Asiri Menopause Clinic - Asiri Health
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Asiri Menopause Clinic

The Asiri Menopause Clinic

Menopause is the next natural step in a woman's life with overwhelming transitions you may feel you're not ready for. Many women are faced with the challenge of dealing with these changes alone and left to feel as though they are no longer the person they once were.

Learn about what menopause is, its symptoms and how to identify whether or not you are close to becoming menopausal and the many different treatment options available for a woman currently undergoing menopause.


What is Menopause?

Menopause is when you stop having your periods for longer than a year. It happens when your ovaries stop releasing eggs or your ovaries have been removed and the amount of estrogen hormone in your body falls. Most women in Sri Lanka have their menopause between the ages of 45 and 55 years, with the average age being 51 years.

Menopause can occur earlier in some women. If it occurs before the age of 40 years, it is known as premature menopause or premature ovarian insufficiency.

The time before your last period, when your estrogen levels are falling, is called the perimenopause. This can last from a few months to several years. Around half of all women notice physical and/or emotional symptoms during this time.

The most common symptoms are:

  • Hot flushes
  • Night sweats
  • Vaginal dryness
  • Low mood and/or feeling anxious
  • Joint and muscle pain
  • Loss of interest in having sex

Every woman experiences menopause differently. Some experience one or two symptoms, which may be mild, while others have more severe and distressing symptoms. Some women
choose to go through menopause without treatment, while others prefer some form of treatment to manage their symptoms, by using either hormone replacement therapy (HRT) or an
alternative treatment.

Do you need any hormone tests before you can start treatment?

If you have symptoms of the menopause and are over 45 years of age, you will not usually need any hormone tests to diagnose menopause. Treatment options are offered based on your symptoms alone.

Complications after Menopause 

More often than none there can be complications post menopause which will lead to health risk factors, it is vital that you visit a doctor or specialist after you have begun to feel any pre-menopausal symptoms so that you can be guided towards the next step of after care.

Complication & Risks after Menopause include:

     Heart and blood vessel diseases
  Urinary incontinence
  Loss of sexual desire

Staying Healthy During and After Menopause

Menopause is an ideal time to begin or reinforce healthy changes in your life. Here are nine areas of your health that might need attention:

  • Keeping a menstrual calendar can help women determine what’s normal or abnormal (we offer a free menstrual calendar form). Women should consult a healthcare provider right away if signs of abnormal bleeding patterns occur.
  • Osteoporosis is a major health risk to women after menopause, as age-related bone loss speeds up in the years surrounding menopause. Bone-strengthening exercise can help. The Fracture Risk Assessment tool called FRAX calculates a woman’s 10-year probability of a major osteoporotic fracture (clinical spine, forearm, hip, or shoulder). Postmenopausal women over age 40 can calculate their own risk at the FRAX website.
  • Midlife weight gain in women seems to be mostly related to aging and lifestyle, but the years around menopause are associated with fat again in the abdomen if women aren’t attentive to diet and exercise. Abdominal fat is associated with an increased risk of heart disease. Find out if you're officially overweight.
  • Sleep -Treatment of sleep disturbances should first focus on improving sleep routine with good sleep hygiene, including a regular sleep schedule, avoiding heavy evening meals, adjusting levels of light, noise, and temperature in the bedroom, and avoiding alcohol, caffeine, and nicotine.
  • Women at increased risk for hormonal headaches and migraines during perimenopause are those who have already had a history of headaches around menstrual periods or when taking oral contraceptives. Hormonal headaches typically stop when menopause is reached and hormone levels are consistently low.
  • Urinary incontinence, which is common during menopause and beyond, is often improved with pelvic floor muscle exercises (Kegel exercises). These involve repeated contraction and relaxation of the muscles that control urine flow, strengthening them so they can better support the bladder. The muscles are contracted to a count of three and then relaxed. Recommended frequency is 10 exercises, five times each day. Bonus: Kegels can improve your sex life, too.
  • Skin-healthy habits at midlife include: avoiding smoking, stress, and overexposure to sunlight; adequate exercise and sleep; drinking plenty of water; and avoiding hot, soapy showers and baths (which dry out the skin).
  • Practicing good oral hygiene is extremely important. Brushing and flossing daily, regular dental checkups and professional dental cleaning twice yearly are all recommended. Gum disease increases risk for heart disease, and tooth loss can be a sign of underlying bone disease, including osteoporosis

While some risk factors cannot be changed, others can be controlled or modified to create a more heart-healthy lifestyle by following these modifications:

Don’t smoke

Control blood pressure

Control cholesterol

Control triglycerides

Prevent diabetes

Exercise regularly


Maintain healthy weight or lose weight if overweight


Improve nutrition

The Asiri Menopause Clinic

Asiri Menopause Clinic offers you the support and care required during this overwhelming transition period which is part of a gradual and natural process.

A free consultation clinic held weekly will be a gateway for the support and treatment you need. Initially a Medical Officer will evaluate and recommend the required diagnostic examinations you may need to take.

After which, the results of the examination you will receive a personally devised treatment plan from our Obstetrician &Gynecologists specialist consultant.

Clinic Details

Asiri Menopause Clinic

At Asiri Central Hospital,
Tuesdays and Thursdays 08:30am to 11:30am

For appointments +94764240824

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Asiri Central Hospital

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+94 11 466 5500