Menopause & Perimenopause

The menopausal transition brings a range of symptoms, and affects longer-term health too.

This section explains how to recognise the change and the options to manage it.

Key points

Perimenopause can begin years before periods stop.
Symptoms and their impact differ between people.
Options exist for symptoms and for longer-term bone and heart health.

Last reviewed 1 July 2026

Explore Menopause & Perimenopause

Recognising perimenopauseEarly signs of the menopausal transition.Symptoms & managementCommon symptoms, and the options to manage them.Menopausal hormone therapy (MHT)What MHT is, explained in plain language.Early menopause & POIWhen menopause happens earlier than expected.Bone healthWhy bone health matters around menopause.Vaginal & urinary changesCommon genitourinary changes, and how they're managed.

When to see a specialist: See a specialist if symptoms are severe, persistent, or affecting your daily life, or if you simply want to understand your options.

Written & medically reviewed by

Dr Priya Sivadas

FRANZCOG, CREI, MMed · Fertility and Gynaecology Specialist

Last reviewed: 1 July 2026

Read Dr Sivadas's profile

drpriyasivadas.com.au

Questions about menopause? Request an appointment.

Appointments are managed on the practice site.

Request an appointment

Consulting locations

Parramatta

Monash IVF

Level 2, 1 Fennell Street
Parramatta NSW 2151

Bella Vista

Norwest Private Hospital

Suite 106, 11 Norbrik Drive
Bella Vista NSW 2153

Penrith

Somerset Specialist Centre

Level 3/38 Somerset St
Penrith NSW 2747