Perimenopause and menopause
Clear options for a transition that can feel anything but clear.
Perimenopause can bring changes in cycles, sleep, temperature regulation, mood, cognition, energy, joints, sexual wellbeing and confidence. Symptoms and priorities vary, and they may occur while periods are still regular.
Understanding the pattern
Perimenopause is usually recognised from age, menstrual change and symptoms rather than a single hormone test. Other conditions can cause similar symptoms, so medical assessment remains important when the pattern is unusual, bleeding is concerning or symptoms begin early.
Menopause care also includes longer-term considerations such as bone, cardiovascular and metabolic health, as well as immediate quality of life.
What we may work on
- Mapping symptoms, cycles, priorities and the effect on daily life
- Nutrition, movement, sleep, rest and recovery
- Reviewing complementary options, evidence and possible interactions
- Working safely alongside menopausal hormone therapy or non-hormonal medicines
- Supporting vitality, strength and capacity without promising a particular outcome
- Preparing focused questions for your GP or menopause practitioner
Early menopause and premature ovarian insufficiency
Menopause before 45, and particularly before 40, warrants medical assessment because it may affect fertility, bone and cardiovascular health. Complementary care can sit alongside that assessment, but should not delay it.
Questions
Frequently asked questions
Do I need hormone tests to know if I am in perimenopause?
Often not. For many people over 45, the history of cycle change and symptoms is more informative because hormone levels fluctuate. Testing may be appropriate when symptoms occur earlier, the diagnosis is unclear or another condition needs to be excluded.
Can I use natural medicines with menopausal hormone therapy?
Sometimes, but combinations should be reviewed individually. Natural medicines can cause adverse effects or interact with prescribed treatment, and more treatment is not necessarily better.
Will I be told to stop medical treatment?
No. My approach is complementary and collaborative. Any decision about prescribed treatment should be made with the prescribing practitioner.
Selected evidence and guidance
Your next step
Time to explain the whole picture.
Consult online from anywhere in Australia or in person in Kensington, Sydney. Appointments can be made online or by telephone.