How It Is Given
Getting Started
Most Common
The stages
Which stage you are in changes what your symptoms mean, what testing is worth doing and how hormone therapy is prescribed. It is the first thing we work out. Assessed the same way for every Austin patient.
Why the stage matters
Perimenopause is not a milder version of menopause, and the difference shows up first in how little a single blood test proves in Austin. In perimenopause hormone levels are not low, they are erratic. Estrogen can run higher than it ever did in your thirties one week and drop sharply the next. That is why a single blood test at this stage tells you so little.
After menopause, levels are consistently low rather than swinging. Testing becomes more informative, symptoms become more stable, and the reason for treating shifts from controlling fluctuation to replacing what is no longer being made.
Early and surgical menopause sit apart from both. A woman who loses ovarian function at 38 faces a much longer stretch of low estrogen, and the treatment calculation changes accordingly. More on that in early and surgical menopause, hair and skin changes and menopause symptoms go further into it. Age at onset changes the arithmetic, so a Austin woman who lost ovarian function in her thirties is not facing the same decision as one who reached it later.
Working it out
When your periods changed, how they changed and when the last one was. This single question does most of the work.
Erratic symptoms that come and go point to perimenopause. Steady symptoms more often mean the transition has finished.
Hysterectomy, ovary removal, chemotherapy and certain cancer treatments all change the timeline and sometimes remove the usual marker entirely.
The average age of menopause is 51. Arriving well before that is worth investigating rather than accepting.
All four stages
Four guides covering what defines each stage, how long it lasts and what treatment looks like there.
The four to eight years of fluctuation before periods stop. Usually where symptoms are worst.
Learn moreTwelve months with no period. What the definition means and what changes at that point.
Learn moreSymptoms often settle while bone and heart risk become the longer game.
Learn moreBefore 45, or after ovary removal. Why treatment is usually recommended here.
Learn moreCommon questions
Answered the way a clinician would answer them, not the way a brochure would.
Patient reviews
I had been waking three or four times a night for two years and had been told it was just stress. The consultation actually went through my cycle history. Six weeks on a patch and I am sleeping through.
What I wanted was someone who would talk about the risks honestly rather than sell me something. They walked through the clot data and why a patch suited me better than tablets.
The brain fog was the part nobody warned me about. Having a clinician tell me it was a recognized symptom and not early dementia was worth the appointment on its own.
It took two dose changes before things settled, which they had told me upfront might happen. The three-month review was booked before I left the first appointment.
From the blog
Next step
Bring your cycle history, even roughly. When things changed and when the last period was will place you on the timeline faster than any blood test can.
Consultations are by appointment. Prescriptions are issued only where clinically appropriate.