Menopause & Perimenopause

Menopause: Understanding the Transition and Managing Symptoms

Women’s health—particularly menopause—has been a hot topic lately, and for good reason.  It’s a natural phase of life, but in today’s fast-paced world, it can have a significant impact on both physical and mental well-being. Many women find themselves navigating this transition while balancing careers, family responsibilities, and personal health—all of which can make the journey more challenging

What is Menopause?

Menopause is a natural biological transition that occurs when the ovaries stop producing estrogen. This leads to the cessation of ovulation and, eventually, menstruation. A woman is considered to have reached menopause when she has gone 12 consecutive months without a period.

The process happens gradually:

• Perimenopause refers to the years leading up to menopause when hormonal fluctuations cause symptoms.
• Menopause is the point when menstruation stops completely.
• Postmenopause follows menopause and continues for the rest of a woman’s life.

Most women experience menopause between the ages of 45 and 55. Some transition smoothly, while others face significant symptoms that require medical or lifestyle interventions.

What Can Be Done?

The good news is that there are many ways to manage menopause symptoms and improve quality of life. Some women experience mild symptoms and require little intervention, while others benefit from tailored support.

Lifestyle and Non-Medical Approaches

• Regular exercise – Supports metabolism, bone health, and mental well-being
• Healthy diet – Helps with weight management
• Prioritizing sleep – Essential for cognitive function and mood stability
• Stress management – Simplifying commitments and practicing mindfulness can be beneficial

Medical Treatment Options

For women who need additional support, there are various evidence-based treatment options:

• Over-the-counter remedies
• Prescription medications for symptom relief
• Menopause Hormonal Therapy (MHT) – A highly effective option for managing symptoms and protecting long-term health where appropriate. Please discuss with your GP the various options available for MHT. 

Every woman’s menopause journey is unique, and treatment should be tailored to individual needs. If symptoms are affecting your quality of life, please speak with your GP to explore the best options for you.

Written by Dr Lakmini Gunaratne, MBBS, FRACGP, DCH

Dr. Lakmini has a special interest in women’s health, with a particular focus on Menopause & Perimenopause. She has pursued advanced studies with the Australian Menopause Society and Jean Hailes Organisation, complementing her expertise with hands-on experience in a dedicated menopause clinic. 

Passionate about empowering women, Dr. Lakmini provides personalised, evidence-based guidance to help manage symptoms and navigate the health challenges of perimenopause, menopause, and beyond. With a patient-centered approach, she creates a supportive and trusting environment where women can make informed decisions and feel confident in their health journey.

If you would like to make an appointment with Dr Lakmini to explore or discuss any concerns around perimenopause or menopause symptoms, investigations or management, please select the appointment type called Menopause Consultation.