Women's health
Perimenopause and menopause: follow-up, not fate
Falling oestrogen levels do not only affect your cycles: they show on the skin, the hair, the figure and intimate comfort. At the Asnières-sur-Seine clinic, these changes are taken seriously and followed as a whole.
What changes, and why
Perimenopause often begins several years before periods stop for good. Cycles become erratic, sleep is broken, mood varies — and in parallel the skin changes. Collagen production falls markedly in the first years after the menopause: the skin thins, dehydrates and loses firmness.
The balance between oestrogens and androgens also shifts, which explains why some women see thicker hairs appear on the chin or upper lip at the same time as their scalp hair becomes finer.
- drier, thinner skin that creases more easily
- loss of firmness along the jawline and neck
- less dense, more brittle hair
- thicker hairs on the face
- vaginal dryness and intimate discomfort
- more visible pigment spots
The consultation
The interview reviews your symptoms, your personal and family history, your current treatments and what weighs on you most day to day. The clinical examination assesses skin quality, hair density and, if you wish, the condition of the mucous membranes.
A blood work-up may be suggested. The indications and contraindications of hormone replacement therapy are explained without shortcuts: this treatment is not suitable for everyone, and the decision is taken after assessing your personal situation.
What can be offered
For the skin, treatments aim to support tissue quality: mesotherapy, skinboosters, microneedling, peels suited to mature skin, collagen stimulators and hyaluronic acid injections when laxity justifies them.
For the hair, the hair loss work-up points towards scalp mesotherapy and long-term treatment. For intimate comfort, dryness and atrophy are managed specifically, and can be raised without embarrassment: this is a frequent and treatable reason for consulting.
Every proposal is prioritised, explained, and — for aesthetic procedures — covered by a written quote with a cooling-off period.
Frequently asked questions
When should I consult?
As soon as the changes bother you, without waiting for your periods to stop completely. Perimenopause is precisely the period when early care of the skin and hair is most worthwhile.
Is hormone replacement therapy compulsory?
No. Hormone replacement therapy is one option, subject to precise indications and contraindications. Many women are followed and relieved without it.
Can vaginal dryness really be treated?
Yes. It is one of the most common symptoms and one of the least often reported by patients, even though effective care exists. The consultation assesses the situation and offers a suitable solution.
Book an appointment
Consultation at the clinic, 10 rue Vladimir Kramnik, 92600 Asnières-sur-Seine. For a first appointment, choose “first consultation”.
Book an appointment onThe information on this page is general in nature and does not replace a medical consultation. Results vary from one person to another. For aesthetic procedures, a written quote is provided and a cooling-off period is observed.