The menopause is when a woman stops having periods and is no longer able to get pregnant
naturally. Periods usually start to become less frequent over a few months or years before they
stop. Sometimes they can stop suddenly. The menopause is a natural part of ageing. It usually
happens between 45 and 55 years of age as a woman’s oestrogen levels decline. The average
age for a woman to reach the menopause is 51. But around 1 in 100 women experience the
menopause before 40 years of age. This is known as premature or early menopause or
premature ovarian insufficiency. Get in contact now to book your appointment with one of
our female GPs.
Symptoms of the menopause
Most women will experience menopausal symptoms. Some of these can be severe and
have a significant impact on your everyday activities.
Common symptoms include:
• hot flushes
• night sweats
• vaginal dryness and discomfort during sex
• difficulty sleeping
• low mood or anxiety
• reduced sex drive (libido)
• problems with memory and concentration
Menopausal symptoms can begin months or even years before your periods stop. They can
last around 4 years after your last period. Some women have them for much longer. A
significant number of women can develop urinary incontinence after the menopause, for
which treatment is also possible.
When to contact your GP
Talk to your GP if:
• you have menopausal symptoms that are troubling you
• you’re experiencing symptom before 45 years of age
Your GP can usually confirm if you’re menopausal based on your symptoms. If you are under
45, they may take a blood test to check your hormone levels.
Treatments for menopausal symptoms
Your GP can recommend treatments and lifestyle changes if you have severe menopausal
symptoms.
These include:
• hormone replacement therapy (HRT) – tablets, skin patches, gels and implants that relieve
menopausal symptoms by replacing oestrogen
• vaginal oestrogen creams, lubricants or moisturisers for vaginal dryness
• cognitive behavioural therapy (CBT) – a type of talking therapy that can help with low
mood and anxiety
• eating a healthy, balanced diet and exercising regularly can improve some menopausal
symptom