Perimenopause Treatment in Singapore

A woman’s journey through life is filled with transitions — and perimenopause is one of the most significant. At Prologue Centre for Women’s Wellness, we believe in guiding women through this stage with compassion, clarity, and care.

 

What is Perimenopause?

Perimenopause is the transitional phase before menopause, when a woman’s ovaries gradually begin to produce less estrogen. It typically begins in your 40s but can start as early as your late 30s. This natural shift can last anywhere from a few months to several years and is often marked by hormonal fluctuations that affect both body and mind.

Common Symptoms of Perimenopause

Every woman’s experience is different, but common signs include:

  • Irregular periods or spotting between cycles
  • Hot flashes or night sweats
  • Mood swings, anxiety, or low mood
  • Difficulty sleeping or staying asleep
  • Vaginal dryness or discomfort
  • Decreased libido
  • Weight gain, especially around the abdomen
  • Fatigue
  • Thinning hair or hair loss
  • Brain fog or difficulty concentrating
  • Changes in skin firmness and texture

These symptoms can range from mild to significantly disruptive — and they’re not “all in your head.” They’re caused by real hormonal changes.

When Does Perimenopause Start?

Most women enter perimenopause between ages 40 to 45, though some may notice changes earlier or later. It officially ends when you’ve gone 12 consecutive months without a period — marking the start of menopause.

Treatment Options for Perimenopause — Medical & Holistic

At Prologue, we offer a personalised and multidisciplinary approach to managing perimenopause, tailored to your symptoms, goals, and lifestyle.

Medical & Diagnostic Support

Lifestyle & Body Support

  • Nutrition Support
    Guidance on foods and supplements to support hormonal balance, preserve bone density, and build lean muscle mass.
  • Body Muscle Strengthening (EMBody)
    Non-invasive muscle-building technology that strengthens the core and improves metabolic health — especially important as estrogen levels decline.
  • Pelvic Floor Strengthening (Emsella)
    Support bladder health and prevent pelvic floor weakening, incontinence, and prolapse with this chair-based therapy.
  • Fat Reduction (Vanquish ME™)
    Reduce stubborn fat across larger areas like the abdomen and love handles with radiofrequency energy.  

Intimate Support

  • Exion Intimate Therapy
    A gentle radiofrequency treatment for vaginal laxity, dryness, and overall tissue rejuvenation.
  • Emsella
    In addition to pelvic floor support, Emsella can improve sexual function and help with vaginal dryness and sensation.
  • IntimaPN
    An injectable treatment designed to restore hydration and elasticity in the vaginal tissue, improving dryness and pain during sexual intercourse.
  • IntimaLase
    A non-surgical laser tightening treatment designed to restore vaginal tightness by stimulating collagen remodelling.

Skin & Body Confidence

  • Skin Laxity Treatments (Exion Body)
    Support skin firmness and elasticity with advanced collagen-stimulating technology, targeting areas like the face, neck, and body.

You’re Not Without Support

Perimenopause is real, and so are your symptoms. At Prologue, we’re here to empower you with knowledge, compassion, and solutions — so you can navigate this chapter with confidence and care.

FAQ

Does perimenopause cause weight gain?

Yes, fluctuating hormones, especially declining estrogen, can lead to increased fat storage (particularly around the abdomen), muscle loss, and slower metabolism. We help manage this with nutrition guidance and muscle-building options like EMBody.

It can be. Lower estrogen can affect libido, vaginal lubrication, and sensation. Treatments like Emsella and Exion can help restore confidence and comfort in intimacy.

Yes. Hormonal changes may contribute to hair thinning, especially around the scalp. If this concerns you, we can explore your hormone profile and provide scalp-specific care. 

Yes. Cycles often become irregular — ranging from skipped periods to heavier or prolonged bleeding. However, if bleeding is excessive or prolonged, it’s important to speak to a doctor to rule out other conditions.

Some supplements such as calcium, magnesium, omega-3s, or specific herbal blends may help. But not all are backed by science, and effectiveness varies. Our experts can guide you on safe, evidence-based options.

Spotting during perimenopause is common due to fluctuating estrogen and progesterone levels. However, persistent or post-menopausal spotting should always be evaluated by a doctor.

Lifestyle support plays a key role. Prioritising sleep, stress management, regular movement, balanced nutrition, and blood sugar stability can help ease common symptoms such as fatigue, mood changes, hot flushes, and brain fog. Gentle strength training, restorative practices, and nervous-system regulation are especially supportive during this transition.

