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Care through the menopause transition and afterwards, at Mamta Women's & Multispeciality Hospital, Aai Mata Road, Parvat Patiya.
Menopause gets treated as something to endure quietly. Women in their forties are told the symptoms are normal, which is true, and then given nothing, which does not follow. Symptoms that disrupt sleep and work for years can be treated, and the health changes that come after menopause are worth acting on early.
Menopause is the point at which periods have stopped for twelve months. The years leading up to it, when cycles become erratic and symptoms begin, are the perimenopause, and that phase is often the more difficult one.
Two separate things need attention. The symptoms, which are treatable, and the longer-term changes to bone and heart health that follow the fall in oestrogen, which are worth checking whether or not you have symptoms.
Cycles getting closer together or further apart, and flow changing. This is usually perimenopause, but it is worth confirming rather than assuming.
Hot flushes, night sweats, disturbed sleep, low mood, irritability, difficulty concentrating, joint aches.
Common, under-reported, and one of the most treatable symptoms. Local treatment usually helps considerably.
This is not a menopause symptom. Bleeding twelve months or more after your last period needs to be assessed without delay.
Any one of these is reason enough to book. You do not need all of them.
Usually from your age and your pattern of periods rather than a blood test, because hormone levels fluctuate too much in perimenopause to be reliable. Thyroid and anaemia are checked, because both cause similar symptoms and both are treatable.
Any bleeding after menopause, or bleeding that is unusually heavy in perimenopause, is investigated with a sonography and where needed a hysteroscopy. It is not assumed to be hormonal.
Options range from lifestyle and non-hormonal medicines to local vaginal treatment and, where suitable, hormone therapy. Which is right depends on your symptoms, your medical history, and your own preference.
Blood pressure, blood sugar, cholesterol, and where indicated an assessment of bone health. Post-menopausal risk rises for both, and this is where early action does the most good.
Any treatment started is reviewed after a few months to check it is working and still appropriate, rather than continued indefinitely by default.
You will be seen by one of the hospital's gynecologists. A female doctor is available if you ask for one when you book.
See doctor profilesCall, WhatsApp or send the appointment form. Say what the problem is and whether you would prefer a female doctor.
We confirm a time and tell you what to bring, and whether a scan can be done in the same visit.
After the consultation you leave with a written plan, a follow-up date, and a number to call if something changes.
Usually not. In women over about 45 the diagnosis is made from age and the pattern of periods, because hormone levels swing too much during perimenopause for a single test to mean much. Thyroid and haemoglobin are worth checking, because both cause similar symptoms and both are treatable.
For many women it is an appropriate option, and for some it is not. The balance depends on your age, how long it has been since your last period, and your medical history, particularly any history of breast cancer or blood clots. It needs a specific discussion of your own situation, and a review after a few months rather than an indefinite prescription.
No, and it needs to be checked without delay. Bleeding twelve months or more after your last period is not a menopause symptom. Most causes turn out to be treatable, but it needs a sonography and sometimes a look inside the uterus to know. Please do not wait on this one.
Yes, and it is one of the most treatable symptoms. Local treatment applied directly usually helps considerably and has very little effect on the rest of the body, so it is often suitable even for women who cannot take hormone therapy. It is worth raising even though many women find it awkward to mention.
This page is general information about a treatment, written for patients. It is not a diagnosis and it is not advice for your own situation. Whether any of this applies to you can only be decided after an examination and, where needed, tests. Please do not start, stop or change any treatment on the basis of this page. If your situation is urgent, call the hospital or go to your nearest emergency department. Content on this page is pending review by the hospital's medical team.
Book an appointment, or call if you would rather talk it through first. For anything urgent, call.