What Is Menopause and Perimenopause?
Perimenopause is the transitional phase leading up to menopause, marked by hormonal fluctuations that may cause irregular cycles, mood changes, and other symptoms. Menopause is defined as the point when a woman has not had a menstrual period for 12 consecutive months, typically occurring between the ages of 45 and 55.
At EPIA, we provide holistic care for women navigating this natural life stage. From managing disruptive symptoms to monitoring long-term health risks, our approach combines medical expertise with empathy—ensuring that every patient feels seen, supported, and informed.
Why Choose EPIA for Menopause and Perimenopause Support?
Menopause is not a one-size-fits-all experience. Some women breeze through it, while others struggle with symptoms that affect their quality of life. At EPIA, we personalise your care based on your specific needs, health history, and goals.
What we offer:
- Evidence-based hormone and non-hormonal therapies
- Nutritional and lifestyle counselling
- Screening for bone, heart, and metabolic health
- Vaginal and sexual wellness care
- Emotional and cognitive support options
Whether you’re in your early 40s and noticing subtle changes or seeking clarity years after menopause, our team is here to help you feel balanced and well again.
What’s Included in Menopause & Perimenopause Support at EPIA?
- Symptom Review & Hormonal Evaluation: Hot flashes, sleep disturbances, mood changes, and more
- Personalised Hormone Replacement Therapy (HRT): When appropriate and safe
- Non-Hormonal Alternatives: Including supplements, vaginal treatments, and lifestyle changes
- Bone Health Monitoring: With vitamin D testing and DEXA scans, if needed
- Cardiovascular Screening: As estrogen levels decline, heart health becomes even more important
- Mental Health Support: Addressing mood swings, anxiety, and brain fog
- Menopause-Focused Gynaecology Care: Vaginal dryness, urinary symptoms, and libido changes
We also help you separate myths from facts—empowering you to make informed choices without fear or confusion.
Who Should Consider Menopause and Perimenopause Support?
- Women aged 40+ noticing menstrual changes, mood fluctuations, or other new symptoms
- Individuals with a family history of early menopause or osteoporosis
- Those already in menopause who want support for sexual wellness or long-term health
- Anyone considering or needing a second opinion on hormone therapy
- Women managing menopause after cancer treatment or surgical menopause
Whether your symptoms are just beginning or long-standing, there’s no need to go through it alone.
Menopause & Perimenopause FAQs
What’s the difference between perimenopause and menopause?
Perimenopause is the lead-up to menopause when hormone levels fluctuate and symptoms begin. Menopause is confirmed after 12 months without a period.
What symptoms are common during this time?
Hot flashes, night sweats, mood changes, brain fog, vaginal dryness, and irregular periods are some of the most common. Every woman’s experience is unique.
Do I need blood tests to confirm menopause?
Not always. Menopause is largely a clinical diagnosis. However, hormone tests may help clarify things, especially in younger women or complex cases.
Is HRT safe?
Hormone therapy is safe for most healthy women under 60 or within 10 years of menopause onset. It must be tailored to your needs and risk factors.
Are there non-hormonal treatments?
Yes. Options include vaginal moisturisers, diet changes, exercise, certain medications, and alternative therapies. We’ll help you explore what suits you best.
Does menopause affect fertility?
Yes. Menopause marks the end of natural fertility. Perimenopause can also make conception more difficult due to irregular ovulation.
What about menopause after cancer?
We offer specialised counselling and non-hormonal strategies for women navigating menopause after chemotherapy, radiation, or surgery.
