Menopause

Dr FE Sheetekela's practice offers comprehensive support and treatment for women going through menopause. Understanding menopause is crucial for managing this natural phase of life. Our holistic approach addresses not only the physical changes but also the emotional and psychological aspects of menopause.

What is menopause?

Menopause signifies the end of a woman's menstrual cycles. This natural biological phase, marking the conclusion of reproductive years, is not a medical condition. The diagnosis of menopause is confirmed after a woman experiences 12 consecutive months without a menstrual period.

What are the stages of menopause?

  • Perimenopause: The transitional period before menopause, where hormonal fluctuations begin. Periods may become irregular, but pregnancy is still possible.
  • Menopause: Defined after 12 months without a menstrual period. Ovaries significantly reduce estrogen production.
  • Postmenopause: The years following menopause, characterized by a drop in hormone levels. Symptoms may ease for many women, but health risks associated with the loss of estrogen increase.

At what age does menopause occur, and why does it occur?

Menopause usually happens in the age range of 45 to 55 years, with the median age in several countries being around 51. It occurs as a part of the natural ageing process when the ovaries gradually produce less oestrogen and progesterone, and the number of fertile eggs diminishes.

What are the symptoms of menopause?

Symptoms vary but often include:

  • Hot flashes and night sweats
  • Vaginal dryness and discomfort during sex
  • Sleep disturbances and discomfort during sex
  • Thinning hair and dry skin
  • Weight gain and slowed metabolism
  • Changes in cholesterol levels increase the risk of cardiovascular disease

How is menopause diagnosed?

Menopause is typically diagnosed based on symptoms. However, blood tests to measure hormone levels can be helpful, especially in women who have had a hysterectomy.

What are the treatment options?

Our treatment for menopause focuses on relieving symptoms and managing chronic health conditions that may emerge.

  • Hormone therapy: This is the leading method for alleviating hot flashes during menopause. It entails using medication that contains female hormones to substitute those no longer produced by the body.
  • Vaginal oestrogen: To alleviate vaginal dryness, estrogen can be applied directly to the vaginal area through the use of creams, tablets, or rings.
  • Medications to prevent or treat osteoporosis: This could include calcium, vitamin D, or prescription medications.
  • Low-dose antidepressants: For mood swings or to decrease hot flashes.
  • Lifestyle adjustments: Diet, exercise, and stress management can significantly affect symptom management.

Additional menopause management strategies

  • Regular check-ups: Monitoring health changes and managing risk factors is important.
  • Diet and exercise: A balanced diet and regular physical activity can help manage symptoms and maintain overall health.
  • Emotional and psychological support: Counselling or support groups can be beneficial.

Empathetic and Comprehensive Menopause Care

Dr Sheetekela understands menopause is a significant milestone in a woman's life. He is committed to providing a supportive environment where you can openly discuss your symptoms and concerns. His tailored treatment plans aim to alleviate symptoms and improve the quality of life during and after the transition into menopause.