Menopause
Definition
Menopause is the permanent end of menstruation and fertility, defined as occurring 12 months after your last menstrual period.
Menopause is a natural biological process, not a medical illness. Even so, the physical and emotional symptoms of menopause can disrupt your sleep, sap your energy and — at least indirectly — trigger feelings of sadness and loss.
Hormonal changes cause the physical symptoms of menopause, but mistaken beliefs about the menopausal transition are partly to blame for the emotional ones. First, menopause doesn’t mean the end is near — you’ve still got as much as half your life to go. Second, menopause will not snuff out your femininity and sexuality. In fact, you may be one of the many women who find it liberating to stop worrying about pregnancy and periods.
Most important, even though menopause is not an illness, you shouldn’t hesitate to get treatment if you’re having severe symptoms. Many treatments are available, from lifestyle adjustments to hormone therapy.
Symptoms
Technically, you don’t actually “hit” menopause until it’s been one year since your final menstrual period. In the United States, that happens about age 51, on average.
The signs and symptoms of menopause, however, often appear long before the one-year anniversary of your final period. They include:
- Irregular periods
- Decreased fertility
- Vaginal dryness
- Hot flashes
- Sleep disturbances
- Mood swings
- Increased abdominal fat
- Thinning hair
- Loss of breast fullness
When to see a doctor
It’s important to see your doctor during the years leading up to menopause (perimenopause) and the years after menopause (postmenopause) for preventive health care as well as care of medical conditions that may occur with aging.
If you’ve skipped a period but aren’t sure you’ve started menopause, you may want to see your doctor to determine whether you’re pregnant. He or she may take a medical history, do a pelvic examination and, if appropriate, order a pregnancy test.
Always seek medical advice if you have bleeding from your vagina after menopause.
