The people behind The Second Spring

A gynaecologist with menopause training is the cornerstone of your care during perimenopause. They assess hormonal symptoms, investigate irregular or heavy bleeding, discuss HRT (hormone replacement therapy), and manage conditions like fibroids, PCOS, and endometriosis that can worsen during this transition. Not all gynaecologists are menopause-trained — ours are.

Our nurse practitioners are trained in women's health and perimenopause. They conduct your first consultation, take a detailed history of your symptoms, order initial investigations, and help you understand your results. They work closely with our doctors and gynaecologists, and often provide the kind of unhurried, empathetic conversation that is hard to find in a busy clinic.

Many perimenopausal symptoms — fatigue, weight gain, palpitations, brain fog — overlap with conditions like thyroid dysfunction, anaemia, diabetes, and high blood pressure. A general physician rules these out, manages existing conditions that interact with hormonal changes, and ensures your overall health is seen as a whole. In India, this is often the first doctor a woman sees — ours are perimenopause-aware.

An endocrinologist specialises in the body's hormone systems — including thyroid, adrenal, and insulin-related conditions. During perimenopause, the hormonal landscape becomes more complex, and conditions like hypothyroidism, PCOS, or metabolic syndrome can interact with oestrogen decline in ways that need specialist understanding. Our endocrinologist handles the cases where the picture is more complicated.

Perimenopause affects the brain directly — oestrogen regulates the chemicals that control mood, anxiety, and emotional resilience. Many women experience anxiety, depression, rage, or a loss of sense of self for the first time in their 40s. Our psychologist provides evidence-based support specifically for hormonal mental health: this is not just stress management — it is clinical care for a neurological transition.

A registered dietician (RD) holds a formal clinical qualification and works with medical conditions — not just general wellness. During perimenopause, diet directly affects insulin resistance, bone density, cardiovascular risk, and weight. Our dietician creates personalised, evidence-based plans that account for Indian food culture, regional cuisines, and the specific metabolic changes of this transition. This is not generic diet advice.

Where the dietician works on clinical nutrition, our nutritionist and wellness coach work on the daily realities of making change — habits, routines, supplement guidance, and sustainable choices within the context of an Indian household. They provide guidance on adapting traditional diets, managing stress through lifestyle, sleep hygiene, and the small daily shifts that add up to significant change over time.

As oestrogen declines, the muscles and tissues of the pelvic floor weaken. This causes bladder leakage (urinary incontinence), pelvic heaviness or prolapse, pain during intimacy, and reduced bladder control. These symptoms affect the majority of perimenopausal women and are almost never discussed. A pelvic floor physiotherapist provides targeted exercises and treatment that can dramatically improve quality of life — without surgery.

Loss of libido, vaginal dryness, discomfort during sex, and changes in intimacy are among the most common — and most silently suffered — symptoms of perimenopause. They have real physical causes. And they are treatable. Our sexual health counsellor provides a confidential, judgement-free space to address these changes — whether the need is clinical information, communication support, or simply being heard without shame.

A health coach works with you on the journey between understanding and action. They help you identify your goals, build sustainable habits, navigate the emotional complexity of this transition, and stay consistent — especially when motivation is low. They are not clinicians, but they are trained in behaviour change, motivational interviewing, and the specific challenges of perimenopause. Think of them as the person who walks this road with you.