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    gynaecology

    Menopause symptoms (adjunctive care)

    Also known as: menopause, perimenopause, hot flushes, hot flashes, menopausal vasomotor symptoms, night sweats

    Perimenopause and menopause bring hot flushes, night sweats, sleep disturbance, mood change and vaginal dryness as ovarian hormones decline. Menopausal hormone therapy (MHT) is the most effective treatment and is safe for most women under 60; Chinese medicine and acupuncture can support women who cannot or prefer not to use MHT, alongside GP care.

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    Lifestyle & Diet

    • •Discuss MHT with the GP — for most symptomatic women under 60 the benefits outweigh the risks.
    • •Weight-bearing exercise and adequate calcium and vitamin D protect bone.
    • •Limit alcohol and caffeine if they trigger flushes; stop smoking.
    • •Vaginal moisturisers and lubricants are first line for dryness; topical oestrogen is very effective — ask the GP.

    Cautions & Contraindications

    See sources
    • •Postmenopausal bleeding must be investigated — never treat it as a pattern.[,]
    • •Do not advise stopping or avoiding MHT; that decision belongs with the woman and her GP.[]
    • •Avoid strong warming formulas in Yin-deficient Heat presentations.[]

    When to reassess or seek care again

    See sources

    Track flush frequency/severity, sleep and mood every 4–6 weeks. Confirm postmenopausal bleeding has been investigated if reported. Review cardiovascular and bone risk with the GP.

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    Sources & Further Reading

    Clinical guidance, red flags and safety notes on this page draw on the following current sources alongside the classical references above.

    1. Menopause — Healthdirect
      Healthdirect Australia · 2024
    2. Menopause — Jean Hailes for Women's Health
      Jean Hailes · 2024
    3. Acupuncture for menopausal hot flushes — systematic review
      PubMed (Menopause) · 2015
    4. Australasian Menopause Society
      Australasian Menopause Society · 2024
    5. Chinese medicine practitioner safety standards
      AHPRA / Chinese Medicine Board of Australia · 2024

    Educational reference for licensed practitioners. Not a substitute for individual clinical assessment. Refer to conventional care for any red-flag or undiagnosed presentation.