Gynaecology
Perimenopause & Menopause
The menopause transition is a significant phase of life, not a problem to be tolerated. With clear information and modern, individualised treatment, most women feel substantially better.
Perimenopause is the transitional phase before periods stop, often beginning in the early-to-mid 40s. Menopause itself is confirmed once 12 consecutive months have passed without a period — on average, around the age of 51 in Australia. The years that follow are called postmenopause.
Understanding the transition
The menopause transition unfolds across three distinct phases, each with its own characteristics.
Perimenopause
Often early-to-mid 40sThe transitional years before periods stop. Hormone levels fluctuate, periods become irregular, and symptoms such as hot flushes and sleep disturbance often begin.
Menopause
Average age 51Confirmed once 12 consecutive months have passed without a period. This marks the natural end of the reproductive years.
Postmenopause
The years that followLife after menopause. Some symptoms ease, while attention to bone, cardiovascular and genitourinary health becomes increasingly important.
Common symptoms
Symptoms vary widely between women and can affect physical health, mood, sleep and quality of life.
How perimenopause and menopause are diagnosed
Diagnosis is primarily based on age, symptoms and menstrual pattern. For most women, blood tests have a limited role — although they can be helpful for younger women with menopausal symptoms, or where the diagnosis is unclear.
A general health review forms an important part of the consultation, including blood pressure, cholesterol, bone health, and breast and cervical screening. This phase of life is an ideal opportunity to take stock of long-term health, not just to manage symptoms.
Treatment approach
Treatment is individualised to your symptoms, risk profile and preferences — there is no single right answer.
Lifestyle & nutrition
Practical advice on weight, alcohol, exercise and sleep — foundations that improve symptoms and long-term health.
Menopausal hormone therapy
MHT tailored to your symptoms, risk profile and preferences, with a clear discussion of the modern evidence.
Non-hormonal options
Effective alternatives for women who prefer or medically require a non-hormonal approach.
Vaginal therapy
Localised treatment for genitourinary symptoms such as dryness, discomfort and urinary changes.
Bone & heart health
Screening and advice on bone density and cardiovascular health, which become increasingly important after menopause.
Mental health & sleep
Support for mood, anxiety and sleep disturbance, recognising how closely these are tied to the transition.
Modern, evidence-based menopause care
Modern menopause care is far more nuanced than the headlines of two decades ago suggested. Dr Krones takes a contemporary, evidence-based approach to menopausal hormone therapy, with a careful individual discussion of the risks, benefits and alternatives.
The goal is to help you make an informed choice that fits your symptoms, your health history and your priorities — so that this phase of life feels managed rather than merely endured.
When to see a specialist
Specialist review is particularly helpful if:
- Symptoms are significantly affecting your daily life
- You have early menopause (before age 45)
- You have a complicated medical history
- You have tried first-line treatments without success
Book a consultation
Dr Krones consults at Suite 3A, North Shore Private Hospital, St Leonards, with operating privileges at North Shore Private Hospital and The Mater Hospital, Crows Nest.
A valid GP or specialist referral is required for all new appointments.
02 9053 1245