Understand menopause symptoms, abnormal bleeding, treatment options and long-term health considerations.
Understanding the concern
Perimenopause can cause cycle changes, hot flushes, sleep disturbance, mood symptoms, vaginal dryness and urinary concerns. Symptoms and their impact differ greatly between women.
How it may be assessed
Assessment considers age, bleeding pattern, medical history, medicines and individual risk factors. Unexpected or persistent bleeding may require specific investigation.
Treatment and care options
Management may include lifestyle measures, non-hormonal therapies, vaginal treatment or systemic hormone therapy when suitable after individual counselling. Bone and cardiovascular health also matter.
When to seek urgent help
Heavy bleeding, postmenopausal bleeding, chest pain, sudden breathlessness or neurological symptoms need prompt medical care.
Frequently asked questions
Is hormone therapy suitable for everyone?
No. Benefits and risks depend on symptoms, age, time since menopause and medical history.
Does every menopause symptom require a blood test?
No. Testing depends on age, symptoms and clinical circumstances.

