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

 

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Dr Alicia Altson

General Practitioner

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

General Practitioner

Norwood SA 5067
With 37 years’ experience in General Prac...
BLACKTOWN_Dr Arthikka Kirupal_400
Dr Arthikka Kirupal

General Practitioner

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

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

General Practitioner

Charlestown, NSW 2290
Originally from the UK and graduating from ...
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Dr Danise Theron

General Practitioner

Rockingham, WA 6168
A wealth of knowledge and expertise, Dr Dan...
Dr Faiza Mehfooz

General Practitioner

Ballarat, VIC 3350
Graduating from Sindh Medical University in...
Dr Farish Begum

General Practitioner

Blacktown NSW 2148
After completing her MBBS and internship in...
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Dr Garry McInerney

General Practitioner

Highett, VIC 3190
Having been a doctor for over 40 years, Dr ...
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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...
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Dr Jessica Murphy

General Practitioner

Leichhardt, NSW 2040
Graduating from University of Manchester in...
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Dr Jolly Dutta

General Practitioner

Blacktown NSW 2148
Having been a doctor for over 16 years, Dr ...
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Dr Josephine Salazar

General Practitioner

Ballarat, VIC 3350
A Fellow of The Royal Australian College of...
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Dr Loba Haque

General Practitioner

Ballarat, VIC 3350
Having now been a GP in Australia for 7 yea...
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Dr Madeleine Southey

General Practitioner

Brookvale, NSW 2100
Graduating from the University of Western S...
Dr Mahua Sharmin Huq

General Practitioner

Ballarat, VIC 3350
Graduating in Bangladesh in 2006, Dr Mahua ...
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Dr Mar Mar Thet

General Practitioner

Highett, VIC 3190
Originally graduating from Myanmar, Dr Mar ...
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Dr Mark Green

General Practitioner

Brookvale, NSW 2100
An experienced GP who qualified from Liverp...
Dr Moet Khine

General Practitioner

Leichhardt, NSW 2040
Graduating in 2010 with a Bachelor of Medic...
Dr Moet Khine

General Practitioner

Baulkham hills NSW 2153
Graduating in 2010 with a Bachelor of Medic...
BALLARAT_Dr-Mokhlesur-Rahman_400-1
Dr Mokhlesur Rahman

General Practitioner

Ballarat, VIC 3350
Graduating from Dhaka University, Banglades...
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Dr Myra Kamene Mpungu

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Werribee, VIC 3030
A worldly woman, Dy Myra grew up in Mombasa...
Nadia Shamsuddin
Dr Nadia Shamsuddin

General Practitioner

Werribee, VIC 3030
Beginning her studies in the UK, Dr Nadia c...
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Dr Nicola Cahill

General Practitioner

Ballarat, VIC 3350
Completing her medical degree at the Univer...
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Dr Richard Sacks

General Practitioner

Brookvale, NSW 2100
Although born in Johannesburg, South Africa...
CAMPSIE_Dr-Rita-Almohty_new-GP_400
Dr Rita Almohty

General Practitioner

Campsie, NSW 2194
Graduating from medicine in 1997 from the U...
CHARLESTOWN_Dr-Salina-Ahmed_400
Dr Salina Ahmed

General Practitioner

Charlestown, NSW 2290
Completing her medical degree in Bangladesh...
Dr Sid Viswanath

General Practitioner

Rockingham, WA 6168
Dr. Sid has been working in Australian gene...
Dr Sidra Imtiaz

General Practitioner

Ballarat, VIC 3350
Graduating from the University of Health Sc...
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Dr Sophie Vavladelis

General Practitioner

Bondi Junction, NSW 2022
After completing her studies at University ...
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Dr Sue-Ann Steer

General Practitioner

Highett, VIC 3190
Initially completing her MBBS medical degre...
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Dr Sushma Chaparala

General Practitioner

Moonee Ponds VIC 3039
Having previously worked in India and the U...
BLACKTOWN_Dr-Syeda-Rahman400
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

Brookvale, NSW 2100
An experienced doctor who has been practici...
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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. Dzung Do

General Practitioner

Campsie, NSW 2194
Dr Dzung has been a GP for more than 30 yea...
Dr. Farhat Jehan

General Practitioner

Caringbah, NSW 2229
Completing her medical degree in Pakistan a...
Dr. Fatima Elnaggar

General Practitioner

Victoria Point, QLD 4165
Dr Fatima has been working in Australia for...
Dr. Gagandeep Kundal

General Practitioner

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

General Practitioner

Maroubra, NSW 2035
After completing her medical studies at Com...
Dr. Ignatius Oyugbo

