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Gynecology

Menopause / Climacteric

We start with the changes that bother you most now, such as sleep, hot flashes, mood, and dryness.

Generated image of a middle-aged woman organizing her thoughts for a health consultation

Not everyone experiences the same symptoms.

During the menopausal transition, periods may change, and hot flashes, sleep or mood changes, and vaginal dryness can appear. We look at how strong these changes are and how they affect daily life, and also check whether another condition or medication may be involved.

You can hear an explanation during your visit, review what you need to know, and then decide.

What to discuss first at your visit

Most bothersome symptom

Please tell us if you often wake at night, have hot flashes or mood changes, and what feels difficult in daily life.

Periods and bleeding

We review your recent menstrual record. Bleeding after menopause needs evaluation separate from menopausal symptoms.

Personal medical history

Sharing breast or uterine conditions, blood clots or cardiovascular disease, medications, and family history helps with treatment choices.

We choose the approach based on your symptoms and medical history.

hormonal therapy

We review which symptoms the treatment may help and when it may not be suitable. The type, route of administration, and risks are discussed in light of whether you have a uterus and your medical history.

Non-hormonal care

Lifestyle adjustments and non-hormonal treatment by symptom can be considered. Please also ask about support for sleep and emotional difficulties.

Care for local symptoms

For symptoms such as vaginal dryness, you can discuss the roles of moisturizers, lubricants, and local treatments separately.

We check again even after treatment has started.

Checking response and side effects

Please record changes in symptoms and any new bleeding or discomfort. Do not change the dose or duration of medication on your own; adjustments are made during your visit.

Long-term health care

We look together at bone and cardiovascular health and any screening that is needed. We do not regard a single injection or infusion as addressing menopause as a whole.

Frequently Asked Questions

Does everyone need hormone therapy?

The decision is made after reviewing your symptoms, medical history, and the expected benefits and risks. Other options can be explained as well.

Feel free to bring your questions.

Please tell us what is bothering you and your previous examination and treatment history. Together we will confirm the care you need.

This is general medical information. Individual care plans and what is offered at the clinic are confirmed during consultation.

Sources of medical information