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Gynaecology

Menopause Problems

Expert menopause management including HRT and symptom control by Dr. P. Srilekha. Personalised care for perimenopause and menopause in Hyderabad.

300+Consultations
4+Years Exp.
Qualityof Life Focus
Menopause Problems

Overview

Menopause is the natural cessation of menstruation occurring typically between ages 45-55, with a transition period (perimenopause) of several years. Symptoms can significantly impact quality of life but are highly treatable.

Dr. P. Srilekha provides comprehensive menopause care including symptom assessment, HRT prescribing and monitoring, non-hormonal alternatives for those who cannot take HRT, and long-term health advice on bone, heart and cognitive wellbeing.

Symptoms & Conditions We Treat

Hot Flushes

Sudden waves of heat and sweating, often with palpitations

Night Sweats

Drenching night sweats disrupting sleep and causing fatigue

Mood Changes

Anxiety, low mood, irritability and brain fog

Vaginal Dryness

Genitourinary syndrome causing dryness, discomfort and painful intercourse

Bone Loss

Accelerated osteoporosis risk with oestrogen decline

Fatigue and Insomnia

Poor sleep and low energy affecting daily functioning

Our Treatment Approach

1

Symptom Assessment

Greene Climacteric Scale and detailed history to quantify symptom burden and impact.

2

Risk Stratification

Contraindications to HRT, fracture risk (FRAX), cardiovascular history and family history review.

3

HRT Prescribing

Personalised HRT regimen - type, route and dose - to achieve symptom control with minimal risk.

4

Long-Term Health Review

Annual review, bone density assessment, cardiovascular risk and cancer screening.

Treatment Options

Hormone Replacement Therapy

  • Oestrogen-only (after hysterectomy)
  • Combined sequential HRT
  • Combined continuous HRT
  • Tibolone

Non-Hormonal Options

  • SSRIs (venlafaxine) for flushes
  • Clonidine
  • CBT for menopause symptoms
  • Herbal options (evidence-limited)

Local Vaginal Oestrogen

  • Vagifem pessaries
  • Ovestin cream
  • Estring ring
  • Safe long-term use

Bone and CV Health

  • Calcium and Vitamin D
  • Bisphosphonate if indicated
  • Statin review
  • Lifestyle modification

Why Choose Srilekha's Clinic?

Expert Gynaecologist

MS (OBG) specialist with 4+ years dedicated to women health in Hyderabad

Personalised Care

Treatment tailored to your age, diagnosis, and fertility plans

Advanced Diagnostics

Comprehensive hormonal, ultrasound and imaging workup

Fertility-Preserving

Treatments designed to protect and support future fertility

Flexible Appointments

Weekday and weekend slots available

Compassionate Care

A safe, respectful space where you feel heard and understood

Gynaecology FAQ

Frequently Asked Questions

Quick answers about this condition. Can't find what you need? Chat with us directly.

Menopause is the permanent cessation of periods for 12 consecutive months, typically between ages 45-55, caused by declining ovarian oestrogen production.

Hot flushes, night sweats, vaginal dryness, mood swings, sleep disruption, memory problems, reduced libido, and increased risk of osteoporosis and cardiovascular disease.

HRT replaces declining oestrogen and/or progesterone, significantly relieving menopausal symptoms and protecting bone density. Modern HRT has a favourable benefit-risk profile for most women.

Yes. SSRIs/SNRIs, gabapentin, cognitive behavioural therapy (CBT), and phytoestrogens can help hot flushes and mood symptoms in women who cannot use HRT.

Menopause increases risk of osteoporosis, cardiovascular disease, urogenital atrophy, and cognitive changes. Regular screening, exercise, and appropriate treatment reduce long-term risks.

Book via WhatsApp +91 9963 138 139. Dr. Srilekha at Habsiguda, Hyderabad.