What You Need to Know About Menopause Management
Menopause is a natural stage of life, but for many women, the transition can feel anything but easy. Hot flushes, mood swings, sleep disturbances, weight gain, and vaginal dryness are just some of the symptoms that can affect your quality of life. Yet too often, women are told to simply โput up with it.โ
At her clinic in Gosford, Dr Kelly Hankins, a qualified Gynaecologist and Obstetrician, helps women understand, manage, and thrive through menopause and perimenopause. With the right support and information, this life stage can be one of empowerment rather than confusion.

What Is Menopause?
Menopause is defined as the point at which you havenโt had a menstrual period for 12 consecutive months. It usually occurs between the ages of 45 and 55, but perimenopause, the transitional phase, can begin years earlier.
During perimenopause, hormonal changes, particularly declining levels of oestrogen and progesterone, lead to a range of physical, emotional, and cognitive symptoms.
Common Symptoms of Menopause
Every womanโs experience is unique, but common symptoms can include:
- Irregular or missed periods
- Hot flushes and night sweats
- Vaginal dryness or discomfort during intercourse
- Mood swings or irritability
- Difficulty sleeping
- Fatigue
- Urinary incontinence
- Joint aches and stiffness
- Weight changes, especially around the abdomen
If these symptoms are interfering with your life, itโs time to talk to a Gynaecologist.
How Is Menopause Diagnosed?
Menopause is usually diagnosed based on symptoms and menstrual history. Blood tests may sometimes be used to check hormone levels, particularly in women under 45 or those experiencing early menopause.
Treatment Options for Menopause Management
Menopause management is highly individualised and depends on your specific symptoms, medical history, and personal preferences.
- Lifestyle Strategies
- Maintaining a healthy weight
- Regular physical activity
- Limiting caffeine and alcohol
- Stress management (e.g. mindfulness, yoga)
- A balanced diet with calcium and vitamin D
These changes can help reduce hot flushes, improve mood, and protect bone and heart health.
- Hormone Replacement Therapy (HRT)
HRT is the most effective treatment for many menopausal symptoms. It involves replacing the oestrogen your body no longer produces.
Benefits of HRT may include:
- Reduced hot flushes and night sweats
- Improved sleep and mood
- Vaginal moisture and comfort
- Protection against osteoporosis
Dr Kelly Hankins will guide you through the risks, benefits, and options available, including low-dose or local HRT (e.g. vaginal oestrogen) for women who arenโt suitable for systemic hormone therapy.
- Non-Hormonal Treatments
If HRT isnโt right for you, there are still plenty of options:
- Non-hormonal medications for hot flushes or mood symptoms
- Vaginal moisturisers and lubricants
- Herbal or complementary therapies (discuss with your doctor first)
When Menopause Isnโt Smooth Sailing
Some women may experience more complex menopausal challenges, including:
- Early menopause (before age 40)
- Surgical menopause (e.g. following a hysterectomy or oophorectomy)
- Exacerbation of underlying hormonal imbalance or autoimmune conditions
- Persistent genitourinary syndrome of menopause (GSM)
Dr Hankins is qualified in managing these complex cases and can offer specialist care, including gynaecology surgery if needed for concurrent issues like prolapse or fibroids.
Emotional Support and Mental Health
The emotional impact of menopause is often under-recognised. Anxiety, low mood, loss of confidence, and relationship strain are common but treatable.
Dr Hankins takes a holistic approach to menopause care, providing not just medication but also education, emotional support, and referrals to allied health services, such as dieticians and psychologists, where appropriate.
Costs and Access to Care
We understand that cost-related questions are a common aspect of menopause care. Consultations with Dr Kelly Hankins may be eligible for Medicare rebates, and our team provides full cost transparency. Many treatments, including HRT and vaginal therapies, are covered under the PBS or private insurance.
Why Choose Dr Kelly Hankins?
As a female Gynaecologist in Gosford, Dr Kelly Hankins brings not only clinical expertise but warmth, empathy, and real-life understanding to menopause care. Whether youโre newly experiencing symptoms or seeking better solutions, sheโll help you navigate this transition with clarity and confidence.
Next Steps
Menopause isnโt something to โsuffer through.โ With the right medical care and support, you can effectively manage your symptoms and embrace this new chapter with energy and peace of mind.
If youโre struggling with menopause symptoms or just want trusted advice, book a consultation with Dr Kelly Hankins today.
Medical Disclaimer
This article is for general information and educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment, and does not establish a doctor-patient relationship. All medical procedures carry risks, and outcomes vary between individuals. Always seek the advice of your GP, specialist, or another appropriately qualified health professional with any questions you may have regarding a medical condition or treatment. Where further or specialised care is required, your treating practitioner can provide an appropriate referral.