Menopause

Perimenopause is the transition period leading up to menopause, when hormone levels begin fluctuating and periods become irregular before stopping altogether. It typically starts in the mid-to-late 40s, though timing varies, and can last several years.

• Irregular periods, changes in flow
• Hot flushes and night sweats
• Sleep disturbance
• Mood changes
• Vaginal dryness and discomfort
• Changes in bone density and cardiovascular risk over the longer term

If perimenopausal symptoms are affecting daily life, sleep, or mood, or if there are questions about managing long-term health risks (bone health, cardiovascular health) through this transition, a dedicated consultation is worthwhile rather than treating symptoms individually as they arise.

An assessment of symptoms and their impact, review of individual risk factors and medical history, and a management plan that may include lifestyle measures, non-hormonal symptom management, or hormone therapy where appropriate and not contraindicated - decided on an individual basis.

Credentialed IMS Menopause Practitioner (CIMP), Indian Menopause Society, January 2026 (valid to March 2031). She also currently serves as Hon. Secretary of the Indian Menopause Society's Rajkot Chapter (2025).

This page provides general medical information and does not replace individualised advice from your treating doctor.