Menopause occurs when menstruation stops for 12 consecutive months and a woman can no longer become pregnant naturally. It usually begins between the ages of 45 and 55, but can develop before or after this age range.

Menopause is a natural process that occurs as the ovaries age and produce less reproductive hormones. The body begins to undergo several changes in response to lower levels of:

  • estrogen
  • progesterone
  • testosterone
  • follicle-stimulating hormone (FSH)
  • luteinizing hormone (LH)

Menopause often causes debilitating pains and uncomfortable symptoms, such as hot flashes, vaginal dryness and weight gain. 

Estrogen Level

Stages of Menopause

Perimenopause: Most women first begin developing menopause symptoms before their last menstrual cycle. This phase is called Perimenopause, which occurs before menopause and is where hormonal changes happen in preparation for menopause. During perimenopause, menstrual periods are likely to become irregular. Your periods may be late, or you may completely skip one or more periods. Most women begin perimenopause in their mid-40s and symptoms could last from a few months to several years. Some women do not undergo perimenopause and enter menopause suddenly.

Menopause: Menopause is defined as a lack of menstruation for one full year. It’s important to know that every woman’s menopause experience is unique. 

Post-Menopause: This refers to the years after menopause has occurred.


Aside from menstruation changes, the symptoms of perimenopause, menopause, and postmenopause are generally the same. Common symptoms include:

  • Urinary Incontinence
  • Vaginal dryness & laxity
  • Reduced muscle and bone mass
  • Painful or stiff joints


Menopause symptoms often lead to other complications, including: 

  • vulvovaginal atrophy
  • dyspareunia, or painful intercourse
  • slower metabolic function
  • osteoporosis, or weaker bones with reduced mass and strength
  • mood or sudden emotional changes
  • cataracts
  • periodontal disease
  • urinary incontinence
  • heart or blood vessel disease


Treatment at Orchard Clinic focuses on allowing the body to naturally overcome symptoms without the use of medication or hormone therapy.

Treatment of incontinence and Vaginal Dryness & Laxity.

Treatment of Vaginal Dryness & Laxity and stress incontinence.

General strengthening to prevent loss of muscle mass.

Targeted exercises focused on pelvic floor muscles.

Vaginal Rejuvenation

Safe & Painless Vaginal Rejuvenation using Exilis Ultra Femme 360

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Orchard Clinic is a specialised centre for Postnatal and Postpartum conditions, helping clients achieve healthy and pain-free lifestyles.


302 Orchard Road
Tong Building #09-01A
Singapore 238862

18 Jalan Masjid
Kembangan Plaza, #B1-07
Singapore 418944

T: 65 6235 4560
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Sunday & Public HolidaysClosed

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