General Practitioner

Modbury, SA 5092
With 25 years of experience in medicine, Dr...
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

General Practitioner

Victoria Point, QLD 4165
Dr Jody Waters acquired her Bachelor of Med...
Dr. Kalyanie Kuruppuarachchi

General Practitioner

Maroubra, NSW 2035
During her early years in Sri Lanka as a GP...
Nitya-Krishnamurthy
Dr. Nitya Krishnamurthy

General Practitioner

Dapto, NSW 2530
Completing her medical studies in India, Dr...
Dr. Palmyra de Banks

Clinical Director - VIC

General Practitioner

Preston, VIC 3072
Dr Palmyra has been a doctor for more than ...
Dr. Rekha Jayaram Rao

General Practitioner

Campsie, NSW 2194
Having been a practicing GP for more than 3...
Dr. Shilpi Wahi

General Practitioner

Victoria Point, QLD 4165
An experienced General Practitioner,...
Dr. Sneha Wadhwani

General Practitioner

National Clinical Director – Evoca women’s health

Bondi Junction, NSW 2022
Qualifying in medicine in 2002 from the University of Leicester UK, Dr Sneh...
Dr. Vidya Prabhu

General Practitioner

Epping Plaza, VIC 3076
With more than 12 years’ experience as a ...
PHILLIP_Enas Nabhan Mohammad Al Shahabi_400
Enas Al Shahabi

General Practitioner

Phillip, ACT 2606
A competent and compassionate GP, Dr Enas i...
PHILLIP_Enas Nabhan Mohammad Al Shahabi_400
Enas Al Shahabi

General Practitioner

Phillip, ACT 2606
A competent and compassionate GP, Dr Enas i...
BLACKTOWN_Dr Arthikka Kirupal_400
Dr Arthikka Kirupal

General Practitioner

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

General Practitioner

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

General Practitioner

Charlestown, NSW 2290
Originally from the UK and graduating from ...
Dr Farish Begum

General Practitioner

Blacktown NSW 2148
After completing her MBBS and internship in...
CHARLESTOWN_newGP_Dr-Grace-Abdukeyum_400
Dr Grace Abdukeyum

General Practitioner

Charlestown, NSW 2290
Having worked closely with gynaecologists a...
BROOKVALE_Dr-Janine-Teasdale_400
Dr Janine Teasdale

General Practitioner

Brookvale, NSW 2100
Originally from Victoria and then completin...
LEICHHARDT_Dr Jessica Murphy_400
Dr Jessica Murphy

General Practitioner

Leichhardt, NSW 2040
Graduating from University of Manchester in...
Blacktown-Jolly-Duta_400px
Dr Jolly Dutta

General Practitioner

Blacktown NSW 2148
Having been a doctor for over 16 years, Dr ...
BROOKVALE_Dr-Madeleine-Southey_400
Dr Madeleine Southey

General Practitioner

Brookvale, NSW 2100
Graduating from the University of Western S...
Brookvale-Dr-Mark-Green_400px
Dr Mark Green

General Practitioner

Brookvale, NSW 2100
An experienced GP who qualified from Liverp...
Dr Moet Khine

General Practitioner

Baulkham hills NSW 2153
Graduating in 2010 with a Bachelor of Medic...
Dr Moet Khine

General Practitioner

Leichhardt, NSW 2040
Graduating in 2010 with a Bachelor of Medic...
Brookvale-Dr-Richard-Sacks_400px
Dr Richard Sacks

General Practitioner

Brookvale, NSW 2100
Although born in Johannesburg, South Africa...
CAMPSIE_Dr-Rita-Almohty_new-GP_400
Dr Rita Almohty

General Practitioner

Campsie, NSW 2194
Graduating from medicine in 1997 from the U...
CHARLESTOWN_Dr-Salina-Ahmed_400
Dr Salina Ahmed

General Practitioner

Charlestown, NSW 2290
Completing her medical degree in Bangladesh...
BONDI_Dr Sophie Vavladelis_400
Dr Sophie Vavladelis

General Practitioner

Bondi Junction, NSW 2022
After completing her studies at University ...
BLACKTOWN_Dr-Syeda-Rahman400
Dr Syeda Bushra

General Practitioner

Blacktown NSW 2148
With a regional medicine background after t...
Brookvale-Vecerka-Skovrlj-400px
Dr Vecerka Skovrlj

General Practitioner

Brookvale, NSW 2100
Originally graduating from the University o...
BROOVALE_Dr-Yliana-Dennett_400-2
Dr Yliana Dennett

