Periods may become less predictable, heavier, lighter or further apart during transition.
Vasomotor symptoms can affect sleep and daytime functioning.
These symptoms can overlap with stress, thyroid disease and other conditions.
Hormonal change can affect vaginal comfort and urinary symptoms.
What the GP may consider
The next step depends on the clinical picture.
Primary care combines history, examination and targeted investigation where appropriate. The goal is not to test everything, but to answer the right clinical questions.
Age, menstrual pattern and symptom cluster are often more informative than one blood test.
Thyroid disease, anaemia, medication and mental-health factors may need consideration.
Management can include lifestyle measures, non-hormonal options or menopausal hormone therapy where appropriate.
Personal and family history help determine which treatments are suitable.
Very heavy bleeding, postmenopausal bleeding, severe pelvic pain or another acute or unusual symptom should be assessed promptly. If you are unsure and symptoms are severe or rapidly worsening, seek urgent medical assessment.
Book a consultation
Online information cannot replace an examination when one is needed.
Book an in-person or teleconsultation with the Bryanston practice and let the doctor guide the next step.
Condition enquiry
Still unsure what your symptoms mean?
Describe what is concerning you and the practice can help guide whether an in-person consultation, teleconsultation or another route is appropriate.
Please do not use this form or WhatsApp for emergencies or send unnecessary sensitive medical information in an initial enquiry.