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Menopause
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.
References
1https://www.menopause.org.au/images/factsheets/Menopause_What_are_the_symptoms.pdf
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
Dr Alicia Altson
General Practitioner
Highett, VIC 3190
Dr Alison Clarke
General Practitioner
Norwood SA 5067
Dr Arthikka Kirupal
General Practitioner
Blacktown NSW 2148
Dr Aseel Marioud
General Practitioner
Fairfield, NSW 2165
Dr Beverly Brookes
General Practitioner
Charlestown, NSW 2290
Dr Danise Theron
General Practitioner
Rockingham, WA 6168
Dr Faiza Mehfooz
General Practitioner
Ballarat, VIC 3350
Dr Farish Begum
General Practitioner
Blacktown NSW 2148
Dr Garry McInerney
General Practitioner
Highett, VIC 3190
Dr Grace Abdukeyum
General Practitioner
Charlestown, NSW 2290
Dr Janine Teasdale
General Practitioner
Brookvale, NSW 2100
Dr Jessica Murphy
General Practitioner
Leichhardt, NSW 2040
Dr Jolly Dutta
General Practitioner
Blacktown NSW 2148
Dr Josephine Salazar
General Practitioner
Ballarat, VIC 3350
Dr Loba Haque
General Practitioner
Ballarat, VIC 3350
Dr Madeleine Southey
General Practitioner
Brookvale, NSW 2100
Dr Mahua Sharmin Huq
General Practitioner
Ballarat, VIC 3350
Dr Mar Mar Thet
General Practitioner
Highett, VIC 3190
Dr Mark Green
General Practitioner
Brookvale, NSW 2100
Dr Moet Khine
General Practitioner
Leichhardt, NSW 2040
Dr Mokhlesur Rahman
General Practitioner
Ballarat, VIC 3350
Dr Myra Kamene Mpungu
General Practitioner
Werribee, VIC 3030
Dr Nadia Shamsuddin
General Practitioner
Werribee, VIC 3030
Dr Nicola Cahill
General Practitioner
Ballarat, VIC 3350
Dr Richard Sacks
General Practitioner
Brookvale, NSW 2100
Dr Rita Almohty
General Practitioner
Campsie, NSW 2194
Dr Salina Ahmed
General Practitioner
Charlestown, NSW 2290
Dr Sid Viswanath
General Practitioner
Rockingham, WA 6168
Dr Sidra Imtiaz
General Practitioner
Ballarat, VIC 3350
Dr Sophie Vavladelis
General Practitioner
Bondi Junction, NSW 2022
Dr Sue-Ann Steer
General Practitioner
Highett, VIC 3190
Dr Sushma Chaparala
General Practitioner
Moonee Ponds VIC 3039
Dr Syeda Bushra
General Practitioner
Blacktown NSW 2148
Dr Vecerka Skovrlj
General Practitioner
Brookvale, NSW 2100
Dr Yliana Dennett
General Practitioner
Brookvale, NSW 2100
Dr. Caroline van der Vlugt
General Practitioner
Robina, QLD 4226
Dr. Dzung Do
General Practitioner
Campsie, NSW 2194
Dr. Farhat Jehan
General Practitioner
Caringbah, NSW 2229
Dr. Fatima Elnaggar
General Practitioner
Victoria Point, QLD 4165
Dr. Gagandeep Kundal
General Practitioner
Rockingham, WA 6168
Dr. Hana Sandrik
General Practitioner
Maroubra, NSW 2035
Dr. Ignatius Oyugbo
General Practitioner
Modbury, SA 5092
Dr. Jay Kotecha
General Practitioner
Robina, QLD 4226
Dr. Jennifer Cortez
General Practitioner
Robina, QLD 4226
Dr. Jody Waters
General Practitioner
Victoria Point, QLD 4165
Dr. Kalyanie Kuruppuarachchi
General Practitioner
Maroubra, NSW 2035
Dr. Nitya Krishnamurthy
General Practitioner
Dapto, NSW 2530
Dr. Palmyra de Banks
Clinical Director - VIC
General Practitioner
Preston, VIC 3072
Dr. Rekha Jayaram Rao
General Practitioner
Campsie, NSW 2194
Dr. Shilpi Wahi
General Practitioner
Victoria Point, QLD 4165
Dr. Sneha Wadhwani
General Practitioner
National Clinical Director – Evoca women’s health
Bondi Junction, NSW 2022
Dr. Vidya Prabhu
General Practitioner
Epping Plaza, VIC 3076
Enas Al Shahabi
