Perimenopause and Menopause Management

Novo Clinic Gynecology

What is Perimenopause and Menopause Management?

Menopause management involves a comprehensive approach to address symptoms such as vasomotor symptoms (hot flashes and night sweats), mood disturbances, and urogenital atrophy.

Hormone replacement therapy (HRT) may be prescribed to mitigate these symptoms while considering individual risk factors such as history of breast cancer or thromboembolic disease. Additionally, lifestyle modifications, dietary counseling, and alternative therapies are integrated into the care plan to enhance quality of life during the menopausal transition.

 

Menopause is a natural biological process that marks the end of a woman’s menstrual cycles. It’s diagnosed after 12 consecutive months without a period. Most often occurring in the 40s or 50s, the average age for menopause in the U.S. is 51. Though menopause is a normal part of aging, it brings a range of symptoms due to changes in hormone levels, which can affect physical and emotional health.

What causes Perimenopause and Menopause?

Menopause occurs when the ovaries naturally reduce their production of estrogen and progesterone, the hormones that regulate menstruation. This decline typically starts in a woman’s late 30s or early 40s. Menopause can also result from certain medical interventions, such as:

  • Surgical removal of the ovaries (oophorectomy)
  • Chemotherapy and radiation treatments
  • Premature ovarian insufficiency, where the ovaries fail before age 40, often due to genetic factors or autoimmune diseases.

Perimenopause and Menopause Management FAQ's

The symptoms of menopause vary widely among individuals but can include:

  • Irregular periods that gradually stop
  • Hot flashes and night sweats
  • Vaginal dryness and discomfort during intercourse
  • Mood swings and changes in emotional well-being
  • Sleep disturbances
  • Brain fog, including trouble with memory and focus
  • Decreased libido

Menopause is typically diagnosed based on symptoms and a woman’s age. After 12 months without a menstrual period, menopause is considered confirmed. Blood tests can be done to measure levels of follicle-stimulating hormone (FSH) and estradiol, which may indicate the transition to menopause. However, these tests are not always necessary for diagnosis.

Treatment for menopause focuses on relieving symptoms and preventing long-term health issues. Common treatment options include:

  • Lifestyle changes, such as diet modifications, regular exercise, and stress management techniques.
  • Hormone therapy to supplement estrogen and progesterone levels, which can help reduce hot flashes, night sweats, and vaginal discomfort.
  • Non-hormonal medications like antidepressants or other therapies to manage symptoms such as mood swings and hot flashes.
  • Vaginal estrogen creams or rings for dryness and discomfort.
  • Bone-strengthening treatments to prevent osteoporosis, especially after menopause.

Are You at Risk of Osteoporotic Fractures?

Osteoporosis is a common yet often undiagnosed condition that leads to weakened bones and an increased risk of fractures, particularly in women going through perimenopause and menopause. As estrogen levels decline, bone density loss accelerates, making early detection and intervention essential.

At NovoClinic, we are committed to helping you assess and manage your bone health to prevent fractures and maintain mobility.

Assess Your Risk with QFracture®

We recommend using the QFracture®-2016 risk calculator, a clinically validated tool that estimates your likelihood of experiencing a fragility fracture based on your medical history, lifestyle, and other risk factors.

Take the QFracture® test now: QFracture®-2016 Risk Calculator

Next Steps: Personalized Care for Your Bone Health

If your results indicate an increased risk, early intervention is key. Dr. Smith and our team specialize in osteoporosis prevention, diagnosis, and treatment.

Schedule a Consultation

If you are concerned about osteoporosis or have risk factors for fractures, don’t wait until a fracture occurs. Contact Dr. Smith today to discuss your results and explore preventive measures tailored to your needs.

Take control of your bone health—early detection and prevention can make all the difference.

Meet the
Perimenopause and Menopause Management Providers

A multi-diciplinary team of board certified professionals from around the globe. All with one aim: to improve your quality of life.

Dr. Barry Richter

Board Certified Gynecologist & Obstetrician & Urogynecologist , Certified Menopause Practitioner, European Society of Aesthetic Gynecology Certified

Dr. Mike Smith

Consultant Gynaecologist & Gynaecological Oncologist, Certified Menopause Practitioner by the International Menopause Society

Dr Mike Smith

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