New Delhi, Aug. 16 -- Bengaluru-based Elaine Dsouza, 47, was in her late 30s when she underwent a hysterectomy because of a family history of uterine cancer and fibroids. When Gurugram-based Preeti S, now 60 and the head of a travel company, began menopause at 55, she experienced poor sleep, brain fog and fatigue. These are experiences most women going through menopause and perimenopause can relate to, but most medical professionals and policymakers view them as just an inevitable part of ageing rather than a health transition that requires support.

There are the beginnings of change, though. In January, Maharashtra launched menopause clinics in government hospitals for screening of bone, heart and hormonal health as well as medical and ...