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.

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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.

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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.

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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

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Chrissy Eze

Counsellor

Robina, QLD 4226
Chrissy is a compassionate and dedicated pr...
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Dr Alicia Altson

General Practitioner

Highett, VIC 3190
Beginning her studies at Melbourne Universi...
Dr Alison Clarke

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Dr Alison Clarke has worked in various Gene...
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Dr Amatun Rashid

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Having been a doctor for more than sixteen ...
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Dr Arthikka Kirupal

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Dr Aseel Marioud

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Dr Beverly Brookes

General Practitioner

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Originally from the UK and graduating from ...
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Dr Brenda Nathanson

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Completing her medical degree in 2003 from ...
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Dr Chiharu Yamano

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Growing up in Melbourne, Dr Chiharu studied...
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Dr Danise Theron

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Dr Ekhlas Nasser

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Dr Flora Bella Abril-Basobas

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Dr Garry McInerney

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Dr Grace Abdukeyum

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Dr Janine Teasdale

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Dr Jessica Murphy

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Dr Jolly Dutta

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Dr Josephine Salazar

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Dr Loba Haque

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Dr Mar Mar Thet

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Dr Mark Green

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Dr Mokhlesur Rahman

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Dr Myra Kamene Mpungu

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Dr Nicola Cahill

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Dr Olivia Waturuocha

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Dr Richard Sacks

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Dr Rita Almohty

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Dr Salina Ahmed

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Dr Sanda Bonchis

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Dr Shoma Chowdhury

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Dr. Sid has been working in Australian gene...
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Dr Sophie Vavladelis

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Dr Sudhish Sudhan

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Dr Sue-Ann Steer

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Highett, VIC 3190
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Dr Sumera Angus

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Dr Susan Pan

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Dr Sushma Chaparala

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Dr Swati Sharma

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Springfield, QLD 4300
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Dr Syeda Bushra

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Dr Thomas Shashian

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Dr Palmyra has been a doctor for more than ...
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Qualifying in medicine in 2002 from the University of Leicester UK, Dr Sneh...
Dr. Vidya Prabhu

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Epping Plaza, VIC 3076
With more than 12 years’ experience as a ...
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Enas Al Shahabi

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Phillip, ACT 2606
A competent and compassionate GP, Dr Enas i...
Dr Priya Murugiah

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Phillip, ACT 2606
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PHILLIP_Enas Nabhan Mohammad Al Shahabi_400
Enas Al Shahabi

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Phillip, ACT 2606
A competent and compassionate GP, Dr Enas i...
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Dr Arthikka Kirupal

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Blacktown NSW 2148
Graduating from the University of Jaffna, S...
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Dr Aseel Marioud

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Fairfield, NSW 2165
A Fellow of The Royal Australian College of...
Dr Beverly Brookes

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Charlestown, NSW 2290
Originally from the UK and graduating from ...
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Dr Brenda Nathanson

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Bondi Junction, NSW 2022
Completing her medical degree in 2003 from ...
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Dr Chiharu Yamano

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Epping Plaza, VIC 3076
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Dr Ekhlas Nasser

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Rouse Hill, NSW 2155
Driven by a desire to make a positive impac...
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General Practitioner

Blacktown NSW 2148
After completing her MBBS and internship in...
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Dr Flora Bella Abril-Basobas

General Practitioner

Rouse Hill, NSW 2155
Completing her medical degree in the Philip...
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Dr Grace Abdukeyum

General Practitioner

Charlestown, NSW 2290
Having worked closely with gynaecologists a...
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Dr Janine Teasdale

General Practitioner

Brookvale, NSW 2100
Originally from Victoria and then completin...
Dr Jenny He

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Completing her medical degree in China, Dr ...
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Dr Jessica Murphy

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Dr Jolly Dutta

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Having been a doctor for over 16 years, Dr ...
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Dr Mark Green

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Brookvale, NSW 2100
An experienced GP who qualified from Liverp...
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Dr Richard Sacks

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Brookvale, NSW 2100
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Dr Rita Almohty

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Graduating from medicine in 1997 from the U...
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Dr Salina Ahmed

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Dr Sophie Vavladelis

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After completing her studies at University ...
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Dr Susan Pan

General Practitioner

Chatswood, NSW 2067
Graduating from Sun Yat-Sen University in 1...
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Dr Syeda Bushra

General Practitioner

Blacktown NSW 2148
With a regional medicine background after t...
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Dr Vecerka Skovrlj

General Practitioner

Brookvale, NSW 2100
Originally graduating from the University o...
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Dr Yliana Dennett

General Practitioner

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An experienced doctor who has been practici...
Dr. Dzung Do

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Dr Dzung has been a GP for more than 30 yea...
Dr. Farhat Jehan

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Dr. Hana Sandrik

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Dr. Nitya Krishnamurthy

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Dr. Sneha Wadhwani

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Qualifying in medicine in 2002 from the University of Leicester UK, Dr Sneh...
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Chrissy Eze

Counsellor

Robina, QLD 4226
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Dr Olivia Waturuocha

General Practitioner

Springfield, QLD 4300
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Dr Sanda Bonchis

General Practitioner

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Dr Sumera Angus

General Practitioner

Springfield, QLD 4300
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Dr Swati Sharma

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Springfield, QLD 4300
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Dr. Audris Wong

Specialist Obstetrician and Gynaecologist

Robina, QLD 4226
Dr Audris Wong is an experienced specialist...
Dr. Caroline van der Vlugt

General Practitioner

Robina, QLD 4226
Graduating from the University of Cape Town...
Dr. Fatima Elnaggar

General Practitioner

Victoria Point, QLD 4165
Dr Fatima has been working in Australia for...
Dr. Jay Kotecha

General Practitioner

Robina, QLD 4226
After completing his medical training in th...
Dr. Jennifer Cortez

General Practitioner

Robina, QLD 4226
In 2005, Dr Jennifer finished her obstetric...
Dr. Jody Waters

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Dr Alicia Altson

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Highett, VIC 3190
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Dr Amatun Rashid

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Dr Garry McInerney

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Dr Josephine Salazar

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Dr Loba Haque

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Dr Mar Mar Thet

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Dr Mokhlesur Rahman

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Dr Myra Kamene Mpungu

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Dr Nicola Cahill

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Dr Shoma Chowdhury

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Graduating from the University of Health Sc...
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Dr Sudhish Sudhan

General Practitioner

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During his internship in Kerala State in In...
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Dr Sue-Ann Steer

General Practitioner

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Dr Sushma Chaparala

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Dr Thomas Shashian

General Practitioner

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General Practitioner

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Dr Palmyra has been a doctor for more than ...
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General Practitioner

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With more than 12 years’ experience as a ...
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Dr Danise Theron

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A wealth of knowledge and expertise, Dr Dan...
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General Practitioner

Rockingham, WA 6168
Dr. Sid has been working in Australian gene...
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General Practitioner

Rockingham, WA 6168
Completing his medical degree in India (Amrtistar) in 2002, Dr Gagandeep br...

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

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