---
title: "Menopause and Perimenopause in Curitiba — Femi Saúde"
canonical_url: "https://femisaude.com.br/en/treatment/menopausa-climaterio"
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description: "Menopause and perimenopause care in Curitiba: hot flashes, sleep, libido and intimate health, with hormone therapy when indicated."
"og:description": "Menopause and perimenopause care in Curitiba: hot flashes, sleep, libido and intimate health, with hormone therapy when indicated."
"og:title": "Menopause and Perimenopause in Curitiba — Femi Saúde"
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"twitter:title": "Menopause and Perimenopause in Curitiba — Femi Saúde"
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Clínica Femi Saúde — Home
Clínica Femi Saúde — Home
Individualized Clinical Treatment
# Menopause and Perimenopause
Care and hormone therapy when indicated
Consulta
Acompanhamento periódico
## What it is
Perimenopause is the transition phase between reproductive and non-reproductive life, and menopause corresponds to the last menstrual period. During this time, declining hormone levels can cause hot flashes, night sweats, changes in sleep and mood, vaginal dryness, decreased libido, and changes in the skin, bones and metabolism. Gynecological follow-up assesses each woman's symptoms and risks to recommend the most appropriate care, which may include hormone therapy, non-hormonal alternatives, treatments for intimate health, osteoporosis prevention, and lifestyle guidance.
## Most common symptoms
- Hot flashes and night sweats
- Irregular periods that become spaced out until they stop
- Insomnia or poor-quality sleep
- Mood changes, irritability and anxiety
- Vaginal dryness, pain during intercourse and decreased libido
- Fatigue, difficulty concentrating and memory lapses
- Weight gain, joint pain and changes in the skin and hair
## Causes and risk factors
- Natural decline in ovarian function, usually between ages 45 and 55
- Progressive drop in estrogen and progesterone levels
- Surgical removal of the ovaries, chemotherapy or radiotherapy
- Family history of menopause at a similar age
- Smoking, which tends to bring on menopause earlier
## How it is diagnosed
The diagnosis of perimenopause is clinical, based on age, the pattern of periods and the symptoms reported. During the consultation, your gynecologist assesses the severity of the complaints, personal and family history, and cardiovascular, bone and breast cancer risk factors. Hormone level testing is useful in specific situations, such as symptoms before age 45 or after the uterus has been removed. Routine tests, such as mammography, ultrasound, a metabolic panel and a bone density scan, complement the assessment according to age and history.
## How we treat it at Femi Saúde
Care during perimenopause is individualized and based on weighing the risks and benefits of each option. The gynecology team at Femi Saúde guides lifestyle changes, such as physical activity, diet and sleep hygiene, and discusses hormone therapy, which usually relieves hot flashes and night sweats when there are no contraindications. Non-hormonal alternatives are offered for those who cannot or do not wish to use hormones. For intimate health, vaginal estrogen, moisturizers, intimate CO₂ laser and radiofrequency are options depending on the case, along with attention to osteoporosis prevention and periodic follow-up.
## When to see a gynecologist
Symptoms that disrupt sleep, work or sexual life do not need to simply be tolerated: book a consultation to review your care options. See your gynecologist more promptly if there is bleeding after a year without a period, heavy bleeding, or symptoms before age 45.
## What we offer
1
Relief from hot flashes and night sweats
2
Individual assessment of the risks and benefits of hormone therapy
3
Non-hormonal alternatives when indicated
4
Attention to intimate and sexual health
5
Osteoporosis prevention and metabolic care
## Gynecology specialists
[Dra. Melissa Amoroso
Gynecologist](https://femisaude.com.br/en/doctors/dra-melissa-amoroso) [Dra. Vanessa Amoroso
Gynecologist and Mastologist](https://femisaude.com.br/en/doctors/dra-vanessa-amoroso) [Dra. Aline Matos
Gynecologist](https://femisaude.com.br/en/doctors/dra-aline-matos) [Dra. Andrea Novellino
Gynecologist](https://femisaude.com.br/en/doctors/dra-andrea-novellino) [Dra. Fabiane Sloboda
Gynecologist](https://femisaude.com.br/en/doctors/dra-fabiane-sloboda) [Dr. Igor Chiminacio
Gynecologist](https://femisaude.com.br/en/doctors/dr-igor-chiminacio) [Dra. Isadora Goetten
Gynecologist and Obstetrician](https://femisaude.com.br/en/doctors/dra-isadora-goetten) [Dra. Sabrina Oliveira
Gynecologist](https://femisaude.com.br/en/doctors/dra-sabrina-oliveira)
## Gynecology treatments at Femi Saúde
[CO2 Laser Rejuvenation and Lubrication
Skin Improvement and Lubrication](https://femisaude.com.br/en/treatment/laser-co2-rejuvenescimento-lubrificacao) [Implanon® — Hormonal Contraceptive Implant
Freedom and safety in a small implant](https://femisaude.com.br/en/treatment/implanon) [Family Planning
Preparing for a healthy pregnancy](https://femisaude.com.br/en/treatment/planejamento-pre-concepcional) [IUD — Intrauterine Device
Preventing pregnancy effectively](https://femisaude.com.br/en/treatment/diu) [Pap Smear
Cervical cancer screening](https://femisaude.com.br/en/treatment/papanicolau) [Laser Labiaplasty
Intimate Surgery with Laser Precision](https://femisaude.com.br/en/treatment/ninfoplastia-laser)
[See all Gynecology treatments ](https://femisaude.com.br/en/specialties/ginecologia)
## Ready to schedule?
Schedule your consultation and discover how this procedure can transform your quality of life.
[Schedule via WhatsApp]()
## Sitemap
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