Menopause and perimenopause · West Pennant Hills
Menopause care from GPs who take the time
Longer visits, a plan made with you, and the same GP each time you come back. In person in West Pennant Hills, or by video visit anywhere in Australia.
Already on treatment? Book your review.
Your GP decides on treatment after seeing you.
- Feel heard
- A plan made with you
- Video visits anywhere in Australia
- You’re not alone
Does this sound familiar?
These are some of the most common things women tell us at their first visit. If a few of them ring true, you are not imagining it, and you don’t have to just push through.
Your sleep has fallen apart
You wake at 3am, hot or wired, and the day starts tired.
Brain fog at work
Words go missing mid-sentence. You re-read emails three times.
You don’t feel like you
Shorter fuse, more worry, low days you can’t explain.
Hot flushes in meetings
Heat rising up your neck while everyone else seems fine.
“It’s just your age”
You’ve been told to put up with it, and left with no plan.
Periods changing in your 40s
Closer together, heavier, or skipping months with no pattern.
Is this perimenopause?
Something has shifted, but nobody has joined the dots.
Never enough time
A short appointment ends just as you get to what matters.
Scroll sideways to see more.
Where are you right now?
Perimenopause, menopause and the years after each feel different. Pick the one that sounds most like you.
Is this perimenopause?
Changes in your late 30s or 40s and not sure what they mean. Start with the signs.
Read the symptom guide →In menopause now
Hot flushes, sleep or mood getting in the way of life. See what a visit covers.
What happens in a visit →Years after menopause
Symptoms that never really settled, or questions about bones and heart health.
Common questions →Already on treatment, need a review
Want the same GP to check in, adjust your plan and keep things on track.
Book a review →Living with ADHD as well? Hormone changes can make it harder to manage. Read about ADHD and perimenopause.
Who you’ll see
Who will I see for menopause care?
You’ll see one of two GPs who work in menopause care every week. Dr Paul sees women in person and by video. Dr Ashwath sees women by video only.
GP, FRACGP · In person and video
Dr Natasha Paul
Menopause lead at Rosedale. Natasha sees women in person in West Pennant Hills on Tuesdays, Wednesdays and rotating Saturdays, and by video visit.
GP, FRACGP · Video only
Dr Priya Ashwath
Special interest in perimenopause and menopause. Priya sees women by video visit anywhere in Australia, usually within the week.
Why we set up menopause care at Rosedale
Women kept telling us the same story. They had been told it was just their age, or they ran out of time before they got to what was really bothering them.
So we made room. Longer first visits, a GP who looks at your whole health, and a plan you make together. You see the same doctor when you come back, so you don’t have to start again each time.
We’ve looked after families in West Pennant Hills since 1997. This is part of that.
The Rosedale team
Your GP decides on treatment after seeing you.
What happens in a menopause appointment?
A 40 minute first visit where your GP listens to your story, checks your overall health, talks through your options and makes a plan with you. Then you come back to the same GP to see how it’s going.
Your GP decides on treatment after seeing you.
A longer first visit
Your first appointment is 40 minutes, so there is time to talk, not just tick boxes.
Your story, properly heard
Your symptoms, your cycle, your sleep and mood, your family history, and what matters most to you.
Your whole health
Heart, bone and breast health are looked at together, with blood tests only where they will change the plan.
Your options, talked through
Hormone and non-hormone options, plus sleep, mood and lifestyle. Pros and cons in plain words, so you can decide together.
Clear next steps
Before you leave, you know what you agreed, what happens next and when to check in.
The same GP when you come back
A follow-up with the same doctor to see how you’re going.
How we work
Four things we hold to in every menopause visit.
Evidence-based
We follow current Australian menopause guidance, and we explain why.
Non-judgemental
Whatever you’ve tried, read or been told, we start from where you are.
Same GP over time
You see the same doctor, so your plan builds on what you’ve already shared.
Honest about what we can and can’t do
If something needs another service, we will tell you and help you get there.
How much does a menopause appointment cost?
