Menopause Management
Living Well Through The Change
Menopause Is Not An Illness — But It Deserves Medical Attention
Menopause — the permanent cessation of menstruation due to the natural decline and eventual depletion of ovarian follicular function — is a universal transition in a woman’s life, not a disease. The median age of natural menopause in Indian women is 46 to 47 years, slightly earlier than the global average of 51.
The impact of these symptoms on quality of life — on work performance, relationships, sleep, and general wellbeing — is often enormous. Evidence-based management can substantially improve quality of life. Dr. Krishnakumar provides comprehensive menopause management tailored to each patient’s symptoms, risk profile, and preferences.
Common Symptoms
Symptoms can be significant and debilitating, affecting up to 80 percent of peri- and postmenopausal women.
Vasomotor
Hot flushes and night sweats are the most widely recognised symptoms, often impacting daily function, rest, and overall comfort.
Psychological
Sleep disturbance, mood changes, anxiety, and cognitive changes often described as ‘brain fog’ that can affect concentration.
Physical
Joint and muscle pain, alongside vaginal and urinary symptoms such as dryness and recurrent infections requiring care.
Hormone Replacement Therapy — Setting The Record Straight
Few topics in women’s medicine have generated more confusion than hormone replacement therapy. Modern HRT formulations — including transdermal oestrogens and micronised progesterone — have a much more favourable risk profile than older versions.
For healthy women under 60, the current evidence is that the benefits of HRT — symptom relief, bone protection, and possible cardiovascular benefit — significantly outweigh the risks for the majority of patients.
For those who cannot or prefer not to take HRT, effective non-hormonal alternatives exist. Dr. Krishnakumar provides a thorough, individualised assessment for every woman to find the right path forward.
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