Do my symptoms match?
Irregular periods, brain fog, hot flashes, weight change, mood shifts — an 18-question tool that scores your pattern against what perimenopause typically looks like.
Take the symptom quizPerimenopause & Menopause
Your hormones are changing. Here is exactly what that means.
Perimenopause can begin eight to ten years before your final period — and is often mistaken for stress, ageing or "just a bad year". Dr. Rajeev Agarwal's menopause practice in Kolkata is built around one idea: you deserve a precise answer, not a shrug.
ReproductivePerimenopauseMenopausePostmenopause
What about HRT?
What changed after the WHI scare, whether it is safe, how it is actually taken, and how long it should continue — in plain language, without the fear-mongering.
Read the HRT guideReady to be seen?
A consultation with Dr. Agarwal and, where useful, the wider care team — metabolic health, mental health, exercise and nutrition, coordinated around one plan.
Meet the care teamWhy here
The gap this section exists to close
80%of women experience perimenopausal symptoms
30%receive appropriate support or treatment
35–38age at which symptoms can realistically begin
4–10years the transition typically lasts
Dr. Rajeev Agarwal, MBBS, MD (Obstetrics and Gynaecology), has practised gynaecology in Kolkata for over two decades. Menopause care here is built around a multidisciplinary team rather than a single prescription pad:
Gynaecology · clinical leadObesity and metabolic medicineMental health counsellingExercise medicineClinical nutritionGenetics
Latest from the clinic
Watch it explained
Signs and symptoms of perimenopause
What to actually look out for, in plain language.
Are you still scared of hormone replacement therapy?
Addressing the fear head-on — and where it came from.
HRT, perimenopause and menopause
How hormone therapy fits into the transition.
Explore the section
Start where you are
Perimenopause Symptoms & Quiz
The 18 symptoms that actually signal perimenopause — plus a five-minute quiz that maps your own pattern.
HRT / MHT Guide
What HRT actually is, what the 2002 WHI trial really showed, how it is taken, and the risks in real numbers.
Menopause Tests & Diagnostics
Blood work, thyroid, metabolic, cardiac, bone and screening tests — what each one is actually looking for.
Menopause Diet & Exercise
Blood-sugar-stable eating, protein targets, resistance and impact training, plus a BMI and waist check.
Menopause Care Team
Gynaecology, metabolic medicine, mental health, exercise, nutrition and genetics — one coordinated plan.
Menopause Articles & Videos
Dr. Agarwal's video library on perimenopause and HRT, alongside the written articles from the blog.
Menopause Wellness service
How menopause care is delivered at the clinic, alongside the rest of Dr. Agarwal's services.
Frequently asked
What is the difference between perimenopause and menopause?
Menopause is a single point in time — the day you complete 12 consecutive months without a period. Perimenopause is the transition leading up to it, which can last four to ten years, and it is when most of the disruptive symptoms actually happen.
When should I see a doctor about perimenopause?
As soon as symptoms start affecting your sleep, mood, work or relationships — you do not need to wait until your periods stop. Early assessment also matters because bone loss can begin two to three years before your final period.
Where does Dr. Rajeev Agarwal see patients for menopause care?
At Renew Healthcare, 18C Mandeville Gardens, Kolkata 700019, with centres in Gariahat, Salt Lake and Jamshedpur. Virtual consultations are also available.
Bring your symptoms. Leave with a plan.
Consultations with Dr. Rajeev Agarwal at Renew Healthcare, Kolkata — in person or virtual. If you have taken the symptom quiz, bring your result: it gives the consultation a running start.
A note on this section. Everything here is general educational information about perimenopause and menopause. It is not a diagnosis and does not replace individualised medical advice — please discuss your own symptoms, history and options with Dr. Agarwal or your own physician before making any treatment decision.