Perimenopause and menopause: symptoms and treatment

What changes, what helps, and how UK and US guidance differ, including HRT, other treatments, and which symptoms always need checking.

5 min read Bleeding after menopause Why even a little bleeding after menopause needs checking, what assessment may involve, and how HRT changes the discussion.
4 min read Contraception in perimenopause Pregnancy is still possible in perimenopause. Compare UK and US stopping advice, method choices and how contraception fits with HRT.
4 min read Heart health after menopause How heart risk changes around menopause, which checks to discuss, and why HRT decisions differ from heart-disease prevention.
5 min read HRT: types, benefits and risks How HRT types and routes differ, what they can help with, and how UK risk advice compares with recent US label changes. Includes when to get help.
4 min read Menopause and work Practical ways to ask for workplace changes, talk about symptoms and understand the broad UK and US protections. Includes when to get help.
5 min read Non-hormonal options for menopause symptoms CBT, fezolinetant, elinzanetant and other options for menopause symptoms, including medicine safety checks and herbal cautions.
4 min read Perimenopause symptoms beyond periods How perimenopause can affect sleep, mood, joints and bladder symptoms, what to record, and when to get help. Includes when to get help, with UK and US notes.
4 min read Perimenopause, menopause and after: the stages What the menopause stages mean, how age and medical treatment affect them, and why missing periods alone cannot settle the question.
4 min read Vaginal dryness and genitourinary symptoms How menopause can affect vaginal and urinary comfort, what treatments can help, and when to get symptoms checked. Includes when to get help.
5 min read What the NICE menopause guideline says A plain guide to NICE advice on assessment, CBT, HRT risks and fezolinetant, with UK and US differences. Includes when to get help, with UK and US notes.
5 min read Perimenopause periods: changes and care How periods can change during perimenopause, which bleeding needs checking, when contraception is still needed and how to get support.

Written by the Veya team from the sources listed in each guide. They aren’t medical advice; if you’re worried about a symptom, talk to a doctor, nurse or pharmacist.