You are not imagining it. Your symptoms are real.
Perimenopause and menopause affect every woman differently. You deserve a consultant who listens, investigates, and creates a plan that works for your body.
Symptoms you may be experiencing
These are common, real, and treatable. If any of these resonate, you are not alone.
Hot flushes & night sweats
Sudden waves of heat disrupting your day and sleep
Sleep disruption
Difficulty falling or staying asleep, waking exhausted
Anxiety & low mood
Feeling overwhelmed, tearful, or unlike yourself
Brain fog
Difficulty concentrating, forgetting words, feeling "slow"
Joint pain & stiffness
Aching joints that appeared seemingly from nowhere
Weight changes
Unexplained weight gain, especially around the middle
Low libido
Reduced desire or discomfort affecting intimacy
Vaginal dryness
Dryness, irritation, or recurrent urinary symptoms
Heart palpitations
Awareness of heartbeat, fluttering, or racing sensations
Fatigue
Persistent tiredness that rest does not resolve
Irregular periods
Heavier, lighter, or unpredictable cycles
Headaches
New or worsening headaches linked to hormonal shifts
Understanding menopause and perimenopause
Perimenopause typically begins in your early to mid-40s, though it can start earlier. It is the transition phase where oestrogen levels fluctuate before eventually declining. Menopause is confirmed 12 months after your last period.
Many women are told their symptoms are "just stress" or "part of ageing." They are not. Hormonal changes have real, measurable effects on your brain, bones, heart, and metabolism.
With the right assessment and treatment, most women experience significant improvement in their symptoms and quality of life.
Our treatment approach
- Comprehensive hormonal blood profile and health assessment
- Personalised HRT plan — type, dose, and delivery method tailored to you
- Management of specific symptoms including mood, sleep, and cognition
- Cardiovascular and bone health risk assessment
- Ongoing monitoring and adjustment as your needs change
- Lifestyle guidance on nutrition, exercise, and stress management
When to seek specialist help
If your symptoms are affecting your work, relationships, or daily life — or if you have been dismissed by other clinicians — it is time to see a specialist. You do not need to wait until your periods have stopped.
Frequently asked questions
Most women begin perimenopause in their mid-40s, but it can start as early as the late 30s. Premature menopause (before age 40) affects approximately 1 in 100 women and requires specialist management.
A family history of breast cancer does not automatically rule out HRT. The decision is individual and depends on your specific risk factors. Dr Meyer will conduct a thorough risk assessment and discuss all options with you.
There is no fixed duration. Many women benefit from HRT for 5-10 years or longer. Treatment is reviewed regularly and adjusted based on your symptoms, health, and preferences. The decision to continue or stop is always yours.
Ready to take control of your symptoms?
Book a consultation with Dr Sadia Meyer and start getting the answers and treatment you deserve.