Menopause care, guided personally by me.

Perimenopause is the transition during which ovarian hormone patterns and periods begin to change. Menopause is confirmed after twelve consecutive months without a period, provided there is no other medical explanation. Symptoms can begin years before that point and may continue afterwards.

Population studies suggest the average is earlier in India than in many Western populations, but an individual woman's timing varies. Menopause before 40 needs a specific assessment for premature ovarian insufficiency; symptoms or cycle changes at any age should not be dismissed without context.

Often, no. In women over 45, symptoms and menstrual history are usually more useful than a single fluctuating hormone result. Tests may be appropriate when symptoms begin unusually early, periods stop unexpectedly, pregnancy is possible, or thyroid and other conditions need to be excluded.

Many consultations, symptom reviews and follow-ups can be completed online. I may ask for a blood pressure reading and relevant investigations. Examination, imaging or procedures require an appropriate in-person setting, and I will explain clearly when that is necessary.

Prescribing depends on a documented consultation, medical history, individual risks and applicable telemedicine guidance. I will not recommend hormone therapy from a message alone. Where remote prescribing is clinically appropriate, monitoring and follow-up are agreed at the same time.

An in-person review may be needed for concerning bleeding, examination, imaging, procedures, or findings that cannot be assessed safely by video. I practise at Apollo Fertility in Hyderabad; this website remains my personal route for questions and appointments.