Each woman's experience is unique. The symptom most often associated
with the beginning of menopause is hot flashes. It's one of what
doctors call vasomotor symptoms - symptoms that involve the blood vessels
Although vasomotor symptoms are very common, doctors still don't know
the exact cause, though they're believed to be related to the
fluctuations in hormone levels. Vasomotor symptoms are usually worst
during perimenopause, then decline in the first few years after
menopause. They usually last for 2 years; however, for some
women, they may last decades. You may experience the following
vasomotor symptoms:
-
hot flashes
-
night sweats
-
sleep problems
-
nausea
-
dizziness
-
anxiety
-
palpitations (pounding or racing heartbeat)
-
fatigue (secondary)
-
memory problems (secondary)
-
mood changes or irritability (secondary)
Some women breeze through this time of their life, while for others,
these symptoms can severely disrupt sleep, work, and family life.
Urogenital symptoms are related to urogenital
aging, which is caused by lower estrogen levels after
menopause and general aging of bodily tissues. These symptoms tend
to develop in the years and decades after menopause, and they can
get worse over time if they are not treated:
These symptoms can be embarrassing, uncomfortable, and painful, and
they can put a damper on your sex life. These symptoms, combined with
a decrease in sexual desire (which is also common at this time), may
cause strain on your relationship with your partner.
If you have these symptoms, it's normal to feel embarrassed and
uncomfortable about discussing them. But you're not alone and help is
available. Speak to your doctor to find out how you can manage your
symptoms.
For tips on talking to your partner, see "You and
your partner."