Dr. Minati

Menopause Treatment

Menopause is a natural biological process that marks the end of a woman’s menstrual cycles and fertility. It typically occurs between the ages of 45 and 55, though it can vary from woman to woman. Menopause is officially diagnosed when a woman has gone 12 consecutive months without a menstrual period.
This phase represents a significant transition in a woman’s life, driven by a gradual decline in the production of reproductive hormones, primarily estrogen and progesterone, by the ovaries. While menopause is not a disease or disorder, it can bring about a variety of physical and emotional changes due to hormonal fluctuations.

Symptoms of Menopause

Menopause symptoms can vary from mild to severe and may last for several years. Common signs include:

Hot flashes and night sweats
Irregular or missed periods (during perimenopause)
Vaginal dryness and discomfort during intercourse
Mood swings, irritability, or depression
Fatigue and sleep disturbances (insomnia)

Diagnosis of Menopause

Menopause is usually diagnosed clinically, based on symptoms and menstrual history. Some diagnostic approaches include:

Medical History & Symptom Review – Evaluating menstrual patterns and typical menopause-related symptoms.
Physical Examination – To rule out other underlying health issues.
Bone Density Tests – To check for osteoporosis risk in postmenopausal women.

Treatments & Management of Menopause

1. Lifestyle Modifications

Balanced diet rich in calcium & vitamin D
Regular exercise (yoga, walking, strength training)
Stress management: meditation & relaxation
Avoid smoking, excess alcohol & high caffeine

2. Medications & Therapies

Hormone Replacement Therapy (HRT) — reduces hot flashes, night sweats & vaginal dryness (tailored after assessment).

Non-hormonal options — certain antidepressants or anti-seizure medicines can relieve hot flashes.

Vaginal estrogen — creams, rings or tablets for local dryness and discomfort.

Supplements — calcium, vitamin D, and omega-3s for bone & heart support (use under doctor guidance).

3. Supportive & Alternative Therapies

Herbal options (eg. soy, black cohosh) — consult your doctor first
Acupuncture or mind-body therapies for symptom relief
Counselling & support groups for emotional well-being
Regular bone-health monitoring (DEXA) & cardiovascular risk assessment

Note: Menopause management should be individualized. Treatment choice depends on symptoms, medical history, risk factors and patient preference — discuss options with a gynaecologist.