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Menopause in women – understanding the changes in the body

05-12-2025

Menopause is a natural phase in a woman's life where the body gradually stops producing estrogen and progesterone. This typically occurs between the ages of 40 and 50 and marks the end of the fertile period. However, even though it is a biological process that all women experience, it is perceived very differently. Some women go through it almost effortlessly, while others experience significant physical and mental changes.

In this blog post, we delve into everything you, as a woman, should know about menopause – from symptoms and phases to treatment options and good advice.

What is menopause?

Menopause, also known as climacteric, is the period around the last menstruation – also known as menopause. It is a time when the function of the ovaries gradually declines, and the production of female sex hormones decreases. For most women, menopause occurs between the ages of 45 and 55. However, the exact timing varies greatly and is influenced by both genetic and lifestyle factors.

Phases of Menopause

To fully understand menopause, it is important to know its three main phases:

1. Perimenopause

This phase often begins several years before the last menstruation. Hormone levels start to fluctuate, and many women experience the first symptoms such as irregular periods, mood swings, and hot flashes.

2. Menopause

Menopause is defined as the time when a woman has not had a menstrual period for 12 consecutive months. It is the biological marker that the ovaries have ceased their function.

3. Postmenopause

This phase begins after menopause and lasts for the rest of life. Some symptoms may continue for a number of years, but hormone balance is subsequently stably low.

Common symptoms of menopause

The symptoms of menopause can vary greatly from woman to woman – both in intensity and duration. Some of the most common are:

Physical symptoms

  • Hot flashes and night sweats

  • Heart palpitations

  • Sleep problems

  • Vaginal dryness

  • Headaches

  • Joint and muscle pain

  • Weight gain

  • Skin changes and hair loss

  • Decreased sex drive

Psychological symptoms

  • Mood swings

  • Irritability

  • Depression

  • Anxiety or unease

  • Memory problems and difficulty concentrating

These symptoms are primarily due to the decreasing levels of estrogen and progesterone in the body. Hormones affect the brain, circulatory system, skin, and metabolism – which is why the transition can feel significant for many women.

How long does menopause last?

Menopause can last anywhere from a few years to over a decade. Perimenopause can begin in the late 30s or early 40s and last up to 10 years, while postmenopause lasts for the rest of life. However, most women find that the most pronounced symptoms peak around menopause and gradually subside 4–5 years later.

When does menopause start for women?

The average age for menopause in Denmark is around 51 years. However, some women experience earlier or later menopause. If menstruation stops before the age of 40, it is referred to as early menopause or premature ovarian insufficiency. This can be due to genetic factors, medical treatment such as chemotherapy, or certain autoimmune diseases.

What affects your menopause?

Several factors can influence when and how you experience menopause:

  • Heredity: Your mother's age at menopause is often an indicator.

  • Smoking: Increases the risk of earlier menopause.

  • BMI: Very low body weight can affect hormone balance.

  • Chronic illnesses and medication.

  • Stress and lifestyle.

How is the diagnosis made?

If you experience symptoms and are in the typical age range, menopause can often be determined based on a conversation with your doctor. In some cases, a blood test measuring the level of FSH (follicle-stimulating hormone) and estrogen may be supplemented. At Valida Health, various hormone analyses are offered to women, which can provide a more precise insight into your hormone balance and confirm whether you are in menopause.

Treatment of symptoms

Not all women need treatment. However, if menopause affects quality of life, several options are available:

Hormone Replacement Therapy (HRT)

The most effective treatment for hot flashes and other symptoms is hormone therapy with estrogen – often in combination with progesterone. It is available as tablets, patches, or gel, and the dosage is adjusted individually.

However, hormone therapy can have side effects and risks, especially with long-term use, so it should always be evaluated in consultation with a doctor.

Alternatives to hormone therapy

  • Lifestyle changes: Regular exercise, healthy diet, reduced alcohol and caffeine

  • Supplements: E.g., calcium and vitamin D to strengthen bones

  • Herbal remedies: Some women experience effects from red clover, soy, or sage, but the evidence is limited

  • Psychological support and mindfulness

  • At Valida Health, we offer individual counseling and follow-up – regarding blood tests, hormone analysis, and treatment choices.

How do you best manage menopause?

Menopause is not a disease, but a phase of life. However, it can challenge both body and mind. Therefore, it is important to take care of your health – and especially to seek help if you experience symptoms that affect your daily life. Many women find peace in understanding what is happening in their body – and in being confirmed that they are not alone.

When should you seek help?

If you experience the following, you should contact a doctor or clinic:

  • Menstrual irregularities before the age of 40

  • Severe hot flashes affecting your sleep and well-being

  • Mood swings or depression

  • Suspected hormonal imbalance

At Valida Health, we offer safe and professional health checks focusing on female hormone balance. Our hormone analyses and consultations with healthcare professionals can provide you with insight and help you choose the best path forward.

Summary

Menopause in women is a complex but natural part of life. It marks the end of the fertile period and offers both challenges and opportunities for reflection and new balance. With the right knowledge, support, and eventual treatment, you can safely navigate this phase – and continue life with strength and clarity.

Whether you are simply curious or need professional support, Valida Health is ready to assist you with knowledge, analyses, and individual guidance. Menopause is a part of life – and you don't have to face it alone.