Menopause marks the end of menstrual cycles, officially diagnosed after 12 consecutive months without a period, typically occurring between ages 45-55, with an average of 51. It results from declining ovarian function and dropping estrogen/progesterone levels. Perimenopause, the transitional phase lasting 4-8 years, brings fluctuating hormones and irregular periods. Postmenopause follows, where symptoms may persist but often ease. Early menopause (before 45) or premature (before 40) can stem from genetics, surgery (hysterectomy/oophorectomy), or treatments like chemotherapy. At Dr. Mansha Grover’s clinic in Noida, we support women through this natural life stage with empathetic care and tailored strategies.
Symptoms vary widely; up to 80% of women experience hot flashes—sudden warmth spreading to the face/neck, often with sweating and chills. Night sweats disrupt sleep, leading to fatigue. Mood swings, anxiety, depression, vaginal dryness causing painful intercourse, reduced libido, and urinary issues like incontinence are frequent. Weight gain, thinning hair, dry skin, and joint pain also occur due to hormonal shifts. Long-term, lower estrogen raises risks for osteoporosis, heart disease, and cognitive changes. Tracking symptoms helps identify patterns for effective management.
Management starts with lifestyle: regular weight-bearing exercise (walking, yoga), a diet rich in calcium/vitamin D (dairy, greens, fortified foods), phytoestrogen sources (soy, flaxseeds), and stress reduction via mindfulness. Non-hormonal medications like antidepressants or gabapentin ease hot flashes. Hormone replacement therapy (HRT)—estrogen alone or with progestin—effectively relieves severe symptoms but requires risk-benefit discussion (e.g., avoiding in those with breast cancer history). Vaginal moisturizers/lubricants or low-dose estrogen address dryness. Bone density scans guide osteoporosis prevention. Dr. Mansha Grover offers comprehensive evaluations at Motherhood Hospital, Noida, including HRT prescriptions, alternative therapies, and ongoing support for a smoother menopause journey.