What should you know about now menopause support?

Menopause is a transition in reproductive hormones, often recognised when periods become irregular and then stop. Symptoms vary: hot flushes and night sweats may disturb sleep, while vaginal dryness can cause discomfort with sex or urination. Low sex drive and menopausal mood changes may have several contributors, including sleep disruption, stress, pain, medicines, and relationship factors.

Support is not limited to one treatment. A clinician can review symptoms, menstrual history, medicines, contraception needs, bone and heart health factors, sexual concerns, and mental wellbeing. Pelvic pressure or a bulge is not assumed to be menopause; it may need assessment for pelvic organ prolapse.

Write down the symptoms that trouble you, when they occur, sleep changes, bleeding pattern, medicines, and what you have tried. Discuss lifestyle measures such as breathable clothing, cooling the bedroom, regular movement, sleep routines, and reducing personal triggers. Vaginal moisturisers or lubricants may help dryness, while a clinician can discuss local or systemic options when appropriate.

Ask for a review if symptoms affect work, relationships, exercise, or daily confidence. Treatment choices should reflect your medical history and preferences; do not start hormones or supplements without checking that they are suitable for you.

Arrange prompt assessment for bleeding after periods have stopped, bleeding that is unusually heavy, new pelvic pain, a vaginal bulge, or unexplained weight change. Seek urgent help for chest pain, severe breathlessness, fainting, sudden weakness, or thoughts of self-harm. New symptoms should not automatically be attributed to menopause.

Could these symptoms have another cause? Which treatment options fit my history? Do I need contraception or tests? How should vaginal symptoms, sleep, mood, and sexual concerns be managed together? When should I return for review?