Perimenopause Care

You know when something has changed.

Changes to sleep, mood, periods, temperature, concentration or energy can begin before you expect them to. At Mahila, we look at the pattern of symptoms, your stage of life and your wider health to understand what may be happening.

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Perimenopause can change more than your periods

For some women, the first sign is a change in their menstrual cycle. For others, it is waking during the night, feeling unusually anxious or irritable, struggling to concentrate, gaining weight or taking longer to recover from exercise.

Symptoms may appear gradually, fluctuate or feel unrelated. Periods can continue during perimenopause, and not every woman experiences hot flushes. The absence of one expected symptom does not make the changes you are experiencing less important.

Your perimenopause appointment

Look at what has changed across your health.

You may wish to discuss:

01
changes to the timing, length or flow of your periods
02
hot flushes, night sweats or feeling unusually warm or cold
03
disrupted or non-restorative sleep
04
anxiety, low mood, irritability or changes in emotional wellbeing
05
difficulty concentrating, forgetfulness or brain fog
06
fatigue or reduced energy
07
headaches, muscle aches or joint pain
08
vaginal dryness, urinary symptoms or pain during sex
09
changes in sexual desire
10
weight or body composition changes

Your doctor may ask when symptoms began, how they affect daily life, and about your periods, contraception, medication, medical history and family history.

Perimenopause is usually assessed from your age, symptoms and menstrual changes rather than one hormone test. Depending on your circumstances, your doctor may recommend tests to investigate other possible contributors or assess your wider health.

If available, bring the dates of recent periods, a list of medicines and supplements, previous results and brief notes about the symptoms affecting you most. You do not need to track everything before making an appointment.

Treatment is not limited to hormone therapy

Management depends on your symptoms, health history, preferences and priorities. Options may include menopausal hormone therapy, non-hormonal medication, contraception, support for vaginal or urinary symptoms, and practical changes relating to sleep, movement, nutrition and alcohol.

Hormone therapy may be appropriate for some women but not others. Your doctor will discuss potential benefits, risks and alternatives in the context of your individual health.

A time to review your wider health

Perimenopause is also an opportunity to review preventive health, including cardiovascular and metabolic risk, bone health and recommended screening.

Your care plan may address the symptoms affecting you now while also considering what needs to be monitored or protected over the years ahead.

Appointment length

Choose the appointment type that matches where you are in your care. Exact fees follow the medical consultation fee schedule unless a service page states a different confirmed fee.

New patients
45-minute consultation
Returning patients (follow-up)
Up to 20 minutes. If the consultation runs longer, an additional fee may be charged.

Medical consultation fees are listed below. Confirm appointment and fee details with reception when booking.

Medical consultation fees

Mahila Women's Clinic is a private billing practice. The following medical consultation fees apply unless a service page states a different confirmed fee.

A Medicare rebate may apply to an eligible medical consultation. The item billed depends on the service provided, the actual consultation time, the clinician and Medicare requirements.

Procedures, pathology, imaging, products, equipment and other services may involve additional costs. Relevant additional fees should be shown on the individual service page or discussed before the service is provided.

Medical consultation fees by appointment length
Consultation length	Clinic fee
Less than 20 minutes	$150
Up to 30 minutes	$280
Up to 45 minutes	$380
60 minutes or longer	$450

Talk with a doctor about your concerns.

Book an appointment at Mahila Women's Clinic in Camberwell.

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