Menopause and perimenopause
The years around menopause are frequently spent putting up with symptoms rather than mentioning them, partly because they arrive gradually and partly because they are assumed to be something to simply get through.
They do not have to be. Many symptoms of perimenopause and menopause respond well to treatment, and this stage is also a natural point to check on bone, heart and breast health.
Changes worth discussing
Having one of these does not necessarily mean something is wrong. It means the question is worth asking.
- Cycles becoming shorter, longer or unpredictable in your forties
- Hot flushes or night sweats
- Disturbed sleep, or waking and not settling again
- Mood changes, irritability or low mood
- Vaginal dryness or discomfort during intercourse
- More frequent urinary infections
- Joint aches and stiffness
- Difficulty concentrating or remembering things
- Any bleeding after your periods have stopped for twelve months
How a consultation may help
- Confirming whether symptoms fit perimenopause or point to something else such as thyroid dysfunction
- Discussing which symptoms are most affecting you, and treating those specifically
- Explaining hormonal and non-hormonal options, including who each is and is not suitable for
- Addressing vaginal and urinary symptoms, which often go unmentioned but are very treatable
- Considering bone health, blood pressure and cholesterol at an age when checking them is useful
- Assessing post-menopausal bleeding promptly, as it always needs evaluation
What to expect at your visit
A symptom review
Which symptoms you have, how long they have been present, and which ones matter most to you day to day.
Relevant health history
Other conditions, medicines and family history shape which options are suitable.
Tests where they help
Hormone tests are not always necessary. Other checks may be advised depending on your age and history.
A plan you are comfortable with
Options are explained with their benefits and their limits, and the decision is yours.
Common questions
Answers here are general. Your own situation is what the consultation is for.
At what age does menopause usually happen?
It varies considerably between individuals. Symptoms of perimenopause often begin some years before periods stop completely. Age alone does not decide whether symptoms are worth discussing.
Do I need a blood test to confirm menopause?
Often not. In women over 45 the diagnosis is usually made from the pattern of symptoms and cycles. Tests are more useful when symptoms start early or the picture is unclear.
Is hormone therapy safe?
Suitability depends on your age, symptoms, medical history and personal preference. Benefits and risks are discussed in relation to your specific situation, and non-hormonal options are available too.
I have bleeding after menopause. Is that a problem?
Any bleeding after twelve months without periods should be assessed, even if it is light or happens only once. It often turns out to have a simple explanation, but it is not something to wait on.
Discuss this with Dr. Disha Ghoniya
Send a request with your preferred day and a short line about what has been happening. The clinic will confirm a time that works.