Menopause management refers to the various approaches and strategies used to manage the symptoms and health risks associated with menopause. Menopause is a natural biological process that occurs in women when they stop menstruating, and it typically happens in their late 40s or early 50s. Some of the common symptoms of menopause include hot flashes, night sweats, vaginal dryness, mood swings, and sleep disturbances.
Menopause management may involve lifestyle changes, such as exercising regularly, eating a balanced diet, and avoiding smoking and alcohol. Medical treatments, including hormone therapy, antidepressants, and other medications, may also be used to manage the symptoms of menopause. Overall, menopause management aims to help women maintain their quality of life and reduce their risk of developing health problems, such as osteoporosis, heart disease, and dementia.
Formally known as hormone replacement therapy, MHT is an exogenous source of hormones that replace the low levels of endogenous hormones experienced in menopause. This can include oestrogen, progesterone and testosterone replacement.
Hormonal therapy can be administered topically through the skin or via oral medication. The exact dosing and combination of therapy will be different in each clinical situation.
Non-hormonal therapies can be considered as a management option for menopause in some cases. Examples of medications include anti-depressants (SSRIs and SNRIs), Gabapentin, Clonidine and Veoza. The exact medication and dosing will be bespoke to your medical history, presenting symptoms and risk factors.
Premature ovarian insufficiency is when your final period happens before the age of 40 years and occurs in 1% of women. Early menopause is when your final period happens between the ages of 40 and 45 and can occur in up to 8% of women.
Management of women with early menopause or POI is often multi-disciplinary and includes management of overall health and wellbeing as well as hormone replacement. This includes prevention of osteoporosis and cardiovascular disease as well as sexual function, emotional wellbeing and neurological health. A management plan will often include consultation with dietician, exercise physiologist, use of medications (including hormonal therapy, unless contraindicated) and psychological support.
Dr Danielle Robson, Fertility Specialist, consults at three locations across Sydney: the CBD, Chatswood, and Manly. A referral from a General Practitioner is required for all initial appointments.
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Danielle is a fertility specialist and gynaecologist with an interest in fertility preservation, premature ovarian insufficiency, and menopause management. She is a Fellow of the Royal Australian and New Zealand College of Obstetrics and Gynaecology and a sub-specialist in Reproductive Endocrinology and Infertility.
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