Perimenopausal weight changes are often linked to hormonal shifts, insulin sensitivity, and increased stress hormones, not simply calories. A combination of strength training, adequate protein intake, stress reduction, and personalised hormone support is often more effective than restrictive dieting.

Low libido and vaginal dryness are common and treatable. Support may include hormone-balancing strategies, targeted supplements, lifestyle adjustments, and local vaginal therapies such as Exion Emfemme. Addressing stress, sleep, and emotional wellbeing is also an important part of restoring intimacy and comfort.

Commonly recommended supports may include vitamin D, magnesium, B-complex vitamins, omega-3 fatty acids, and adaptogenic herbs. However, supplement needs are highly individual, and professional guidance helps ensure the right combination, dosage, and safety. We carry a range of menopause supplements for symptom relief; available for purchase at our outlet.

Perimenopause is primarily diagnosed based on symptoms and health history, as hormone levels naturally fluctuate. Blood or hormone panels can provide helpful context, while at-home kits may offer limited insight. A practitioner-guided approach ensures results are interpreted meaningfully rather than in isolation.

At-home kits can reflect hormone levels at a single point in time, but they cannot reliably confirm or rule out perimenopause on their own. Because hormones fluctuate daily during this stage, results should be viewed as supportive information rather than a definitive diagnosis.

Michelle Ke

After a few sessions, my DR gap improved and i also noticed less bloating. I can fit into my clothes better too.

Amanda Lim

Jodie has been such a great help in my health journey! She really took the time to help me understand my body and gave super practical tips that actually fit into my daily routine. I learned so much about portion control, and I love how she explained how nutrition and exercise can be adjusted around the menstrual cycle — it made everything click for me. She’s knowledgeable, approachable, and easy to talk to. I feel a lot more confident now about making choices that work for me. Highly recommend her!

Amanda Lim

Prologue Wellness takes a truly holistic approach to weight management and well-being. Instead of quick fixes, they focus on educating clients about proper nutrition, helping us build sustainable habits that improve both health and quality of life.

I also love their Clinical Core & Flow programme, which combines physiotherapy, Pilates, and yoga. It creates a supportive environment for women of all fitness levels.

On top of that, they offer innovative non-invasive treatments like Exion Body, Vanquish Me, and EmBody. These complement their holistic programmes perfectly by supporting body contouring, fat reduction, and muscle strengthening in a safe, effective way.

The team, especially Jodie, Shonia and Serene, are professional, caring, and genuinely invested in their clients’ well-being. Highly recommended if you’re looking for a place that integrates science, movement, and holistic care.

Samantha Lim

The staff’s warmth, support, and use of technology have helped me improve my postpartum core muscles and pelvic floor health

Jean Toh

The struggles of postpartum recovery are real, and I’m so thankful to have found Prologue, a women’s wellness centre that truly understands and supports mothers like me.

Like many postpartum mums, I’ve been dealing with diastasis recti, a bulging tummy that makes me look pregnant, urinary incontinence that limits my activity with my kids, and difficulty losing pregnancy weight due to stress eating and late nights.

Since starting my personalised treatment plan here, I’ve seen real improvements. Weekly sessions with my nutritionist, Jodie, have helped me eat in a balanced and sustainable way. Physiotherapy sessions with Chloe and Jodie have strengthened my core and pelvic floor, while the Emsella chair has improved my incontinence. Embody treatments are helping with my DR, shockwave therapy is reducing bloating and stretch marks, and Exion Body treatments are tightening loose skin.

I’m truly grateful for the professional, encouraging, and caring team at Prologue who have supported me every step of the way. Highly recommended to any postpartum mother looking to recover, rebuild, and regain confidence.

Fleur Bloom

Thank you Prologue, especially Shonia, Serene and Jodie who never cease to bring their bright smiles to every session. Seeing progress so far and looking forward to more!

Eunice Ee

I had a a great experience at Prologue Wellness. The staff was friendly, professional, and efficient from the moment I walked in. The facility was clean and well-organized, and consultant and doctor took the time to explain everything clearly.Highly recommend!

Valerie Boh

Would highly highly recommend this place to postpartum ladies. Other than the many machine services to help with various issues such as DR, weak pelvic floor muscles and loose skin, they also have trained nutritionist and physiotherapist to help provide a holistic recovery experience! Truly glad that Proloque team has helped to resolved my DR and I have seen improvements in my core and pelvic floor muscles! Lastly, the space here is nicely done up and the team of ladies here are very friendly and professional.

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