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Understanding Menopause: Symptoms and Coping Strategies

Posted On: Nov 20, 2025
blogs read 6 Min Read
menopause Symptoms

Menopause is a natural phase that marks the end of a woman’s reproductive years, yet it’s often surrounded by confusion, anxiety, and emotional ups and downs. While some women breeze through this transition, others experience troublesome symptoms that affect their physical and mental well-being.

At Manipal Hospitals Kharadi, expert gynaecologists understand that menopause isn’t just a biological event; it’s a major life transition that deserves holistic care and personalised medical attention.

 

When Does Menopause Start?

Menopause usually occurs between the ages of 45 and 55, with the average age being around 51. The transition doesn’t happen overnight; it unfolds gradually through a stage called perimenopause, which can begin a few years before periods completely stop.

During perimenopause, women may notice irregular menstrual cycles, mood changes, or sudden warmth known as hot flashes. Factors such as genetics, lifestyle, smoking, and medical treatments like chemotherapy can influence when menopause begins.

In some cases, women experience premature menopause when menstruation stops before the age of 40. This may be due to autoimmune diseases, surgery to remove the ovaries, or hormonal imbalances. Since early menopause can impact fertility and bone health, it’s important to seek timely advice from a specialist.

Understanding Menopause Symptoms

Menopause symptoms vary widely among women. While some experience only mild discomfort, others struggle with more intense and persistent signs. Common menopause symptoms include:

menopause Symptoms

  • Hot flashes and night sweats: Sudden heat surges, often followed by sweating or chills.

  • Irregular periods: Menstrual cycles may become shorter or more unpredictable before stopping completely.

  • Sleep problems: Many women find it difficult to fall or stay asleep.

  • Mood swings: Fluctuating hormone levels can cause irritability, anxiety, or low mood.

  • Vaginal dryness and discomfort: Reduced oestrogen can cause dryness, itching, or pain during intercourse.

  • Weight gain and slower metabolism: Hormonal shifts can make it harder to maintain weight.

  • Hair thinning and dry skin: Declining oestrogen affects hair and skin texture.

  • Memory lapses: Difficulty concentrating or mild forgetfulness may appear during menopause.

Every woman’s experience is unique. Some notice only a few symptoms, while others may find their daily activities affected. The key lies in recognising the signs early and managing them through professional support.

What Causes Menopause?

The primary cause of menopause is the natural decline in reproductive hormones. As women age, their ovaries gradually produce less oestrogen and progesterone—the hormones responsible for menstruation and fertility.

However, menopause can also be induced or premature due to:

  • Surgical removal of ovaries (oophorectomy).

  • Chemotherapy or radiation therapy.

  • Autoimmune disorders affecting the ovaries.

  • Genetic or chromosomal abnormalities.

Understanding the underlying cause helps doctors design an appropriate menopause treatment plan tailored to individual needs.

Coping Strategies for Menopause

Managing menopause effectively involves a blend of medical guidance and healthy lifestyle habits. Here are some strategies that can make the transition smoother:

1. Eat a Balanced Diet

A nutrient-rich diet can significantly reduce menopause symptoms. Include calcium and vitamin D for bone strength, and consume foods rich in phytoestrogens, such as soybeans, flaxseeds, and chickpeas, that naturally balance hormones. Limit spicy foods, caffeine, and alcohol, which can worsen hot flashes.

2. Stay Active

Regular physical activity like walking, yoga, swimming, or strength training can help control weight, improve mood, and reduce the risk of osteoporosis and heart disease.

3. Focus on Mental Well-being

Menopause can affect emotional health. Meditation, breathing exercises, and mindfulness can help reduce anxiety. Talking to friends, joining support groups, or seeking counselling also provides emotional relief.

4. Get Enough Sleep

Maintain a consistent bedtime routine, avoid heavy meals late in the evening, and create a calm, cool sleep environment to prevent night sweats and restlessness.

5. Hydrate and Care for Your Skin

Drink at least eight glasses of water daily. Use gentle, moisturising products to keep your skin hydrated and glowing.

6. Explore Medical Treatments

For some women, symptoms may become severe enough to require medical treatment. Hormone Replacement Therapy (HRT) can effectively ease hot flashes, vaginal dryness, and mood swings. However, it should only be started after consulting a qualified gynaecologist to ensure safety.

At Manipal Hospitals Pune, doctors assess each woman’s health, history, and risk factors before recommending HRT or alternative therapies to ensure safe and effective results.

When Should You See a Doctor?

While menopause is natural, certain symptoms may require medical evaluation, such as:

  • Heavy bleeding or spotting after a year without periods.

  • Sudden mood changes or depression.

  • Pain during sexual intercourse.

  • Frequent urinary tract infections.

  • Early signs of premature menopause before age 40.

  • Ignoring these symptoms can lead to long-term complications like osteoporosis, heart issues, or hormonal imbalances. Consulting a trusted gynaecologist ensures early detection and management of any underlying conditions.

Treatment Options for Menopause

Doctors at Manipal Hospital Pune offer a wide range of treatment options to manage menopause symptoms, ensuring both safety and comfort for patients. Some common options include:

  • Hormonal Therapy (HRT): Balances declining hormone levels.

  • Non-hormonal Medications: Helps control hot flashes and mood issues.

  • Vaginal Moisturisers and Lubricants: Alleviate dryness and discomfort.

  • Bone Health Assessments: Detects early signs of bone loss.

  • Nutritional Counselling: Helps maintain a healthy diet to prevent weight gain and fatigue.

Holistic care ensures that women not only manage their symptoms but also feel supported through this major transition.

Menopause marks the beginning of a new chapter. Instead of viewing it as a setback, it can be seen as an opportunity for self-care, better health, and emotional balance. Adopting a mindful lifestyle, maintaining social connections, and seeking timely medical advice can make all the difference.

Remember, every woman’s menopause journey is different—there’s no one-size-fits-all approach. With the right medical guidance and emotional support, it’s possible to live comfortably and confidently through this stage.

Conclusion

If you’re experiencing menopause symptoms that interfere with your daily life, reach out to the Obstetrics and Gynaecology team at Manipal Hospitals Kharadi for expert, compassionate care tailored to your needs. Book an appointment now!

FAQ's

Irregular periods and hot flashes are usually the first noticeable symptoms.

Yes, that’s known as premature menopause, which should be evaluated by a gynecologist.

Lifestyle changes, hormone therapy, and non-hormonal medications can provide relief.

The transition period may last between 4 to 8 years, depending on individual factors.

If symptoms become severe, disrupt your daily routine, or occur before age 40, it’s best to see a specialist for evaluation and personalised treatment.

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