The menopause is the time in a woman’s life when periods stop. This usually happens in the late 40s or early 50s. It signifies the end of the reproductive life of a woman as eggs will no longer be produced by the ovaries. For a number of years before and after this happens, many women suffer perimenopausal (or climacteric) symptoms such as hot flushes, mood swings, tearfulness, vaginal dryness or no sex drive as the body adjusts to lower oestrogen levels. The symptoms can make life miserable. The lower oestrogen levels are also associated with an increased risk of developing osteoporosis, heart disease and Alzheimer’s disease.
Olivia can talk you through the risks and benefits of hormone replacement therapy (HRT) and the alternatives to HRT.
As the menopause approaches, periods can also become more irratic and heavier. Most of the time this is because of the hormonal changes going on and this is called dysfunctional uterine bleeding. However it is important to exclude polyps and precancerous or even cancerous changes in the lining of the womb or cervix. Olivia can fully investigate you for all these conditions to reassure you and then discuss treatment options to help you with the perimenopausal problems.