Perimenopause
Perimenopause is the transitional period before menopause when hormone levels fluctuate erratically, typically beginning in a woman's 40s (sometimes 30s) and lasting 4-8 years. Dr. Rashmi Bastakoti, Nepal's leading gynecologist with 25+ years of experience, specializes in perimenopause management at GyneNepal, Kathmandu. This natural transition involves declining ovarian function with irregular estrogen and progesterone production. Dr. Rashmi's comprehensive approach addresses physical symptoms, emotional changes, and long-term health concerns. She has successfully guided over 2,500 women through perimenopause, improving quality of life and preventing complications. Early intervention manages symptoms and reduces risks of osteoporosis and cardiovascular disease. Personalized treatment plans consider individual symptoms, health history, and preferences. Serving Kathmandu, Lalitpur, Bhaktapur with compassionate perimenopause care.
Warning Signs & Symptoms
Common Causes
Diagnostic Tests
Treatment Options
Recommended Specialist
Dr Rashmi Bastakoti
MBBS, MD (Obs & Gyne), Fellowship in Reproductive Medicine (Nepal)
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Related Conditions
Learn about other conditions that may have similar symptoms or treatments
Polycystic Ovary Syndrome (PCOS)
PCOS is a common hormonal disorder affecting women of reproductive age, characterized by irregular periods, excess androgen levels, and polycystic ovaries.
Polycystic Ovarian Disease (PCOD)
PCOD is a condition where the ovaries contain multiple immature or partially mature eggs that develop into cysts, causing hormonal imbalances and irregular periods.
Premenstrual Syndrome (PMS)
Premenstrual Syndrome (PMS) is a group of physical, emotional, and behavioral symptoms occurring in the luteal phase (1-2 weeks before menstruation) that resolve with menstruation onset. Dr. Rashmi Bastakoti, Nepal's leading gynecologist with 25+ years of experience, specializes in PMS management at GyneNepal, Kathmandu. Affecting 75% of menstruating women, PMS symptoms range from mild to severe, impacting daily activities and relationships. Dr. Rashmi's comprehensive approach combines lifestyle modifications, nutritional support, and medical therapy. She has successfully treated over 3,500 PMS cases, significantly improving quality of life. Distinguishing PMS from PMDD (more severe) ensures appropriate treatment. Evidence-based interventions reduce symptom severity by 50-70%. Serving Kathmandu, Lalitpur, Bhaktapur with personalized PMS care.