What may change
Perimenopause may involve changes in cycle timing or flow, hot flushes, night sweats, sleep disruption, mood changes, vaginal dryness or changes in sexual comfort.
When to discuss symptoms
Speak with a clinician if symptoms are troublesome, bleeding is unusual, or you are unsure whether changes are related to menopause or another condition.
Treatment options
Options can include lifestyle measures, non-hormonal treatment, local vaginal treatment or menopausal hormone therapy when appropriate. Benefits and risks should be considered individually.
Long-term health
Midlife care also includes attention to bone health, cardiovascular risk, screening and general wellbeing. Your individual risk profile should guide prevention.
Sources and further reading
These independent patient-information resources provide further background. Care pathways and services described overseas may differ from those in South Africa; your own clinical team will explain your plan.
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