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Phases of Menopause                                                                                                    Getting started





              The phases of menopause can be characterised as follows:                                                               This section outlines the steps involved as well as what to expect when you first
                                                                                                                                     commence the treatment program. Also included is some general information and
              1  |  Pre Menopause                                                                                                    some useful health and lifestyle tips that may help you minimise your symptoms
                                                                                                                                     and improve your quality of life.
                    can occur from age 35 onwards and women may have regular periods but be
                    experiencing menopausal symptoms.
                                                                                                                                     Our Goal

                                                                                                                                     Our goal is to provide you with a BHRT treatment program designed to adequate-
              2  |  Peri Menopause
                                                                                                                                     ly control your menopausal symptoms, and to provide a low dose treatment to
                    can occur in the middle to late 40s and women may experience irregular                                           accommodate your body’s requirements. We will assist you in reaching that goal
                    menstrual periods and symptoms such as hot flushes, night sweats, mood                                           by us first arriving at a starting point for your treatment and then monitoring your

                    swings or depression. Peri-menopause is perhaps the most difficult to treat                                      situation until such time as you are ready to be weaned off the treatment.
                    and can require multiple changes in hormonal supplementation. Many women
                    simply do not cope well with this erratic time in their life.                                                                                          STEPS IN BRIEF



              3  |  Menopause                                                                                                          1   In order for us to arrive at that starting point we will require:


                    is marked by the end of monthly bleeding and signals a major decline in                                                    A detailed medical history, where we will ask you relevant questions
                    oestrogen production. It could be said to have commenced when a woman in                                                   pertaining to your health.
                    her 40s or 50s has not had a period for six months or more. If it has been 12                                              A description of your current menopausal symptoms
                    months since her last period, then menopause is almost certain.                                                            Results from pathology and or other investigations if required

                                                                                                                                               Current GP contact

              4  |  Post Menopause
                                                                                                                                           Our staff will assist you in organising this in advance of your first consultation
                    represents the first five or so years after menopause. The lack of oestrogen
                    released from the ovaries leads to several changes. These may include                                                  An initial consultation will then be booked for you with one of our doctors.

                    decrease in bone density, rising levels of cholesterol and other lipids in the                                     2   Based on the information and the outcome of your first consultation, our
                    blood, and other physical changes. Hot flushes, night sweats and mood                                                  doctors will suggest an appropriate course of action.
                    swings may occur during this phase, although these generally decrease within
                    one to two years.
                                                                                                                                       3   Frequent follow up with you by our patient care and clinical team during the
                                                                                                                                           initial phase of your treatment.

                        Despite a commonly held belief, menopause is not an end ~ it is a

                      beginning. Most women will live at least one-third of their lives after                                          4   Continuing regular follow up, providing you with our counsel and assistance
                      menopause. Menopause can be described as the beginning of a new                                                      along the way.

                          phase in a woman’s life that will bring different expectations,
                                             opportunities and experiences.                                                            5   Finally assisting you to wean off the treatment.






        The Australian Menopause Centre                                                                         4              The Australian Menopause Centre                                                                         5
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