Short answer. World Menopause Day, 18 October 2026, is a good time for women in Khammam to review hot flushes, irregular periods, sleep change and bone health. Perimenopause often starts in the 40s, and in India the final period is commonly in the mid-40s. Dr. N. Jyoshna Peddineni at Nehrunagar checks for other causes such as thyroid disease, then discusses lifestyle steps and whether menopausal hormone therapy or non-hormonal options fit you. Call +91 93472 34197 to book.
Signs that the transition has started
Perimenopause is the years when cycles change before periods stop. Cycles may shorten, then lengthen. Sleep breaks, sudden heat, irritability, vaginal dryness and joint aches can appear while you are still having periods. Pregnancy is still possible until you have gone 12 months without a period, so contraception still needs a plan.
Not every irregular cycle is menopause. Fibroids, polyps, thyroid disease and PCOS can look similar. Bleeding after 12 months without periods, very heavy flooding, or bleeding after sex needs an examination. Do not label that as 'just menopause' at home.
- Hot flushes or night sweats that disturb sleep
- Cycles that have become unpredictable for several months
- Vaginal dryness or pain with intercourse
- Mood and sleep changes that are new for you
- A family pattern of early menopause or fractures
What the 18 October consultation can decide
A menopause visit at the clinic covers cycle history, blood pressure, weight, breast and pelvic symptoms, and medicines you already take. Blood tests are used when the diagnosis is unclear, not as a routine ticket to treatment. Bone health, heart risk and cervical screening are discussed in the same sitting when they are due.
Treatment is matched to the symptom that bothers you most. Options can include menopausal hormone therapy when it is safe, non-hormonal medicines for flushes, vaginal oestrogen for dryness, and practical sleep and exercise advice. Dr. Jyoshna Peddineni will say clearly if hormone therapy is a poor fit because of a clot, breast cancer history or unexplained bleeding.
Care that continues after the first visit
Menopause care is not a single prescription. A review after a few months checks whether flushes, sleep and bleeding have settled, and whether screening is up to date. Women in Khammam who want a long-term plan — bones, heart and cervical screening together — can keep that on the well-woman pathway at the same hospital.
Related care at the hospital
- PCOS, menstrual and hormonal health
- Women's wellness and screening
- Clinic address, hours and booking
Clinic: Dr. Jyoshna Maternity and Fertility Hospital, 11-4-3/2, Beside old CPI office, Nehru Nagar, Khammam, Telangana 507001. Phone +91 93472 34197. OPD 9:30 AM–3:00 PM and 6:00 PM–9:00 PM. Emergency 24×7.
This article is general education from the clinic. It does not diagnose, prescribe, or replace an in-person consultation. For heavy bleeding, severe pain, fainting or a sudden drop in pregnancy movements, seek emergency care.
More from October 2026
Questions patients ask
Direct answers for this topic. Your own plan still depends on a consultation.
World Menopause Day is observed on 18 October each year to focus attention on the years around the final menstrual period. For patients it is a prompt to book care for symptoms, not a day when clinics change their medical criteria.
Book when flushes, sleep loss, irregular bleeding or vaginal dryness affect daily life, or when periods have stopped and you want a screening and bone-health plan. See a doctor sooner for very heavy bleeding, bleeding after menopause, or a breast lump.
No. Some women do well with sleep, exercise, weight management and local vaginal treatment. Others benefit from menopausal hormone therapy or non-hormonal medicines. The right choice depends on your symptoms, age and medical history, which is decided in consultation.