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Perimenopause can begin as early as the late thirties. Hormones start to fluctuate before periods stop, and the symptoms that follow are often dismissed as stress, burnout, or just getting older.
They are not.
This is for you if:
Menopause is confirmed twelve months after your last period. It marks the end of oestrogen production by the ovaries, and the beginning of a phase of health that requires its own strategy. The symptoms are well known. What is less understood is what happens if they go unmanaged, including accelerated bone loss, elevated cardiovascular risk, and metabolic changes that develop quietly over time.
This is for you if:
Polycystic ovary syndrome (PCOS) is one of the most prevalent endocrine disorders affecting women of reproductive age, with a global prevalence of 8 to 21% depending on the diagnostic criteria applied. In the UAE, the condition carries particular clinical weight: one study using NIH criteria recorded a PCOS prevalence of 27.6% among the highest reported in the region. A systematic review of Middle Eastern populations found that Gulf Arab states report a pooled prevalence of up to 18.8%, significantly above the global average.
This is for you if:
You are struggling with unexplained weight gain, acne, or excess hair growth
Fertility is not only about reproductive organs. It reflects your hormones, metabolism, and overall health. For some women, the journey is just starting. For others, it becomes difficult or uncertain after months or years of trying.
Irregular cycles. Ovulation issues. Hormonal imbalances, metabolic factors, or conditions like PCOS and endometriosis that can affect conception.
This is for you if:
At Menovivre, we are not an IVF clinic. Our role is to assess your fertility in depth, identify what may be limiting conception, and support your body with a structured, personalised approach.
We evaluate your ovarian reserve, ovulation, hormonal profile, metabolic and inflammatory factors, and how they interact together.
For women who want to go further, our functional medicine specialists focus on pre-conception optimisation, supporting your biological age and metabolic-hormonal balance before pregnancy.
Our goal is simple: to help you understand your body and optimise your chances in the most natural and informed way possible.
Weight gain in women over 35 is rarely simply a matter of caloric intake. Hormonal shifts including declining oestrogen, rising cortisol, disrupted insulin signalling, and thyroid changes alter metabolic behaviour in ways that make standard dietary advice ineffective and demoralising. Many women describe eating and moving identically to how they always have, yet watching weight accumulate, particularly at the abdomen. This is a biological reality, not a personal failing.
This is for you if:
Endometriosis is a chronic condition where tissue similar to the uterine lining grows outside the uterus, often affecting the ovaries, fallopian tubes, and surrounding pelvic organs.
It is more common than most women think, affecting around 1 in 10 women globally, and likely more due to delayed diagnosis.
This is for you if:
Many women are told these symptoms are “normal.” They are not. Endometriosis is often diagnosed years after symptoms begin.
At Menovivre, our gynaecology and obstetrics team has experience managing complex and overlapping cases, especially where hormones, fertility, and gut symptoms intersect. We assess your condition in a structured way and build a personalised plan to manage pain, support your hormones, and improve your quality of life.
If something does not feel right around your cycle, this is where you start.
More women today are becoming pregnant later, or with underlying health conditions. This does not mean something is wrong, but it does mean your pregnancy may need closer, more specialised care.
This is for you if:
Autoimmune conditions are significantly more common in women than in men. Many first emerge or worsen during hormonal transitions: postpartum, perimenopause, or menopause. Hashimoto’s thyroiditis, lupus, and rheumatoid arthritis are among the most common, yet the hormonal component is rarely assessed alongside the immune one.
This is for you if:
At Menovivre, we do not treat your autoimmune condition and your hormones as separate problems. Our internal medicine and functional medicine specialists assess both systems together through comprehensive blood panels including thyroid markers, inflammatory markers, cortisol, and hormonal status. From there, we build a single integrated plan that addresses the root cause, alongside targeted nutritional support designed to reduce systemic inflammation.
If your symptoms keep shifting and nothing has fully resolved, this is where you start.
Many gynaecological conditions go unaddressed for years, either because symptoms are normalised, or because routine screening has been delayed. Abnormal bleeding, ovarian cysts, fibroids, pelvic pain, and cervical health concerns are all areas where early assessment makes a meaningful difference.
This is for you if:
Bloating. Stomach pain. Constipation or diarrhoea. Food reactions, fatigue, brain fog, or skin issues that do not fully resolve.
This is for you if:
These symptoms are common, but they are not random.
For many women, gut health is closely linked to hormones, metabolism, and inflammation. When the gut is not functioning properly, it can affect how your body processes food, regulates energy, and maintains overall balance.
The challenge is that standard testing often misses these imbalances, leaving many people without clear answers.
