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Women's Health: Dr. Željka Josić and Dr. Neva Gatin Discuss the Challenges of Perimenopause and Osteoporosis

23. February 2026.Blog, Insights

In the world of women’s health, perimenopause and menopause have for too long remained topics discussed quietly, often accompanied by a sigh and the phrase: “It’s normal, it will pass.” At Polyclinic Alabdulla, we believe that “normal” should never mean a reduced quality of life. During an event held at our clinic, our specialists, Dr. Željka Josić and Dr. Neva Gatin, addressed key questions surrounding this stage of life, emphasizing that modern medicine offers far more than simply waiting for symptoms to disappear.

More Than Hormones: How to Recognize the Early Signs?

Perimenopause can begin years before menopause itself, and symptoms are often subtle and easily attributed to stress or fatigue. Dr. Željka Josić, specialist in gynecology and obstetrics, highlights the importance of recognizing the earliest signs:

Changes in the menstrual cycle: Not only missed periods, but also unusually shortened or prolonged cycles.
Emotional fluctuations: Sudden anxiety, irritability, or sleep disturbances.
Physical changes: Hot flashes, night sweats, or changes in libido.

“Today, we no longer approach perimenopause as something women simply have to endure, but rather as a condition that can be actively managed. Modern treatment options — from personalized hormone replacement therapy to targeted nutritional support and lifestyle modifications — enable women to remain productive and maintain a high quality of life,” emphasizes Dr. Josić.

The Silent Risk: Osteoporosis and Bone Health

While visible symptoms often attract the most attention, important changes are also taking place within the body — changes that may remain unnoticed until complications occur. Dr. Neva Gatin highlights the importance of bone health during this stage of life.

Declining estrogen levels directly affect bone density and may contribute to the development of osteoporosis. The encouraging news is that osteoporosis can often be prevented.

Early diagnostics: Screening and bone density measurements are essential preventive steps.
Active prevention: Proper calcium and vitamin D intake, combined with targeted strength exercises, form the foundation of maintaining strong bones.

The Impact of Hormones on Women’s Heart Health

Hormonal changes do not only affect the ovaries and bones — they are also closely linked to cardiovascular health. Dr. Gatin explains that entering perimenopause can lead to changes in fat metabolism and blood pressure regulation.

When is the right time for a more detailed evaluation?

As soon as you notice the first symptoms of perimenopause, it is advisable to assess lipid levels, blood pressure, and blood glucose levels. Prevention remains one of the most effective tools available for maintaining long-term heart health and overall wellbeing.

Why Choose Polyclinic Alabdulla?

At our clinic, we offer more than medical examinations — we provide a partnership in your health journey. We understand that every woman is unique and that her experience through menopause requires an individualized approach.

Whether through gynecological consultations with Dr. Josić or preventive assessments recommended by Dr. Gatin, our goal is to provide support grounded in science, expertise, and compassionate care.

Do not wait for symptoms to dictate the pace of your life. Book your appointment and take control of your health today.

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