Menopause care in Warsaw

Menopause is a natural stage in every woman’s life. The aim is to get through it comfortably: ease the symptoms, find the right treatment, and protect your quality of life and your health for years to come.

Individual approach
HRT and alternatives
Health monitoring
EN PL RU UA

What menopause is

Menopause is the natural end of menstruation, on average between the ages of 45 and 55. It is not an illness but a new stage of life, caused by the ovaries producing less oestrogen.

The hormonal change can still bring unpleasant symptoms: hot flushes, sweating, mood swings, poor sleep. There are effective ways to ease all of these and to protect your bones, heart and blood vessels.

The stages of menopause

Stage 1

Perimenopause

ages 40–50

The transition: the cycle becomes irregular and the first symptoms appear. It lasts 2–10 years.

Stage 2

Menopause

ages 45–55

The final period. The diagnosis is made in retrospect, after 12 months without bleeding.

Stage 3

Postmenopause

after 55

The years after menopause. Symptoms gradually ease, but bone and heart health need watching.

Symptoms of menopause

Every woman goes through menopause differently. These are the most common symptoms:

Hot flushes

A sudden wave of heat, flushing of the face and neck

Sweating

Especially at night, disturbing sleep

Insomnia

Trouble falling asleep, waking often

Mood swings

Irritability, anxiety, low mood

Vaginal dryness

Discomfort, pain during sex

Palpitations

A sense that the heart is skipping beats

Headaches

Migraines that worsen during this period

Fatigue

Less energy, tiring easily

Memory problems

Forgetfulness, difficulty concentrating

How menopause is assessed

Consultation and history

We go through your symptoms, the date of your last period, family history, any medication you take and what you want from treatment.

Gynecological exam

Assessing the vaginal lining and the cervix, and looking for atrophic changes.

Pelvic ultrasound

Assessing the uterus, endometrium and ovaries, and ruling out anything that would rule treatment out.

Hormone tests

FSH, LH, oestradiol and TSH — to confirm menopausal status and to exclude a thyroid problem.

Further tests

Mammography, bone density scan, lipid profile and glucose — to weigh the risks and choose treatment.

How menopausal symptoms are treated

Non-hormonal treatment

When HRT is contraindicated

Phytoestrogens, low-dose antidepressants, bone medication. Less effective, but safe.

  • No hormonal risk
  • Suitable after breast cancer
  • Herbal preparations
  • Vitamins and minerals

Local treatment

For urogenital symptoms

Vaginal creams and pessaries with oestrogen. They act locally and barely enter the bloodstream.

  • Relieves vaginal dryness
  • Reduces urinary leakage
  • Minimal effect on the rest of the body

Lifestyle

The foundation of feeling well

Regular exercise, a good diet, giving up smoking and keeping weight steady are a real part of the treatment.

  • Physical activity
  • Calcium and vitamin D
  • Weight control
  • Cutting out alcohol and tobacco

How safe HRT is

Modern hormone replacement therapy is safe when it is prescribed properly. The risks and benefits are weighed for each woman individually. HRT is contraindicated in breast cancer, a history of thrombosis and liver disease, so a full examination comes first.

Where to be seen in Warsaw

Gynecological care in Warsaw — appointments at ul. Głębocka 9, 03-287 — this is the Białołęka district, on the border with Targówek, at the RS-MED centre. The landmark is simple: the same street as the Targówek and Zielony Targówek shopping centres — if you know the way there, you know the way here.

I am easy to reach from Białołęka, Targówek, Bródno and Zielona-Grzybowa, and along Trasa Toruńska from Marki, Ząbki and Nieporęt. No referral and no NFZ insurance are needed: you can book directly, including if you have just arrived in Poland.

  • Addressul. Głębocka 9, 03-287 Warszawa, Białołęka
  • By carexit from Trasa Toruńska, free parking at the shopping centre
  • Consulting hoursMon–Sat 8:00–18:00 · Mon & Thu until 19:00 · Sun closed
  • LanguagesEnglish, Polish, Russian, Ukrainian
Anastasiia Sokhach — gynecological care in Warsaw, appointments in English

Anastasiia Sokhach

Doctor

Patient reviews on ZnanyLekarz

Doctor, in practice since 2015. Appointments in English, Polish, Russian and Ukrainian. Ultrasound, pregnancy care, infertility diagnosis.

Book an appointment

Consultation

Let us talk through your symptoms and find the right treatment:

When to start HRT

The best time to start hormone replacement therapy is within the first 10 years after menopause and before the age of 60. The earlier it starts, the more the bones and heart benefit.

Prices

What consultations and tests cost

Menopause care

Gynecological consultation

Discussing symptoms, planning the tests

290 zł / visit

Hormone panel

FSH, LH, oestradiol, TSH

“ask for the price” / panel

Pelvic ultrasound

Assessing the uterus and ovaries

250 zł / scan

Breast ultrasound

Screening before HRT is prescribed

250 zł / scan

Follow-up visit

Checking how treatment is working and adjusting it

290 zł / visit

The cost of HRT medication is not included in the consultation and depends on what is prescribed.

Advantages

Why women come here

Individual approach

Treatment is chosen around your symptoms, your risks and what you want

Safety

Risks are assessed carefully before anything is prescribed

EN PL RU UA

Everything is explained plainly in English, Polish, Russian or Ukrainian

Checking the result

Regular visits to see how treatment is working and adjust it

FAQ

Common questions about menopause

The average age is 51, and anywhere between 45 and 55 is normal. Perimenopause — the transition, with an irregular cycle and the first symptoms — can begin as early as 40–45. Early menopause, before 40, always needs investigation and usually HRT.

Modern HRT is safe when prescribed properly. Starting it within the first 10 years after menopause lowers the risk of cardiovascular disease and osteoporosis. It does have contraindications: breast or uterine cancer, thrombosis, severe liver disease. That is why an examination comes first.

For most women they last 2–5 years and gradually fade. For some they persist for ten years or more. Intensity varies from a few times a month to dozens of times a day. HRT relieves them in over 90% of women; the alternatives are less effective but still help.

Yes — pregnancy is possible as long as ovulation still happens, however rarely. Contraception is advised for 12 months after the last period if menopause came after 50, or 24 months if before 50. Barrier methods, an IUD or hormonal contraception can all be used if there are no contraindications.

Phytoestrogens (soy, red clover, black cohosh) can take the edge off flushes for some women, but they are far less effective than HRT. They are an option for mild symptoms or when hormones are contraindicated. “Natural” does not mean “harmless” — phytoestrogens are hormonally active too.

Book an appointment

Fill in the form and I will contact you within 15 minutes during working hours to confirm a time.

+48 787 060 707