At Menovivre, we take a deeper approach. We assess your gut function, identify what is driving your symptoms, and understand how it connects to your overall health. From there, we build a targeted, personalised plan to restore balance and help you feel better.
If your symptoms keep coming back, or you feel like something is not fully resolved, this is where we start.
Your first appointment covers your full hormonal and medical history, symptom chronology, lifestyle factors, and personal health goals. Nothing is rushed. Nothing is assumed.
We conduct a tailored assessment that may include hormonal blood panels covering FSH, LH, oestradiol, progesterone, testosterone, AMH, DHEA, and cortisol, alongside metabolic markers, thyroid function, gut assessment, and where relevant, imaging or specialist referral. Your diagnostics drive your care plan.
Integrated Care Plan Design Your results are interpreted within the context of your symptoms and history. A personalised care plan is designed, specifying interventions, clinical leads, lifestyle components, and a monitoring schedule. Where conditions overlap, your OB-GYN, physician, and nutritionist coordinate from the outset.
Your care begins with clear guidance on what to expect, what to monitor, and what to report. You are never given a plan without understanding it.
Conditions evolve. Hormones change. Follow-up consultations and repeat diagnostics are built into every plan, not offered as optional extras.
For chronic conditions such as PCOS, endometriosis, and metabolic dysfunction, management is ongoing. Menovivre is structured to support you across years, not appointments.
Because it takes two. When relevant, we include the partner in the fertility
support plan to ensure
sperm health is optimised alongside egg quality.
Our functional medicine specialist, leads the hormonal and metabolic assessment, identifies root causes, and builds your personalised treatment strategy including lifestyle medicine, advanced testing, supplementation, and hormonal support.
Our Gynaecology specialist assesses menstrual irregularity, ovulation, fertility concerns, ultrasound findings, and gynaecological differentials that may overlap with PCOS.
Designs sustainable nutrition strategies for insulin resistance, inflammation, weight regulation, and cycle support. For many women, nutrition is the foundation of the entire treatment plan.
Your medical foundation. We provide comprehensive cycle assessment, hormone symptom tracking, and pelvic history reviews.
Because it takes two. When relevant, we include the partner in the fertility support plan to ensure sperm health is optimised alongside egg quality.
The deep dive. We investigate metabolic drivers, inflammation, gut health, liver support, stress physiology, sleep, and environmental load.
Precision, not guesswork. Our supplement protocols are prescription based and personalised to your labs.
Your daily toolkit. We focus on optimising your weight and metabolism through structured plans.
How Conditions
Connect
A: The transition is gradual and symptoms overlap with many other conditions including thyroid dysfunction, PCOS, and autoimmune disease. A comprehensive hormone panel interpreted by a clinician who understands the full picture will clarify the distinction. Our team navigates this regularly.
A: Both conditions produce overlapping symptoms including irregular periods, weight changes, and mood shifts. A hormone panel covering FSH, LH, AMH, androgens, and oestradiol alongside ultrasound and symptom history will clarify the picture. Our team is experienced in navigating exactly this overlap.
A: In many cases, yes, through hormonal therapy, anti-inflammatory nutrition, pelvic physiotherapy, and pain management. Surgery remains the gold standard for definitive diagnosis and is appropriate in certain presentations. The right pathway depends on your symptom burden, fertility goals, and clinical assessment.
A: At 35 or over, seek investigation after six months rather than the standard twelve. If you have a known condition such as PCOS, endometriosis, or a history of miscarriage, do not wait. Early assessment creates time to address underlying issues before fertility is further affected.
A:Perimenopausal weight gain is driven by declining oestrogen, insulin resistance, elevated cortisol, thyroid changes, and gut microbiome shifts. Standard dietary restriction rarely addresses these drivers. Our team identifies your specific metabolic profile and builds an approach that works for your body.
A: Conventional investigations rule out structural pathology well, but do not capture gut dysbiosis, altered permeability, food sensitivities, or the gut-hormone relationship. If symptoms persist despite normal findings, a functional medicine assessment often reveals the missing piece.
A: Yes, significantly. Many women find autoimmune symptoms worsen during perimenopause or postpartum. Assessing and managing the hormonal component alongside the immune picture often produces meaningful improvement in overall symptom control.
A: No. We support women from their mid-thirties onwards through perimenopause, menopause, and beyond. All ten conditions on this page affect women across a broad age range.
A: Yes. Where clinically indicated, we offer hormone treatment including HRT and oestrogen replacement therapy, tailored to your individual profile. Non-hormonal pathways are also available. All hormonal interventions are preceded by comprehensive assessment.
