Menopause is a biological and natural process that signifies the end of a woman's menstrual cycles. This process is generally diagnosed when a woman has not had a menstrual period for 12 consecutive months. The period from the reproductive and menstruating phase to menopause is called perimenopause, meaning "during menopause." While the age of menopause usually occurs in women aged 40 to 50, in some cases, menstrual irregularity due to perimenopause can start as early as the 30s. However, this does not necessarily mean that early menopause will always occur.
 
During perimenopause, the level of estrogen, the female hormone, in the body starts to fluctuate irregularly. As a result, during the menopause period, physical symptoms such as hot flashes, vaginal dryness, and low energy may appear, and emotional symptoms may disrupt sleep patterns. Various treatment options, from hormone therapy to lifestyle changes, are available to alleviate and eliminate these symptoms.
 

What are the Stages of Menopause?

1. Premenopause: This covers the time from the appearance of the first symptoms until menopause.
Follicular activity in the ovaries slows down, and periods become irregular. This stage can last from 1-2 months to 1-2 years.

2. Menopause: This is the period when the last menstrual bleed occurs.

3. Postmenopause: Covers the 6 to 8 years from menopause to the aging period. A
woman is considered postmenopausal if she has not had a period for 12 months.

What are the Symptoms of Menopause?

Menopause symptoms and signs vary in every woman, including changes in menstrual patterns. During the months or years leading to menopause, known as the perimenopause period, the person may experience irregular periods, among other symptoms such as;
 
  • Dry skin,
  • Night sweats,
  • Weight gain,
  • Slowing metabolism,
  • Loss of breast fullness,
  • Sudden mood swings,
  • Thinning hair,
  • Hot flashes,
  • Chills,
  • Sleep problems.

What is Menopause?

Menopause is a natural and biological process marking the end of a woman's fertility period. This period, where a woman's menstrual cycle permanently ends and the ovaries stop producing estrogen and progesterone, typically starts between the ages of 45 and 55. The term "What is menopause" often describes a period beginning with menstrual irregularity. During this process, women may encounter numerous physical and emotional changes. The diagnosis of menopause is confirmed when a woman has not had a period for 12 consecutive months. Apart from natural menopause, surgical menopause (removal of uterus and ovaries) or early menopause can also occur.

What are the Symptoms of Menopause?

Menopause symptoms can differ from person to person. While some women experience mild symptoms, for others, it can significantly impact their quality of life. Common menopause symptoms include hot flashes, night sweats, irregular periods, sleep problems, vaginal dryness, skin thinning, mood changes, and decreased libido. Some women may also experience memory problems and difficulty concentrating. Changes in hormone levels during menopause can increase the risk of osteoporosis and cardiovascular diseases, so symptoms should be taken into account and managed under expert supervision.

What are Pseudo-menopause Symptoms?

Pseudo-menopause symptoms resemble those of menopause but are temporary and often arise from a different medical condition. Sudden changes in hormone levels, stress, thyroid diseases, nutritional disorders, or certain medications can lead to pseudo-menopause. Symptoms observed in this condition include delayed periods, hot flashes, vaginal dryness, mood changes, and fatigue. However, these symptoms are not due to actual menopause but are attributed to other causes, making an accurate diagnosis important. Generally, pseudo-menopause is diagnosed through hormone tests and a detailed gynecological examination. Treatment is planned to address the underlying cause.

What is the Menopause Age?

The age of menopause varies for each woman but generally occurs between ages 45 and 55. In Turkey, the average menopause age for women is 47. However, genetic factors, lifestyle, chronic illnesses, and environmental factors can influence this age. Early menopause occurs before age 40, while late menopause happens after age 55. Factors like smoking, low body mass index, and certain autoimmune diseases can lead to early menopause. The menopause age should be evaluated considering a woman's overall health, fertility history, and familial predisposition. Therefore, each woman's menopause process is unique and requires a personalized approach.

How does Menstrual Irregularity Occur during Menopause?

In women entering menopause, menstrual patterns change. During this time, the intervals between periods may lengthen, and the amount of bleeding may increase or decrease. Some women may experience shorter cycles, while others may begin to menstruate every 2-3 months. As menopause approaches, hormone secretion becomes irregular, directly affecting the ovulation process. Thus, it's not possible to provide a single answer to how menstrual bleeding occurs during menopause. Monitoring changes in menstrual patterns, assessed by a doctor, provides insight into the onset of menopause. If there are abnormal bleedings, a gynecological examination is necessary.

Is Hormone Therapy Necessary during Menopause?

Hormone therapy (HRT) may be recommended for some women during menopause. HRT aims to replace the estrogen and progesterone hormones that decrease in the body. This therapy can be effective in alleviating symptoms like hot flashes, night sweats, vaginal dryness, and sleep problems. However, it is not suitable for every woman. Those with a history of breast cancer, vascular diseases, or liver disease are not advised to undergo hormone therapy. Thus, hormone therapy should always be applied following doctor evaluation and oversight. Beyond hormone therapy, herbal supplements, lifestyle changes, and psychological support play crucial roles during menopause.

Recommendations for Improving Quality of Life during Menopause

Adopting a healthy lifestyle during menopause alleviates symptoms and enhances general health status. The right steps include balanced nutrition, regular exercise, adequate sleep, avoiding stress, and quitting smoking. Consuming foods rich in calcium and vitamin D is particularly important for bone health. Stress management techniques such as yoga, meditation, and breathing exercises also help maintain mental balance. It is important to support women's empowerment, inform them, and encourage social interactions during this period. Menopause is not an illness but a natural transition period, and when managed healthily, quality of life can be maintained.

Frequently Asked Questions

What is the Latest Age for Menopause?

While menopause typically occurs between the ages of 45-55, in some women, this process can start later. The latest age for menopause is generally considered to be 58-60. However, this is a rare condition and is linked to genetic predisposition. Late menopause carries some health risks with it. Especially due to the prolonged effects of estrogen, uterine and breast cancer risks may increase. Thus, women entering late menopause are advised to have regular gynecological check-ups.

Can Menopause Symptoms Occur at 35?

Yes, menopause symptoms can occur at 35, which is defined as early menopause. Genetic factors, some autoimmune diseases, and treatments such as radiotherapy or chemotherapy are among the causes of early menopause. Symptoms seen at this age include irregular periods, hot flashes, vaginal dryness, decreased sexual desire, and mood changes. If such symptoms are present, it is essential to consult a gynecologist. The diagnosis of early menopause is made through blood tests and hormonal evaluation. The treatment process is planned according to the patient's overall health and desire to have children.

How Are Menstrual Bleedings during Menopause?

As one approaches menopause, menstrual bleedings become irregular and changes in the usual cycles occur. Initially, the intervals between periods may lengthen or shorten, and there may be an increase or decrease in bleeding. Some women may experience very heavy bleeding one month and very light bleeding the next. This occurs due to irregularities in the hormonal production by the ovaries. Regardless of the changes in the nature of menstrual bleedings, it is essential to remember that this is a natural part of the process. However, if there are excessively long or unexpected bleedings, a gynecological examination is necessary.

Creation Date : 12.05.2025
Update Date : 30.06.2025
Author : Yeliz YİĞİT
Communication : 444 23 23
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