coaching offers might suit your situation.

Five Signs You May Benefit from a Menopause Coach

You don't need a menopause coach simply because you're going through perimenopause or menopause. Many women manage well with information, support from their healthcare team and changes they make independently.

Coaching may be worth considering if you recognise yourself in several of the following situations.

1. Everything Feels Harder, but You Can't Explain Why

You're doing many of the same things you've always done, but they seem to require more effort.

Getting through your working day feels exhausting. Making decisions feels harder. You find yourself becoming overwhelmed by tasks that once felt straightforward.

Perhaps you don't feel quite like yourself, but you're struggling to explain exactly what's changed.

Perimenopause can coincide with changes in sleep, mood, energy and concentration. However, these experiences can have several possible causes, so it's important not to assume that every change is hormonal.

If you're concerned about persistent symptoms, your GP can help you explore possible explanations and appropriate treatment.

A health coach can then work alongside your healthcare team, where appropriate, to help you identify practical lifestyle priorities and develop routines that fit your circumstances.

Sign 1: You would like help making sense of your priorities and deciding what to focus on first.

2. You've Tried Different Approaches, but Struggle to Sustain Them

You've tried changing your eating habits. Perhaps you've started exercising more, cut out certain foods or experimented with a new routine.

At first, you're motivated. You follow the plan and feel pleased that you're doing something positive.

Then work gets busy, family responsibilities take over or your energy dips. The routine becomes difficult to maintain, and gradually you return to your previous habits.

It can be frustrating to feel as though you're continually starting again.

Sometimes the issue isn't the effort you're putting in. It's that the approach doesn't fit your actual life.

A routine that depends on having plenty of time, energy and motivation may be difficult to sustain when those things fluctuate.

Sign 2: You want help developing realistic routines that can adapt to busy or difficult weeks.

3. You're Overwhelmed by Conflicting Advice

One article recommends a particular diet. Another advises against it. One person advocates a demanding exercise routine, while someone else recommends a gentler approach.

You may have read extensively about menopause but still be unsure what to try.

The problem is not necessarily a lack of information. It may be the difficulty of deciding which information is credible, relevant and appropriate for you.

You don't need to try every new recommendation you encounter.

A coach can help you clarify your goals, consider practical barriers and work out which lifestyle changes you want to prioritise. Medical questions and decisions about treatment should be discussed with an appropriately qualified healthcare professional.

Sign 3: You want a clearer way to prioritise your next steps instead of continually searching for another answer.

4. You Want a Practical Plan, Not Another List of Suggestions

You already know the general advice: eat a balanced diet, move regularly, look after your sleep and find ways to manage stress.

But what does that look like in your life?

What can you realistically prepare for breakfast on a busy morning? How can you fit movement into your week? What happens when you have slept badly and don't have the energy to follow your usual routine?

General recommendations can be helpful, but applying them to everyday life is another matter. Coaching can help you break a broad goal into manageable actions, decide what to try first and review whether your approach is working.

For example, instead of setting a vague goal to eat better, you might develop a breakfast routine that works for your schedule and preferences. Instead of committing to an ambitious exercise plan, you might identify a realistic starting point and build from there.

Sign 4: You want help turning your intentions into practical steps that fit your circumstances.

5. You Don't Feel Like Yourself Anymore

Perhaps you're less patient than you used to be. You're struggling to concentrate, finding it harder to remember things or feeling more exhausted by everyday demands. You may be experiencing changes in your sleep, mood or confidence, and wondering how to feel more like yourself again. These experiences can be unsettling, especially when you don't have a clear explanation for what's happening.

Menopause may be one factor, but it isn't the only possible explanation for changes in mood, energy or thinking. If these changes are persistent, significant or concerning, seek appropriate medical advice.

A health coach can help you identify lifestyle priorities, explore routines that support your wellbeing and work towards goals that matter to you.

Sign 5: You want practical support as you work towards feeling better equipped to manage this stage of life.

If several of these signs feel familiar, you may want to understand more about what a menopause coach actually does.

Coaching’s Scope, Briefly

Menopause coaching can support practical lifestyle goals and behaviour change, but it does not diagnose or treat medical conditions or replace appropriate medical or psychological care. For a fuller explanation of the role and boundaries of coaching, read What Does a Menopause Coach Do?.

The process is collaborative. You bring your experiences, circumstances and priorities; coaching provides a structure for exploring options, setting goals and reviewing your progress.

If you're unsure whether your situation calls for a coach, a therapist or a GP, you may also find Menopause Coach vs Therapist vs GP helpful.

Are You Ready for Coaching?

Recognising yourself in these signs doesn't automatically mean coaching is the right next step.

It is worth considering what you want from support and whether you're ready to take an active role in the process.

Coaching may suit you if:

  • You want to work towards specific goals. You have an idea of what you'd like to improve, even if you're not yet sure how to approach it.

  • You're willing to try practical changes. You're open to testing new routines and reviewing how they fit into your life.

  • You want support and structure. You would value having someone help you clarify priorities and review your progress.

