Guiding you through every phase.
Perimenopause
Hormone changes begin – irregular periods, hot flashes, mood changes.
Menopause
12 months without a period.
Postmenopause
The stage after menopause often accompanied by symptoms that persist.
No two menopause journeys are the same. Symptoms can start years before your period ends and may last long after. Understanding what you’re feeling is the first step to feeling better.
Hot flashes are sudden feelings of intense heat, typically felt in the upper body, particularly the face, neck, and chest. They are one of the most common symptoms of menopause and perimenopause, caused by changes in hormone levels—primarily a drop in estrogen.
Hot flashes occur when a decrease in estrogen levels affects the brain’s temperature regulation, causing blood vessels to dilate suddenly. This results in a quick release of heat, leading to the sensation of warmth and sweating.
While hot flashes are common, they can vary in intensity and duration. If they significantly impact your daily life, consult a healthcare provider for personalized solutions.
Sleep problems during menopause are common and often caused by hormonal changes, particularly the decline in estrogen and progesterone levels. These hormones play a role in regulating sleep, so their decrease can lead to issues like insomnia, difficulty staying asleep, or poor sleep quality.
Hot flashes and night sweats, which are also linked to hormonal fluctuations, frequently disrupt sleep by causing sudden awakenings and discomfort. Stress, mood changes, and anxiety during this time can further contribute to sleep disturbances.
Solutions include lifestyle adjustments, such as maintaining a consistent sleep schedule, managing room temperature, and reducing stress, as well as treatments like hormone therapy or non-hormonal remedies to alleviate symptoms.
Irregular bleeding during menopause refers to changes in menstrual patterns as a woman transitions through perimenopause, the stage leading up to menopause. Hormonal fluctuations, particularly declining estrogen and progesterone levels, can cause periods to become unpredictable—shorter, longer, heavier, or lighter than usual.
While irregular bleeding is common during this phase, extremely heavy bleeding, spotting after periods have stopped for 12 months, or bleeding after intercourse should be evaluated by a healthcare provider, as it may indicate other medical conditions.
Treatment depends on the cause and may include hormone therapy, medications, or other interventions to manage symptoms and ensure overall health.
Weight gain and bloating during menopause are common symptoms caused by hormonal changes, particularly a decline in estrogen levels. These shifts can slow metabolism, alter fat distribution (leading to more fat around the abdomen), and affect digestion, contributing to bloating.
Other factors, like reduced muscle mass, increased stress, and lifestyle changes, can also play a role in menopausal weight gain. Bloating may be exacerbated by water retention, changes in gut health, or dietary triggers.
Managing these symptoms often involves regular exercise, a balanced diet, stress reduction, and, in some cases, hormone therapy or other medical interventions.
Cardiovascular changes during menopause are linked to declining estrogen levels, which play a protective role in heart health. As estrogen decreases, women may experience changes such as increased cholesterol levels, higher blood pressure, and reduced elasticity in blood vessels, raising the risk of heart disease.
Additional factors like weight gain, reduced physical activity, and insulin resistance during menopause can further impact cardiovascular health.
Maintaining a heart-healthy lifestyle—regular exercise, a balanced diet, stress management, and routine health check-ups—can help mitigate these risks. In some cases, hormone therapy may also support cardiovascular health under medical supervision.
Bone health changes during menopause are primarily caused by a decline in estrogen levels, which play a vital role in maintaining bone density. As estrogen decreases, the rate of bone breakdown accelerates, leading to a higher risk of osteoporosis and fractures.
Women may experience weaker bones, reduced bone mass, and increased susceptibility to injuries, particularly in the spine, hips, and wrists.
To support bone health during menopause, it’s important to maintain a diet rich in calcium and vitamin D, engage in weight-bearing exercises, and consult a healthcare provider about treatments like hormone therapy or medications that help preserve bone density.
Mood changes during menopause are common and often linked to hormonal fluctuations, particularly the decline in estrogen and progesterone. These hormones influence neurotransmitters like serotonin, which affect mood and emotional well-being.
Women may experience irritability, anxiety, depression, or mood swings during this time. Stress, sleep disturbances, and other menopause symptoms, like hot flashes, can further impact emotional health.
Managing mood changes may involve lifestyle adjustments, such as regular exercise, stress-reduction techniques, and a healthy diet. In some cases, hormone therapy, counseling, or medications may be recommended to improve mental well-being.
