At a glance
Menopause is recognised 12 months after the final menstrual period. Hot flushes, disturbed sleep, vaginal symptoms and mood changes can occur around this time. A doctor assesses the symptoms, their effect and other possible explanations.[4]
Symptoms vary between people
Some people have few symptoms; others find that sleep, work or relationships are affected. The Jean Hailes checklist is a way to record the symptoms that matter to you. It covers physical changes alongside concentration, mood and sexual wellbeing.[4]
The final period and what comes after
The Australasian Menopause Society defines menopause by the final period, identified after a year without menstruation. The date is understood in retrospect. Symptoms may begin before the final period and can continue afterwards. Your doctor can consider the pattern in your own history.[13]
Bleeding after menopause needs investigation
Any bleeding more than 12 months after the final period should be assessed. It should not be dismissed as an expected symptom. The Australasian Menopause Society explains that investigation is needed to identify the cause.[5]
Discuss treatment options with your doctor
There are hormonal and non-hormonal ways to manage symptoms. Suitability depends on your health history and priorities. Jean Hailes describes menopausal hormone therapy as one option and explains that benefits and risks need individual consideration.[6]
Prepare for the consultation
Bring a record of your last period, relevant medical history, current medicines and the symptoms you most want help with. Ask what can be addressed during the first appointment and when a review might be needed. Note any questions you did not get to discuss.
Use published fees on the same basis
A consultation fee can cover a different appointment length at each clinic. A referral, laboratory test and results appointment may be billed separately. Check these details before comparing a complete assessment total with a consultation-only charge.