Women's Health · 7 min read
Published · Updated
Editorial note: This article was prepared for this website from the sources listed below. Unless a named clinical reviewer is shown, it has not been attributed to or clinically reviewed by an individual KPMC clinician.
Symptoms vary widely
Perimenopause and menopause can affect menstrual patterns, temperature regulation, sleep, mood, concentration, joints, sexual wellbeing and vaginal or urinary comfort. Not every symptom in midlife is caused by menopause, so new, severe or persistent problems should be assessed.
Choose care through an individual discussion
Options may include lifestyle measures, non-hormonal treatments, vaginal treatments or menopausal hormone therapy. Benefits and risks depend on symptoms, age, health history, type of treatment and personal preference. Herbal products can interact with medicines and their quality varies.
Continue health checks appropriate to your age and risk, including bone and cardiovascular health discussions where relevant. Menopause does not remove the need for contraception immediately; ask for individual advice.
Bleeding deserves attention
Changing periods can occur during perimenopause, but very heavy, persistent or unusual bleeding should not simply be attributed to hormones. Any vaginal bleeding after menopause needs medical assessment.
At a glance
Key takeaways
- Menopause experiences and treatment choices are individual.
- Discuss both benefits and risks before starting hormonal or herbal products.
- Bleeding after menopause requires assessment.
When to seek care
- Arrange prompt assessment for any bleeding after menopause or persistent bleeding between periods or after sex.
- Seek urgent care for heavy bleeding with collapse, chest pain, severe breathlessness or marked weakness.
General information only. This article does not replace medical advice, diagnosis or treatment. If symptoms are severe or rapidly worsening, seek urgent medical care. In Malaysia, call 999 for an emergency or go to the nearest emergency department.
Source notes
Article sources
KPMC services related to this topic
Find information about the relevant KPMC service. A healthcare professional can advise whether the service is suitable for your needs.
关于本院 KPMC 妇产科 申请预约
