Doctor-led perimenopause and menopause care in Singapore
The ten years before menopause are the ones nobody prepares you for.
Virtual consultations with a Singapore family physician for women navigating perimenopause and menopause, with an evidence-based and whole-person approach.
I look closely at your symptoms, menstrual history, medical risks, medications, and lifestyle to understand what is most likely contributing — and then build a treatment plan around your priorities.
Care may include menopause hormone therapy (MHT) where clinically appropriate, non-hormonal treatment, and practical support for sleep, nutrition, strength, mood and long-term health.
Singapore-registered Family Physician · 10+ years in clinical practice · MBBS, University of Melbourne · Graduate Diplomas in Family Medicine and Mental Health, NUS · MOH-licensed clinic
Perimenopause can affect far more than periods and hot flushes
Changes in sleep, mood, energy, concentration, joints, sexual health, and body composition are common during the menopause transition.
Not every symptom looks hormonal.Joint aches, palpitations, itchy skin, frozen shoulder and recurrent UTIs are common in the transition, but often not recognised as such. And not every symptom should automatically be attributed to hormones either. That cuts both ways.
- Waking at 3am, wired and exhausted
- Brain fog and losing words mid-sentence
- Weight gathering around the middle on the same diet
- A shorter fuse, more anxiety, less resilience
- Heavy, unpredictable or closer-together periods
- Hot flushes and night sweats
- Joint aches, or a body that feels older than you are
- Low libido, dryness, discomfort with sex
- Skin that's drier, duller, or flaring again
- Bloating, reflux, digestion that has changed
- Hair thinning
- More frequent urinary tract infections
Recognise several of these?
That's usually the point where a proper assessment is more useful than another round of wait-and-see.
The ten-year window
Menopause is a single point in time: twelve months after your last menstrual period. Most symptoms begin in the years before it, while periods are still happening. Most women put it down to stress, work, or simply where they are in life.
- Late 30s to 40s
Perimenopause
Cycles shift subtly. Sleep becomes fragmented. Mood, memory, and metabolism start behaving differently.
This phase often lasts four to eight years, and it's usually when symptoms are most disruptive.
- Around 49 on average
Menopause
Twelve months since your last period. A single point in time, only known looking back retrospectively.
- The decades after
Postmenopause
Protecting bone, muscle, heart, and brain health becomes the priority.
Normal is not the same as well
A normal result tells you that nothing dangerous was found. It doesn't always explain why you feel the way you do.
In perimenopause, hormones swing from day to day, so one reading can look reassuring while your symptoms say otherwise. That's why I diagnose from the whole picture, and use tests to rule things in and out, not to settle the question on their own.
Your results are one part of the picture. Your story is the rest of it.
Three ways I can help
Perimenopause and menopause assessment
Understand whether your symptoms are likely related to the menopause transition, and whether other causes need to be considered.
How the assessment worksMenopause hormone therapy
A straight discussion about the benefits, risks, and alternatives as they apply to you, with prescribing and follow-up where clinically appropriate.
Whole-person midlife health
Support for the areas that often interact with menopause symptoms:
- Sleep and recovery
- Nutrition and metabolic health
- Strength, muscle, and bone health
- Mood and stress
- Sexual and genitourinary health
- Long-term preventive health
Consultations from S$98 · See full fees
More than hormones. More than lifestyle alone.
The Glow Approach combines evidence-based medical care with the foundations that support health through midlife.
- 1
Assess
Your symptoms, menopause stage, menstrual and medical history, lifestyle, and individual risks.
- 2
Treat where MHT fits
Appropriate medical treatment where indicated, including menopause hormone therapy or non-hormonal options.
- 3
Strengthen
Sleep, nutrition and digestion, movement, bone and metabolic health.
- 4
Maintain
Review treatment over time and adapt your plan as your symptoms and health needs change.
Hi, I'm Dr Charis Au
I am a Singapore-registered Family Physician with more than ten years in clinical practice. I trained in medicine at the University of Melbourne, and have completed Graduate Diplomas in Family Medicine and Mental Health at NUS.
