Chapter 11 – Menopause

The menopause consultation


Patients will often present to discuss bodily changes that are occurring at this time. It is also important for clinicians to proactively ask about menopause and symptoms a woman may be experiencing when seeing a woman in the relevant age group.

Consultations should be patient centred and take account of both the patient and clinician agenda. Discuss the patient’s symptoms and concerns and enquire about other common symptoms of menopause, as well as taking a general medical history. It is important to validate the woman’s experience. Determine the level of distress these symptoms are causing. Explain the physiological and hormonal changes that are happening. Talking through issues and normalising what is happening may be all that is required for an individual woman. For others, more active treatment or management may be requested.

It can be very useful to provide information sheets or websites to your patient. Excellent resources can be found on the websites below:

Australasian Menopause Society (AMS) Jean Hailes Foundation

A menopause symptom score sheet can be useful in identifying symptoms potentially related to menopause, and monitoring change over time and in response to therapy. This can be accessed on the AMS website:

Important areas, other than the obvious management ... Buy now


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Lifestyle advice 

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Contraceptive advice in the perimenopause

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Management of menopausal symptoms

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Non-pharmacological treatment options

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