Gynaecology
Menopause care
Symptoms are treated, and the long-term consequences for bone and heart health are planned for.
Menopause care
Menopause: symptoms treated, and the years after planned for
Menopause is not an illness, but its symptoms can disrupt sleep, mood, work and relationships for years — and the fall in oestrogen affects bones and the heart long after the flushes stop. At Sradha Women Care symptoms are treated on their merits, and the long-term consequences are planned for, with a frank discussion of hormone therapy and its alternatives.
What changes, and when
Perimenopause — irregular periods, flushes, disturbed sleep and mood changes — often begins in the mid-forties and can last several years before periods stop altogether. Each phase has different needs and different risks that need watching.
Symptoms assessed
Hot flushes and night sweats, sleep, mood and concentration, vaginal dryness and pain with intercourse, bladder symptoms and joint aches.
Health checked
Blood pressure, weight, thyroid and sugar; lipids; and a discussion of bone health — the silent consequence of menopause.
Treatment options
Hormone therapy is safe and effective for most women under 60 or within ten years of menopause, and there are good non-hormonal options for those who cannot or prefer not to take it.
Hormone therapy
Its benefits, its risks and its duration set out honestly for your situation, with the lowest effective dose and regular review.
Non-hormonal options
Effective medicines for flushes and mood, local treatment for vaginal symptoms, and lifestyle measures that genuinely help sleep and weight.
Protecting the years ahead
The decisions made around menopause affect bone, heart and metabolic health for the next thirty years.
Bone health
Calcium, vitamin D, weight-bearing activity and, where risk is high, bone density testing and treatment to prevent fracture.
Heart and metabolic health
Blood pressure, sugar and lipids monitored, because the risk of heart disease rises after menopause and is reduced by early attention.
In summary
Bleeding after menopause
Any bleeding a year or more after periods have stopped is not part of menopause and must be assessed — with an ultrasound and, where the lining is thickened, a sample. It is usually benign, but the check must never be skipped.
Included in this care
- Assessment of hot flushes, sleep, mood and vaginal symptoms
- Blood pressure, weight, thyroid and sugar
- Bone health advice, with calcium and vitamin D
- Discussion of hormone therapy, its benefits and its risks
- Cervical and breast screening kept up to date
- Investigation of any bleeding after menopause
When to come in
- Periods have become irregular after 45
- Hot flushes or night sweats disturbing sleep
- Any bleeding a year or more after periods stopped
- Pain or dryness affecting intercourse
If any of these apply, book a visit rather than waiting for the next routine check.
Related gynaecology services
PCOS / PCOD
A diagnosis of exclusion, made on cycle history, hyperandrogenism and ovarian morphology once other causes are ruled out.
Fertility treatment
Both partners are evaluated before any treatment is offered, and follicular tracking is done in the clinic.
Abnormal uterine bleeding
Heavy or prolonged bleeding is investigated, not simply treated with tablets each cycle.