Dr Mohamed Otify, Consultant Gynaecologist and Gynaecological Oncologist, provides comprehensive menopause care — from symptom assessment to tailored hormone replacement therapy (HRT) and lifestyle support.

 Every woman’s journey through menopause is unique. Our goal is to help you understand the changes, manage symptoms, and regain your wellbeing.

Menopause marks the natural end of menstrual cycles, when the ovaries stop producing the hormones oestrogen and progesterone.
It typically occurs between ages 45 and 55, though premature menopause can result from genetics, autoimmune conditions, surgery (hysterectomy or oophorectomy), or cancer treatments such as chemotherapy or radiotherapy.

• Perimenopause: Hormone levels begin to fluctuate. Periods may become irregular or heavy, and symptoms such as hot flushes or mood changes may appear.
   
• Menopause: Defined as 12 months without a menstrual period. The ovaries stop releasing eggs and oestrogen levels drop sharply.
   
• Postmenopause: Menopausal symptoms often ease, but the long-term effects of lower oestrogen — such as reduced bone density — become more significant.
   

Menopausal changes can affect both body and mind. Typical symptoms include:

• Hot flushes, night sweats, and sleep disturbance
   
• Fatigue and low mood
   
• Vaginal dryness or discomfort during sex
   
• Weight gain and bloating
   
• Recurrent urinary infections
   
• Memory or concentration difficulties
   
• Headaches, joint stiffness, and muscle aches
   
• Palpitations or racing heart
   
• Reduced libido or hair thinning
   

Symptoms and severity vary widely; tailored care is essential.

Dr Otify and his team take a whole-person approach to menopause management.
Lifestyle guidance — including diet, exercise, and stress management — can significantly reduce symptom severity.
We work with fitness and nutrition specialists to help you make practical changes such as:

• Reducing caffeine, alcohol, and spicy foods
   
• Maintaining a healthy weight and balanced diet
   
• Incorporating regular aerobic and low-impact exercise
   

HRT replenishes the oestrogen your body no longer produces, helping to ease symptoms and protect long-term health.
Depending on your needs, it can be given as:

• Tablets taken daily
   
• Skin patches or gel applied to the skin
   
• Implants placed under the skin
   

• Relief from hot flushes and night sweats
   
• Improved sleep and mood
   
• Reduction in vaginal dryness
   
• Protection against bone loss and osteoporosis
   
• Improved bladder control and muscle tone
   
• Stabilisation of hormonal mood changes
   

Your consultant will discuss the safest and most suitable HRT type for you, taking into account your medical history and preferences.

For women who cannot or prefer not to take HRT, alternatives include:

• Lifestyle adjustments (exercise, stress reduction, balanced diet)
   
• Herbal or natural remedies such as soy isoflavones, St John’s wort, or black cohosh — though these may interact with certain medications
   
• Complementary therapies including acupuncture, aromatherapy, and cognitive behavioural therapy (CBT)
   

Always discuss any supplements or therapies with your consultant to ensure safety.

A comprehensive menopause assessment includes:

• Consultation and full history
   
• Physical and pelvic examination
   
• Blood pressure check
   
• Blood tests such as:
   
  • Full blood count (haemoglobin)
     
  • Thyroid and hormone levels
     
  • Vitamin D and lipid profile
     
  • Glucose, kidney and liver function
     
  • CA125 (ovarian screen)
     

Additional investigations may include:

• Cervical smear and HPV test
   
• Pelvic ultrasound scan
   
• Breast imaging (mammogram or ultrasound)
   
• Bone density scan for osteoporosis
   

Following assessment, you’ll receive a comprehensive report and a personalised management plan with direct access for follow-up or urgent concerns.

If you’re struggling with menopausal symptoms or simply wish to understand your options, you can book a private consultation with Dr Mohamed Otify for evidence-based, compassionate care.