Menopause care in the Hills that actually listens.
Perimenopause and menopause can touch almost every part of life, from sleep and mood to focus, joints and intimacy. At Rosedale, you see an unhurried menopause GP in West Pennant Hills, in person with bloods on site, or by telehealth anywhere in NSW.
Dr Natasha Paul
Specialist GP · Leads menopause care
Tue · Thu · rotating SatA whole-person approach to perimenopause, menopause and midlife health, with evidence-based guidance on hormonal and non-hormonal options.
Book in person · 40 minutes→ Prefer video? Book telehealth with Dr Paul
Dr Priya Ashwath
GP · Perimenopause, menopause & ADHD
Video · anywhere in NSWA special interest in perimenopause, menopause and ADHD: ideal if your hormones and focus are shifting together.
Book telehealth · 40 minutes→ About Dr AshwathYour first 40-minute menopause consultation: $330, in person or by video, with a Medicare rebate of $128.35 back. Your gap: $201.65. Telehealth is rebate-eligible 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. Every fee is published on our fees page. Not sure who to book with? Call 02 9680 9644.
More than hot flushes, and we know it.
Perimenopause, the years of hormonal change before your final period, can begin in your early forties, sometimes sooner. Symptoms come and go, which is why they are so often put down to stress, ageing or a busy life.
- Cycle changes, from irregular or heavier periods to skipped months
- Hot flushes and night sweats that disrupt sleep and days alike
- Mood, anxiety and low motivation, including changes that feel unlike you
- Brain fog, memory and focus, sometimes overlapping with ADHD
- Sleep difficulty and fatigue that rest does not fix
- Joint aches, weight and metabolism shifts
- Vaginal dryness and changes to intimacy, discussed with care
- Bone and heart health, which deserve attention at this stage of life
Not sure whether this is you? Work through our perimenopause symptoms checklist, then bring what you notice to your appointment. If broken sleep is the worst of it, our guide to night sweats and the 3am wake-up goes deeper.
You are not imagining it
If you have been told your bloods are "normal" but you still do not feel yourself, that does not mean nothing is happening. Menopause is a clinical diagnosis based on your age, symptoms and history, not a single blood test.
Care that meets your stage.
Care looks different depending on the stage. We meet you where you are.
The years of fluctuation
Symptoms that come and go while periods continue. We help you make sense of it and manage the disruption, often before it takes over.
Twelve months on
Once periods have stopped for a year, we focus on symptom relief and your options, including menopausal hormone therapy where suitable.
When it comes sooner
Menopause before 45, or after surgery or treatment, needs particular care for bone and heart health. We support you through it.
Your options, without the fixed script.
Menopausal hormone therapy (MHT), still widely known as HRT, is the most effective treatment for many menopausal symptoms, and for suitable women the benefits often outweigh the risks. It is not right for everyone, and it is not the only path.
| Approach | What it involves | Often considered for |
|---|---|---|
| Menopausal hormone therapy (MHT / HRT) | Oestrogen, with progesterone if you have a uterus, as patches, gels, sprays or tablets | Hot flushes, night sweats, sleep, mood and bone protection |
| Vaginal (local) oestrogen | Low-dose treatment used locally | Dryness, discomfort and urinary symptoms |
| Non-hormonal options | Certain medicines and targeted strategies | Women who cannot or prefer not to use MHT |
| Lifestyle and preventive care | Sleep, movement, nutrition, bone and heart health review | Everyone, alongside any other treatment |
Decided together
Any decision about hormone therapy is made together, after reviewing your history and any risks. No pressure and no fixed script, just clear information so you can choose with confidence.
When menopause and ADHD collide.
Falling oestrogen affects the same dopamine systems involved in attention. Many women first notice focus and memory changes in perimenopause, or find an existing ADHD diagnosis harder to manage.
Both, in one plan
Rosedale's GPs work across menopause care and NSW-authorised ADHD continuation prescribing, so hormones and attention are looked at together, not in separate silos.
The oestrogen and dopamine link
Why the change can unmask or amplify attention difficulties, explained plainly. Read our guide to ADHD and perimenopause.
Already diagnosed with ADHD?
Dr Paul and Dr Ashwath are NSW-authorised ADHD continuation prescribers for adults. See our ADHD continuation care page for eligibility and fees.
Read more: ADHD and perimenopause, the oestrogen and dopamine link · ADHD continuation care at Rosedale
Care a phone app can't deliver.
Online-only menopause services have their place. We simply think midlife health deserves a doctor who can examine you, test you and know you, close to home.
Bloods and checks, same visit
Pathology collection is inside our West Pennant Hills practice, with blood pressure and physical examination part of the visit. No separate trips, no chasing forms.
Midlife health, joined up
Bone density referrals, heart health, iron infusions, cervical screening, mental health and weight: managed alongside your menopause plan, in one record.
A GP who knows you
The same doctor reviews how you respond and adjusts the plan over time. Your care lives in your GP record, not in a separate app.
What to expect when you come in.
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1
Book a longer consult
Menopause deserves time. We book a 40-minute first appointment so nothing is rushed.
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2
Tell your story
Your symptoms, history and what matters to you. Every symptom is on the table.
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3
Understand the options
We explain what will and will not help, and agree a plan together, with any tests if needed.
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4
Review and adjust
We follow up, see how you are responding and fine-tune as your body settles.
Clear fees. No surprises.
Every fee published, including the Medicare rebate and your real out-of-pocket gap, before you book.
Menopause consultation fees
Effective 2026 · Private billing
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First menopause consult, in person40 minutes · West Pennant Hills$330$128.35$201.65
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First menopause consult, telehealth40 minutes · video · anywhere in NSW$330$128.35, see note$201.65
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Review consult20 to 23 minutes · ongoing care$187$87.10$99.90
Columns: our fee · Medicare rebate · your gap. Telehealth attracts a Medicare rebate 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. Longer or more complex consults are quoted on our fees page.
Before you book.
The questions women ask most, answered up front.
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.
What does it cost?
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.
Feel like yourself again.
Book a longer menopause consult with a GP who takes it seriously, close to home.
This page is general information only and is not a substitute for individual medical advice. Any treatment, including menopausal hormone therapy, is decided with your GP based on your personal circumstances. Rosedale Medical Practice, Ground Floor, 70 Castle Hill Road, West Pennant Hills NSW 2125. Caring for the Hills since 1997.