Perimenopause in Singapore: What Changes to Expect and When to Seek Advice
As women enter their 40s, many begin noticing subtle changes in their mood, menstrual cycle, and overall wellbeing. These early shifts are often signs of perimenopause—the transitional stage before menopause officially sets in. While commonly experienced, perimenopause is still under-discussed in Singapore, leaving many women unsure of what’s happening to their bodies.
At Asimont Clinic, we provide medical support for women navigating this important life stage. Whether you’re experiencing irregular periods, unexpected hot flashes, or changes in intimate comfort, knowing what’s typical and what may benefit from a doctor’s input is key.
What Is Perimenopause?
Perimenopause is the phase leading up to menopause, marked by hormonal fluctuations, especially in estrogen and progesterone. It typically begins in a woman’s 40s but can start earlier for some.
This stage can last 4 to 10 years, and symptoms can vary widely in intensity and presentation.
Common Perimenopausal Symptoms
- Irregular periods (shorter or longer cycles)
- Hot flashes and night sweats
- Mood swings or anxiety
- Sleep disturbances
- Vaginal dryness or discomfort
- Reduced libido
- Weight fluctuations or bloating
- Fatigue and brain fog
These changes are influenced by the body’s natural hormonal shifts and can affect personal, professional, and intimate wellbeing.
Why It Matters in the Singapore Context
In Singapore, perimenopausal women often face multiple responsibilities: ageing parents, career demands, and teenage children. Fatigue, poor sleep, or emotional changes may be attributed to stress, rather than recognised as hormonal in origin.
This is why medical consultation is important—it helps distinguish between lifestyle stress and physiological transition.
When Should You Seek Advice?
You may consider consulting a doctor if:
- Periods have changed significantly in flow or frequency
- Hot flashes or sleep disturbances are affecting your daily life
- Mood changes or anxiety feel unmanageable
- Vaginal dryness or discomfort has become noticeable
- You’re unsure if your symptoms are linked to perimenopause or another health issue
At Asimont Clinic, we create space for women to openly discuss symptoms and receive tailored support.
How Is Perimenopause Managed Medically?
Treatment is personalised and may include:
1. Lifestyle and Nutritional Support
Guidance on balanced nutrition, sleep hygiene, and stress reduction. This may help manage symptoms like fatigue, bloating, or anxiety.
2. Non-Hormonal Options
Supplements or targeted therapies that support mood, sleep, or energy without using hormones.
3. Hormonal Support (if appropriate)
Some women may benefit from low-dose hormonal therapy, either systemic or localised (e.g., for vaginal dryness). This is only recommended after thorough evaluation.
4. Vaginal Health Treatments
For women experiencing dryness or discomfort, options such as topical therapies or medically guided hydration treatments may be considered.
All recommendations are provided in accordance with Singapore’s PHMC guidelines.
What to Expect During a Perimenopause Consultation at Asimont Clinic
- Review of menstrual and symptom history
- Physical or pelvic examination (if appropriate)
- Blood tests to assess hormonal trends (where necessary)
- Discussion of goals and lifestyle considerations
- Personalised care plan
You’ll leave with greater clarity and a supportive roadmap forward.
Supporting Yourself Through the Transition
- Prioritise sleep and recovery
- Maintain moderate physical activity
- Minimise processed foods and added sugars
- Stay hydrated, especially in air-conditioned environments
- Lean into support from healthcare providers, family, or community
Why Choose Asimont Clinic?
- MOH-licensed women’s health clinic in Singapore
- Discreet, medically guided care with no exaggerated claims
- A focus on holistic wellbeing, not just symptom suppression
We support your transition into midlife with clarity, compassion, and clinical integrity.
📩 Begin Your Perimenopause Care Journey
If you’re noticing changes and unsure what’s behind them, let us help you make sense of the transition. Schedule a consultation at Asimont Clinic and explore your options with medical guidance.
