What should you know about Davina McCall and menopause?

Hormone changes can affect periods, sleep, temperature regulation, mood, sexual desire and vaginal comfort. Symptoms vary widely: some people notice changes gradually, while others find that one symptom is especially disruptive. Menopause is usually identified from the pattern of symptoms and periods, with age and medical history also considered.

A clinician can discuss treatment and self-care options based on your symptoms, health history and preferences. Persistent vaginal symptoms, urinary changes or a feeling of pressure may also need assessment for conditions such as pelvic organ prolapse rather than being assumed to be menopause.

Keep a brief record of bleeding, hot flushes, night sweats, sleep, mood, vaginal symptoms and low sex drive, including how they affect daily life. Use breathable layers, consider cooling measures at night and choose gentle, unperfumed products for vulval care. A clinician can review options such as local treatment for vaginal symptoms or wider treatment when appropriate.

Bring your medication list and family or personal history of conditions that may affect treatment choices. The menopause page provides broader information for planning that conversation.

Arrange medical review for bleeding after periods have stopped, bleeding that is unusually heavy or prolonged, new pelvic pressure, a vaginal bulge, severe low mood or symptoms that prevent sleep and normal activities. Seek urgent help for thoughts of self-harm, collapse or severe pain.

Ask whether your symptoms fit menopause, what other causes should be considered, which treatment options suit your history, how benefits and side effects will be monitored and what to do about bleeding or pelvic symptoms.