Which specialist treats perimenopause?

Perimenopause is the transition before periods stop. A clinician reviews changes such as irregular or missed periods, night sweats, vaginal dryness, mood changes, lower sex drive, or brain fog. They also consider pregnancy, thyroid problems, medicines, bleeding patterns, migraine history, blood pressure, and personal or family risks before recommending treatment.

Many people can begin with a general doctor or gynaecologist. Referral to a menopause service may help when symptoms are difficult to control, begin unusually early, or need specialist advice about hormones.

Keep a record of period dates, bleeding changes, hot flushes or night sweats, sleep, mood, vaginal symptoms, and medicines. Tell the clinician whether pregnancy is possible and whether contraception is still needed. A hormonal coil may be discussed for contraception or bleeding control in suitable situations, but it does not suit everyone.

Treatment can include lifestyle support, local care for vaginal symptoms, non-hormonal medicines, or hormone treatment after an individual review.

Arrange prompt assessment for bleeding after sex, very heavy bleeding, bleeding between periods, a missed period with pain, or symptoms that are new and severe. Seek urgent help for fainting, severe pain, or bleeding that makes you feel weak or unwell.

Ask whether your pattern fits perimenopause, whether tests are needed, which treatments match your risks, how long contraception is needed, and what bleeding changes should trigger review.