Transitions
Menopause
The natural transition out of the reproductive years — what to expect, and the many ways to feel well.
Overview
What is happening?
Menopause marks 12 months since your last period, typically around age 51. The years leading up to it (perimenopause) bring fluctuating hormones and symptoms like hot flashes, sleep changes, and mood shifts.
There are many effective ways to ease symptoms — from lifestyle approaches to hormone therapy — and this chapter can be a healthy, vibrant one with the right support.
Reassurance
What's normal
Hot flashes
Common and manageable with several effective options.
Irregular then absent periods
Cycles change before stopping entirely.
Worth attention
What to watch for
Signals worth raising with a clinician — not causes for alarm.
Bleeding after menopause
Any bleeding once you're postmenopausal should be checked.
Symptoms harming your quality of life
You don't have to just cope — effective help exists.
Self-advocacy
Questions to ask your doctor
Bring these to your next visit. Good questions lead to better care.
What are my options for managing symptoms?
Is hormone therapy right for me?
- Last reviewed
- March 2026
- Reviewer
- Dr. A. Reviewer, MD (Menopause Society) — placeholder
- Evidence
- Strong
References
- Peer-reviewed guidance (placeholder)