Early perimenopausal symptom pattern
Women in their early-to-mid 40s starting to notice cycle changes, sleep disruption, or mood shifts.
Menopause Management at Oshun is led by Dr. Charles Rockhead — diagnostic evaluation, individualised treatment plans (hormone therapy when appropriate; non-hormonal options when not), and ongoing care for the years on either side of menopause.
No obligation · Every consultation is in-person with Dr. Rockhead.
Dr. Rockhead
Manages your care personally
In person
Consultation before anything is booked
In writing
Your quote, given at consultation
9 Devon Road
Kingston, Jamaica
No obligation
You decide after the consultation
Questions answered privately
Every procedure at Oshun is reviewed and led by a board-certified Obstetrician and Gynaecologist. Dr. Rockhead is a physician first — the same one who treats women's health on the other side of his practice.
Three decades as a practicing OB/GYN at Amadeo Medical Group, the parent clinical practice. Every Menopause Management plan is reviewed by a physician who has cared for women through pregnancy, surgery, perimenopause, and post-natal recovery.
Every Menopause Management patient leaves consultation with a written plan: areas, technique, timing, recovery, cost. Returning patients refine the same plan rather than starting from scratch every visit.
Oshun's approach favours conservative, considered care over aggressive intervention. Decisions are made in conversation with you, options are presented in plain language, and consent is informed at every step.
Most first-time patients arrive with the same set of unspoken questions. They are answered below in the order most people think them — from "how much will I need" to "what if I'm pregnant."
Menopause management is a comprehensive approach to women's mid-life health that covers vasomotor symptoms, sleep, mood, sexual health, bone health, cardiovascular risk, and weight changes. It combines hormonal therapy (where appropriate), non-hormonal options, lifestyle modification, and screening.
The honest version
Why menopause management sometimes disappoints.
Menopause care disappoints when symptoms are treated piecemeal by different specialists, when HRT discussion is avoided due to outdated risk perceptions, or when long-term health planning is neglected.
Menopause is not just "hot flushes that go away." The hormonal transition reshapes bone metabolism, cardiovascular risk, sleep architecture, mood regulation, sexual function, and weight regulation. Piecemeal care misses the integrated picture.
Patients also tell us they leave standard primary-care visits feeling unheard about symptoms that affect daily quality of life — brain fog, sleep, libido, weight. These are real symptoms with treatable causes.
At Oshun, we don't run that model. Menopause Management here is physician-led from consultation through follow-up, with a written plan in your hands and a follow-up visit on the calendar before you leave.
Every menopause management patient at Oshun is seen by Dr. Rockhead personally. The integration of HRT decisions with broader women's-health management benefits from a single physician who knows your full history.
Dr. Charles Rockhead, Medical Director — Oshun Cosmetic Services, Kingston.
Medical Director · Board-Certified OB/GYN · 30+ years of practice
Dr. Charles Rockhead is a board-certified Obstetrician and Gynaecologist with more than thirty years of practice in Kingston. He is the Medical Director of Oshun Cosmetic Services and the founding physician of Amadeo Medical Group, the parent clinical practice.
A Menopause Management visit at Oshun follows a clear sequence — from consultation through the procedure itself through follow-up. Here is what happens, step by step.
Before any Menopause Management is scheduled, you meet Dr. Rockhead in person at 9 Devon Road. He reviews your medical history, examines you as appropriate, and explains the options — including the option not to proceed. You leave with a clear written plan and a quote.
Bring records of recent mammogram, bone density (DEXA), lipid panel, prior gynaecological care, family history, and current medications.
Dr. Rockhead takes a comprehensive history covering all menopause-relevant symptom domains, performs a focused examination, orders appropriate labs (hormonal, lipid, thyroid, fasting glucose, vitamin D as indicated), and writes a structured management plan.
Follow the prescribed plan. Report breakthrough bleeding, new chest pain or shortness of breath, leg swelling, or any concerning new symptoms. Initial assessment within 6–8 weeks; comprehensive review every 6–12 months. DEXA every 1–2 years.
Vasomotor symptoms respond within 2–4 weeks of starting HRT. Non-hormonal symptom management can take 4–8 weeks.
Menopause Management isn't a one-size category — the right approach depends on your specific situation. Below are common patient profiles we see. If one sounds like you, an in-person consultation at 9 Devon Road is the next step.
Women in their early-to-mid 40s starting to notice cycle changes, sleep disruption, or mood shifts.
Women fully through menopause who want both symptom relief and structured long-term planning.
Women whose ovaries have been removed surgically need targeted hormonal and risk management.
Patients who don't want, can't take, or have decided against HRT still benefit from comprehensive management.
If this sounds right
Every Menopause Management patient at Oshun starts with a consultation. Twenty minutes, in-person at 9 Devon Road, with Dr. Rockhead. No procedure is scheduled, no quote is signed, no pressure either way. You leave with a plan and a price — or you leave with neither.
No obligation · Every consultation is in-person with Dr. Rockhead.
Open any of them. We've written each answer the way Dr. Rockhead would actually say it — not the way a brochure would.
Every testimonial below this line will be a real Oshun patient who wrote it themselves, signed a consent form, and gave permission to use their name. Oshun does not buy reviews, ghostwrite reviews, or publish anonymous five-star strings. Real or nothing.
Menopause is a long transition that responds to comprehensive, individualised management.
No obligation · Every consultation is in-person with Dr. Rockhead.