Do I need a referral to see a GP about menopause?

No. Menopause care is provided by your GP, so you can book directly online. If specialist input is ever needed, your GP can arrange it.

Is there a menopause clinic near me in the Hills District?

Rosedale Medical Practice provides structured menopause and perimenopause care at Ground Floor, 70 Castle Hill Road, West Pennant Hills, next to Koala Park, with on-site parking and pathology. We see women from West Pennant Hills, Castle Hill, Cherrybrook, Beecroft, Pennant Hills and across the Hills District.

Can I have my menopause appointment by telehealth?

Yes, by video anywhere in NSW with Dr Paul or Dr Ashwath. One thing to know up front: Medicare rebates for telehealth apply only if you have seen a Rosedale GP in person in the last 12 months or are registered with us through MyMedicare; otherwise the full fee applies. In-person visits are always rebate-eligible with a valid Medicare card.

Do I need a blood test to diagnose menopause?

Usually not. Menopause is a clinical diagnosis based on your age, symptoms and history. Blood tests can help in specific situations, for example if menopause may be early, and can be collected on site if needed.

Is menopausal hormone therapy (HRT) safe?

For many women the benefits of MHT outweigh the risks, particularly under 60 or within 10 years of menopause, but it is not right for everyone. Your GP reviews your personal and family history and talks through what current evidence says for your situation, including non-hormonal alternatives.

I think my ADHD is worse since perimenopause. Can you help with both?

Yes. Falling oestrogen affects the dopamine systems involved in attention, and it is common for focus to change during the transition. Dr Paul and Dr Ashwath work across menopause care and NSW-authorised ADHD continuation prescribing for adults, so both can be looked at together. See our ADHD continuation care page for eligibility.

Your first 40-minute consult is $330, in person or by video, with $128.35 back from Medicare, so your gap is $201.65. Reviews are $187 with $99.90 gap. Every fee is on our fees page.

Menopause care · Care Outside the Box®

Menopause and perimenopause care with time to understand what has changed.

Sleep, periods, mood, brain fog, hot flushes, anxiety, weight, intimacy, or simply not feeling like yourself. Your first appointment is 40 minutes, so there is time to look at the whole picture and discuss evidence-based options.

New patients welcome
No referral required
In person or video
40-minute first visit

Choose your appointment Or call02 9680 9644

In-person care in West Pennant Hills or telehealth with Dr Priya Ashwath Australia-wide. Medicare telehealth eligibility rules apply.

Dr Natasha Paul, Specialist GP providing menopause care — **Dr Natasha Paul**In-person menopause care

Dr Priya AshwathAustralia-wide telehealth

40 minutesDedicated first consultation

$330First consultation fee

2 ways to attendIn person or secure video

Since 1997Rosedale Medical Practice

Does this sound familiar?

Perimenopause is often more than hot flushes.

Symptoms can arrive gradually, fluctuate month to month, or be mistaken for stress, ageing or simply having too much going on.

“Why am I awake again?”Broken sleep, night sweats or waking exhausted.

“My brain is not working.”Brain fog, losing words, memory or concentration changes.

“I do not react like me.”Irritability, anxiety, low mood or reduced resilience.

“My periods are all over the place.”Heavier, lighter, shorter, longer or unpredictable cycles.

“I am tired all the time.”Fatigue that feels out of proportion to life or sleep.

“My body feels different.”Hot flushes, sweating, joint aches or physical change.

“Sex has changed.”Low libido, dryness, discomfort or urinary symptoms.

“Could this all be connected?”You do not need to know before you book.

Normal blood tests do not rule out perimenopause. Hormone levels fluctuate. Assessment often depends more on age, symptoms, cycle history and the broader clinical picture than on one isolated result.

What happens in the first consultation.

The goal is not to push one treatment. It is to understand what is happening, assess what matters medically and help you make an informed plan.

Tell the whole story

Symptoms, periods, sleep, mood, thinking, sexual health and what is affecting life most.

Review your health

Medical and family history, medicines, relevant examination, bone and cardiovascular health.

Discuss your options

MHT, local oestrogen, non-hormonal treatments and other measures where appropriate.

Make a plan

Agree on useful tests, referrals, treatment decisions and the right review timing.

Book menopause care

Choose how you would like to be seen.

Both options are dedicated 40-minute first menopause consultations. Choose the format and doctor that fit you.

In person · West Pennant Hills

Dr Natasha Paul

Specialist GP · FRACGP · Menopause care

Clinic-based care with examination and on-site pathology available when clinically useful.

See in-person times

Telehealth · Australia-wide

Dr Priya Ashwath

Specialist GP · MBBS · FRACGP · Menopause care

Secure video consultations from home, with Medicare rebates where eligibility requirements are met.

See telehealth times

MHT is one option, not the only option.

Treatment depends on your symptoms, preferences, medical history and risks. Your doctor explains the options relevant to you rather than following a fixed script.

Option	What it may involve
Menopausal hormone therapy	Systemic oestrogen, with progestogen where required, may be considered for suitable women.
Local vaginal oestrogen	Low-dose local treatment may be considered for vaginal, vulval and some urinary symptoms.
Non-hormonal options	Other medicines and symptom-focused approaches may suit women who do not want or cannot use hormones.
Preventive health	Sleep, movement, bone health, cardiovascular risk and other midlife priorities may form part of the plan.

Know the cost before you book.

Rosedale is a private-billing practice. Medicare rebates depend on eligibility and the consultation delivered.

First menopause consultation · 40 minutes$330

Medicare rebate: $128.35 where eligible
Expected out-of-pocket: $201.65

Choose appointment

Review consultation · 20 to 23 minutes$187

Medicare rebate: $87.10 where eligible
Expected out-of-pocket: $99.90

Telehealth rebates are subject to current Medicare eligibility. If you are not eligible, the full consultation fee applies.

What women ask before booking.

Do I need a referral?

No. Menopause and perimenopause care is provided by Rosedale Specialist GPs, so you can book directly.

Do I need blood tests first?

Usually not. Perimenopause and menopause are often assessed from symptoms, menstrual history, age and the broader clinical picture. Targeted tests can be arranged when useful.

Can we discuss MHT or HRT?

Yes. Menopausal hormone therapy, also called HRT, can be discussed where appropriate, including benefits, risks and formulation choices. Non-hormonal options can also be considered.

What if I am not sure this is perimenopause?

You do not need to diagnose yourself before booking. The consultation can consider whether menopause fits the pattern and what else may need to be investigated.

Can I use telehealth if I live outside NSW?

Dr Priya Ashwath's menopause video consultations are available Australia-wide. Medicare rebates depend on current eligibility requirements; otherwise the full fee applies.

Can perimenopause affect concentration or existing ADHD symptoms?

Some women notice changes in memory, concentration and executive function during the menopausal transition. Mention this so it can be considered in the broader clinical picture. ADHD prescribing uses a separate pathway.

You do not need to have it figured out before you book.

Choose a 40-minute menopause consultation in West Pennant Hills or by secure video from anywhere in Australia.

Choose your appointment Call 02 9680 9644