Getting through menopause naturally

Menopause is the stage when menstrual periods stop because ovarian hormone production changes. Symptoms can include hot flushes, night sweats, sleep disruption, mood changes, vaginal dryness and reduced sexual desire. Eating regular balanced meals, staying physically active, keeping a steady sleep routine and avoiding personal triggers such as heat, alcohol or spicy food may help. Pelvic floor exercises can support bladder control and reduce the strain associated with pelvic organ prolapse. Natural does not mean automatically suitable: herbal products can interact with medicines and may not be well tested.

Keep the bedroom cool, use breathable layers and record when symptoms occur so patterns become clearer. Weight-bearing activity and strength exercises help maintain muscle and bone support; relaxation breathing or mindfulness may make symptom episodes easier to manage. A water-based lubricant or vaginal moisturiser can improve comfort with dryness. Choose products carefully and ask a pharmacist about interactions before taking supplements. If symptoms affect work, sleep, relationships or sexual comfort, discuss non-hormonal prescription choices with a clinician.

Arrange a medical review for bleeding after periods have stopped, bleeding that is unusually heavy, new pelvic pain, a concerning breast change, or symptoms that are worsening despite self-care. Seek urgent help for severe pain, fainting, heavy bleeding with weakness, or sudden chest pain or breathlessness. Menopause can explain several symptoms, but it should not be used to dismiss a new or severe problem.

Which symptom is most useful to treat first? Could a medicine or health condition be contributing? Are a vaginal moisturiser, pelvic floor assessment or non-hormonal treatment appropriate for me? Which supplements should I avoid with my medicines?