Case Study; A.K.A, Oman, May 2025

Meet Asiya K., one of our 50-year-old patients, who has been a Medi-Gyn patient for just an over 2-month period. Asiya has come to Medi-Gyn with a complaint of burning sensation and the urge to pee frequently while having intercourse. She told us she was always a happy lady until recently, when she experienced mood swings that made her feel sad and anxious all the time. Based on her age and primary complaint, we immediately knew she was in perimenopause.

What is Perimenopause?

Perimenopause is a transitional phase before menopause that is characterised by hormonal changes, including a decline in oestrogen levels. One of the classic signs of perimenopause is hot flashes, mood swings and vaginal and bladder problems.

Asiya’s Symptoms

While her chief complaint was difficulty in having intercourse, on probing, Asiya told our expert other symptoms that she was experiencing in her daily life. These included:

• Fatigue
• Brain fog
• Weight management issues
• Feeling sad often

Our Solution

At Medi-Gyn, we understand the delicate nature of this transitional phase and the importance of personalised care during this time. Our hormone expert recommended a few tests to assess Asiya’s hormone levels.

The initial tests revealed

• TSH at 9.44, indicating significant thyroid dysfunction and hormone imbalance:
• Testosterone at 0.032 (below the reference range)
• Estradiol at 46.8
• Follicle Stimulating Hormone (FSH) at 15.3

While Asiya was in perimenopause, her test results also indicated she had hypothyroidism (underactive thyroid)

At Medi-Gyn, we don’t just treat numbers in your lab tests, but we incorporate the whole body approach treating you as a whole instead of some individual parts of your body.

Based on these lab tests, after having had a consultation with a doctor, we recommended:

• A 2-month Bioidentical Hormone Replacement Therapy (BHRT) Protocol
• A 2-month prescription of lifestyle changes, including diet, exercise and supplements

Results

Just after mere 2 months of Personalised Hormone Balancing Protocol, we were able to balance Asiya’s hormonal levels. There was a dramatic improvement in her hormone levels, which translated to real-life benefits:

In addition to the above hormones, Asiya’s progesterone and DHEA markers were also improved and balanced.

Overall, achieving hormonal balance translated into the following benefits for Asiya:

• Restored energy and mental clarity
• Improved metabolism
• Better weight management
• Enhanced overall quality of life

Today, Asiya is better equipped to navigate menopause symptoms with our team at Medi-Gyn and is enjoying her life to the fullest.