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By Dr. Shimili Jas Mundampara, Specialist Ob Gynaecologist | American Hospital Clinics Doha | QCHP P16995
She was 44. Sleeping badly, sweating through the night, forgetting words mid-sentence. Her GP checked her thyroid. Nobody mentioned perimenopause.
Perimenopause — the hormonal transition preceding menopause — can begin in the early 40s and sometimes late 30s. Women in Qatar are regularly told their symptoms are stress, anxiety, or thyroid problems before perimenopause is even considered. At American Hospital Clinics Doha, Dr. Shimili Jas Mundampara provides specialist perimenopause and menopause assessment, HRT evaluation, and personalised management plans — because this condition is both entirely explainable and very effectively treatable.
Experiencing menopausal symptoms?
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Perimenopause vs Menopause: The Key Distinction
Menopause is defined as 12 consecutive months without a menstrual period — average age in Qatar is around 48 to 50. Perimenopause is the transition phase, when oestrogen and progesterone levels begin to fluctuate and decline. This phase can last 4 to 10 years and is when most symptoms occur.
Symptoms Women Often Do Not Attribute to Perimenopause
✔ Hot flushes and night sweats — sudden waves of heat, flushing, and sweating that disrupt sleep
✔ Irregular periods — cycles becoming unpredictable in timing, flow, and duration
✔ Sleep disturbance — driven by night sweats or direct hormonal effect on sleep architecture
✔ Brain fog and memory difficulties — word-finding problems and poor concentration, one of the most distressing symptoms
✔ Mood changes — anxiety, irritability, emotional reactivity that feel disproportionate. These are hormonal, not personal failures
✔ Joint pain — oestrogen decline causes new or worsening joint aches, often confused with early arthritis
✔ Vaginal dryness and discomfort — due to thinning of vaginal tissue. Highly treatable, but under-reported
Menopause & Perimenopause Care — American Hospital Clinics Doha
Limited-time offer for first-time patients. Call +974 44038777 to confirm availability.
| Package Name | Includes | Price (QAR) |
|---|---|---|
| Menopause Consultation |
|
From 280 QAR |
| Menopause Management Package |
|
From 450 QAR |
| Full Body Health Checkup |
|
159 QAR |
| Easy Friday Health Checkup |
|
89 QAR |
| Wellness Checkup |
|
49 QAR |
What Is Not Normal and Needs Investigation
- Very heavy bleeding: Soaking more than one pad per hour for several hours, or passing large clots regularly
- Bleeding after sex: Always requires investigation to exclude cervical or uterine pathology
- Bleeding after 12 months of no periods: Post-menopausal bleeding must always be investigated for endometrial cancer
- Periods becoming more frequent over time: May indicate fibroids, polyps, or hormonal imbalance beyond normal perimenopausal fluctuation
⚠ Post-menopausal bleeding — any bleeding after 12 consecutive months of no periods — must be investigated urgently. Do not assume it is normal. Call +974 44038777.
Medically reviewed and endorsed by:
Doctor’s Review & Clinical Oversight
This content is reviewed and endorsed by:
Dr. Shimili Jas Mundampara
Specialist Ob Gynaecologist
QCHP License: P17304
American Hospital Clinics, Qatar
"Perimenopause is not a gentle transition. For many women it is one of the most disruptive phases of their lives — hormonally, cognitively, emotionally. And it begins earlier than most people think. The symptoms are real, they have a biological cause, and there are effective treatments. You do not have to just get through it."
Free Follow-Up Consultation for New Menopause Patients This Month
LIMITED-TIME OFFER
New patients starting menopause management at American Hospital Clinics Doha this month receive a complimentary 3-month follow-up consultation
Limited time offer for first-time patients. Call +974 44038777 to confirm availability.
Why Choose American Hospital Clinics Doha?
✔ Specialist Ob Gynaecologist — Dr. Shimili Jas Mundampara, QCHP P16995
✔ Complete hormonal evaluation including FSH, LH, and oestradiol
✔ HRT assessment, prescribing, and ongoing monitoring
✔ Dedicated female specialist in a comfortable, private setting
✔ Non-hormonal alternatives fully discussed and available
✔ Most major Qatar insurance plans accepted
Your health is managed with precision, safety, and long-term care — by specialists who treat people, not just conditions.
Treatment Options Available at American Hospital Clinics Doha
Hormone Replacement Therapy (HRT)
The most effective treatment for hot flushes, night sweats, sleep disturbance, and vaginal symptoms. Modern HRT is significantly safer than older formulations — current evidence supports that benefits outweigh risks for most healthy women under 60 within 10 years of menopause onset.
Vaginal Oestrogen
Very low-dose, locally applied treatment for vaginal dryness and urinary symptoms. Minimal systemic absorption. Suitable for most women, including those who cannot take systemic HRT.
Non-Hormonal Options
SSRIs, SNRIs, and newer agents like fezolinetant are effective options for women who cannot take oestrogen. CBT adapted for menopause has good evidence for quality of life improvement.
Lifestyle Modifications
Reducing alcohol and caffeine, regular exercise, maintaining healthy weight, and stress management each significantly affect symptom severity and duration.
What Our Patients in Doha Say
FAQs
How do I know if I am in perimenopause?
Is HRT safe in 2026?
Will HRT cause weight gain?
How long will perimenopause last?
Can I get pregnant during perimenopause?
How quickly can I book a menopause consultation at American Hospital Clinics Doha?
Book Your Menopause Consultation Today
You do not have to manage these symptoms alone. Effective treatment is available at American Hospital Clinics Doha.
C Ring Road, Al Muntazah Street, Doha, Qatar
