Perimenopause and Menopause

Understanding Perimenopause and Menopause

Perimenopause is the transition period leading up to menopause, during which hormone levels begin to fluctuate. Menopause is defined as the point when menstrual periods have ceased for 12 consecutive months. These transitions are a natural part of life, but the symptoms can be significant and affect daily wellbeing.

Common Symptoms

Hormonal changes during perimenopause and menopause can cause a wide range of symptoms, including:

• Vasomotor symptoms — Hot flushes, night sweats
• Menstrual changes — Irregular, heavier or lighter periods
• Sleep disturbance — Difficulty falling or staying asleep
• Mood changes — Anxiety, irritability, low mood
• Urogenital symptoms — Vaginal dryness, urinary changes
• Cognitive changes — Difficulty concentrating, memory lapses
• Musculoskeletal — Joint aches, reduced bone density

Our Approach

Dr Kirshenbaum provides thoughtful, evidence-based management tailored to your individual needs:

1. Thorough assessment — Understanding your symptoms, medical history and personal concerns
2. Hormonal evaluation — Blood tests to assess hormone levels when clinically indicated
3. Treatment discussion — Clear explanation of all available options, including benefits and risks
4. Personalised plan — A management strategy aligned with your health needs and preferences
5. Ongoing review — Regular follow-up to monitor your response and adjust treatment as needed

Treatment Options

Management may include:

• Menopausal Hormone Therapy (MHT) — The most effective treatment for vasomotor symptoms, available in various formulations
• Non-hormonal medications — For women who cannot or prefer not to use hormone therapy
• Lifestyle strategies — Exercise, nutrition, stress management and sleep hygiene
• Vaginal oestrogen — Localised treatment for urogenital symptoms
• Bone health management — Assessment and preventive strategies for osteoporosis