Menopause Treatment in Navi Mumbai

Menopause Treatment in Navi Mumbai

Menopause is the natural, permanent stopping of periods, confirmed once a woman has gone 12 consecutive months without a period and is not caused by pregnancy, medication, or another medical condition. It is a normal life stage, not a disease but the years around it can bring symptoms significant enough to need evaluation and, for some women, treatment. Dr. Prashant Bhamare, Director & HOD - Obstetrics & Gynaecology at Fortis Hiranandani Hospital, Vashi, provides evaluation across the perimenopausal, menopausal, and post-menopausal years.

The Stages of Menopause

• Perimenopause: the years leading up to menopause, when periods become irregular and symptoms often begin, as hormone levels start to fluctuate. This phase can last anywhere from a few months up to 5–6 years.
• Menopause: the point confirmed after 12 consecutive months without a period.
• Post-menopause: the years that follow, when hormone levels remain low and certain long-term health considerations particularly bone and cardiovascular health, become more relevant.

Common Symptoms

Symptoms vary widely between women in both type and severity and generally fall into a few groups:

• Vasomotor symptoms: hot flushes and night sweats, among the most common and most disruptive symptoms for many women.
• Genitourinary symptoms: vaginal dryness, discomfort during sex, and urinary symptoms such as urgency or leakage. Together, these are referred to clinically as Genitourinary Syndrome of Menopause (GSM) a single term for a group of related changes caused by declining oestrogen in the vaginal and urinary tissues, and one that is often under-recognised and under-treated.
• Mood, cognitive and sleep changes: low mood, anxiety, irritability, disrupted sleep, brain fog, difficulty concentrating, memory lapses, and fatigue are commonly reported around this transition.
• Musculoskeletal and other physical symptoms: joint pain and aches, headache, breast soreness, decreased libido, skin and hair changes, weight gain, vertigo, tinnitus, and palpitations.
• Bone and long-term health: bone density can decline more quickly after menopause, and cardiovascular risk factors are worth reviewing during this period.

When does bleeding need evaluation?

Bleeding after menopause is never normal and should not be ignored. It warrants prompt gynaecological evaluation to establish the cause  which can include hormonal changes, thinning or thickening of the uterine lining, polyps, or fibroids, but must also rule out endometrial hyperplasia or malignancy. This is typically investigated with ultrasound and hysteroscopy or biopsy where indicated.

Treatment Options

Not every symptom needs treatment, and treatment is not one-size-fits-all options are matched to which symptoms are present and how much they affect quality of life.

First-Line Approaches

For many women, first-line management includes cognitive behavioural therapy (CBT), lifestyle modifications, dietary modifications, yoga or meditation, and strength training. These measures can meaningfully reduce symptom burden on their own and are often tried before, or alongside, medical treatment.

Hormone Therapy

Menopausal hormone therapy (MHT, also called HRT) replaces the oestrogen and for women who still have a uterus, progesterone that the body stops producing at menopause. Professional guidance from The Menopause Society (NAMS) recognizes hormone therapy as the most effective treatment available for hot flushes, night sweats, and genitourinary symptoms. 

It is not suitable or necessary for every woman: the decision depends on the type and severity of symptoms, time since menopause, and individual health factors such as a history of certain cancers, blood clots, or cardiovascular disease and should be made after a full discussion of personal risks and benefits with a gynaecologist.

Non-Hormonal Options

For women who prefer not to use hormone therapy, or for whom it is not suitable, options include non-hormonal medications for hot flushes, vaginal moisturizers or lubricants for genitourinary symptoms, pelvic floor exercises for urinary symptoms and lifestyle measures. These can be used alone or alongside other treatments.

Long-Term Health After Menopause

Beyond symptom control, the postmenopausal years are a reasonable time to review bone and cardiovascular health, since declining oestrogen affects both. A gynaecologist can help assess individual fracture risk and advise whether bone-density testing or other investigations are appropriate. This is not automatically needed for every woman and is based on individual risk factors including age, family history, and other health conditions.

Menopause Care at Fortis Hiranandani Hospital, Vashi

Fortis Hiranandani Hospital, Vashi provides evaluation across perimenopause, menopause, and post-menopause, including assessment of bleeding, genitourinary and vasomotor symptoms, and long-term health screening, for patients from Vashi, Navi Mumbai, Panvel, Ulwe, Uran, Raigad and nearby areas.

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Fortis Hiranandani Hospital Vashi, Navi Mumbai

Address: Mini Sea Shore Road, Sector 10, Vashi, Navi Mumbai, Maharashtra - 400703

Ph. 02268846142