PERIMENOPAUSE & MENOPAUSE · SPECIALIST CARE

Menopause care should be about more than managing symptoms.

Perimenopause and menopause can affect far more than periods and hot flushes. Changes in sleep, mood, cognition, sexual health, body composition and metabolic health can have a significant impact on how you feel and function. At Aurora, we take the time to understand what has changed, what matters to you and which treatment options are appropriate for your individual health and circumstances.

Aurora Menopause & Weight Loss Specialists multidisciplinary clinical team

PERIMENOPAUSE CAN LOOK DIFFERENT FOR EVERYONE

Has something changed?

Has something changed?

Sometimes the first sign of perimenopause isn’t a hot flush. Changes can develop gradually and may initially seem unrelated.

Sometimes the first sign of perimenopause isn’t a hot flush. Changes can develop gradually and may initially seem unrelated.

Hot flushes & night sweats

Sleep disturbance

Mood changes & irritability

Brain fog & concentration

Changes in periods

Weight & body composition changes

Vaginal dryness & discomfort

Sexual health & libido

Headaches & migraines

Joint & muscle symptoms

Bladder & urinary symptoms

Changes in energy & wellbeing

You don’t need to have every symptom — or even irregular periods — to have a conversation about perimenopause.

Woman resting in warm window light

YOUR CONSULTATION

Care that starts with understanding you.

An Aurora menopause consultation considers:

Your symptoms and how they affect daily life

Menstrual & reproductive history

Medical & family history

Medications & previous treatments

Cardiovascular, bone & metabolic health where relevant

Your priorities, goals & treatment preferences

Treatment may include menopause hormone therapy, non-hormonal treatments, lifestyle strategies, investigation or management of other contributing health issues, depending on your individual circumstances.

MENOPAUSE HORMONE THERAPY

Is MHT right for me?

Is MHT right for me?

Menopause hormone therapy can be highly effective for appropriate patients, particularly for vasomotor symptoms such as hot flushes and night sweats. The decision to use MHT — and the type, dose and route used — should take account of your symptoms, medical history, individual risks and treatment preferences. Aurora provides personalised assessment and discussion of the potential benefits, risks and alternatives.

BEYOND HORMONE THERAPY

What if I don’t want — or can’t take — MHT?

MHT isn’t the only option. Not everyone wants or needs menopause hormone therapy, and for some women it may not be appropriate. Depending on your symptoms and circumstances, treatment may include non-hormonal medicines, vaginal treatments, lifestyle strategies or management of other factors affecting sleep, mood, sexual health and wellbeing.

WEIGHT & METABOLIC HEALTH

Weight can change through midlife. The reasons are complex.

Midlife can bring changes in body composition, fat distribution, muscle mass, sleep and metabolic health. At the same time, strategies that worked for weight earlier in life may no longer work in the same way. Aurora can assess menopause and weight together rather than treating them as separate issues. Menopause does not explain every change in weight, and hormone therapy is not a weight loss treatment — but the whole clinical picture matters.

HEALTH THROUGH MIDLIFE

The conversation is bigger than hot flushes.

The conversation is bigger than hot flushes.

Menopause care is also an opportunity to consider health through midlife and beyond.

Bone health

Cardiovascular health

Metabolic health

Sexual & genitourinary health

Sleep

Mental wellbeing

Physical activity & muscle health

Preventive healthcare

Smiling midlife woman in a warm contemporary social setting

INDIVIDUAL CARE

What if my medical history is complicated?

Previous medical conditions, medications or individual risk factors can make menopause treatment decisions more complex. That doesn’t necessarily mean there are no treatment options. It means the potential benefits, risks and alternatives need to be considered carefully and individually.

YOUR MENOPAUSE TEAM

Evidence-based care. Personalised to you.

Dr Aimee Pikoos, General Practitioner

Dr Aimee Pikoos

General Practitioner; Weight Management & Menopause

Book with Dr Aimee Pikoos

Kendall Gow, Nurse Practitioner

Kendall Gow

Nurse Practitioner; Weight Management & Menopause

Book with Kendall Gow NP

BEGIN WITH A CONVERSATION

Ready to talk about what’s changed?

Whether you’re navigating early perimenopause, established menopause or simply aren’t sure whether your symptoms could be related, we’re here to help you understand your options.