You Know You鈥檝e Reached Menopause When鈥
Every woman who menstruates eventually experiences menopause. No matter how fit and active you are, menopause happens. Many women misunderstand or even dread menopause. And yet, it鈥檚 part of a woman鈥檚 natural biological process when fertility declines.
Your ovaries make less estrogen and progesterone, which causes some uncomfortable symptoms, but leads to a more mature you.
Menopause officially begins 12 months after your last menstrual period. This is an important milestone for one major reason: If you experience post-menopausal vaginal bleeding, it鈥檚 important to see your doctor as it may indicate a serious medical issue.
When you know the facts about the stages of menopause, you can take a more active role in managing the symptoms that come with it.
Menopause Age鈥擶hat's the Average?
Your hormones can begin decreasing in your 30s and may continue well into your 40s and 50s. This is called perimenopause (or the transition to menopause) for most women.
The average age of menopause for US women is 51. Most women reach this milestone somewhere between ages 45 and 55.
Menopause Symptoms
As your hormones decline, you may experience many physical and emotional changes. Every woman is different, but the common symptoms of menopause include these:
- irregular periods
- vaginal dryness
- hot flashes
- chills
- night sweats
- insomnia
- moodiness
- weight gain and slowed metabolism
- thinning hair
- dry skin
- loss of breast fullness
Don鈥檛 panic. For most women, menopause is a gradual progression and symptoms may come and go. Although menopause can鈥檛 be reversed, there鈥檚 good news: Your doctor can help you navigate these perimenopause symptoms with treatments that are right for you.
PCP vs. Menopause Specialist: Who Should You See First?
Menopause changes your body in many ways. You may have trouble identifying what changes are normal or not鈥攂ut you don鈥檛 need to live with disruptive, uncomfortable menopause symptoms.
Schedule a visit with your primary care provider or your gynecologist first for help navigating this new phase of your life. Seek out a menopause specialist if you feel like your provider didn鈥檛 effectively address your menopause symptoms or questions.
Your provider may refer you to one of our menopause specialists if you have a history of the following conditions:
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Estrogen-sensitive cancer
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Stroke
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Heart attack
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Blood clots
Menopause specialists will ask questions to better understand how your symptoms affect your quality of life. Our specialists are also trained to know if additional testing or treatment may help you.
Talk to your provider if you鈥檙e still experiencing vaginal bleeding after you鈥檝e reached menopause (12 months after your last period), which could be a sign of a more serious condition.
Find a Menopause Specialist
Causes of Menopause
When your ovaries slow their production of estrogen and progesterone, perimenopause begins. Aside from natural aging, the following are other reasons why this decline in hormones might take place:
- Total hysterectomy and bilateral oophorectomy鈥Surgery that removes both your uterus and your ovaries will cause immediate menopause.
- Chemotherapy and radiation therapy鈥Cancer therapies can induce menopause, causing symptoms such as hot flashes during or shortly after the course of treatment.
- Primary ovarian insufficiency鈥Although rare, some women experience early menopause (before the age of 40) due to genetic factors or autoimmune disease.
Menopause Treatment
There is no cure for menopause, but your doctor can help manage many of your symptoms through prescribed treatments, as well as home remedies. You should always talk to your doctor before starting any new treatment, including over-the-counter and herbal remedies.
Some of the most common treatments include:
- Hormone therapy: Helps reduce hot flashes and may prevent bone loss.
- Vaginal estrogen: Relieves vaginal dryness, discomfort during sex, and some urinary symptoms.
- Low-dose antidepressants: Help reduce hot flashes and mood disorders.
- Gabapentin: Help reduce hot flashes.
- Calcium and vitamin D supplements or other osteoporosis treatments: Strengthens bones
- Vaginal lubricants: Increases comfort during sex.
- Incontinence treatments: Various lifestyle changes and medical options for gaining bladder control.
- Herbal and dietary supplements: May relieve hot flashes and other menopausal symptoms.
- Exercise: Stimulates heart and bone health. Maintains healthy weight. Helps with sleep.
- Diet: Helps manage healthy weight.
Postmenopause
Although menopause doesn鈥檛 exactly end, twelve months after your ovaries stop producing eggs and you have no more periods, you are considered postmenopausal. But take heart, menopause symptoms, such as hot flashes, often decrease or even end over the years.
Menopause Society Certified
The has certified all our providers. The Menopause Society is a leading nonprofit organization dedicated to promoting the health and quality of life of all women during midlife and beyond through an understanding of menopause and healthy aging.
