Menopause Care & Management

Menopause is an inevitable and natural stage in every woman’s life — but for many women, the symptoms associated with the hormonal transition are far from trivial. Hot flashes, sleep disruption, mood changes, cognitive fog, and physical changes can significantly affect daily function, relationships, and quality of life. Yet many women face this transition without adequate clinical support, normalising symptoms that can and should be addressed.

Dr. Ruby Rashmi provides personalised, evidence-based menopause care in Dubai, helping women navigate this transition with confidence and maintain their health and wellbeing for decades to come.

Understanding Perimenopause & Menopause

Phase 01

Perimenopause

Perimenopause refers to the transitional phase preceding menopause, during which ovarian hormone production begins to fluctuate and decline. This phase can last several years and begins, on average, in a woman's mid-to-late 40s — though it can start earlier. Menstrual irregularity, vasomotor symptoms, sleep changes, and mood disturbances are common during this time.

Phase 02

Menopause

Menopause is defined as the cessation of menstruation for 12 consecutive months in the absence of other pathological causes. The average age of natural menopause is approximately 51 years. Surgical menopause (following oophorectomy) and premature ovarian insufficiency are additional scenarios requiring specialist management.

Common Menopause Symptoms

Menopause Management Approaches

Treatment is always individualised, based on symptom severity, personal health history, risk factors, and patient preference.

🔹 Hormone Replacement Therapy (HRT)

The most effective treatment for vasomotor symptoms; evidence also supports bone and cardiovascular benefits. Prescribing follows current RCOG, NICE, and FIGO guidance.

🔹 Non-hormonal treatments

For women where HRT is not appropriate or preferred, evidence-based non-hormonal options are available for vasomotor and other symptoms.

🔹 Genitourinary management

Targeted local oestrogen therapy specifically for vaginal and urinary symptoms.

🔹 Bone health assessment

DEXA scanning guidance, calcium and vitamin D optimisation, and proactive lifestyle recommendations.

🔹 Lifestyle counseling

Guidance on nutrition, physical activity, sleep hygiene, and overall cardiovascular risk reduction.

🔹 Mental health support

Specialised recognition and management of menopause-related mood disturbances and anxiety.

Frequently Asked Questions

For most healthy women under 60 and within 10 years of menopause, the benefits of HRT for quality of life and health significantly outweigh the risks. Dr. Ruby Rashmi discusses individual risk profiles and the latest evidence with every patient before any treatment decision is made.

Premature ovarian insufficiency (POI) refers to ovarian function ceasing before the age of 40. It requires specific management, including HRT for health protection, and specialist fertility counseling if pregnancy is desired.

The menopause transition (perimenopause) typically lasts 4–8 years. Some symptoms, particularly genitourinary changes, may persist beyond the acute transition if untreated. Long-term wellbeing requires ongoing monitoring and proactive health management.

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Menopause Care & Management