Home / Menopause & perimenopause
Menopause & perimenopause
Understanding the change
Menopause is a natural stage of life, but its symptoms can affect your sleep, work, relationships and long-term health. You don't have to simply put up with them.
The three stages
Perimenopause
The years before your last period, often starting in the early to mid 40s. Hormone levels swing up and down, so periods become irregular and symptoms begin.
Menopause
Diagnosed when you have had no period for 12 months in a row. In India the average age is around 46 to 48, a little earlier than in the West.
Postmenopause
The years after menopause. Some symptoms ease, but low estrogen raises the long-term risk of osteoporosis and heart disease.
Common symptoms
- Hot flushes and night sweats
- Irregular, heavier or lighter periods
- Poor sleep and waking early
- Mood swings, anxiety, irritability or low mood
- Brain fog and forgetfulness
- Weight gain, especially around the belly
- Joint and muscle aches
- Hair thinning and dry skin
- Vaginal dryness, discomfort and low libido
- Needing to pass urine more often, or leakage
When to see a doctor
See a gynaecologist if symptoms are affecting your daily life, or if you notice:
- Bleeding after menopause, or bleeding between periods
- Very heavy or prolonged periods
- Periods stopping before age 40
- Low mood or anxiety that doesn't lift
Bleeding after menopause always needs to be checked.
How Dr Anagha assesses you
Your first consultation looks at your symptoms, periods, medical and family history, and your goals. Depending on your needs, tests may include blood counts, thyroid, blood sugar, cholesterol, vitamin D, a pelvic ultrasound, mammography and a bone density (DEXA) scan.
Treatment is personal. It may include lifestyle and nutrition advice, strength training, sleep support, HRT where suitable, non-hormonal medicines, and vaginal treatments for dryness.
Not sure where to start?
Take the free assessment. It takes about 10 minutes, and Dr Anagha's team will call you to discuss your answers.