The menopause, also known as the ‘change of life’ is marked by the ending of menstruation. The cessation of ovulation and menstrual cycle marks the end of a woman’s childbearing years. It occurs between the ages of 45 and 50, although in some cases it can happen as late as the age of 60 and as early as the age of 40 (or earlier). 

Menopause is a natural occurrence in a woman’s life, just like puberty, and should not be considered an illness or disease.

The transition into menopause is called pre menopause. This change can last anywhere to a few months to four years. It has been shown that the bodily changes associated with menopause are related to a wide variety of illnesses affecting women, including osteoporosis, heart disease, breast cancer and ovarian cancer.

The cause is the decrease in hormone production by the ovaries (estrogen and progesterone). A woman is born with a finite number of eggs stored in the ovaries. These eggs are released on a regular cycle during her childbearing years. Her hormone levels begin to drop in her late 30s, and the remaining eggs in the ovaries are less likely to be fertilized.

Menstrual cycles can occur without ovulation taking place as the menopause approaches. For this reason, pregnancy is very rare after 50. A woman’s period do not stop suddenly, although hormone level continue to drop during the post-menopausal period, these hormones do not disappear completely.

As most women approach menopause, their menstrual becomes irregular-they happen close together and/or further apart. Symptoms are hot flashes, flushed face, vagina dryness, sweating, headache, palpitations, irregular periods, joint pain, weight gain, beginnings of osteoporosis, depression, anxiety, irritability, lack of concentration, mood swings, sleep disorder, lack of confidence, increase emotional sensitivity, crying for no apparent reason, forgetfulness and social withdrawal, changes in sexual desire, insomnia, night sweats and conditions commonly associated with PMS.

A woman may have one, some, or none of these symptoms. Symptoms can be unpredictable and disturbing if a woman doesn’t know they are related to menopause. A woman’s experiences during menopause may also be influenced by other changes like: children leaving home, changes in domestic, social, and personal relationships, changes in identity and body image, divorce or widowhood, retirement, increased anxiety about illness, aging, and death, loss of friends, loved ones, and financial security, increased responsibility for aging parents, anxiety about loss of independence, disability, or loneliness.

Hot flashes are sudden or mild waves of upper body heat that last from 30 seconds to five minutes. They are caused by rapid changes in hormonal levels in the blood. Hot flashes can start with a tingling sensation in fingers or rapid heartbeat. Skin temperatures rapidly rise from the chest to the face and may cause facial redness and sweating. Seventy-five out of 100 women experiencing pre menopause have hot flashes. Half have one each day. Twenty out of hundred women have more than one day. Ten out of 100 women have up to five years after menopause. They are very uncommon after that. Hot flashes happening during sleep may include drenching sweats that can soak the bedding. These are night sweats.

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