Our Menopause Clinic (Mid-life Clinic) is to offer a comprehensive friendly service under one roof for the care of midlife and geriatric women.

Diagnostic evaluation and management of women with menopausal symptoms with Hormone Replacement, etc.

  1. Healthy women with uterus
  2. Women with comorbidities
  3. Women with cancer
  4. Women without Uterus (Patients who have undergone Hysterectomy)
  5. Women with Premature ovarian insufficiency, women who have undergone ovarian surgery, etc

Clinical Evaluation to identify women’s risk factors for age-related disease

  1. Bone assessment (DEXA) Even if the women are asymptomatic The postmenopausal women who have a fragile fracture The women who have osteoarthritis

  2. Muscle Strength assessment (sarcopenia) screening and Management

  3. Weight Management (obesity) to help women with a dietary plan and other techniques.

  4. Risk assessment for Breast Cancer (Mammogram) Inculcating women with the knowledge of self-breast examination

  5. Cancer Screening for cervix (Pap smear), if needed Further with colposcopy and biopsy.

  6. Investigating women with TRANSVAGINAL SCAN for endometrium thickness in perimenopausal bleeding, menstrual irregularities during the menopausal transition, and postmenopausal bleeding (PMB).

  7. Non-Surgical treatment for urinary incontinence and sexual dysfunction with "EMSELLA" and "Femilift" .(Refer in our services)

  8. Adult Vaccination is done with proper guidance.

Akshaya Menopause clinic identifies specific Menopause related issues in terms of Hormone Replacement therapy, evaluating women’s needs by assessing the general condition of the women by clinical examination, followed by the lab investigations to plan the management strategies.

Akshaya Menopause clinic wants to carry out the complete health evaluation rather than issues related to Menopause alone. This is to prevent serious health issues like Cardio Vascular Disease, stroke, a few types of cancer, and osteoporosis at the earlier stage.

We make women

“Fit at Forty, Strong at Sixty & Independent at Eighty”

Menopause is the time that marks the end of a woman's menstrual cycles.

There are three phases to the transition, which include

Akshaya Fetal Reduction

Perimenopause can begin eight to 10 years before menopause when the ovaries gradually produce less estrogen. It usually starts in a woman's 40s but to some, it may start in the 30s. Perimenopause may last up until menopause, the point when the ovaries stop releasing eggs. In the last one to two years of perimenopause, the drop in estrogen speeds up. At this stage, many women may experience symptoms of menopause. Women still get menstrual cycles during this time and can get pregnant and so they should be aware of this fact

The length of each stage of the menopause transition can vary for each woman. The average length of perimenopause is about four years. Some women may only be in this stage for a few months, while others will be in this transition phase for more than four years. If a woman has gone more than 12 months without having a period, you are no longer perimenopausal. However, if medications or medical conditions may impact on periods, it can be more difficult to know the specific stage of the menopause transition.


Menopause is the point when a woman no longer has menstrual periods. At this stage, the ovaries have stopped releasing eggs and producing most of their estrogen. Menopause is diagnosed when a woman has gone without a menstrual period for 12 consecutive months.

Menopause, when it occurs between the ages of 45 and 55, is considered "natural" and is a normal part of aging. But, some women can experience menopause early, either as a result of surgical intervention (such as removal of the ovaries) or damage to the ovaries (such as from chemotherapy). Menopause that occurs before the age of 45, is called early menopause. Menopause that occurs at 40 or younger is "premature Menopause"

Post Menopause

This is the name given to the period of time after a woman has not bled for a whole year that is after menopause. During this stage, menopausal symptoms, such as hot flushes, may ease for many women. However, some women continue to experience menopausal symptoms for a long time after the menopause transition. As a result of a lower level of estrogen, postmenopausal women are at higher risk for several health conditions, such as heart disease and osteoporosis. Medication, such as hormone therapy and healthy lifestyle changes may reduce the risk of some of these conditions. It is better to consult with a gynecologist

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  1. Hot flushes (feeling of warmth that spreads over the body all of a sudden).
  2. Night sweats
  3. Vaginal dryness or discomfort during sex.
  4. Urinary urgency and insomnia.
  5. Emotional changes
  6. Dry skin, dry eyes, or dry mouth.
  7. Breast tenderness.
  8. Worsening of premenstrual syndrome (PMS).
  9. Irregular periods
  10. Periods that are heavier or lighter and a loss of energy

Some Women May Experience:

  1. Racing heart.
  2. Headaches
  3. Joint and muscle aches and pains.
  4. Changes in sex drive
  5. Difficulty concentrating, temporary memory lapses
  6. Weight gain.
  7. Hair loss

These symptoms can be a sign that the ovaries are producing less estrogen or a sign of increased fluctuation in hormone levels. Not all women get all of these symptoms. A woman at this time should see a doctor to confirming that there is no other reason for these symptoms.

Hot flushes

Hot flushes are one of the most frequent symptoms of menopause. It is a small duration of the sensation of heat. Hot flushes are not the same for everyone and there is no particular reason why it happens. Aside from the heat, hot flushes can also come with:

  1. A red, flushed face.
  2. Sweating.
  3. A chilled feeling after the heat.

Hot flushes not only feel different for each person — but they also can last for various amounts of time. Some women only have hot flushes for a short period of time during menopause. Typically, hot flushes are less severe as time goes on.


  1. Caffeine.
  2. Smoking.
  3. Spicy foods.
  4. Alcohol.
  5. Tight clothing.
  6. Stress and anxiety.

Heat, including hot weather, can also trigger a hot flash. Be careful while working out in hot weather.

Menopause and Facial Hair Growth

Increased facial hair growth is another challenge during menopause. The hormonal change of a woman's body during menopause can result in several physical changes to her body, including more facial hair. If facial hair becomes a problem for her, waxing or using other hair removers may be the best option. Talk to the doctor freely about this problem to get a solution.

Menopause and Memory Problem

If a woman has memory problems during menopause, several activities have been shown to stimulate the brain and help rejuvenate her memory. Try to do the following activities,

  1. Do crossword puzzles, read books, and do math problems.
  2. Don't spend too much of time watching TV.
  3. Do plenty of exercises. Avoid sitting in the same place for many hours. Relax often.

Keep in mind that depression and anxiety can also impact your memory. These conditions can be associated with menopause.

Menopause and Depression

A woman's body undergoes a lot of changes during menopause. There are extreme alterations in hormone levels. she may not be sleeping well because of hot flushes and she may be experiencing mood swings. Anxiety and fear might also be experienced by some women during this time. All of these factors can lead to depression.

If a woman is experiencing any of the symptoms of depression, she must talk to her doctor. Thyroid problems can sometimes be the cause of depression.

Menopause and Bladder Control

Unfortunately, bladder control issues (also called urinary incontinence) are common for women going through menopause. There are several reasons for it, including:

  1. Estrogen. This hormone plays several roles in a woman's body. It not only controls her period and promotes changes in her body during pregnancy, estrogen also keeps the lining of her bladder and urethra healthy.
  2. Pelvic floor muscles. Supporting the organs in a woman's pelvis — her bladder and uterus — are called the pelvic floor muscles. Throughout her life, these muscles can weaken. This can happen during pregnancy, childbirth, and from weight gain. When the muscles weaken, she can experience urinary incontinence (leakage).
Specific bladder control problems that a woman might have can include:
  1. Stress Incontinence
  2. Urge Incontinence
  3. Nocturia