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Menopause services at Evoca deliver a holistic assessment of every woman regardless of their stage and phase in the menopause journey. Menopause is categorised as 12 months from the last menstrual period, and the average age of menopause in Australia is 51 years old 1. However, perimenopause can begin from up to 10 years before this. As estrogen and testosterone levels decline with the reduction in function of the ovaries, this triggers physiological, physical, and psychological changes in the body which fundamentally change the way women look and feel.
Evoca menopause services deliver a holistic assessment of every woman regardless of their stage and phase in the menopause journey.
Our menopause and perimenopause services
In the perimenopause and menopause assessment your GP will take time to assess:
- Peri/menopausal symptoms
- Contraceptive needs
- Sexual function
- Medical history
- Family medical history
- Disease risk
- Lifestyle habits
This will enable a holistic view in the context of your menopause journey and means that your GP can develop a tailored menopause management plan to meet your specific needs.
Treatment options which can be explored include:
- MHT (menopausal hormonal therapy or Hormone Replacement Therapy)
- Non hormonal medications for symptom control
- Alternative therapies for menopause management
While symptom management and optimising wellbeing in the peri/menopause is important, disease prevention and risk management is important to consider at a time in life when disease risk in the context of age and hormonal changes starts to increase. In this your peri/menopause assessment will include the arranging of any necessary further investigations to assess risk, as well as tailored lifestyle advice and interventions to reduce risk and prevent disease.
Keep a note of all your symptoms
Prioritise what’s important to improve for your wellbeing
Find out about your family history of disease and tell us
Tell us if you have an idea of what sort of treatment you might like to try
- Many studies on HRT which have been published in the last decade highlight the potential risks of undergoing such a therapy, particularly around the incidence of breast cancer. However, recent evidence demonstrates that the risk of breast cancer from hormonal therapy is small, and in many cases the benefits of using therapy outweigh the risks.
- There is little or no change in the background risk of breast cancer if estrogen only hormonal therapy is used. This is used in women who no longer have a uterus and therefore do not require additional progesterone therapy.
- Combined hormonal therapy (estrogen and progesterone) can be associated with a small increase in breast cancer risk, though this increase in risk is also related to how long hormonal therapy is used, and the risk reduces when hormonal therapy use is ceased.
- Hormonal therapy should be discussed with your doctor and reviewed on a regular basis to ensure that an appropriate dosing and regime is used.
1 Reference: https://www.menopause.org.au/images/factsheets/What_is_MHT_and_is_it_safe_V7.pdf
Active ovaries release estrogen and testosterone into the body. While these hormones are critical for certain physiological functions, they also contribute significantly to a sense of female wellbeing. In menopause, the ovaries decline in function and eventually cease to function. As part of this decline, estrogen and testosterone levels fall. Testosterone is a critical hormone for sexual desire and libido. As levels fall so too does libido. While replacing testosterone in women has risks and is not yet straightforward, there are other lifestyle and psychological measures which can support some measure of increased libido.
2 Reference: https://www.menopause.org.au/images/factsheets/AMS_Will_menopause_affect_my_sex_life.pdf
Symptoms of menopause are multiple and varied but broadly include:
- Hot flushes
- Night sweats
- Sleep disturbance
- “Brain fog”
- Low libido
- Vaginal dryness
- Joint pains
- Reduced energy levels