Private billing with a Medicare rebate. Here is exactly what you pay, before you book.
The fee is the same in person, by phone or by video visit. Reception can check your rebate with you before you book.
| Appointment | Fee | Medicare rebate | You pay |
|---|---|---|---|
| Initial consult40 minutes, in person or video | $330 | $128.35 | $201.65 |
| Follow-up visit20 minutes, in person, phone or video | $187 | $87.10 | $99.90 |
The Medicare rebate applies to menopause video visits too, even if you are new to Rosedale and live outside Sydney. You need a valid Medicare card. Reception can check this for you before you book.
Fees current from 1 July 2026 and may change. Rebate figures assume Medicare eligibility.
How do I get started?
Three steps, and most women are seen within one to two weeks.
Choose your GP
Dr Natasha Paul in person or by video, or Dr Priya Ashwath by video from anywhere in Australia.
Book
Pick a time online in a couple of minutes. No referral needed.
Start your plan
Your 40 minute visit, a plan made with you, and a follow-up with the same GP.
Who is Rosedale Medical Practice?
A GP-owned family practice at 70 Castle Hill Road, West Pennant Hills. Care Outside the Box® is our promise to give you the time and thought a short appointment can’t.
- Caring for the Hills since 1997Nearly 30 years in West Pennant Hills.
- GP-owned and family-runOwned by Dr Jaspreet and Gurleen Saini since 2019.
- AGPAL accreditedAssessed against the RACGP Standards for general practice.
- Telstra Best of Business NSW 2024Winner, Championing Health.
- 3× PenCS National Awards winnerNational awards in 2022, 2023 and 2024.
- On-site pharmacist and allied healthPharmacist, dietitian, psychology and more, under one roof.
- No referral needed
- The same GP over time
- We call back enquiries within two working days
Menopause guides from our GPs
Plain-English guides to the questions we hear most.
Perimenopause anxiety, irritability and mood changes
Read the guide →TestingDo you need a blood test for perimenopause?
Read the guide →SleepNight sweats and the 3am wake-up: why menopause breaks sleep
Read the guide →Not sure where to start? Try the perimenopause self-check. It takes a few minutes and is not a diagnosis.
Common questions before you book
Do I need a referral?
No. You can book online, or call reception on 02 9680 9644.
How do I know if it’s perimenopause?
Perimenopause often starts in your 40s. Periods change, and you may notice sleep, mood, hot flushes or brain fog. For many women over 45 it is worked out from symptoms and cycle changes, and a blood test is not always needed. Your GP will tell you if a test would help.
Is it too late to get help years after menopause?
No. Some symptoms last for years, and bone and heart health matter more after menopause. It is worth talking it through at any stage.
What options will we talk about?
Your GP will talk through hormone and non-hormone options, as well as sleep, mood, exercise and lifestyle. You will hear the benefits and risks in plain words. Your GP decides on treatment after seeing you, and the plan is made with you.
Can I have a video visit from anywhere in Australia?
Yes. Video visits are available anywhere in Australia, and the fee is the same as an in-person visit. The Medicare rebate applies to menopause video visits, even if you are new to Rosedale.
How soon can I be seen?
Most new patients are seen within one to two weeks. Video visits often open sooner.
What should I bring?
Your Medicare card, a list of any medicines or supplements you take, and any recent blood test or scan results. If you don’t have results, your GP can arrange what is needed.
For health professionals
Referring a patient for menopause care
GPs, psychologists, pharmacists and physiotherapists can send women to Dr Paul or Dr Ashwath. Your patient does not need a referral to book, but a short letter with relevant history is always welcome. We see patients in person in West Pennant Hills or by video visit anywhere in Australia.
Ready to talk it through?
A 40 minute first visit, in person in West Pennant Hills or by video visit anywhere in Australia.
Your GP decides on treatment after seeing you.
Not ready to book? Try the perimenopause self-check.
Rosedale Medical Practice · Ground Floor, 70 Castle Hill Road, West Pennant Hills NSW 2125 · Care Outside the Box® · Caring for the Hills since 1997