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Menopause: Symptoms, Causes, and Treatment Options

Menopause marks the end of menstruation but brings physical and emotional changes. Learn about its symptoms, causes, and treatments—from HRT to lifestyle tips—for a smoother transition.

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Written by Dr. J T Hema Pratima

Reviewed by Dr. Md Yusuf Shareef MBBS

Last updated on 25th Aug, 2025

Menopause is a natural phase in a woman’s life that marks the end of her menstrual cycles and fertility. While it is a normal part of aging, the symptoms and changes can sometimes feel overwhelming. Understanding menopause, its symptoms, causes, and treatment options, can help you navigate this transition with confidence and ease.

What is Menopause?

Menopause occurs when a woman hasn’t had a menstrual period for 12 consecutive months, typically between the ages of 45 and 55. It happens because the ovaries stop producing as much estrogen and progesterone, the hormones responsible for regulating menstruation and fertility.

Menopause is divided into three stages:

1. Perimenopause: The transitional phase before menopause when hormone levels begin to decline, leading to irregular periods and symptoms like hot flashes.

2. Menopause: Officially confirmed after 12 months without a period.

3. Postmenopause: The years following menopause, where symptoms may ease but long-term health risks (like osteoporosis) may increase.

Common Symptoms of Menopause

Every woman’s experience with menopause is different, but some common symptoms include:

  • Hot flashes & night sweats: Sudden warmth, flushing, and sweating, often disrupting sleep.

  • Irregular periods: Cycles may become shorter, longer, heavier, or lighter before stopping completely.

  • Mood swings & anxiety: Hormonal changes can affect emotions, leading to irritability or sadness.

  • Vaginal dryness: Reduced estrogen can cause discomfort during intercourse.

  • Sleep disturbances: Night sweats and hormonal shifts may lead to insomnia.

  • Weight gain & slowed metabolism: Hormonal changes can make it harder to maintain weight.

  • Memory & concentration issues: Some women experience "brain fog."

  • Thinning hair & dry skin: Lower estrogen levels affect skin elasticity and hair growth.

What Causes Menopause?

Menopause is a natural biological process, but certain factors can influence its timing:

1. Age: Most women reach menopause between 45-55, with the average age being 51.

2. Ovarian surgery: Removal of ovaries (oophorectomy) causes immediate menopause.

3. Chemotherapy or radiation: Cancer treatments can trigger early menopause.

4. Primary ovarian insufficiency: Some women experience menopause before 40 due to genetic or autoimmune conditions.

How Does Menopause Affect Health?

After menopause, the drop in estrogen increases the risk of certain health conditions, such as:

  • Osteoporosis: Weaker bones due to decreased bone density.

  • Heart disease: Lower estrogen may raise cholesterol and blood pressure.

  • Urinary incontinence: Weakened pelvic muscles can cause leakage.

  • Weight gain: Metabolism slows, making weight management harder.

Treatment & Management Options

While menopause is unavoidable, several treatments and lifestyle changes can help manage symptoms:

1. Hormone Replacement Therapy (HRT)

  • What it does: Replaces estrogen (and sometimes progesterone) to relieve hot flashes, vaginal dryness, and bone loss.

  • Considerations: Not suitable for everyone, discuss risks (like blood clots) with your doctor.

2. Non-Hormonal Medications

  • Antidepressants (SSRIs/SNRIs): Can help with mood swings and hot flashes.

  • Gabapentin: Used for night sweats and sleep issues.

  • Vaginal estrogen creams: Help with dryness and discomfort.

3. Lifestyle Changes

  • Healthy diet: Eat calcium-rich foods (dairy, leafy greens) for bone health, and include phytoestrogens (soy, flaxseeds).

  • Regular exercise: Strength training helps bones, while yoga reduces stress.

  • Stay hydrated: Helps with dryness and bloating.

  • Limit triggers: Reduce caffeine, alcohol, and spicy foods to minimize hot flashes.

  • Quit smoking: Smoking worsens symptoms and increases health risks.

4. Alternative Therapies

  • Acupuncture: May reduce hot flashes and improve sleep.

  • Herbal remedies: Black cohosh and evening primrose oil may help, but consult a doctor first.

When to See a Doctor?

If menopause symptoms are severe or affecting your quality of life, consult a healthcare provider. Also, seek medical advice if:

  • You experience bleeding after menopause.

  • Symptoms like depression or anxiety become unmanageable.

  • You’re considering HRT or other treatments.

Final Thoughts

Menopause is a natural transition, but that doesn’t mean you have to suffer through it. With the right knowledge and support, you can manage symptoms effectively and maintain a healthy, active life. If you need personalized advice, consider booking a consultation with a specialist through Apollo 24|7 for expert guidance tailored to your needs.

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