Vaginal dryness and libido changes during menopause are common symptoms caused by declining estrogen levels. Lower estrogen reduces blood flow and elasticity in the vaginal tissues, leading to dryness, discomfort, and sometimes pain during intercourse.
Decreased estrogen and testosterone levels can also impact sexual desire, making libido changes a frequent concern for many women. Emotional factors, like stress and mood changes, can further affect sexual health.
Treatments include vaginal moisturizers, lubricants, hormone therapy, or localized estrogen products. Open communication with a partner and consulting a healthcare provider can also help address these changes effectively.
Brain fog and forgetfulness during menopause are common symptoms linked to hormonal changes, particularly declining estrogen levels, which affect brain function. Women may experience difficulty concentrating, memory lapses, and a general sense of mental cloudiness.
These symptoms can be exacerbated by stress, sleep disturbances, and other menopause-related factors. While brain fog is usually temporary, it can be frustrating and impact daily life.
Strategies to manage brain fog include maintaining a healthy diet, regular exercise, good sleep hygiene, and stress-reduction techniques. Hormone therapy or other treatments may also help improve cognitive function for some women.
Waking up drenched in sweat, throwing off the covers, and then shivering a few minutes later—sound familiar? Night sweats are a common and frustrating symptom of menopause, disrupting sleep and leaving you exhausted. But why do they happen, and more importantly, what can you do about them?
During menopause, declining estrogen levels throw off the brain’s temperature regulation system, specifically the hypothalamus. This makes your body think it’s overheating, triggering an intense sweating response to cool you down. Other factors, like stress, certain medications, and underlying medical conditions, can also contribute to night sweats.
Unfortunately, night sweats aren’t a short-term issue. For some women, they last several months, while for others, they persist for years. On average, menopausal symptoms, including night sweats, can last around seven years, but lifestyle and medical interventions can help.
If night sweats are interfering with your sleep and daily life, don’t just endure them—reach out to a clinician for tailored solutions. A good night’s sleep is possible, even during menopause!
Noticing thinning hair or extra strands in your brush? You’re not alone—up to 40% of women experience noticeable hair loss by age 50.
But the good news? There are solutions.
Losing 50–100 hairs daily is normal, but excessive shedding can be caused by:
Hair is deeply tied to self-esteem. Many women feel less confident or even anxious about hair loss. If you’re struggling, consider therapy or support groups—you’re not alone.
There are several ways to manage hair loss:
Your worth isn’t defined by your hair. Whether you treat it or embrace it, confidence is what truly shines.
No two menopause journeys are the same. Symptoms can start years before your period ends and may last long after. Understanding what you’re feeling is the first step to feeling better.
Sleep problems during menopause are common and often caused by hormonal changes, particularly the decline in estrogen and progesterone levels. These hormones play a role in regulating sleep, so their decrease can lead to issues like insomnia, difficulty staying asleep, or poor sleep quality.
Hot flashes and night sweats, which are also linked to hormonal fluctuations, frequently disrupt sleep by causing sudden awakenings and discomfort. Stress, mood changes, and anxiety during this time can further contribute to sleep disturbances.
Solutions include lifestyle adjustments, such as maintaining a consistent sleep schedule, managing room temperature, and reducing stress, as well as treatments like hormone therapy or non-hormonal remedies to alleviate symptoms.
Irregular bleeding during menopause refers to changes in menstrual patterns as a woman transitions through perimenopause, the stage leading up to menopause. Hormonal fluctuations, particularly declining estrogen and progesterone levels, can cause periods to become unpredictable—shorter, longer, heavier, or lighter than usual.
While irregular bleeding is common during this phase, extremely heavy bleeding, spotting after periods have stopped for 12 months, or bleeding after intercourse should be evaluated by a healthcare provider, as it may indicate other medical conditions.
Treatment depends on the cause and may include hormone therapy, medications, or other interventions to manage symptoms and ensure overall health.
Weight gain and bloating during menopause are common symptoms caused by hormonal changes, particularly a decline in estrogen levels. These shifts can slow metabolism, alter fat distribution (leading to more fat around the abdomen), and affect digestion, contributing to bloating.
Other factors, like reduced muscle mass, increased stress, and lifestyle changes, can also play a role in menopausal weight gain. Bloating may be exacerbated by water retention, changes in gut health, or dietary triggers.
Managing these symptoms often involves regular exercise, a balanced diet, stress reduction, and, in some cases, hormone therapy or other medical interventions.
