Menopause: clear information and individual options
Hot flushes, sleep problems, mood changes, vaginal dryness or bladder symptoms can occur during the menopausal transition. Their severity and effect on everyday life vary considerably. The aim of a consultation is to understand what is troubling you and discuss appropriate support.
Changes in hormones and metabolism
Ageing and hormonal changes can affect energy needs, weight and wellbeing. Reviewing symptoms, nutrition, activity, medication and other health conditions helps build a fuller picture. A hormone analysis can be useful in certain situations, but it is not necessary for every woman to establish menopause.
Examinations, ultrasound and preventive care
A vaginal ultrasound can help assess a relevant question about the uterus or ovaries, such as a suspected cyst or a cause of bleeding. It is not automatically required at every routine visit. Examination and follow-up intervals are selected according to symptoms, previous results and individual risk.
Bleeding after menopause, persistent pain or a new change in the intimate area should be assessed even if a previous check was normal.
Hormonal and non-hormonal options
The discussion can include lifestyle measures, non-hormonal approaches, local treatments and hormone therapy where appropriate. Benefits, limitations and risks are considered individually. You may choose to take time, seek further information or decide against medication.
Laparoscopy and treatment of fibroids
Prof. Gill's surgical background includes minimally invasive gynaecology. Laparoscopic surgery may be an option for selected conditions, including some fibroids, ovarian cysts and endometriosis. Whether it is appropriate depends on the diagnosis and the planned procedure.
Another option is uterine fibroid embolisation, often abbreviated UFE or UAE. This procedure aims to reduce a fibroid's blood supply through a catheter and is performed by an interventional radiology team. It is an alternative for selected patients, with its own risks and possible need for further treatment. Fertility plans are an important part of the decision.
The detailed fibroid article (German) explains medication, myomectomy, anaesthesia, hysterectomy and embolisation. You can discuss these options in your consultation rather than assuming that a fibroid requires surgery.