Menopause Treatment In Mumbai

Perimenopause refers to the transitional phase leading up to the final menstrual period, during which oestrogen levels fluctuate and decline, menstrual cycles become irregular, and menopausal symptoms begin. Perimenopause can last anywhere from a few months to several years. Menopause itself is defined as the point after which twelve consecutive months have passed without a menstrual period, confirming that the ovaries have permanently stopped producing eggs. Postmenopause refers to the years following that point. Symptoms can be most severe and unpredictable during perimenopause because of the hormone fluctuations, and many women do not recognise this as a menopausal phase because they are still having periods.

The safety of HRT has been significantly clarified by more recent large studies and systematic reviews. For most women who start HRT within ten years of their last period and before the age of 60, the benefits of HRT including relief of symptoms, protection of bone density, possible cardiovascular protection, and improved quality of life outweigh the risks for the majority of women. The absolute breast cancer risk associated with most forms of HRT is very small and comparable to or less than the risk associated with being overweight or drinking two units of alcohol per day. The risk profile differs between different types of HRT. Women with a personal history of breast cancer require individual specialist assessment. Our best menopause specialist in Mumbai will give you a fully personalised and evidence-based risk-benefit discussion at your consultation.

In India, the average age of natural menopause is approximately 46 to 49 years, which is a few years earlier than the Western average of 51 years. Menopause before the age of 45 is considered early menopause and before 40 is classified as Premature Ovarian Insufficiency (POI), a distinct condition with different health implications and management needs. Genetics plays a significant role in determining the age of menopause. If your mother went through menopause at a particular age, there is a reasonable chance you will do so at a similar age. Smoking and certain medical treatments including chemotherapy and pelvic radiation can bring menopause on earlier

Premature Ovarian Insufficiency (POI) is the cessation of normal ovarian function before the age of 40. It is not quite the same as standard menopause because in POI, ovarian function may be intermittent rather than permanently absent, and a small proportion of women with POI do occasionally ovulate and can conceive spontaneously even after diagnosis. POI has different health implications from natural menopause, particularly regarding bone and cardiovascular health, and requires HRT until at least the average age of natural menopause to protect these organ systems from the effects of prolonged oestrogen deficiency. Women with POI also need specialist fertility counselling

 Yes, until you are certain you have reached menopause. In perimenopause, ovulation still occurs occasionally even when periods are irregular, meaning pregnancy is still possible. Current guidance recommends that women should continue using contraception for two years after their last period if they are under 50, and for one year after their last period if they are over 50. Many contraceptive methods are suitable during perimenopause. Some forms of HRT do not provide contraceptive protection and a separate contraceptive method is needed alongside them. Our menopause doctor in Mumbai will advise on the most appropriate combined approach for contraception and symptom management during your perimenopausal transition.

Yes. The hormonal fluctuations of perimenopause and the sustained oestrogen deficiency of postmenopause can directly affect brain chemistry, increasing the vulnerability to depression, anxiety, irritability, and mood instability in women who are susceptible. Sleep disturbance from night sweats further worsens mood and cognitive function. Many women describe feeling unlike themselves, struggling to cope with stress they previously managed well, and feeling persistently low or anxious during the menopausal transition. HRT can significantly improve mood symptoms in many menopausal women, particularly when mood changes are driven by the hormonal changes themselves rather than other life circumstances. For women with significant depression or anxiety, psychological therapy and antidepressant medication may also be needed alongside or instead of hormonal treatment.

Book a menopause consultation at Shree Hospitals if you are experiencing hot flushes, night sweats, sleep disturbance, vaginal dryness, or mood changes that are affecting your quality of life and daily functioning, if your periods have become irregular and you are in your late 30s or 40s and want to understand what is happening, if your periods have stopped before age 45 and you want specialist guidance on management and long-term health protection, if you have concerns about whether HRT is safe for you specifically and want an evidence-based personalised discussion, or if you want a comprehensive bone and cardiovascular health assessment as part of your menopause care. Call 1800-268-4000 to book your appointment at our menopause clinic in Mumbai today.