Menopause & Perimenopause
Perimenopause is the transition to menopause and often begins with cycle changes, hot flushes, and sleep disruption. Menopause is confirmed after 12 months without a period and is usually diagnosed clinically in people over 45.
Assessment focus
- Symptom timeline, menstrual history, and impact on daily life.
- Review of medical history, medications, and risk factors.
- Targeted tests only when symptoms are atypical or menopause occurs early.
Care discussion
- Lifestyle strategies for sleep, stress, nutrition, and movement.
- Non-hormonal options may be considered for symptom relief.
- Prescription-only therapies are discussed when symptoms significantly affect quality of life.