Menopause Treatment & HRT in Hyderabad

The average age of natural menopause in India is approximately 46–48 years, which is slightly earlier than the global average of 51. Perimenopause - the transition phase with irregular periods and symptoms - typically begins 4–8 years before the last period.

Modern body-identical HRT is safe for the majority of healthy women with menopausal symptoms. The risk-benefit profile is most favourable when HRT is started within 10 years of menopause or before the age of 60. Transdermal oestrogen does not increase clot risk. Micronised progesterone has a lower breast cancer association than older synthetic progestins. Women with certain conditions - active breast cancer, undiagnosed vaginal bleeding, active clots - should not use systemic HRT.

Hot flushes are sudden feelings of intense heat affecting the face, neck, and chest, often accompanied by sweating and flushing. They are caused by oestrogen withdrawal affecting the temperature regulation centre in the brain. HRT is the most effective treatment. Non-hormonal options include SSRIs (venlafaxine, paroxetine), clonidine, and cognitive behavioural therapy - effective alternatives for women who cannot use HRT.

Vaginal atrophy (genitourinary syndrome of menopause) is thinning, drying, and inflammation of the vaginal walls due to reduced oestrogen. It causes vaginal dryness, soreness, pain during intercourse, and urinary symptoms. It does not improve without treatment. Vaginal oestrogen (cream, pessary, or ring) is highly effective and has very low systemic absorption - it is safe for most women, including those who cannot use systemic HRT.

Menopause is associated with an increased risk of low mood, anxiety, and depression - particularly during perimenopause. This is due to hormonal fluctuations, sleep disruption, and psychosocial factors. HRT often improves mood symptoms in menopausal women. For women with clinical depression, antidepressants may be needed alongside or instead of HRT.

Premature menopause (premature ovarian insufficiency or POI) occurs when the ovaries stop functioning normally before the age of 40. It affects approximately 1% of women. Causes include genetic factors, autoimmune conditions, and cancer treatment. POI requires HRT for health protection and specialist fertility assessment if pregnancy is desired. Egg donation IVF is the most effective fertility option for POI.

The duration of HRT is individualised. Most women take HRT for 3–5 years to manage menopausal symptoms. Women with premature menopause are advised to continue until the natural age of menopause (50–51). There is no mandatory time limit - the decision to continue or stop HRT is made jointly with your doctor based on ongoing symptom benefit and risk assessment.

HRT can be used by women with fibroids. Oestrogen may cause some fibroid growth - though fibroids typically shrink after menopause. The decision to use HRT is made individually, taking into account symptom severity and fibroid size. If fibroids cause significant symptoms on HRT, the dose or type of HRT may be adjusted.

Dr. Avani Reddy provides menopause consultation and HRT management at Ankura Hospital, Gachibowli (accessible from Kondapur, Banjara Hills, Jubilee Hills, Hitech City) and Jade Clinics, Kokapet. Appointments: 83095 78197, Monday to Sunday, 10 AM to 8 PM.

Yes. Menopause commonly affects sexual health through vaginal dryness and discomfort, reduced libido, and changes in sexual response. These issues are very treatable - vaginal oestrogen addresses dryness and pain; testosterone supplementation can help with reduced libido. Many women find discussing sexual health difficult, but Dr. Avani Reddy creates a comfortable, non-judgemental environment for these conversations.

Dr. Avani Reddy is an obstetrician, gynecologist, and fertility doctor with 10+ years of experience (MBBS · MS OBG · Fellowship Reproductive Medicine · Diploma in ART), practising at Jade Clinics, Kokapet and Ankura Hospital, Gachibowli. Book at 83095 78197 or online via TDAppointments.

Yes. Consultations are available at Jade Clinics, Kokapet and Ankura Hospital, Gachibowli, with patients travelling from Financial District, Kondapur, Hitech City, Narsingi, Manikonda, and across Hyderabad.

Dr. Avani Reddy is an obstetrician, gynecologist, and fertility doctor with 10+ years of experience (MBBS · MS OBG · Fellowship Reproductive Medicine · Diploma in ART), practising at Jade Clinics, Kokapet and Ankura Hospital, Gachibowli. She focuses on menopause treatment with personalised plans and transparent next steps.