
Menopause & Perimenopause · the Artava program
Hot flushes, sleep, mood, and the metabolic shift underneath.
Perimenopause can begin in the late thirties and is diagnosed by pattern and symptoms — usually not blood tests. The flushes, sleep disruption, mood shifts and cycle changes are manageable with doctor-led treatment, and the metabolic changes that arrive with menopause — cholesterol, sugar, bone health — deserve measurement more than the hormones do.
Reviewed by the clinical team, Dr. Era Ayurveda
Medically reviewed by Dr. Era Bakshi Sharma — 18 years of clinical practice.
What's actually happening
The transition years — irregular cycles, hot flushes, night waking, mood and memory changes — frequently dismissed, self-managed, or medicated piecemeal.
Manageable, measurably.
Symptom pattern first, using a structured menopause rating scale as your baseline. Blood testing focuses on what actually changes management at this stage: the metabolic and nutritional picture, not hormone levels that fluctuate too much to mean anything.
Protocol for symptom relief and the metabolic shift together, with diet and follow-up. Tracked on the same rating scale at Day 90 — improvement you can see scored, not just recalled.
An honest boundary
Any bleeding after menopause — always, promptly. Also severe symptoms warranting a discussion of options beyond our scope; we’ll say so.
The next step
It starts with the Artava assessment — a few minutes of structured questions, no lab numbers needed. It doesn't diagnose; it tells you whether a clinical conversation is worth having, and a doctor decides everything after that.
If your answers point to something that needs a different doctor first, the assessment says so and routes you there instead of into a program. See what Artava does and doesn't treat →
Questions
Over 45, usually not — pattern diagnoses this.
It’s doctor-led care; your options are discussed honestly, and nothing you currently take changes without your prescriber.
Years, variably — which is why management, tracked properly, matters.
Never on your own, and never as a condition of starting. Any change to existing medication happens only under doctor supervision, with your own numbers in front of them.
The Artava assessment takes a few minutes, needs no lab numbers, and a doctor decides the next step from your answers.
Disclaimer: Treatments are doctor-prescribed and outcome-tracked. Results vary by individual. Any change to existing medication occurs only under doctor supervision.