Dr Fatima Khan

Dr Fatima Khan Dr Fatima Khan | MBBS, BSc, DRCOG, MRCGP, FRACGP
Integrative Menopause Specialist based in Melbourne

12/10/2025

Here’s what can happen when oestrogen begins to decline during peri/menopause. Have you experienced any of these symptoms? ❤️



Please note: It’s important to speak with a trusted healthcare professional to rule out other possible causes before attributing any symptoms to perimenopause or menopause.


09/10/2025

Let’s rethink how we define menopause.

It’s often described as “the cessation of your period for 12 months.”

While true, that definition barely scratches the surface.
Menopause isn’t a single moment, it’s a transition. A gradual winding down of your reproductive lifespan.

We’re born with a fixed number of eggs. From puberty, we release one each month until, eventually, there are no more left. And when the eggs are gone, the hormones they produce (oestrogen and progesterone) decline too.

That hormonal shift is what drives the symptoms we feel in the short term, and it’s also what contributes to the long-term changes in our bones, heart, metabolism and beyond.

Understanding menopause as a process, not just a date on the calendar, helps women make sense of what’s happening in their bodies, and why support through this transition truly matters.

References:
• Oestrogen and Progesterone levels throughout a woman’s lifetime. Graph by Precision Analytical Inc.


08/10/2025

Menopause isn’t just a single symptom. It’s a whole-body experience… a multi-organ transition.

Over a decade of working with women navigating peri/menopause, I’ve seen firsthand that menopause is far more than the cessation of periods. It impacts the brain, heart, bones, joints, skin, hair and more, and understanding these changes is essential to supporting your body through this transition.

This October, for Menopause Awareness Month, we’re digging deeper, beyond the commonly spoken-about symptoms of hot flushes and night sweats.

Understanding how your body navigates peri/menopause is the first step to managing it well.

Have questions? Leave them below, and I’ll address them as we explore each symptom ❤️

- Dr Fatima Khan


25/09/2025

An evening in Melbourne earlier this month celebrating the brand new book launch of ‘I’m Your Peri Godmother’ by the incredible ✨

Shelly shares her personal experiences navigating perimenopause, blending relatable humour with facts and medical insight (where I had the absolute pleasure of contributing!). I’m so honoured to have written a chapter on heavy bleeding and the early peri transition.

Loved being part of this journey with you Shelly, & celebrating this great event hosted by . Also shoutout to the delicious appetisers by & 🍴

If you haven’t yet, pick it up on shelves or listen to the audiobook, it’s a must-read for anyone wanting an honest, relatable and empowering take on perimenopause 💜

14/09/2025

Recently, I joined and on the for a real and raw conversation about hormones, perimenopause and everything in between.

For so many women, one week out of the month can feel like becoming unrecognisable. These feelings and shifts have been normalised in today’s world… but they shouldn’t be. They take a toll on our health, our relationships and our sense of self.

It’s time we understood what’s really happening, how to support ourselves and how to bring our partners into this conversation too.

Because Hormone Health is Mental Health ®.

Listen to the full episode via the link in bio ❤️

Have you ever felt like your menstrual cycle could be amplifying past trauma? If you have trauma and PMDD, the connectio...
25/08/2025

Have you ever felt like your menstrual cycle could be amplifying past trauma? 

If you have trauma and PMDD, the connection is real, and it’s rooted in neurobiology.

🧠 Trauma rewires the stress response system, making the brain more sensitive to normal hormone shifts across the menstrual cycle.

Oestrogen and progesterone don’t just fluctuate, they interact with a nervous system trained to detect threat. In trauma survivors, these normal changes can trigger:

➡️ Rage, panic, or emotional shutdown
➡️ Blunted cortisol responses
➡️ Instability in GABA and serotonin systems
➡️ Increased inflammation
➡️ Amplified PMDD symptoms

This isn’t “moodiness.” It’s trauma-amplified hormone sensitivity. Healing often goes beyond medication. 

Trauma-informed, nervous system-focused care can be essential. PMDD care should screen for trauma and centre the nervous system!

It’s not all in your head. It’s in your neurobiology.

❄️ Have you tried an ice bath or cold plunge?Most studies focus on men, but women’s hormonal and nervous systems respond...
24/08/2025

❄️ Have you tried an ice bath or cold plunge?

Most studies focus on men, but women’s hormonal and nervous systems respond differently. Short, moderate exposures, like cool ocean swims or alternating hot/cold showers, can improve mood and dopamine safely, while routine ice baths may increase stress and impact hormones.

I recently contributed to an article exploring this topic, published in The Rise and Fall of Cold Therapy ❤️

A growing body of research shows that perimenopause can unmask ADHD symptoms in women with no childhood diagnosis…📉 As o...
04/08/2025

A growing body of research shows that perimenopause can unmask ADHD symptoms in women with no childhood diagnosis…

📉 As oestrogen fluctuates, it disrupts dopamine regulation, impacting focus, working memory, and emotional control.

A 2024 study (Mahony et al.) found that 38% of midlife women reported late-onset cognitive symptoms consistent with ADHD.

Many were misdiagnosed with anxiety or depression.
Few received hormone-informed psychiatric care.

📚 Future-ready medicine must include neuroendocrine literacy, especially when treating midlife women with executive dysfunction or mood instability.

The gender gap in mental health diagnosis is real and needs to be closed! 

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