Perimenopause and Menopause: Symptoms and Treatment Options

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Perimenopause and menopause can bring changes in periods, sleep and wellbeing. Experiences vary, and a consultation can help you understand symptoms and discuss options that fit your health history.

Perimenopause and menopause can affect periods, sleep and wellbeing, though experiences vary. If changes are troubling you, a consultation can help you understand your symptoms and discuss options that fit your health history.

What changes can occur?

Symptoms can include hot flushes, night sweats, sleep problems, mood changes and vaginal dryness. Periods may change during perimenopause. Not every symptom is caused by menopause; describe when changes began, their effect on daily life and any other health concerns.

When should I seek assessment?

Arrange a consultation if symptoms are affecting your quality of life or you are unsure what is causing them. Tell the clinician about your cycle, medicines, medical conditions and family history. Bleeding after menopause should be assessed promptly, even if it happens only once or is light.

What treatments may be discussed?

Options can include hormone replacement therapy for suitable patients and non-hormonal approaches. Choice depends on symptoms, medical history, preferences and potential benefits and risks. Ask about routes of treatment, side effects, follow-up and alternatives. Do not start or stop prescribed hormones without discussing this with your clinician.

Preparing for a useful visit

Keep a short note of symptoms, their frequency, sleep disruption and questions. Ask how progress will be reviewed and what to do if the first approach is not suitable. If you have new severe symptoms or feel seriously unwell, seek appropriate urgent medical care rather than waiting for a routine appointment.

Frequently asked questions

Are symptoms the same for everyone?

No. The type, severity and duration of symptoms vary.

Does everyone need HRT?

No. Treatment is individual, and non-hormonal options may also be discussed.

Should bleeding after menopause be checked?

Yes. Arrange prompt medical assessment even if bleeding occurs only once.

What should I bring to a consultation?

A symptom record, medication list and relevant medical history can help guide the discussion.

Related reading

Further reading

Read about Menopause & Hormone Therapy, or contact the team about an appointment.

This article is general information and does not replace an individual clinical assessment.