My approach combines evidence-based medicine with a broader focus on nutrition, lifestyle, metabolic health, and healthy ageing.
Through Glow Health, I provide virtual care for women navigating perimenopause and menopause, with a focus on helping patients understand their options and make informed treatment decisions.
About menopause hormone therapy
Also called MHT, or HRT.
Menopause hormone therapy replaces hormones the body is no longer producing at previous levels. For many women, it helps with hot flushes, night sweats, sleep, joint aches, mood, and genitourinary symptoms, and it has a role in bone health.
It isn't right for everyone, and it isn't the single answer for anyone. Whether it suits you depends on your symptoms, your medical and family history, your risk factors, and your personal preferences.
What I'll give you is a clear conversation about the benefits and risks as they apply to you. If MHT is appropriate and you choose it, I prescribe and review it as part of your wider plan. If it isn't, or if you'd rather not, there's still a great deal we can do.
Prescription medicines are only discussed and prescribed within a consultation, after thorough assessment.
Is this right for you?
Likely a good fit if you
- Are somewhere between 38 and 55 and something has shifted
- Have been told your results are normal and don't believe that's the end of it
- Want a doctor who looks at the whole picture, not one symptom
- Are open to MHT, unsure about it, or clear it's not for you. All three are welcome
- Are ready to work on sleep, food, stress, and movement, not only take a prescription
Probably not the right fit if you
- Want hormone therapy prescribed without assessment or follow-up
- Need an examination, scan, or procedure as a first step
- Need urgent or emergency care. Please see a doctor in person
The things women ask me first
Am I too young for this?
Probably not. Perimenopause commonly begins in the early to mid 40s and can start in the late 30s.
My blood tests were normal. Doesn't that settle it?
Not in perimenopause. Hormones fluctuate a lot, so one snapshot can look reassuring while your symptoms say otherwise. Testing still matters, mainly to check thyroid, nutrients, and blood sugar, which can mimic or worsen these symptoms.
Do you prescribe hormone therapy (MHT)?
Yes, where it's clinically appropriate and you've decided you want it, after a proper assessment of your history and risks.
What if I can't take MHT, or don't want to?
Then we use everything else: non-hormonal options where suitable, plus sleep, blood sugar regulation, nutrients, strength training, and stress management.
Is this instead of my GP or gynaecologist?
No, it's alongside. I'll refer you on if something needs specialist input, imaging or an examination.
How long before I feel different?
It varies. Some symptoms respond within weeks; deeper changes take months. I'd rather say that honestly than promise a timeline.
What does it cost?
There are three appointment types.
Focused Consultation, 30 minutes, S$98. For one main concern, a question about whether MHT/HRT is appropriate, a review of an existing regimen, or a defined treatment decision.
Comprehensive Consultation, 60 minutes, S$250. For several symptoms, a more complex medical history, or when it isn't clear whether perimenopause explains what you're experiencing. Includes a personalised 30-day written plan.
Follow-up, 20 minutes, S$70. For existing patients.
Medicines and any tests you decide to do are charged separately, and I'll tell you what something costs before you agree to it. See full fees
Not sure whether what you're experiencing could be perimenopause?
Start with a medical consultation to understand your symptoms, your options and the next steps.
Start with a consultationFrom S$98 · Free cancellation up to 24 hours before
FREE GUIDE
The Perimenopause Field Guide
The 30 signs most women don't know to expect, the systems underneath them, and the first things worth changing. Written for women who've been told everything looks fine.
I'll email you the guide and occasional notes on perimenopause and midlife health. Unsubscribe any time. Glow Health collects your name and email to send you the guide and waitlist updates, and holds them under Singapore's PDPA — see our Privacy Policy link below.
Note: Any person who needs any essential life-saving measure should not seek to receive such measure by remote provision or teleconsultation services.
Glow Health · HCSA Licence No. R/26M2318/MDS/001/262 · MOH-Licensed Clinic. Glow Health is MOH-approved to provide an outpatient medical service by remote provision.
The information on this page is for general informational purposes and is not a substitute for a consultation with a qualified healthcare professional.
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