What are perimenopause and menopause?
Perimenopause is the transition phase leading up to menopause, during which hormone levels fluctuate and menstrual cycles change. Menopause is confirmed once a person has not had a period for 12 consecutive months and typically occurs in Australia between ages 45 and 55.
Common symptoms include hot flushes, night sweats, sleep disturbance, mood changes, joint aches, brain fog, vaginal dryness, and changes in libido. Some people experience few symptoms; others find the impact on daily life significant.
How a telehealth GP can help
A NewDoc GP can take a thorough history, discuss your symptoms and concerns, and explain the available management options. This includes menopausal hormone therapy (MHT, formerly called HRT), non-hormonal medication options, and lifestyle approaches. Your GP can issue eScripts, order pathology tests, and refer to specialists such as gynaecologists or endocrinologists if needed.
Because menopause affects bone and cardiovascular health, your GP may also review cholesterol, blood pressure, and bone density risk — and discuss whether additional investigations such as a bone density scan (DEXA) are appropriate for you.
Treatment options
Menopausal hormone therapy can be delivered as oestrogen alone or combined oestrogen and progestogen, depending on whether you have a uterus. Formulations include tablets, patches, gels, and vaginal preparations. Your GP will discuss the benefits, risks, and contraindications specific to your circumstances.
Non-hormonal options may help with specific symptoms. Cognitive behavioural therapy has evidence for hot flushes and sleep. Lifestyle changes — regular physical activity, balanced diet, limiting alcohol, smoking cessation — support overall wellbeing during this stage.
References
- Menopause — Healthdirect Australia
- Menopause — Jean Hailes for Women's Health
- Information for women — Australasian Menopause Society
This content is informational and does not replace individual medical advice. For personal assessment, book a consultation with your GP. In emergencies, call 000.
Last reviewed 16 April 2026. Editorial policy