IVIVA

Menopause Care

Personalized for You

Clear diagnosis. Structured treatment. No guesswork.

Menopause is not just hot flushes. It often affects your periods, sleep, mood, weight, sexual health, and long-term wellbeing. We assess it properly — and manage it properly.

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Learn How We Help

Most women are told to just
put up with it.

That is not good enough.

Menopause and perimenopause are hormonal transitions with real clinical effects. For some women, symptoms are mild. For others, they affect work, relationships, confidence, sleep, and general health.

At our "Menopause Clinic", we take a structured medical approach. We do not over-medicalise, but we also do not dismiss symptoms that deserve proper treatment.

Specialist & compassionate care

Care led by highly experienced BMS-registered menopause specialists. We take the time to really listen

Personalised treatment, HRT and beyond

For many women, HRT is the most effective treatment. This is not one-size-fits-all. The type, dose, and route depend on symptoms, bleeding pattern, medical background, and preference.

Structured follow-up

Treatment often needs adjustment. Menopause care is usually not about one prescription — it is about reviewing, refining, and improving over time.

How to get started

We follow the steps which help us to understand the patients

Initial consultation

Your first consultation focuses on understanding your symptoms, cycle pattern, health background, and what you want help with. .

Investigations

We only arrange tests which are needed. That optimises the costs. Not every woman needs extensive investigations, and not every symptom needs a blood test. .

Treatment plan

ou will leave with a clear idea ofwhat we think is going on what your options are what the next step should be and followups .

Is this right for you?

Who this service is for

This service may be right for you if:

You are in your late 30s, 40s or early 50s and noticing changes

Your periods have become irregular, heavier, closer together, or have stopped

You are having hot flushes, poor sleep, anxiety, "brain fog", or fatigue

You feel your symptoms are being brushed aside

You want a proper plan rather than generic reassurance

You want to understand whether HRT is suitable for you

Not sure? Book a consultation →

What we offer

Common symptoms we assess

This service may be right for you if:

Irregular or heavy bleeding

"Climacteric" is the 10 year period before your periods finally stop. Your symptoms may start a few years before the actual menopause. Perimenopause (the couple of years before and after the periods finally stop) often causes cycle changes before periods stop completely.

Hot flushes and night sweats

These are classic "vasomotor" symptoms caused by fluctuating or falling oestrogen levels as well as pituitary hormones LH and FSH. They can be mild and occasional, or severe enough to disrupt sleep, work, and daily confidence. Very often, they simply undermine your sense of well being. You can't put a finger on it, but you feel "this is not me!"

Mood changes and anxiety

Hormonal shifts can affect mood directly. Some women describe new anxiety, irritability, tearfulness, or a loss of resilience. This is common and should not simply be dismissed as “stress.” Sometimes your partner or family notice these changes even before you do.

Sleep disturbance

Sleep often becomes lighter and more fragmented in perimenopause and menopause. Sometimes this is due to night sweats, but many women notice poor sleep even without obvious flushing. This is something your partner definitely notices before you do!

Brain fog and poor concentration

Many women notice reduced focus, memory lapses, or slower thinking. This can be particularly frustrating for women in demanding jobs who still feel “too young” to be dealing with menopause.

Change in libido and sexual changes

Reduced libido, vaginal dryness, discomfort during sex, and reduced arousal are common. These can be hormonal, physical, emotional, or a combination of all three. Sometimes you may feel an increased libido but then the vaginal dryness and hot flushes act as big dampners

Weight gain and fatigue

Hormonal changes often affect body composition, energy levels, and recovery. The increased stress increases your levels of circulating steroids which in turn make you put on weight. This is particularly noticeable around the abdomen and is often made worse by poor sleep and low mood.

Joint aches, headaches or general change in wellbeing

Some women develop symptoms that are less obviously linked to menopause, such as headaches, body aches, worsening PMS-type symptoms, or just not feeling like themselves.

What we offer

What We Do

We don’t guess. We assess.

Important point: menopause is often a clinical diagnosis. Blood tests can sometimes help, but they do not replace proper history and judgement.

No vague reassurance. No over-treatment. Just a clear plan.

Our role is not just to prescribe something and hope for the best. We start by understanding the pattern, severity, and impact of your symptoms, then put that into the wider context of your age, cycle history, risk factors, and life requirements and goals.

Our assessment may include:

Detailed symptom review
Menstrual and bleeding history
Review of previous contraception or hormone use
Consideration of bone, heart, and long-term health factors
Relevant investigations if needed

Frequently asked questions

1Am I too young for perimenopause?

Not necessarily. Some women begin to notice changes in their late 30s or early 40s. The pattern matters more than a single age threshold.

2Do I need blood tests to diagnose menopause?

Often not. Menopause and perimenopause are usually diagnosed clinically. Blood tests may help in selected situations, but they are not always necessary or reliable.

3Is HRT safe?

For many / most women, yes. Suitability depends on your age, symptoms, risk factors, and medical history. This is something we assess individually.

4Can menopause cause anxiety and "brain fog"?

Yes. Hormonal changes can affect mood, concentration, sleep, and resilience. These symptoms are common and real.

5Can I still get pregnant during perimenopause?

Yes you can. Fertility declines, but pregnancy is still possible until menopause is complete (atleast 1-2 year after periods have stopped). This matters for both contraception and fertility planning. We always ask you what are your thoughts on the matter and if you need contraception to be considered as well.

6What if my main issue is bleeding rather than hot flushes?

That is common in perimenopause. Bleeding changes often need proper assessment, especially if heavy, frequent, or prolonged.

Menopause is not something to simply "bear with" until you get used to it

It is a stage that deserves proper assessment, clear explanation, and sensible treatment.
If you feel your symptoms are affecting your life — or you just want proper clarity about what is happening — we can help.

Book your menopause consultation

Get a clear understanding of your symptoms, your options, and what to do next.

Call us