Menopause is not an illness, and it is not something to simply endure. The years around it change sleep, mood, bones, the heart and — the part least often raised in a consulting room — sexual comfort and desire. All of it is assessable, and most of it is treatable.
When to seek help
- Cycles becoming irregular, heavier or lighter in your forties
- Hot flushes, night sweats, disturbed sleep
- Vaginal dryness, burning, or pain with intercourse
- Recurrent urinary symptoms or urgency
- Low desire, low mood, or difficulty with arousal
- Concern about bone or heart health after menopause
Common causes
- Falling oestrogen thinning vaginal and urinary tissue (genitourinary syndrome of menopause)
- Hormonal shift affecting sleep, temperature regulation and mood
- Accelerated bone loss in the early postmenopausal years
- Desire and arousal changes — hormonal, physical and relational together
Diagnosis at Ankur
History, examination and — where it changes the decision — hormone, bone and metabolic assessment. Sexual symptoms are asked about directly rather than left for you to raise, because most women are never asked at all.
Treatment options
Menopause & perimenopause care
Symptom management planned with you, including hormone therapy where it is appropriate, with a clear account of benefit against risk for your own history.
Vaginal dryness & atrophy
Local treatment for dryness, burning and pain with intercourse — often the single change that restores comfort.
Genitourinary menopausal health
Urinary urgency, recurrent infections and bladder symptoms treated as part of the same hormonal picture, not separately.
Female sexual dysfunction
Desire, arousal, orgasm and pain assessed properly, with your partner welcome in the conversation.
Vulval & vaginal care
Skin conditions, irritation and recurrent discomfort that are frequently dismissed elsewhere.
Pelvic floor health
Assessment and guided rehabilitation for laxity, prolapse symptoms and leakage.
Holistic women’s health programmes
Bone, heart and metabolic protection managed over months, with AnkurURJA where longer follow-up suits you better.
Frequently asked questions
Is hormone therapy safe?
For most healthy women starting within about ten years of menopause, the balance favours benefit — but it depends on your own history, and that is what the consultation is for. It is a decision to make with a doctor, not from a headline.
I only have dryness and pain. Do I need hormones?
Often not. Local treatment applied where the problem is will settle most cases without systemic therapy.
Is it too late if I went through menopause years ago?
No. Vaginal, urinary, bone and sexual symptoms all remain treatable long afterwards.
Will I have to discuss sex?
Only as much as you want to. You can raise it at a later visit, or in writing beforehand — but we will ask, because no one else does.