General Practitioner
Phillip, ACT 2606
Enas Al Shahabi
General Practitioner
Phillip, ACT 2606
Dr Arthikka Kirupal
General Practitioner
Blacktown NSW 2148
Dr Aseel Marioud
General Practitioner
Fairfield, NSW 2165
Dr Beverly Brookes
General Practitioner
Charlestown, NSW 2290
Dr Farish Begum
General Practitioner
Blacktown NSW 2148
Dr Grace Abdukeyum
General Practitioner
Charlestown, NSW 2290
Dr Janine Teasdale
General Practitioner
Brookvale, NSW 2100
Dr Jessica Murphy
General Practitioner
Leichhardt, NSW 2040
Dr Jolly Dutta
General Practitioner
Blacktown NSW 2148
Dr Madeleine Southey
General Practitioner
Brookvale, NSW 2100
Dr Mark Green
General Practitioner
Brookvale, NSW 2100
Dr Moet Khine
General Practitioner
Leichhardt, NSW 2040
Dr Richard Sacks
General Practitioner
Brookvale, NSW 2100
Dr Rita Almohty
General Practitioner
Campsie, NSW 2194
Dr Salina Ahmed
General Practitioner
Charlestown, NSW 2290
Dr Sophie Vavladelis
General Practitioner
Bondi Junction, NSW 2022
Dr Syeda Bushra
General Practitioner
Blacktown NSW 2148
Dr Vecerka Skovrlj
General Practitioner
Brookvale, NSW 2100
Dr Yliana Dennett
General Practitioner
Brookvale, NSW 2100
Dr. Dzung Do
General Practitioner
Campsie, NSW 2194
Dr. Farhat Jehan
General Practitioner
Caringbah, NSW 2229
Dr. Hana Sandrik
General Practitioner
Maroubra, NSW 2035
Dr. Kalyanie Kuruppuarachchi
General Practitioner
Maroubra, NSW 2035
Dr. Nitya Krishnamurthy
General Practitioner
Dapto, NSW 2530
Dr. Rekha Jayaram Rao
General Practitioner
Campsie, NSW 2194
Dr. Sneha Wadhwani
General Practitioner
National Clinical Director – Evoca women’s health
Bondi Junction, NSW 2022
Dr. Caroline van der Vlugt
General Practitioner
Robina, QLD 4226
Dr. Fatima Elnaggar
General Practitioner
Victoria Point, QLD 4165
Dr. Jay Kotecha
General Practitioner
Robina, QLD 4226
Dr. Jennifer Cortez
General Practitioner
Robina, QLD 4226
Dr. Jody Waters
General Practitioner
Victoria Point, QLD 4165
Dr. Shilpi Wahi
General Practitioner
Victoria Point, QLD 4165
Dr Alison Clarke
General Practitioner
Norwood SA 5067
Dr. Ignatius Oyugbo
General Practitioner
Modbury, SA 5092
Dr Alicia Altson
General Practitioner
Highett, VIC 3190
Dr Faiza Mehfooz
General Practitioner
Ballarat, VIC 3350
Dr Garry McInerney
General Practitioner
Highett, VIC 3190
Dr Josephine Salazar
General Practitioner
Ballarat, VIC 3350
Dr Loba Haque
General Practitioner
Ballarat, VIC 3350
Dr Mahua Sharmin Huq
General Practitioner
Ballarat, VIC 3350
Dr Mar Mar Thet
General Practitioner
Highett, VIC 3190
Dr Mokhlesur Rahman
General Practitioner
Ballarat, VIC 3350
Dr Myra Kamene Mpungu
General Practitioner
Werribee, VIC 3030
Dr Nadia Shamsuddin
General Practitioner
Werribee, VIC 3030
Dr Nicola Cahill
General Practitioner
Ballarat, VIC 3350
Dr Sidra Imtiaz
General Practitioner
Ballarat, VIC 3350
Dr Sue-Ann Steer
General Practitioner
Highett, VIC 3190
Dr Sushma Chaparala
General Practitioner
Moonee Ponds VIC 3039
Dr. Palmyra de Banks
Clinical Director - VIC
General Practitioner
Preston, VIC 3072
Dr. Vidya Prabhu
General Practitioner
Epping Plaza, VIC 3076
Dr Danise Theron
General Practitioner
Rockingham, WA 6168
Dr Sid Viswanath
General Practitioner
Rockingham, WA 6168
Dr. Gagandeep Kundal
General Practitioner
Rockingham, WA 6168
FAQ’s
- 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
- Anxiety
- Depression
- “Brain fog”
- Low libido
- Vaginal dryness
- Joint pains
- Fatigue
- Reduced energy levels
Book your appointment now