Hormonal Disorders

Menopause

Menopause is the natural biological transition marking the permanent end of menstrual cycles, typically occurring between ages 45-55. Dr. Rashmi Bastakoti, Nepal's leading gynecologist with 25+ years of experience, specializes in comprehensive menopause management at GyneNepal, Kathmandu. This life stage results from declining ovarian function and reduced estrogen/progesterone production. While menopause is natural, symptoms can significantly impact quality of life. Dr. Rashmi's holistic approach combines hormone replacement therapy, lifestyle modifications, and emotional support. She has successfully treated over 3,000 menopausal women, helping them navigate this transition with confidence. Early intervention prevents long-term complications like osteoporosis and cardiovascular disease. Serving Kathmandu, Lalitpur, and Bhaktapur with personalized menopause care plans.

Warning Signs & Symptoms

⚠️Hot flashes and night sweats (vasomotor symptoms)
⚠️Irregular periods before cessation
⚠️Vaginal dryness and atrophy
⚠️Mood changes, anxiety, depression
⚠️Sleep disturbances and insomnia
⚠️Weight gain and slowed metabolism
⚠️Thinning hair and dry skin
⚠️Loss of breast fullness
⚠️Joint and muscle aches
⚠️Decreased libido
⚠️Memory problems and brain fog
⚠️Urinary incontinence

Common Causes

🔍Natural decline in reproductive hormones (estrogen, progesterone)
🔍Ovarian aging and follicle depletion
🔍Surgical menopause (hysterectomy with oophorectomy)
🔍Chemotherapy and radiation therapy
🔍Primary ovarian insufficiency (premature menopause)
🔍Genetic factors and family history

Diagnostic Tests

Medical history and symptom assessment
Physical and pelvic examination
Blood tests: FSH (>30 mIU/mL indicates menopause), estradiol levels
Thyroid function tests (rule out thyroid disorders)
Bone density scan (DEXA) for osteoporosis screening
Lipid profile and cardiovascular assessment
Pap smear and breast examination

Treatment Options

💊Hormone Replacement Therapy (HRT) - estrogen with/without progesterone
💊Vaginal estrogen cream for local symptoms
💊Selective serotonin reuptake inhibitors (SSRIs) for hot flashes
💊Lifestyle modifications: regular exercise, balanced diet
💊Calcium (1200mg) and Vitamin D (800-1000 IU) supplementation
💊Weight-bearing exercises for bone health
💊Cognitive behavioral therapy for mood symptoms
💊Vaginal moisturizers and lubricants
💊Bioidentical hormone therapy options
💊Regular health screenings and monitoring

Recommended Specialist

Dr Rashmi Bastakoti

Dr Rashmi Bastakoti

MBBS, MD (Obs & Gyne), Fellowship in Reproductive Medicine (Nepal)

25 years
View Full Profile

Need Treatment?

Book a consultation with our specialists for personalized care and expert treatment

Book Appointment Now

Contact Information

📞
Phone
+977 9700682797
📧
Email
info@gynenepal.com
📍
Location
Dillibazar Pipalbot, Kathmandu
Hours
Mon-Sat: 8 AM - 6 PM