Menopause and Midlife Women’s Health
Menopause is not merely the end of menstruation — it is a multidimensional health transition in which physical, mental, and emotional balances are redefined. Beginning typically in the early 40s, the perimenopausal phase is marked by hormonal fluctuations that can lead to symptoms such as hot flashes, sleep disturbances, mood changes, skin dryness, reduced libido, and weight gain — all reflecting systemic changes in the body.
We view this period not as an “end,” but as an opportunity to establish a new equilibrium through scientific guidance and conscious monitoring.
Diagnosis and Monitoring
During menopause, it is crucial to assess not only the visible symptoms but also the underlying systemic changes. Our evaluations include menstrual cycle assessment, hormone panels such as FSH, LH, estradiol, and TSH, as well as bone density (DEXA) scans, lipid profiles, and vitamin/mineral level checks. Thyroid and metabolic functions are analyzed, and if necessary, cognitive tests and ultrasound imaging are performed to provide a comprehensive picture of health.
Personalized Care and Support
Treatment and monitoring plans are customized according to each woman’s medical history, current symptoms, and lifestyle. Bioidentical hormone therapy may be considered when appropriate. Estrogen and progesterone can be administered orally, transdermally (through the skin), or vaginally, depending on the patient’s needs and preferences. The method of application is evaluated together in terms of effectiveness, safety, and lifestyle compatibility.
For women who do not opt for or are not suitable for hormone therapy, alternatives such as herbal supplements, local vaginal treatments, or low-dose antidepressants (for neuroendocrine balance) can be recommended.
Common symptoms like vaginal dryness and decreased sexual desire are managed with local estrogen therapies, moisturizing preparations, and pelvic floor exercises. When needed, psychological counseling supports intimacy and emotional well-being.
To protect bone and muscle health, individualized osteoporosis prevention programs are created. Vitamin D and calcium levels are monitored, and bone density is measured regularly. Resistance training and balanced nutrition form the foundation of these programs.
Healthy Living for Midlife Women
The postmenopausal years can be a time of renewal — a stage where women reconnect with their bodies and grow stronger through self-awareness. A midlife wellness plan includes nutrition optimization, weight management, quality sleep, and stress resilience.
To preserve cognitive health, psychological support may be provided. Through functional assessments, metabolic balance is evaluated, and when needed, vitamin-mineral supplements, IV therapies, or natural cognitive enhancers (such as adaptogenic herbs and nootropics) are incorporated.
When Needed: Minimally Invasive Interventions
In the postmenopausal period, certain gynecological issues may require modern, safe surgical solutions. Conditions like uterine prolapse and urinary incontinence can be treated with pelvic floor reconstructive surgeries. Laparoscopic and hysteroscopic procedures offer advantages such as improved aesthetics, faster recovery, and lower complication risks.
Our Multidisciplinary Approach
Every woman’s needs are unique. Therefore, in managing menopause and midlife women’s health, we adopt a holistic approach that integrates multiple specialties — including functional medicine, endocrinology, cardiology, neurology, urogynecology, nutrition, and psychology.
For more information on menopausal symptoms, diagnostic methods, and personalized support programs, visit our Menopause and Women’s Health section.
We are here to walk this journey with you.
Book an Appointment or visit our Contact page — and let’s navigate this new chapter together.
