Menopausal Disorders

Menopause is a natural part of aging, marking the end of a woman’s menstrual cycles. It is officially diagnosed after 12 consecutive months without a period, typically occurring between ages 45 and 55. While menopause itself is not a disorder, some women experience significant symptoms or complications that interfere with daily life—these are referred to as menopausal disorders. Understanding what’s normal and when to seek help can make this transition smoother and healthier.

Common Causes

Menopausal disorders are caused by a decline in reproductive hormones, particularly estrogen and progesterone. These hormonal changes can affect multiple systems in the body. The severity and timing of symptoms can vary widely. Factors that may influence menopausal disorders include:

Early or surgical menopause (e.g., hysterectomy or oophorectomy)
Autoimmune conditions
Cancer treatments (like chemotherapy or radiation)
Genetics and family history
Smoking and other lifestyle factors

Symptoms

Not all women experience the same symptoms, but common signs of menopausal disorders include:

Hot flashes or night sweats
Mood swings
Anxiety
depression
Irregular or heavy periods (during perimenopause)
Vaginal dryness and discomfort during intercourse
Sleep disturbances
Memory or concentration issues (“brain fog”)
Weight gain or slowed metabolism
Decreased libido
Joint or muscle pain

Diagnosis

Menopausal disorders are typically diagnosed based on symptoms and menstrual history. In some cases, your healthcare provider may order blood tests to check hormone levels (such as FSH and estrogen), especially if menopause occurs earlier than expected or if symptoms are severe. Other tests may include:

Treatment Options

Treatment is tailored to the individual based on the severity of symptoms, age, and overall health. Common approaches include:

Lifestyle changes: Healthy diet, regular exercise, stress management, and good sleep habits
Hormone Replacement Therapy (HRT): Estrogen (sometimes with progesterone) can relieve hot flashes, vaginal dryness, and prevent bone loss
Non-hormonal medications: For mood, sleep, or hot flashes (e.g., antidepressants, gabapentin)
Vaginal estrogen: For localized symptoms like dryness or painful intercourse
Supplements: Calcium and vitamin D for bone health

Discussing risks and benefits with your provider is essential before starting any treatment.

Take control of your health

with Advanced Women's Care

Menopausal disorders can be uncomfortable and disruptive, but they are manageable with the right care and support. If symptoms are affecting your quality of life, talk to your healthcare provider about your options. With proper treatment and guidance, you can navigate this transition confidently and maintain your long-term health.