  • You understand that change takes time. You're not expecting an instant solution or guaranteed results.

  • You're ready to invest in support. You have considered the time and financial commitment and want to explore whether it is appropriate for you.

Coaching may not be your next step if:

  • You have symptoms that need medical assessment and haven't yet sought appropriate advice.

  • You're looking for diagnosis, medication or treatment that falls outside a coach's professional scope.

  • You're currently looking for psychological or therapeutic support that a health coach isn't qualified to provide.

  • You're not ready to make changes or actively participate in the process.

  • You're expecting a coach to guarantee a particular health outcome.

There is no judgement in recognising that coaching isn't right for you at this point. You may need a different kind of support, more information or simply more time to decide.

If you're leaning towards coaching but want to understand what makes a good fit, read How to Choose a Menopause Coach.

What If You're Not Ready for One-to-One Coaching?

You don't have to jump straight into individual coaching to begin working on your wellbeing.

If you would prefer a more self-guided approach, Menopause Essentials offers a structured way to explore practical strategies and work through them at your own pace.

It's an alternative worth considering if you'd like guidance but aren't ready to commit to personalised one-to-one support.

The important thing is to choose an approach that fits your needs, circumstances and preferences.

What Happens Next?

If you've recognised yourself in several of these signs, you may be wondering whether working together would be helpful.

You don't need to have all the answers before starting that conversation.

I offer a free Menopause Clarity Call where we can talk about what you're experiencing, what you've already tried and what kind of support you may need.

It's an opportunity to explore your options and consider whether one-to-one coaching is appropriate for your circumstances.

There is no obligation to proceed.

Book Your Free Clarity Call

Book Your Free Clarity Call

If you'd prefer to understand the service first, you can also explore one-to-one menopause coaching.

And if you're looking for a self-guided option, take a look at Menopause Essentials.

Explore Further

References

  1. National Institute for Health and Care Excellence (2015, updated 2024) Menopause: identification and management. NICE guideline NG23. Available at: https://www.nice.org.uk/guidance/ng23 .

  2. NHS England (2024) Supported self-management: health coaching guide. Available at: https://www.england.nhs.uk/long-read/health-coaching/ .

  3. Wolever, R.Q., Simmons, L.A., Sforzo, G.A. et al. (2013) ‘A systematic review of the literature on health and wellness coaching: defining a key behavioral intervention in healthcare’, Global Advances in Health and Medicine, 2(4), pp. 38–57. doi:10.7453/gahmj.2013.042. PMID: 24416684.

  4. Kivelä, K., Elo, S., Kyngäs, H. and Kääriäinen, M. (2014) ‘The effects of health coaching on adult patients with chronic diseases: a systematic review’, Patient Education and Counseling, 97(2), pp. 147–157. doi:10.1016/j.pec.2014.07.026. PMID: 25127667.

  5. Oliveira, J.S., Sherrington, C., Zheng, E.R.Y. et al. (2023) ‘The impact of health and wellness coaching on patient-important outcomes in chronic illness care: a systematic review and meta-analysis’, Journal of Clinical Medicine, 13(1), 75. PMID: 37738790.

  6. Kwasnicka, D., Dombrowski, S.U., White, M. and Sniehotta, F. (2016) ‘Theoretical explanations for maintenance of behaviour change: a systematic review of behaviour theories’, Health Psychology Review, 10(3), pp. 277–296. doi:10.1080/17437199.2016.1151372. PMID: 26854092.

  7. Michie, S., van Stralen, M.M. and West, R. (2011) ‘The behaviour change wheel: a new method for characterising and designing behaviour change interventions’, Implementation Science, 6, 42. doi:10.1186/1748-5908-6-42. PMID: 21513547.

  8. Gollwitzer, P.M. and Sheeran, P. (2006) ‘Implementation intentions and goal achievement: a meta-analysis of effects and processes’, Advances in Experimental Social Psychology, 38, pp. 69–119. doi:10.1016/S0065-2601(06)38002-1.

  9. Barry, M.J. and Edgman-Levitan, S. (2012) ‘Shared decision making—the pinnacle of patient-centered care’, New England Journal of Medicine, 366(9), pp. 780–781. doi:10.1056/NEJMp1109283. PMID: 22375967.

  10. Elraiyah, T. et al. (2022) ‘Effects of health coaching on menopausal symptoms in women: a randomised controlled study’. PMID: 36070877.

  11. Sato, Y. et al. (2024) ‘Validation of the efficacy of a personalised information-provision and coaching app for menopausal women: an interventional trial’. PMID: 39278097.

  12. British Menopause Society (2024) Menopause: identification and management—from guideline to practice. Available at: https://thebms.org.uk/ .

Phillipa Jacobs-Smith

Phillipa Jacobs-Smith (formerly Weaver-Smith) is a UKIHCA-registered menopause health coach in London helping women 40+ navigate perimenopause and postmenopause with evidence-based, personalised coaching. Her work focuses on sleep disruption, metabolic health, muscle protection and sustainable lifestyle change for long-term strength and confidence.

https://Themenopausehealthcoach.com
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