life does not end at menopause.
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The years around menopause bring real, physical changes
Sleep, temperature, mood, focus, comfort — driven by real, measurable biology.
They are also among the most treatable symptoms of perimenopause/menopause in medicine, by hormonal and non-hormonal routes, guided by your history.
NOVV's doctors assess this chapter properly, explain your actual options, and treat what you choose to.
Enduring is still an option.
It's just no longer the only one.
3 minutes. Read by a registered doctor.
3:14am, again —
awake, sweaty, flinging the blanket off
and pulling it back within the minute.
Concentration that vanishes mid-sentence in the meeting you're leading.
A temper you don't recognise — and the family tiptoeing that tells you they've noticed.
Cycles rewriting their own rules after thirty years of punctuality.
The dryness and discomfort down there nobody in this country will say out loud — so we just did.
And every time you mention any of it:
"Normal lah. All women go through it. Endure."
Choose to take back control over your body.
It’s NOVV OR NEVER™
conditions we treat
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One of the most common symptoms — sudden feelings of intense heat, flushed skin, and sweating, usually caused by changing hormone levels affecting the body's temperature control. They last from 30 seconds to five minutes per episode and can be managed through lifestyle adjustments, non-hormonal medicines, or hormone therapy.
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Menopause sleep issues are very common and are mainly caused by changing hormone levels, hot flushes, and night sweats. About 40% to 60% of women have trouble sleeping during this time
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Menopausal brain fog—causing forgetfulness and poor concentration—is a very real, temporary symptom driven by fluctuating estrogen and progesterone levels, poor sleep, and hot flushes. It is not a sign of dementia. Managing it involves prioritizing sleep hygiene, regular aerobic exercise, and potentially hormone therapy (HT
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During menopause and perimenopause, declining estrogen and progesterone levels directly impact brain chemicals like serotonin and dopamine, which regulate mood. This hormonal fluctuation, often compounded by sleep-disrupting hot flushes and stress, can cause intense irritability, mood swings, and a feeling of being emotionally reactive
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Encompasses vaginal dryness, burning, itching, and pain during intercourse.
Near-universal, almost never discussed in Malaysia, and genuinely well-treated — including with local, low-absorption prescription options suitable for many women who can't or don't want body-wide hormone therapy. Here, it's a plain two-minute conversation, not a confession.
Caused by declining estrogen levels after menopause, it thins and inflames delicate tissues. Actionable treatments range from over-the-counter lubricants to prescription vaginal estrogen
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Cycles rewriting their rules after decades of punctuality — heavier, closer, chaotic, or vanishing.
Manageable with doctor-prescribed options after proper red-flag screening.
One line we hold absolutely: any bleeding after menopause goes straight to urgent in-person care, every time. -
The comprehensive extra planning during menopause: bone density, heart and metabolic risk all change with oestrogen's exit.
We assess your risk properly and build the screening calendar for you — in our Longevity room
3 minutes. Read by a registered doctor.
Upload your cycle app data or previous results if you have it — it finally gets read.
Disclaimer:
Some health conditions should be treated only after a face-to-face assessment. If your quiz answers suggest this, we won’t treat you online —we’ll explain why and what to ask a local specialist, so you’re never left guessing.100% online consults led by
MMC-registered doctors.
Trusted by over 2000+ Malaysians
across NOVV Health
Licensed pharmacy dispensing &
medication delivery to doorstep if appropriate*
The Protocol
01.THE INTAKE
A structured intake questionaire written by doctors: about your cycles, symptoms and medical history — asked plainly, including the questions Malaysian clinics skip.
02.THE REVIEW
Speak to our NOVV MMC-registered doctors to review your case via voice or video call. Your choice.
Three outcomes (See below.)
03.THE TREATMENT & TRACKING
Treatment in this chapter is started low, reviewed properly, and adjusted — dose, route and plan revisited at three months and annually after.
Your new stage in life deserves care with a calendar, not a one-off prescription.
The Outcomes
01.TREAT
If your history supports it: doctor-prescribed menopausal treatment through licensed pharmacies — hormonal therapy , matched to your body and risk profile or evidence-backed non-hormonal prescriptions where hormones aren't right or not
your choice
02.INVESTIGATE
Only if the doctor advices it: hormone testing
done via our licensed partner laboratories.
Your doctor will guide you to the best tests
that will inform your treatment.
