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    Menopause and Perimenopause Symptoms

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

    Perimenopause and menopause bring hot flushes, night sweats, sleep and mood changes as hormones shift. Menopausal hormone therapy (MHT) is the most effective conventional option and is safe for many women. Chinese medicine treats this transition through Kidney Yin deficiency, Kidney Yang deficiency, or Yin-Yang disharmony patterns.

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    Lifestyle & Diet

    • •MHT is the most effective treatment for hot flushes and is safe for most women under 60 — discuss with the GP.
    • •Weight-bearing exercise and adequate calcium and vitamin D protect bones.
    • •Limit alcohol, caffeine and spicy food if they trigger flushes.
    • •Prioritise sleep routine; CBT helps with sleep and mood in menopause.

    Cautions & Contraindications

    See sources
    • •Post-menopausal bleeding must be investigated before any treatment.[,]
    • •Do not advise against MHT; present it as an option to discuss with the GP.[]

    When to reassess or seek care again

    See sources

    Review every 4–6 weeks. Track flush frequency, sleep and mood. Encourage GP review of MHT suitability and bone health; refer urgently for post-menopausal bleeding.

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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: diagnosis and management (NG23)
      NICE · 2019
    3. Lifeline — 24-hour crisis support
      Lifeline Australia · 2024
    4. 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.