Cardiovascular changes during menopause are linked to declining estrogen levels, which play a protective role in heart health. As estrogen decreases, women may experience changes such as increased cholesterol levels, higher blood pressure, and reduced elasticity in blood vessels, raising the risk of heart disease.
Additional factors like weight gain, reduced physical activity, and insulin resistance during menopause can further impact cardiovascular health.
Maintaining a heart-healthy lifestyle—regular exercise, a balanced diet, stress management, and routine health check-ups—can help mitigate these risks. In some cases, hormone therapy may also support cardiovascular health under medical supervision.
Bone health changes during menopause are primarily caused by a decline in estrogen levels, which play a vital role in maintaining bone density. As estrogen decreases, the rate of bone breakdown accelerates, leading to a higher risk of osteoporosis and fractures.
Women may experience weaker bones, reduced bone mass, and increased susceptibility to injuries, particularly in the spine, hips, and wrists.
To support bone health during menopause, it’s important to maintain a diet rich in calcium and vitamin D, engage in weight-bearing exercises, and consult a healthcare provider about treatments like hormone therapy or medications that help preserve bone density.
Mood changes during menopause are common and often linked to hormonal fluctuations, particularly the decline in estrogen and progesterone. These hormones influence neurotransmitters like serotonin, which affect mood and emotional well-being.
Women may experience irritability, anxiety, depression, or mood swings during this time. Stress, sleep disturbances, and other menopause symptoms, like hot flashes, can further impact emotional health.
Managing mood changes may involve lifestyle adjustments, such as regular exercise, stress-reduction techniques, and a healthy diet. In some cases, hormone therapy, counseling, or medications may be recommended to improve mental well-being.
Vaginal dryness and libido changes during menopause are common symptoms caused by declining estrogen levels. Lower estrogen reduces blood flow and elasticity in the vaginal tissues, leading to dryness, discomfort, and sometimes pain during intercourse.
Decreased estrogen and testosterone levels can also impact sexual desire, making libido changes a frequent concern for many women. Emotional factors, like stress and mood changes, can further affect sexual health.
Treatments include vaginal moisturizers, lubricants, hormone therapy, or localized estrogen products. Open communication with a partner and consulting a healthcare provider can also help address these changes effectively.
Brain fog and forgetfulness during menopause are common symptoms linked to hormonal changes, particularly declining estrogen levels, which affect brain function. Women may experience difficulty concentrating, memory lapses, and a general sense of mental cloudiness.
These symptoms can be exacerbated by stress, sleep disturbances, and other menopause-related factors. While brain fog is usually temporary, it can be frustrating and impact daily life.
Strategies to manage brain fog include maintaining a healthy diet, regular exercise, good sleep hygiene, and stress-reduction techniques. Hormone therapy or other treatments may also help improve cognitive function for some women.
Waking up drenched in sweat, throwing off the covers, and then shivering a few minutes later—sound familiar? Night sweats are a common and frustrating symptom of menopause, disrupting sleep and leaving you exhausted. But why do they happen, and more importantly, what can you do about them?
During menopause, declining estrogen levels throw off the brain’s temperature regulation system, specifically the hypothalamus. This makes your body think it’s overheating, triggering an intense sweating response to cool you down. Other factors, like stress, certain medications, and underlying medical conditions, can also contribute to night sweats.
Unfortunately, night sweats aren’t a short-term issue. For some women, they last several months, while for others, they persist for years. On average, menopausal symptoms, including night sweats, can last around seven years, but lifestyle and medical interventions can help.
If night sweats are interfering with your sleep and daily life, don’t just endure them—reach out to a clinician for tailored solutions. A good night’s sleep is possible, even during menopause!
Noticing thinning hair or extra strands in your brush? You’re not alone—up to 40% of women experience noticeable hair loss by age 50.
But the good news? There are solutions.
Losing 50–100 hairs daily is normal, but excessive shedding can be caused by:
Hair is deeply tied to self-esteem. Many women feel less confident or even anxious about hair loss. If you’re struggling, consider therapy or support groups—you’re not alone.
There are several ways to manage hair loss:
Your worth isn’t defined by your hair. Whether you treat it or embrace it, confidence is what truly shines.
Hot flashes? Brain fog? Hormone questions? Our experts break it all down – so you don’t have to search in circles.
Dr. Emily Delpero is an Obstetrician Gynecologist who focuses on women’s health, vulvar skin disorders, and menopause management. Welcome to Ask Dr. Emily, where we are tackling some of the most common questions about menopause and perimenopause, including how to
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