This is what happens to your body during menopause

Perimenopause, which typically occurs in a woman's mid-40s, precedes menopause

Sometimes referred to as the menopausal transition, this time period often lasts around 4 years as the ovaries' production of the reproductive hormones progesterone and estrogen decline. It may be accompanied by mental and physical symptoms including irregular periods, hot flashes, sleep issues, mood swings, and alterations to a woman's sex drive.

Menopause and perimenopause symptoms may affect both the mind and body

Women going through these aging transitions may experience some common physical and mental symptoms to varying degrees, including hot flashes, bladder control issues, brain fog, and vaginal dryness. This article dives into some of the most common symptoms women might expect during perimenopause, plus what they can do to relieve them.

How menopause affects mental health

Menopause, a natural biological process, occurs in three stages: perimenopause (hormone fluctuations), menopause (end of menstrual cycles), and postmenopause (12 months without menstruation). Hormonal shifts during this time can affect neurotransmitters, increasing the risk of mood disorders.

Women experience heightened bone loss after menopause

Both women and men begin to lose some bone density after age 35, on average, but for the first decade after menopause women lose bone more rapidly due to the significantly decreased levels of estrogen, putting women at heightened risk of osteoporosis and related bone fractures.

Perimenopause can last as long as 8 years

Typically lasting around four years, beginning around age 45, some women experience it as early as their 30s. Smoking and thyroid disease are factors that can trigger early perimenopause. Early menopause, which can increase health risks, occurs in about 5% of women. Researchers are still investigating why it occurs.

Late-onset menopause lowers osteoporosis risks, but heightens the risks for certain cancers

Defined as when a woman starts to experience perimenopause after age 55, this delayed menopause onset is linked to elevated risk of developing breast, ovarian, and uterine cancers.

Menopause can exacerbate anxiety

Some research shows that menopause can fuel anxiety and also that pre-existing anxiety can boost the chances of experiencing other menopause symptoms, including hot flashes, insomnia, and brain fog. But treatments including hormone replacement therapy, breathing exercises, and other forms of exercise can alleviate some of these symptoms.

Menopause hormone therapy infuses the body with estrogen after the body's natural levels drop

The treatments can treat symptoms like hot flashes and vaginal dryness at varying doses. Progestogen, another hormone, is also typically prescribed with estrogen because estrogen alone can thicken the uterus lining, which elevates the risk of developing endometrial cancer.

By 2030, roughly 6% of the world's population will be in menopause

An estimated 25 million women pass through menopause annually, with a projected increase in the number of women in menopause in both lower-resource and higher-income populations in the years ahead, highlighting the social and economic value of focusing on menopause care.

Menopause is a hormonal transition point, like puberty

Yet menopause isn't talked about as much. In this podcast episode by Houston Methodist, a Texas-based hospital, the host speaks with a gynecologist with a specialization in menopausal medicine about what menopause really is, and how women and the people in their lives can navigate this next life stage.

Early menopause, occurring before age 45, can be triggered by certain risk factors

Some potential causes of early menopause include autoimmune disorders, chemotherapy, smoking, and certain surgeries that cause the body to produce lower levels of estrogen and progesterone.

Postmenopause is a stage lasting roughly a third of a woman's life

Postmenopause is the final stage of menopause, occurring once a woman hasn't had any bleeding for a full year. She is then considered postmenopausal for the rest of her life. While some of the intense symptoms she might experience during perimenopausal will decline, her risk for certain conditions and diseases will increase.

Health problems are being misdiagnosed as perimenopause symptoms

Symptoms of menopause and perimenopause (the premenopause period) can be varied enough that clinicians dismiss them in patients in their mid-30s and onward as just a symptom of hormone level change. In this story, a woman's itching was dismissed as a hormonal change, but after two years and 11 separate doctor consultations, was diagnosed as cancer. (Some users may experience a paywall.)

What is medical menopause?

