Menopause is More Than Just Hot Flashes: 10 Surprising Facts Your Gynaecologist Wants You to Know

By Dr. Col (Dr) Surendra Ramamurthy
April 01, 2025 | 09:00 PM IST

Menopause is a natural phase in a woman’s life, yet many aspects of it remain misunderstood. Beyond the well-known symptoms, there are several lesser-known facts that can help women navigate this transition with confidence.

Here are 10 important things you might not know about menopause:

1. Phases of Menopause:

Menopause is not a single event but occurs in stages: perimenopause (the transitional phase leading up to menopause), menopause (the cessation of menstrual periods for 12 consecutive months), and postmenopause (the years following menopause).

2. Age Range:

While the average age for menopause onset is around 51, it can occur anytime between the ages of 45 and 55. Some women may experience early menopause due to genetics, medical conditions, or surgical interventions, such as a hysterectomy.

3. Variety of Symptoms:

Menopause can bring a wide range of symptoms beyond hot flashes and night sweats, including mood swings, anxiety, difficulty concentrating, joint pain, and changes in libido. Each woman’s experience can vary significantly.

4. Cognitive Changes:

Some women may experience cognitive changes during menopause, including memory lapses and difficulty concentrating. These changes are often temporary and may be linked to hormonal fluctuations.

5. Weight Gain:

Hormonal changes during menopause can lead to weight gain, particularly around the abdomen. A decrease in estrogen levels can affect metabolism and fat distribution, making it important for women to adopt a healthy lifestyle to manage weight.

6. Bone Health Risks:

Decreased estrogen levels can lead to a reduction in bone density, increasing the risk of osteoporosis. Women are encouraged to engage in weight-bearing exercises, consume adequate calcium and vitamin D, and consider bone density screenings.

7. Vaginal Health Changes:

Many women experience vaginal dryness and discomfort due to decreased estrogen levels, which can affect sexual health. Lubricants and vaginal moisturizers can help alleviate these symptoms, and there are medical treatments available as well.

8. Heart Health Awareness:

The risk of heart disease increases after menopause due to changes in hormone levels and other risk factors, such as weight gain and increased blood pressure. Women should prioritize heart health through lifestyle modifications and regular check-ups.

9. Impact on Sleep:

Hormonal changes during menopause can disrupt sleep patterns, leading to insomnia and poor sleep quality. Strategies such as establishing a regular sleep routine, creating a comfortable sleep environment, and managing stress can help.

10. Support and Resources:

Many resources are available to help women navigate menopause, including support groups, educational materials, and healthcare providers specializing in menopausal health. Open discussions about symptoms and concerns can lead to better management and support.

Understanding these aspects of menopause can help women prepare for and navigate this life stage more effectively, promoting overall well-being and quality of life.

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