03.REFER
Should there be any red flags or conditions
that our doctors do not treat via telehealth
(for your safety), you will be guided on the
best path forward for your health.
Often times, this is a referral to the specialist.
Pricing
For perimenopause or menopause
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Understand the changes. Make a plan for what comes next.
A focused, doctor-led assessment for women experiencing new or changing symptoms through perimenopause and menopause.
Structured symptom, cycle and medical-history intake
Review of uploaded cycle-tracking data, blood results and previous reports
Comprehensive consultation with an MMC-registered NOVV doctor via voice or video
Review of your symptoms, personal risk factors and treatment priorities
Personalised lifestyle, screening and treatment recommendations
Blood-test or investigation guidance, where clinically appropriate
Prescription treatment, including hormonal or non-hormonal options, where appropriate*
Dispensing and delivery through NOVV’s licensed partner pharmacy, if prescribed
RM99 per consultation
Book follow-ups only when needed
No membership required
No lock-in period or ongoing commitment -
Continuous care for a changing stage of health.
A long-term, doctor-monitored membership designed to support women throughout perimenopause and menopause—not simply at the point of diagnosis.
Your treatment response, symptoms, risk factors and screening needs are followed over time, allowing your care plan to evolve as your body and priorities change.Everything included in the one-off assessment
Member-only lowered medication pricing through NOVV’s partner pharmacies
A personalised, long-term perimenopause or menopause care plan
Ongoing symptom, cycle and treatment-response monitoring
Structured clinical review every month if needed*
Ongoing prescription and medication-management support, where appropriate*
Treatment and dose adjustments based on symptoms, response and clinical suitability
Review and tracking of relevant blood-test results, where completed
Age- and risk-appropriate screening guidance and reminders
Pharmacy coordination and door-to-door medication delivery, if prescribed
Unlimited out-of-hours administrative support
Access to the NOVV Members’ Digital Hub
Exclusive clinical resources for a smoother treatment journey
Access to selected partner promotions, trials and benefits across fitness, lifestyle, hospitality and food and beverage
Invitations and priority access to selected NOVV events and promotions
Membership at RM79/month.
Auto debited, cancel anytime -
Women experiencing changes in their menstrual cycle or bleeding pattern
Those noticing hot flushes, night sweats, disrupted sleep or fatigue
Women experiencing mood changes, brain fog, reduced libido or vaginal symptoms
Those concerned about changes in weight, skin, hair or body composition
Women who are unsure whether their symptoms may be related to perimenopause
Those considering menopausal hormone therapy or non-hormonal treatment options
Anyone seeking a one-off medical assessment without an ongoing membership
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Women seeking ongoing support through perimenopause or menopause
Those with persistent, changing or multiple menopausal symptoms
Patients using hormonal or non-hormonal prescription treatment who require continued monitoring
Women who may need treatment adjustments as their symptoms or health needs evolve
Those who want structured clinical reviews rather than isolated consultations
Women seeking guidance around midlife screening, bone health, cardiovascular risk and preventive care
Anyone who values continuity with a medical team that already understands their history
Frequently Asked Questions
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That fear traces to one flawed, famous study from twenty years ago; modern guidelines corrected the picture years back.
For many women around the menopause transition, properly prescribed treatment's benefits outweigh its risks.
And for some women it's genuinely not suitable, which is exactly what the assessment establishes. Your numbers, your history, your call.
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Over 45 with a classic pattern: no — international guidelines are explicit that the diagnosis is clinical, and we won't ask you to get blood tests done if unnecessary.
However if you are younger, or an unclear picture: then yes, testing earns its place, and we'll say exactly why. -
Perimenopause routinely starts in the early-to-mid 40s, and the years before the last period are usually the most symptomatic. Weird cycles plus new sleep, mood or temperature changes is precisely the pattern this room reads.
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Then you'll be offered the evidence-based, real non-hormonal options — prescription treatments with genuine evidence for flushes, sleep and mood.
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Our NOVV MMC-registered doctors will, plainly: it's called genitourinary syndrome of menopause, it's near-universal, and local low-absorption prescription options treat it well — including for many women who can't use body-wide hormone therapy.
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In the best interests of your safety :- your care belongs with your specialist team, and we'll say that honestly rather than treat you remotely
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Many women notice the heat and sleep improving within weeks; the full efficacy is judged at the three-month review, where dose and route get managed.
Your mother endured it because nobody offered her anything else.
Options exist now. You no longer have to endure.