Menopause

Menopause marks the end of a woman's menstrual cycles, diagnosed after 12 months without a period. It typically occurs between the ages of 45 and 55, though the timing varies. While menopause is a natural transition, the symptoms it brings can significantly affect daily life, and there are effective treatment options available for women who need support through this stage.

Menopause

A transition that deserves proper support

Menopause affects every woman differently. For some the transition is relatively smooth, for others the symptoms are disruptive and prolonged. Dr Rozen provides evidence-based guidance and personalised treatment options for women navigating menopause, helping each patient find an approach that works for their individual circumstances, health history, and preferences.

What causes menopause?

Menopause is caused by the natural decline in reproductive hormones, oestrogen and progesterone, as women age. It can also be induced earlier than expected by surgery such as hysterectomy, chemotherapy, or radiation treatment.

What are the longer-term health risks?

Beyond symptoms, the hormonal changes of menopause can have longer-term health implications, including:

  • Increased risk of osteoporosis and bone fractures due to declining oestrogen levels
  • Higher risk of cardiovascular disease due to changes in lipid profiles and arterial health
  • Potential impact on mental health, including an increased risk of depression and anxiety

Common symptoms include:

  • Hot flashes and night sweats
  • Vaginal dryness and discomfort during intercourse
  • Sleep disturbances
  • Mood changes
  • Thinning hair and dry skin
  • Decreased metabolism and weight gain

What treatment options are available?

Treatment depends on each patient’s symptoms, health history, and personal preferences. Options include:

Hormone replacement therapy (HRT)

HRT is used to relieve menopausal symptoms and provide protection against osteoporosis. It is one of the most effective treatment options available and is appropriate for many women when prescribed and monitored appropriately.

Non-hormonal treatments

For women who cannot or prefer not to use HRT, non-hormonal options including SSRIs and gabapentin can help manage hot flashes and mood changes.

Vaginal oestrogen

Creams, tablets, or rings containing oestrogen can be used locally to relieve vaginal dryness and discomfort during intercourse, with minimal systemic absorption.

Calcium and vitamin D supplementation

To support bone health and reduce the risk of osteoporosis, calcium and vitamin D supplements are commonly recommended alongside other treatments.

Lifestyle modifications

Regular exercise, a healthy diet, and quitting smoking can all help manage symptoms and reduce the longer-term health risks associated with menopause.

Dr Rozen’s approach

An individualised approach

Menopause affects every woman differently, and there is no single right way to manage it. Dr Rozen takes the time to understand each patient’s symptoms, health history, and preferences before recommending a course of treatment.

Balancing symptom relief with long-term health

Beyond day-to-day symptoms, menopause carries longer-term implications for bone, cardiovascular, and mental health. Dr Rozen weighs symptom relief alongside these longer-term risks when discussing options such as MHT, non-hormonal treatments, or supplementation.

Long-term support

Menopause is a transition, not a single event, and needs can shift over time. Dr Rozen continues to support patients as they move through this stage, adjusting treatment as symptoms, health history, and priorities change.

Patient testimonial – Dr Genia Rozen fertility specialist

“Menopause is a stage of life that has been under-supported for too long. There are real, effective options available, and every woman deserves to have an honest conversation about what those options are and what might work best for her.”

– Dr Genia Rozen, Fertility Specialist, Genea Melbourne City and Frankston

Frequently Asked Questions

Perimenopause is the transitional period leading up to menopause, during which hormone levels begin to fluctuate and symptoms may start to appear. Menopause itself is confirmed after 12 months without a period. Many women experience symptoms during perimenopause before they reach menopause.

MHT, or menopausal hormone therapy, is the current preferred term for what was previously called hormone replacement therapy, or HRT. Both terms refer to the same treatment.

For patients looking for a menopause clinic Melbourne, Dr Rozen consults at Genea Fertility Melbourne City, providing personalised menopause care including HRT, non-hormonal treatments, and long-term health management.

Hormone replacement therapy is available through Dr Rozen’s practice at Genea Fertility Melbourne City. Dr Rozen takes an evidence-based approach to prescribing and monitoring HRT, tailoring the treatment to each patient’s symptoms, health history, and personal preferences.

HRT is considered safe and appropriate for many women, particularly those under 60 or within ten years of their last period. The risks and benefits vary depending on individual health history and the type of HRT used. Dr Rozen will discuss the most appropriate options based on each patient’s individual circumstances.

There are effective non-hormonal options available for women who cannot or prefer not to use HRT, including SSRIs and gabapentin for hot flashes and mood changes, as well as vaginal oestrogen for localised symptoms. Dr Rozen will work with each patient to find the most appropriate approach.

Yes. The hormonal changes of menopause can contribute to mood changes, anxiety, and depression. These symptoms are a recognised and treatable part of the menopausal transition and should not be dismissed as unrelated to menopause.

Oestrogen plays an important role in maintaining bone density, so its decline during menopause increases the risk of osteoporosis. HRT can help protect against bone loss, alongside calcium and vitamin D supplementation and regular weight-bearing exercise.

Looking for a menopause specialist in Melbourne?

Dr Genia Rozen provides evidence-based menopause care, from hormone replacement therapy to non-hormonal treatment options, tailored to each patient’s individual circumstances and health history. Get in touch today.

Request Appointment

Website By Medsolve