Perimenopause & Menopause
A new chapter, not the end.
Perimenopause and menopause represent one of the most significant hormonal transitions in a woman's life. The effects extend far beyond hot flushes — impacting cardiovascular health, bone density, metabolic function, mental health, sleep, skin, joint health and overall quality of life.
What May Be Changing
- Oestrogen and progesterone declining and fluctuating
- Thyroid function potentially affected
- Metabolic rate shifting
- Cardiovascular risk increasing
- Bone density loss accelerating
- Collagen production decreasing
What You May Notice
- Hot flushes and night sweats
- Sleep disruption and insomnia
- Mood changes, anxiety or low mood
- Joint stiffness and new aches
- Changes in skin elasticity and dryness
- Weight distribution shifting
- Changes in menstrual regularity
- Reduced libido
- Brain fog and memory changes
Areas of Health to Understand
Hormone replacement therapy (HRT) — benefits, risks and timing
Thyroid health and menopause
Cardiovascular health after menopause
Bone density and osteoporosis prevention
Muscle mass and strength maintenance
Mental health and cognitive wellbeing
Sexual health and intimacy
Nutrition for menopause
Sleep optimisation
Skin and joint health
Questions Worth Asking
Am I in perimenopause, and how long might this transition last?
Is HRT right for me, and what are the current evidence-based recommendations?
How do I protect my heart and bones during and after menopause?
What changes in my mood, sleep or cognition should I discuss with my doctor?
How can I adapt my nutrition and exercise for this stage of life?
The 360° View
Menopause is not a disease to be treated — it is a transition to be understood and supported. With the right information, guidance and care, women can navigate this chapter with confidence and continue to thrive.