This is a natural biological process that reflects the cessation of ovarian activity, which typically occurs between the ages of 45 and 55, with menopause usually occurring around age 50.

The most common early symptoms and signs of menopause are sweating, hot flashes, poor sleep or insomnia, depression, headaches, anxiety, irritability, and daytime fatigue.

If the symptoms are severe and significantly impair quality of life, we can help with hormone replacement therapy, where the natural hormone estradiol is sprayed onto the skin of both forearms, and the uterus is protected either with the Mirena medicated intrauterine device or by prescribing gestagen therapy (tablets or vaginal capsules) according to a schedule. We can also prescribe medications in tablet form that contain both hormones.

Women’s well-being is also significantly influenced by proper nutrition rich in vitamin D, moderate physical activity, and relaxation techniques (massage, sauna, acupuncture, meditation).

Other symptoms of menopause include decreased metabolism followed by weight gain, trophic changes in skin and hair, thinning of the vaginal mucosa resulting in vaginal dryness, and decreased libido.

Late symptoms of menopause include decreased bone density (osteopenia, osteoporosis) and genitourinary syndrome of menopause (including urinary incontinence).