Navigating Menopause: Finding the Right Treatment for You

Menopause is a natural stage of life, but the symptoms that come with it can be anything but easy. From hot flushes and night sweats to brain fog and irritability, every woman’s experience is unique. The good news? There are many ways to manage menopause, and at WA Menopause Clinic, we’re here to help you find what works best for you.

Do All Women Need Treatment?

Not necessarily! Some women experience mild symptoms and manage well with lifestyle adjustments such as a balanced diet, regular exercise, and stress management. Others find that symptoms significantly impact their daily life, prompting them to explore medical or complementary therapies. The key is finding the right approach for your unique needs.

Treatment Options for Menopause

Your doctor will work with you to determine the best course of action, considering factors like your symptoms, medical history, and personal preferences. Here’s a breakdown of the available options:

1. Menopausal Hormone Therapy (MHT)

Formerly known as Hormone Replacement Therapy (HRT), MHT is the most effective treatment for menopausal symptoms caused by declining oestrogen levels.

How does it work?MHT replenishes hormones like oestrogen and progesterone to help control symptoms such as hot flushes, sleep disturbances, joint pain, and vaginal dryness.

Types of MHT:

Oestrogen-only therapy: Suitable if you’ve had a hysterectomy.
Oestrogen + progesterone therapy: If you still have your uterus, progesterone is added to protect against endometrial cancer.
Other combinations: Depending on your needs, your doctor may recommend additional hormonal formulations, including testosterone in certain cases.

How is MHT taken?MHT is available in various forms, including:

Pills
Patches
Gels
Vaginal creams
Intrauterine devices (IUDs)

Benefits of MHT

MHT can significantly improve:

✅ Hot flushes and night sweats

✅ Vaginal dryness and discomfort

✅ Sleep quality

✅ Mood and irritability

✅ Skin and hair health

✅ Joint pain and stiffness

✅ Bone health, reducing osteoporosis risk

✅ Heart health, reducing the risk of cardiovascular disease

✅ Cognitive function and concentration

Risks of MHT

While MHT is safe for most women within 10 years of menopause, it is not suitable for everyone.

Your doctor will assess if MHT is right for you, particularly if you have a history of:

❌ Breast or uterine cancer

❌ Unexplained vaginal bleeding

❌ Heart disease or clotting disorders

Some women experience mild side effects such as nausea, bloating, breast tenderness, or fluid retention. These typically resolve within three months.

How long do you need MHT?

There’s no strict timeline—some women use MHT for just a few years, while others benefit from longer treatment. The “start low, go slow, review often” approach is key. Annual check-ins with your doctor ensure you’re on the best plan for your needs.

2. Pharmacy-Compounded (Bioidentical) Hormones

Some providers promote bioidentical hormones as a “natural” alternative, but these are not recommended by leading health experts. Unlike government-regulated MHT, compounded hormones lack quality control and safety data. If you’re considering hormonal treatment, it’s best to use evidence-based, regulated therapies that have been thoroughly tested for safety and effectiveness.

3. Non-Hormonal Treatment Options

If MHT isn’t right for you, there are non-hormonal prescription medications that can help with menopause symptoms, including:

✔ Antidepressants – Some, like venlafaxine or escitalopram, can reduce hot flushes.

✔ Gabapentin – Originally used for nerve pain, gabapentin has been shown to relieve hot flushes.

✔ Clonidine – A medication for blood pressure that can also reduce hot flushes and night sweats.

✔ Veoza – A newer medication specifically designed to target menopausal symptoms.

These medications usually take a few weeks to start working and should always be discussed with your doctor to find the best fit for you.

How to Talk to Your Doctor About Menopause

Many women delay seeking help, believing they must “push through” menopause. But you don’t have to suffer in silence! Here are some tips to make the most of your consultation:

📝 Keep a symptom diary – Note when and how often symptoms occur.

💬 Be open – Discuss how symptoms impact your daily life.

🤔 Ask questions – Understanding your options helps you make the best decision.

📅 Follow up regularly – Your treatment plan may need adjustments over time.

At WA Menopause Clinic, we understand that every woman’s menopause journey is different. Whether you’re exploring MHT, non-hormonal treatments, or lifestyle changes, we’re here to support you with expert guidance and compassionate care.

👉 Book an appointment today and take control of your menopause journey!