Menopause is a natural transition — but suffering through it is not compulsory. Dr Amon Siveregi provides evidence-based care for perimenopause and menopause at Crestcare Hospital, from symptom relief to long-term health.
Book a ConsultationAround half of women describe their menopause symptoms as moderate to severe — yet many never seek help, assuming nothing can be done or that treatment is unsafe. Both assumptions are outdated. Modern menopause care is individualised and evidence-based, and for most symptomatic women there are effective options, hormonal and non-hormonal alike.
The transition often begins years before periods stop. Perimenopause — with its fluctuating hormones — can bring changing cycles, sleep disruption, mood shifts and hot flushes while you are still menstruating, which is exactly why so many women in their forties feel "not themselves" without knowing why.
The classic symptoms — disruptive by day, sleep-wrecking by night.
Broken sleep, exhaustion, and the brain fog that follows.
Irritability, anxiety, low mood and concentration difficulties.
Including discomfort with intimacy and recurrent urinary symptoms — very treatable, rarely discussed.
Common in perimenopause, but always worth assessing — and bleeding after menopause must always be checked.
Less famous, just as real — and often hormone-related.
For most healthy women starting treatment around the time of menopause, the benefits of modern hormone therapy outweigh the risks — older headlines about HRT reflect studies of different products in older populations. Safety depends on your personal history, which is exactly what the assessment establishes before anything is prescribed.
Longer than most people expect — hot flushes persist for several years on average, and for some women considerably longer. That's precisely why "just wait it out" is poor advice when effective treatment exists.
Quite possibly. Perimenopause commonly starts in the mid-forties and can bring symptoms while cycles continue. You don't need to wait until periods stop to be assessed or treated.
No — any bleeding after menopause should always be investigated promptly. It usually has a benign cause, but it must be checked to rule out serious conditions. Book an appointment rather than waiting.
Book a menopause consultation at Crestcare Hospital, Malmesbury.