The menopause transition typically occurs between the ages of 45 and 55, with the average age being around 51. There are 3 stages of menopause that women will experience:  

1. Perimenopause: The transition period leading up to menopause, which can last several years. Hormone levels fluctuate, and menstrual cycles become less predictable. 
   2. Menopause: The point at which a woman has not had a menstrual period for 12 consecutive months. 
   3. Postmenopause: The stage which hormone levels remain low and periods have ceased. 

During these 3 stages there are many symptoms of varying intensity and frequency that may occur. These include: 
Hot Flashes: Sudden feelings of heat, often accompanied by sweating and flushing. 
Night Sweats: Hot flashes that occur during sleep. 
Vaginal Dryness: Decreased estrogen levels can cause vaginal dryness, itching, and pain during sex. 
Mood Changes: Mood swings, irritability, depression, and anxiety are common during menopause. 
Sleep Disturbances: Difficulty sleeping or insomnia can occur due to hot flashes, night sweats, or other symptoms. 
Weight Gain: Many women experience weight gain during menopause, particularly around the midsection due to a loss of lean muscle mass and a decrease in metabolic rate. 
Changes in Menstrual Cycle: Irregular periods, heavier or lighter bleeding, and changes in menstrual flow can occur during perimenopause. 

 
Due to the drop in hormones, there are several health considerations to discuss with your provider. These include 

• Bone health: decreased estrogen levels can lead to bone loss resulting in osteoporosis. 
• Heart health: increased risk of heart disease due to changes in cholesterol levels and blood pressure. 
• Vaginal health: dryness contributing to pain with sex and urinary health.  
• Mental health: increased risk of depression, anxiety, and other mental health concerns.  

There are several treatment options that your provider might recommend to help you through your menopausal transition and postmenopause. 
1. Hormone Replacement Therapy (HRT): Medications that replace estrogen and progesterone to alleviate symptoms. 
2. Non-Hormonal Medications: Prescription medications that can help manage hot flashes, vaginal dryness, and other symptoms. 
3. Lifestyle Changes: Maintaining a healthy diet, exercising regularly, getting enough sleep, and managing stress can help alleviate symptoms. 
4. Alternative Therapies: Acupuncture, herbal supplements, and other alternative therapies may also be effective in managing menopause symptoms. 
 
It’s essential for women to discuss their symptoms and health concerns with their healthcare provider to determine the best course of treatment and maintain optimal health during menopause. Call our office today to schedule a consultation.