Perimenopause & Menopause Care, Individualised From the Start

The menopause transition is one of the most consequential biological events in a woman's life — and one of the most poorly managed. Dr. Kaushiki Dwivedee provides individualised HRT protocols, lifestyle strategies, and long-term monitoring to protect your brain, heart, and bones, for women in Brisbane and across Australia.

HRT Protocols Perimenopause Genitourinary Syndrome Sleep & Cognition Vasomotor Symptoms Testosterone

Why Menopause Care Needs More Than a Prescription

Hot flushes and irregular cycles are only the visible part of perimenopause. Underneath, oestrogen decline affects sleep architecture, mood, cognition, the genitourinary system, and long-term cardiovascular and bone health. Dr. Kaushiki's approach starts with a full clinical picture before any prescription is written.

Vasomotor Symptoms

Hot flushes and night sweats, assessed and managed with individualised HRT dosing.

Sleep & Cognition

Disrupted sleep, brain fog, and mood changes linked to hormonal shifts.

Genitourinary Syndrome

Vaginal and urinary symptoms of menopause, often under-discussed and under-treated.

Testosterone

Where clinically appropriate, considered alongside oestrogen and progesterone therapy.

Metabolic & Weight Shifts

Menopausal weight and metabolic changes — see the dedicated longevity programme.

Long-Term Protection

Brain, heart, and bone health monitored over years, not just symptom relief today.

Our Approach to HRT

  • Comprehensive symptom and hormonal assessment before any prescription
  • Individualised HRT selection — type, dose, and delivery route matched to you
  • Ongoing monitoring and dose adjustment as your needs change
  • Considered alongside bone density, cardiovascular, and metabolic health, not in isolation

One Specialist, the Full Reproductive & Hormonal Lifespan

Dr. Kaushiki's practice spans IVF and fertility through to menopause and longevity medicine — the same clinical depth she brings to IVF care at Monash IVF Spring Hill carries through to your perimenopause and HRT care.

Frequently Asked Questions

How do I know if I'm perimenopausal?
Cycle changes, sleep disruption, mood shifts, and vasomotor symptoms (hot flushes/night sweats) from your late 30s to 40s are common early signs — a consultation with bloodwork can confirm what's happening.
Is HRT safe?
For most women, modern, individualised HRT has a favourable safety profile. Suitability depends on personal and family history, assessed at consultation.
Where are consultations held, and who can book one?
Consultations are held at Monash IVF Spring Hill, Brisbane. Clinical consultations (in-person or telehealth) are available to patients based in Australia or India; if you're visiting Brisbane, you can book an in-person consultation regardless of your country of residence.

Book a Menopause & HRT Consultation

Consultations and packages are booked directly through Longevity Shift.

This page provides general information about services offered and does not constitute medical advice. Suitability for HRT and any treatment is determined during a consultation with Dr. Kaushiki Dwivedee. Clinical consultations available to patients in Australia and India only; visitors to Brisbane may book in person regardless of country of residence.