Op. Dr. İhsan Rua
Longevity & Aesthetic Gynaecology
The content of this page is for information only; for diagnosis and treatment, always consult your doctor.
Last updated: 24 September 2026Site editor: ihsanrua@gmail.com
Healthy Ageing (Longevity)
Menopause & Longevity
Menopause is not only a time of symptoms; it is a time when women’s health is reassessed for the long term and healthy ageing (longevity) is planned.
Topics assessed
- Perimenopause
- Menopause
- Postmenopause
- Assessment of menopausal symptoms
- Hormone treatment counselling
- Bone health
- Cardiometabolic health
- Sexual health
- Sleep and quality of life
- Body composition
- Healthy weight management
- Healthy ageing (longevity)
Limits and evidence
- Hormone therapy is not recommended as a way of preventing chronic disease.1,9
- Hormone therapy does not prevent dementia; when given at the onset of menopause, it has also not been shown to harm cognitive function.11
- Menopause is not a disease; the approach is high-quality information, shared decision-making and empathetic care.8
- Pharmacy-compounded “bioidentical” hormone mixtures are not recommended.1
Health Articles
Healthy ageing for women: Realistic goals for longevity
A sustainable approach that looks at healthy ageing through daily functioning, movement, bone health and personal needs.
What can you discuss at a menopause consultation?
Beyond symptoms: sleep, sexual health, bone health and your quality of life.
Hormone Therapy at Menopause: Who Is It Suitable For? The Current Scientific Approach
Who is menopausal hormone therapy suitable for? The age 60/10-year window, contraindications, the real scale of breast cancer risk and non-hormonal options.
Aesthetic Gynaecology
Genital Aesthetics, Vaginal & Sexual Health
Vaginal health, sexual health and genital aesthetics: function, comfort and quality of life, in privacy and confidence.
Topics assessed
- Vaginal dryness and vaginal health concerns
- Postnatal genital concerns
- Information about genital aesthetic procedures
- Labiaplasty
Limits and evidence
- Vaginal laser: a placebo (sham)-controlled study found no advantage over placebo for menopause-related vaginal symptoms; the FDA has not approved these devices for these purposes. It is discussed after evidence-based first-line treatments, with its limitations explained.3,5
- Labiaplasty: there is wide variation in external genital anatomy and most appearances are normal; the possibility of pain, bleeding, infection, scarring, change in sensation and repeat surgery is explained before the procedure.1
With any surgical or interventional procedure, results may vary from person to person. It is recommended that you obtain a detailed opinion from your doctor before the procedure.
Hospital Partnerships & SurgeryHealth Articles
Vaginal dryness and energy-based procedures: What does the evidence say?
The different causes of vaginal symptoms, the questions to ask during assessment and the limits of the evidence on energy-based procedures such as laser.
Considering genital cosmetic procedures: Expectations, options and risks
A guide to recognising natural differences in genital appearance, understanding the cause of discomfort and discussing the benefits and risks of a possible procedure openly.
What Does the Science Say About Vaginal Laser? Evidence-Based Options for Dryness and Laxity
Vaginal laser was not found to differ from a sham procedure for menopause-related vaginal symptoms; it has no FDA approval. Evidence-based options from guidelines for dryness and laxity.
This information is educational and is not a personal diagnosis or treatment recommendation. Assessment and follow-up are tailored to you during a medical consultation.
At a time that suits you