Menopause & Perimenopause

Menopause is a natural stage of life, but every woman experiences the transition differently. Perimenopause describes the years leading up to the final menstrual period, when ovarian hormone production begins to change. Menopause is reached after 12 months without a menstrual period and occurs, on average, at around 51 years of age.

Perimenopause is often under recognised. Hormonal changes and symptoms can begin while periods are still occurring and may include hot flushes, night sweats, changes in sleep, mood and concentration, brain fog, vaginal and sexual symptoms, and changes in body composition. The experience can vary considerably between women and can affect physical health, emotional wellbeing, relationships, work and quality of life.

Menopause can also occur earlier than expected. Premature ovarian insufficiency, which occurs before the age of 40, and early menopause, before the age of 45, require particular consideration. Beyond changes in menstrual cycles and symptoms, earlier loss of ovarian hormone function can have important implications for bone, cardiovascular, reproductive and psychological health. Our specialists are highly trained to provide expert assessment to understand the underlying cause where appropriate, and develop a longer term plan that considers both current wellbeing and future health.

At Evolve, we see the menopause transition as much more than managing symptoms. It is an important opportunity to take a broader view of your health and to optimise your wellbeing for the years ahead. We consider not only the symptoms you are experiencing now, but also your bone, cardiovascular and metabolic health, psychological wellbeing, sexual health and healthy ageing, helping you feel well now while investing in your long-term health.

There is no single approach to menopause care. Treatment is individually tailored to your symptoms, medical and family history, stage of menopause, personal circumstances, health priorities and preferences. We take the time to understand what matters to you and develop a plan that supports both your current wellbeing and your longer term health.

Our aim is to provide expert, evidence based care that supports you throughout the menopause transition and beyond, adapting as your health, priorities and needs change over time.