It seems strange that a natural event in our lives, menopause, has become a ‘condition’ or something that requires medical intervention. Technically menopause is the point where there has been no menstrual bleeding for 12 months, but it can bring physical symptoms that have more effect than the periods that have left.

Particularly for busy women who may not have seen this coming and made mental and social adjustments during peri-menopause, the realization that menopause has arrived can be tough. Without the monthly ebb and flow of hormones, new physical symptoms appear. These can include increased weight, lowering of mood to anxiety or depression and sleep difficulties. Clearly, if any of these symptoms last more than a few days, you should see your doctor. You may also notice substantial changes in skin and hair texture and quality.

Until recently, doctors have been quick to prescribe hormone replacement therapy to combat the whole range of symptoms, but the results of a longitudinal study showed that this increased the likelihood of breast cancer. Now there is greater sensitivity to the needs of each woman, and her personal health history is carefully considered before any medications are prescribed. They are also less likely to be prescribed long term.

There are many alternative therapies available, but again, it is wise to check with your doctor before self-medicating as the phytoestrogens found in foods like soy can be as dangerous as prescribed hormones for some women.

As with every new stage of life, it is wise to read and educate yourself about menopause, but also remain open to advise from those with greater knowledge.