Evidence‑based solutions for hot flushes, bone health and renewed confidence.
Menopause & Midlife Wellness
Perimenopause doesn’t have to mean discomfort. Dr Patricija Kasilovska combines tailored hormone therapy, non‑hormonal options and holistic lifestyle guidance to help you feel like yourself again.
94 %
Of menopausal women experience symptoms at work
77 %
Find at least one symptom “very difficult”
70 %
HRT can reduce hot flushes by 70 % on average
Hormone Replacement Therapy (HRT)
Purpose
- HRT is designed to relieve symptoms of perimenopause and menopause caused by declining hormone levels.
- It helps restore balance and improve day-to-day wellbeing, while also providing long-term health protection.
What the consultation includes
- A 45-minute, in-depth appointmentwith Dr Patricija Kasilovska.
- Full review of your symptoms, lifestyle factors, and medical history.
- Discussion of any recent or new blood test results; further hormone panel tests can be arranged if needed.
- Exploration of the most suitable treatment pathways based on your individual health profile.
Treatment options
- Body-identical hormonesthat closely match those produced naturally by the body.
- A wide choice of delivery methods:
- Oestrogen: patches, gels, sprays, or tablets.
- Progesterone: oral capsules or intrauterine system (IUS).
- Testosterone: where appropriate, to address low libido, energy, and mood changes.
- Tailoring of dose and method to your specific needs and preferences.
Benefits of HRT
- Reduces or eliminates symptoms such as hot flushes, night sweats, mood swings, anxiety, brain fog, joint pains, and sleep problems.
- Improves energy levels, concentration, and quality of life.
- Protects bone healthby reducing the risk of osteoporosis.
- Supports heart and cognitive healthlong-term.
- May help maintain skin, hair, and urogenital health.
Risks & safety
- All treatments are discussed openly, with clear explanation of possible side effects or risks.
- Careful monitoring ensures treatment remains safe and effective.
- Regular follow-ups help adapt therapy as your needs change.
After-care
- A personalised treatment plan designed for both short-term relief and long-term wellbeing.
- Ongoing monitoring, blood tests if required, and follow-up consultations to optimise results.
- Adjustments made over time to ensure the safest and most effective outcome.
Non‑Hormonal Menopause Management
Purpose
- Provides safe and effective alternatives for women who cannot take, or prefer not to use, Hormone Replacement Therapy (HRT).
- Designed to relieve symptoms such as hot flushes, night sweats, mood changes, sleep disturbance, and vaginal dryness through non-hormonal methods.
What the consultation includes
- A 45-minute personalised consultationwith Dr Patricija Kasilovska.
- Full review of symptoms, medical history, sleep patterns, and lifestyle.
- Identification of underlying health conditions that may be influencing menopause symptoms.
- Development of an evidence-based management plantailored to your individual needs.
Treatment options may include
- Non-hormonal prescription medicationsto help manage hot flushes and night sweats.
- Targeted vaginal moisturisers or lubricantsfor vaginal dryness and discomfort.
- Lifestyle and nutrition guidance, including diet, exercise, and stress management.
- Complementary options, where appropriate, to support symptom relief.
Benefits
- Offers effective relief for women who cannot or do not wish to take HRT.
- Improves quality of life through symptom control and enhanced wellbeing.
- Provides a holistic approach, addressing physical, emotional, and lifestyle factors.
Bone‑Health & Osteoporosis Screening
Purpose – Identify fracture risk early.
Benefits
• FRAX scoring • Vit‑D & calcium tests • Referrals for mammograms and DEXA scans.
Sexual Wellness & Intimacy Support
Purpose – Address libido decline, arousal or pain.
In a discreet 45‑minute consultation Dr Patricija Kasilovska addresses concerns such as low libido, reduced arousal, or discomfort during intimacy. She reviews your medical and sexual‑health history, checks for hormonal or pelvic‑floor factors, and—when appropriate—offers a gentle examination. You’ll receive personalised recommendations that may include pelvic‑floor physiotherapy, vaginal moisturisers or lubricants, targeted hormonal or regenerative therapies, and practical tips to improve comfort and confidence. A printed resource sheet and optional follow‑up visit ensure ongoing support.
FAQ
Are body‑identical hormones available?
Yes, if suitable.
How fast does HRT work?
Many notice relief in 4 weeks.
Can I have HRT after breast cancer?
Only with oncologist approval; non‑hormonal paths discussed.
Do I need blood tests?
Helpful pre‑45, optional after.
What about weight gain?
Evidence shows no direct HRT‑induced gain.
How often are reviews?
Every 6–12 months.
Take charge of your midlife health.
Schedule a personalised menopause consultation with Dr Patricija Kasilovska.