Thanks all
![Smiley :)](https://www.menopausematters.co.uk/forum/Smileys/extended/smiley.gif)
all your comments and encouragement really helped
I will of course take the medication as I don't want to worsen things and from what I can read about it, it does seem to make a difference I will also have to look at my diet the nurse was recommending a calcium supplement as I'm not a great dairy person on the whole, for example I don't like milk so don't have it in tea or anything and tend to skip breakfast that will have to change and I need to get a better balanced diet I'm not an unhealthy eater, I don't really eat rubbish I would say I was more veg based I don't eat red meat at all have salmon maybe once a week and chicken say about three times a week so I need to brush up on calcium-rich foods and plan my meals around that, I really think as well that my mobility getting worse with my Spina Bifida and the menopause has probably contributed to this as well I was still pretty active before the menopause starting causing me issues and of course working in a call centre where I'm sitting on average 7 hours a day probably isn't helping either.
I guess I just have to try and be positive but it's hard sometimes with everything as I'm sure you're all experiencing as well with all your issues. I think GP's or maybe even the government should be more proactive regarding all these potential issues with the menopause when you reach average menopause age you should get called in for a discussion, get the scan, discuss your options if there are any issues BEFORE anything happens instead of what feels like firefighting after a diagnosis. It's the same with my condition Spina Bifida when you are a child the care is superb you have a urologist, neurologist and orthopaedic surgeon whom you see on a yearly basis or more often if required when you reach adulthood it's basically you're on your own no joined up care and often if anything happens your seen by someone who is not farmiliar with your condition and you are more knowledgeable than they are and they try a one size fits all which often isn't successful.