General Practitioner

Brookvale, NSW 2100
An experienced doctor who has been practici...
Dr. Dzung Do

General Practitioner

Campsie, NSW 2194
Dr Dzung has been a GP for more than 30 yea...
Dr. Farhat Jehan

General Practitioner

Caringbah, NSW 2229
Completing her medical degree in Pakistan a...
Dr. Hana Sandrik

General Practitioner

Maroubra, NSW 2035
After completing her medical studies at Com...
Dr. Kalyanie Kuruppuarachchi

General Practitioner

Maroubra, NSW 2035
During her early years in Sri Lanka as a GP...
Nitya-Krishnamurthy
Dr. Nitya Krishnamurthy

General Practitioner

Dapto, NSW 2530
Completing her medical studies in India, Dr...
Dr. Rekha Jayaram Rao

General Practitioner

Campsie, NSW 2194
Having been a practicing GP for more than 3...
Dr. Sneha Wadhwani

General Practitioner

National Clinical Director – Evoca women’s health

Bondi Junction, NSW 2022
Qualifying in medicine in 2002 from the University of Leicester UK, Dr Sneh...
ROBINA_Dr Audris Wong_Specialist_400
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

General Practitioner

Victoria Point, QLD 4165
Dr Jody Waters acquired her Bachelor of Med...
Dr. Shilpi Wahi

General Practitioner

Victoria Point, QLD 4165
An experienced General Practitioner,...
Dr Alison Clarke

General Practitioner

Norwood SA 5067
With 37 years’ experience in General Prac...
Dr. Ignatius Oyugbo

General Practitioner

Modbury, SA 5092
With 25 years of experience in medicine, Dr...
Highett-Altson-Alicia_400px
Dr Alicia Altson

General Practitioner

Highett, VIC 3190
Beginning her studies at Melbourne Universi...
Dr Faiza Mehfooz

General Practitioner

Ballarat, VIC 3350
Graduating from Sindh Medical University in...
Highett-Gary-McInerney_400px
Dr Garry McInerney

General Practitioner

Highett, VIC 3190
Having been a doctor for over 40 years, Dr ...
Ballarat-Josephine-Salazar_400px
Dr Josephine Salazar

General Practitioner

Ballarat, VIC 3350
A Fellow of The Royal Australian College of...
Ballarat-Loba-Haque_400px
Dr Loba Haque

General Practitioner

Ballarat, VIC 3350
Having now been a GP in Australia for 7 yea...
Dr Mahua Sharmin Huq

General Practitioner

Ballarat, VIC 3350
Graduating in Bangladesh in 2006, Dr Mahua ...
Highett-Mar-Mar-Thet_400px
Dr Mar Mar Thet

General Practitioner

Highett, VIC 3190
Originally graduating from Myanmar, Dr Mar ...
BALLARAT_Dr-Mokhlesur-Rahman_400-1
Dr Mokhlesur Rahman

General Practitioner

Ballarat, VIC 3350
Graduating from Dhaka University, Banglades...
Werribee-Myra-Mpungu_400px
Dr Myra Kamene Mpungu

General Practitioner

Werribee, VIC 3030
A worldly woman, Dy Myra grew up in Mombasa...
Nadia Shamsuddin
Dr Nadia Shamsuddin

General Practitioner

Werribee, VIC 3030
Beginning her studies in the UK, Dr Nadia c...
Ballarat-Nicola-Cahill_400px
Dr Nicola Cahill

General Practitioner

Ballarat, VIC 3350
Completing her medical degree at the Univer...
Dr Sidra Imtiaz

General Practitioner

Ballarat, VIC 3350
Graduating from the University of Health Sc...
Highett-Sue-Ann-Steer_
Dr Sue-Ann Steer

General Practitioner

Highett, VIC 3190
Initially completing her MBBS medical degre...
Moonee-Pond-Sushma-Chaparala_400px
Dr Sushma Chaparala

General Practitioner

Moonee Ponds VIC 3039
Having previously worked in India and the U...
Dr. Palmyra de Banks

Clinical Director - VIC

General Practitioner

Preston, VIC 3072
Dr Palmyra has been a doctor for more than ...
Dr. Vidya Prabhu

General Practitioner

Epping Plaza, VIC 3076
With more than 12 years’ experience as a ...
Rockingham-Danise-Theron_400px
Dr Danise Theron

General Practitioner

Rockingham, WA 6168
A wealth of knowledge and expertise, Dr Dan...
Dr Sid Viswanath

General Practitioner

Rockingham, WA 6168
Dr. Sid has been working in Australian gene...
Dr. Gagandeep Kundal

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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