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Changes before the Change: Perimenopausal bleeding

Changes before the Change bookletAlthough some women may abruptly stop having periods leading up to the menopause, many will notice changes in patterns and irregular bleeding. 

Whilst this can be a natural phase in your life, it may important to see your healthcare professional to rule out other health conditions if other worrying symptoms occur.

Many women experience Abnormal Uterine Bleeding (AUB) during perimenopause. AUB  is defined as bleeding that differs in frequency, regularity, duration or amount to your regular menstrual bleeding. [1] Changes to the menstrual cycle often carry no significant consequences [2]; however, they could have a range of causes. Although it may simply be a symptom of perimenopause, it is still sensible to raise the issue with your healthcare professional. A thorough history and physical examination will indicate the cause of uterine bleeding and help discern the need for further investigation and treatment. [3] Other investigations for abnormal uterine bleeding include a PAP Smear, Endometrial or Uterine Sampling (Endometrial Biopsy), a Vaginal Ultrasound (Echography) and routine laboratory testing.

pdfChanges before the Change1.06 MB

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Managing menopausal symptoms after breast cancer - a guide for women

Managing menopausal symptoms after breast cancer a guide for womenThis booklet is designed to support women diagnosed and treated for breast cancer who may experience menopausal symptoms. Menopausal symptoms can be a side effect of some breast cancer treatments. Management of menopausal symptoms after treatment for breast cancer needs a different approach to that used by women who enter menopause naturally.

This booklet provides information about menopause and its symptoms. It describes some of the physical and emotional changes experienced by women with breast cancer and offers some practical suggestions for managing these changes.

This booklet is not a replacement for advice given by a health professional and it does not cover all options available. Only a health professional can help individualise your care.

Managing menopausal symptoms after breast cancer - a guide for women 

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Menopause with Dr Sally Cockburn - 3AW Talking Health

Dr Sally CockburnIn recognition of World Menopause Day on October 18, 3AW Talking Health with Dr Sally Cockburn ran a special edition of the program.

Sally sat down with Jean Haile's Gynaecologist, Dr Elizabeth Farrell AM and Jean Haile's Endocrinologist, Dr Sonia Davison to give listeners a better understanding of menopause and how it involves more than just hot flushes. 

Talking Health: Menopause - October 16, 2016


Dr Liz Farrell AMDr Farrell is a past President of AMS

Dr Sonia DavisonDr Davison is AMS "Changes" Editor


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Do what makes your heart healthy

Heart Health Matters

heart health mattersMenopause is the stage in your life when your periods stop permanently, signaling the end of your reproductive years. It happens when there are no more eggs in your ovaries. Because eggs stimulate your body to produce oestrogen, the levels of estrogen in the blood drop, resulting in menopausal changes in the body when they are exhausted.

As a result of the hormonal changes surrounding menopause, many women experience both physical and emotional symptoms:

  • Hot flushes / flashes
  • Night sweats
  • Insomnia and disrupted sleep
  • Racing heart / palpitations
  • Weight gain (especially around the waist and abdomen)
  • Headaches
  • Changes to the skin, hair and nails
  • Aches and pains in joints and muscles
  • Lower sex drive
  • Vaginal dryness, pain during sexual intercourse and increased risk of vaginal infections
  • Inability to control urination and increased risk of urinary infections
  • Difficulty concentrating and memory lapses
  • Fatigue / low energy levels
  • Mood swings and irritability
  • Depression

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What comes to mind – menopause and the aging brain?

What comes to mind - menopause and the ageing brain?This comprehensive booklet offers positive advice on preventative strategies to prevent cognitive decline. It explains the difference between cognitive decline and dementia, how to prevent memory loss in midlife and highlights the top 10 tips for women to improve brain health and function.

pdfWhat comes to mind – menopause and the aging brain?810.25 KB

Prevention is key to reducing memory loss as women age

What happens during the menopause?

All women go through the menopause. When a woman's menstrual periods stop, her ovaries stop producing eggs and her oestrogen levels decline.

51 years is the average age for a woman to reach the menopause and the entire process can last anywhere from 2-10 years. [1]

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Menopause Monologues

Menopause Monologues was an information resource kit for women.  Stocks have now been depleted and copies are no longer available.

For comprehensive resources go to Menopause Management for Information Sheets and Videos to support women through midlife health and the menopause.

This information is organised into the following management categories for ease of reference: 

  • Menopause Basics
  • Menopause Treatment Options 
  • Early Menopause
  • Risks and Benefits
  • Uro-genital
  • Bones
  • Sex and Psychological 
  • Alternative Therapies
  • Contraception 

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The menopause transition - out of our comfort zone

Presenter Natasha Mitchell, Jean Kittson and Professor Martha Hickey discuss all matters menopause in the final program in the ABC Radio National's Women's Health Series that aired on 28 June 2014, about menopause.   

Listen here 

Jean Kittson - comedienne and author 

Jean KittsonWhen Jean Kittson hit menopause, she was amazed at what she didn't know. Given that 1.5 million Australian women are menopausal at any one time, why, she wondered, was menopause so little discussed and then only in hushed tones?

So Jean set out to write the sort of book she felt she needed to read: 'An easy-to-read book full of useful information that didn't make you want to put on an old chenille dressing-gown and a pair of comfortable slippers and throw yourself under a marching band.'

You're Still Hot to Me is a chatty - sometimes robust - conversation between women and with some of Australia's top experts. 

Professor Martha Hickey, BA (Hons) MSc (Clin Psych) MBChB FRANZCOG MD 

Dr Martha HickeyProfessor Martha Hickey is Professor of Obstetrics and Gynaecology at the University of Melbourne and Adjunct Professor of OBGYN at Yale University, CT. In her clinical practice she runs the menopause services at The Women's Hospital, Melbourne. She initially trained as a Clinical Psychologist in the UK and then qualified in medicine in 1990 from the University of Bristol. She completed her specialist training in Obstetrics and Gynecology in 2000 at Imperial College School of Medicine, London. She then moved permanently to Australia.

Professor Hickey is an experienced clinician researcher in gynaecology. Her main areas of interest are abnormal uterine bleeding and menopause. In the field of menopause she runs a large clinical service, offering unique multidisciplinary care for women with menopausal symptoms following a cancer diagnosis. She has clinical and research interests in the development of non-hormonal treatments for menopausal symptoms and in the mechanisms of abnormal bleeding in women using sex steroids for contraception or HRT. 

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Presenting a Positive Outlook on the Menopause


Your years between 45 and 55 can be the best of your life. You should now be able to do the things you enjoy.

These years are also usually the time when you reach the menopause. With the right treatment however, menopause will barely interfere with your life.

This booklet has been put together to answer your questions about the menopause.

So you can maintain an active, vibrant lifestyle after the menopause, it also outlines ways in which you can reduce, and even eliminate the impact of menopausal symptoms.

pdfPresenting a Positive Outlook on the Menopause375.29 KB

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