Medical menopause is when menopause is induced from either surgery or medicine. Chemotherapy and radiation, as well as oophorectomy (a surgical procedure that removes the ovaries) and a radical hysterectomy can cause a woman to become menopausal. Women that go through medical menopause experience the same symptoms as women that experience natural menopause. Learn more about the medical condition here.

'Menobelly' is real, with more fat stored around the abdomen as estrogen levels drop

The way fat is carried in the body shifts with menopause, with those pounds increasingly settling around the abdomen instead of the hips and thighs. Exacerbating this phenomenon, muscle mass also begins to decline, so calories stick around longer than usual. Resistance training, including push-ups and planks, alongside a heavier protein diet can help.

It's never too late to start hormone replacement therapy for menopause symptoms

This board-certified gynecologist discusses how it's ideal to start estradiol as soon as possible after menopause to maximize its benefits, but that if older women have healthy hearts they can still start these medications later, in consultation with their doctors, and the products could be useful if women are continuing to suffer from symptoms of menopause or want to fight bone loss.

The gaps in menopause research and their effects

Nearly all studies (99%) researching the biology of aging don’t consider menopause in their setup. A Harvard professor noted that about 75% of aging-related diseases are likely influenced by menopause. In this article, she discusses how gaps in research are negatively impacting how the medical system can effectively treat aging women. Read her analysis of the issue here.

Menstruation, which occurs monthly, is the release of an unfertilized egg

This routine vaginal bleeding is part of a woman's hormonal cycle and occurs after an egg is released by an ovary during ovulation and isn't fertilized. Also known as periods, this monthly occurrence can cause symptoms including cramping, fatigue, and mood changes.

The hormonal disorder PCOS was renamed PMOS in 2026, a move designed to improve care and research by shifting the focus to the hormonal causes of this condition that affects 1 in 8 women.

Changes in vision or eye pain can be early MS symptoms

This occurs due to myelin degradation around the optic nerve, impairing its ability to transmit visual information to the brain. Individuals may especially experience eye symptoms after exercising or taking a hot shower because boosted body temperatures slow down nerve function in nerves already damaged by MS.

Love and heartbreak trigger powerful, neurochemical-driven changes in the body

The feeling of falling in love floods the brain with dopamine, oxytocin and serotonin, which collectively dull pain and boost immunity. However, the loss of these chemicals during a break-up produces withdrawal-like symptoms and heart issues, such as high blood pressure.

How heatstroke—from overexertion or extreme heat—affects the body

When core body temperature soars to 104 degrees Fahrenheit or higher and remains there for about 30 minutes, it sets off a cascade of problems in the body. Proteins and cell membranes can degrade and begin to leak, potentially leading to liver damage, blood clots, GI tract damage, and organ failure, among other issues.

Misophonia is a neurological disorder where sounds trigger strong emotions

The phenomenon is characterized by decreased tolerance to specific sounds, such as heavy breathing, pen clicking, and water dripping, which trigger a fight-or-flight response. The resulting emotions, which can range from irritation and disgust to anxiety and fear, can be overwhelming and uncontrollable.

Pregnancy causes a woman's blood volume to increase by up to 50%

This change, to support the developing fetus, puts stress on the heart and blood vessels. A pregnant woman's heart rate also increases as she pumps more blood each minute to support fetal growth.

Circadian rhythms shift as we age—making older adults want to go to bed earlier

Throughout our lives our internal biological clocks shift. Early-to-rise toddlers become hard-to-wake teens and eventually early-to-sleep seniors. Circadian rhythm fluctuations throughout our life cycle explain some of these changes.

Sleep apnea explained

While sleep apnea is directly tied to an increased risk of cardiovascular and metabolic health problems, many affected people are unaware of their problem. Sleep apnea occurs when upper airway muscles relax during sleep and pinch off the airway, which can cause breathing to pause for 10 seconds or more at a time. Sleep partners (rather than those inflicted) are often the first to notice breathing pauses or loud snoring in their bedmates.

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