Menopause & Hormonal Health

When hormonal changes affect how you feel and function

Hormonal changes during perimenopause and menopause can affect much more than just periods. Many women experience changes in mood, sleep, energy, bleeding patterns, weight, libido, and overall wellbeing.

These changes can be disruptive and sometimes confusing — especially when they overlap with other gynaecological conditions.

Common symptoms

Hormonal changes may cause:

  • Irregular or heavy bleeding

  • Hot flushes and night sweats

  • Mood changes or anxiety

  • Poor sleep

  • Vaginal dryness or discomfort

  • Reduced libido

  • Brain fog or fatigue

Some symptoms improve over time. Others benefit from targeted treatment.

How hormonal changes are assessed

Assessment begins with understanding your symptoms, cycle changes, and health history.

Pelvic ultrasound may be helpful to assess the uterus and ovaries, particularly when bleeding is irregular or heavy, to rule out conditions such as fibroids, polyps, or adenomyosis.

Blood tests may also be used when appropriate to assess hormone levels and exclude other causes.

Treatment options

Treatment depends on your symptoms, health background, and personal preferences. Options may include:

  • Hormone therapy

  • Non-hormonal treatments

  • Management of abnormal bleeding or pelvic symptoms

  • Lifestyle and supportive strategies

The aim is to improve quality of life while balancing benefits and risks.

How I can help

I provide careful, individualised menopause and perimenopause care, combining symptom management with appropriate investigation when bleeding or pelvic symptoms are present.

Whether you need reassurance, treatment, or further assessment, we will take a thoughtful, evidence-based approach that fits your needs and stage of life.

Dr Guy Fisher – Specialist Gynaecologist and Fertility Specialist

Book a menopause or hormonal health appointment in Auckland

If you are experiencing hormonal or menopausal symptoms, you can book a consultation online.

Book an Appointment