Menopause
The time when periods stop for good, usually between 45 and 55, as hormone levels fall. Symptoms vary and can be managed.
Quick Summary
Hot flushes, night sweats, irregular then stopped periods, mood changes, poor sleep, vaginal dryness and joint aches.
Lifestyle changes, hormone replacement therapy (HRT) for some women, and other medicines for symptoms.
Natural ageing; earlier menopause after surgery to remove ovaries or some cancer treatments.
Overview
Menopause is diagnosed after 12 months without a period. The years before it are called perimenopause.
Lower oestrogen after menopause increases the risk of osteoporosis and heart disease.
Symptoms
Hot flushes
Sudden warmth and sweating.
Night sweats
And poor sleep.
Mood changes
Irritability and low mood.
Vaginal dryness
Discomfort during sex.
Causes & Risk Factors
Biological Causes
Ovaries stop releasing eggs and make less oestrogen and progesterone.
Key Risk Factors
- Age Average around 46–50 in India.
- Surgery Removal of ovaries.
- Medical treatments Chemotherapy or radiotherapy.
Management & Treatment
01. Lifestyle
Exercise, healthy diet, less caffeine and alcohol.
02. HRT
Discuss benefits and risks with your doctor.
03. Bone health
Calcium, vitamin D and exercise.
Frequently Asked Questions
Is bleeding after menopause normal?
Is HRT safe?
Sources and further reading
Last updated 21 October 2026. For more detail, see these trusted health organisations.
- Menopause(opens in a new tab) · MedlinePlus, US National Library of Medicine
- Menopause and perimenopause(opens in a new tab) · NHS