Care · By concern

Menopause: a gynecologist sees you in a dedicated consultation, in Paris 16th

Menopause is a natural stage that can weigh heavily: hot flashes (flushes), broken nights, dryness, mood, joints. At the practice, 42 avenue Mozart, 75016 Paris, Dr Chaima Gatri, OB-GYN, devotes a dedicated consultation to this stage of life: she carries out the assessment, explains your options — hormone therapy, local treatments, non-hormonal alternatives — and builds with you the one that fits your situation, in line with current guidelines. English-speaking practice.

Updated on 2 October 2026

Recognizing it

Menopause, perimenopause: what changes

Menopause is the permanent end of periods, confirmed after twelve months without bleeding, most often around the age of fifty. The years leading up to it — perimenopause — are often the most uncomfortable: irregular cycles, heavy periods, first symptoms.

Every woman experiences this stage differently. What matters is the impact on your life — and that is what the consultation measures first.

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The consultation

Dedicated time, a complete assessment

The menopause consultation is a time apart: your symptoms and their impact, your personal and family history, a gynecological examination, the screening smear test if it is due, and a pelvic ultrasound performed at the practice during the consultation. Dr Gatri then prescribes the work-up relevant to your situation — mammogram, blood tests, bone density measurement depending on the case — and sets out your options. Bleeding after menopause is always investigated, at the practice: ultrasound, then diagnostic hysteroscopy if necessary.

Dr Gatri also sees patients referred by their gynecologists and general practitioners for menopause care, particularly when hormone therapy is being considered.

Follow-up continues over time: a yearly consultation reviews your symptoms, your treatment if you have one, the smear test and mammogram at the recommended dates, and bone density when indicated.

Treatments

Hormonal, non-hormonal, local: the options

  1. Menopausal hormone therapy — It acts on hot flashes and the disturbances that come with them. It is offered when symptoms affect quality of life, after checking for contraindications, at the lowest effective dose, and reviewed with you every year. It is based on estrogens (oestrogens), combined with a progestogen when the uterus is in place, prescribed according to current guidelines.
  2. Local treatments — for dryness and urinary discomfort: low-dose local estrogens, moisturizers and lubricants; prescribed alone or in addition, including for women who cannot or do not wish to take systemic hormones.
  3. Non-hormonal options — certain non-hormonal medications for hot flashes, and the lifestyle measures that genuinely count: physical activity, sleep, diet, stopping smoking.
  4. Gynecological laser — for vaginal dryness and intimate discomfort, as a non-hormonal option or as a complement, at the practice: three 30-minute sessions with the Fotona IntimaLaser, under local anesthesia (anaesthesia). For urinary leaks appearing at this time of life, pelvic floor rehabilitation is offered first.

The menopause information document of the French Menopause Study Group (GEMVI) is given to you at the consultation: menopause information sheet.

Frequently asked questions

Your questions, our answers

When should I consult?

As soon as symptoms bother you — even before your periods stop. Perimenopause can be treated too, and it is often the most uncomfortable period.

Is hormone therapy dangerous?

It has benefits and risks, which depend on your age, your history and the type of treatment. Current guidelines reserve it for women whose symptoms affect quality of life, without contraindications, at the lowest effective dose, with a review every year. It is a shared decision, made with you after the assessment.

How long does treatment last?

The duration is decided with you: as long as the benefit prevails and you wish to continue, with a review every year. Stopping is done together, gradually.

Can I do without hormones?

Yes. Non-hormonal treatments exist for hot flashes, local treatments relieve dryness, laser is a hormone-free option for intimate discomfort, and lifestyle genuinely matters. The consultation is precisely there to choose.

What can be done about dryness and pain during intercourse?

These discomforts can be treated. Local estrogens, moisturizers, gynecological laser — several options, alone or combined, are discussed at the consultation.

Is bleeding after menopause serious?

In the great majority of cases the cause is benign — and it is always investigated: ultrasound at the practice, then diagnostic hysteroscopy if necessary, in the same place.

Is it covered by health insurance?

In part. The consultation, the ultrasound and the prescribed tests are partly covered by the French health insurance (Assurance maladie). The practice applies direct billing to the French national health insurance (tiers payant): with an up-to-date carte Vitale, you do not pay that part upfront. What remains payable by you includes the excess fee (dépassement d'honoraires), which may be reimbursed by your complementary insurer (mutuelle), depending on your policy. Hormone treatments are medications reimbursed under the rules in force. For laser procedures, coverage depends on the indication; the quotation given at the consultation specifies it. The full picture is in “Fees and reimbursement”, further down.

How do I book?

On Doctolib, with Dr Gatri, choosing the menopause consultation, or by telephone through the secretariat.

Fees

Fees and reimbursement

Fee: laser session €350, at the practice, with no anesthesiologist and no clinic charges. All fees: Fees.

Appointments

Book an appointment

Appointments can be booked online via Doctolib or by telephone through the secretariat.

Book an appointment on Doctolib