Women's healthDiabetes & hormones

One gynecologist gets real about menopause

Here's the low-down on common symptoms—plus how to feel better.


LearnHormone healthMenopauseOne gynecologist gets real about menopause
Hormone therapy is safe for most people
Hot flashes are treatable
Brain fog is common
Exercising is more important than ever
Aging is an emotional as well as physical journey
Sex can still be very pleasurable
You can use the transition as an opportunity

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Scientifically speaking, menopause occurs when you go 12 consecutive months without a period. “But the holistic reality of menopause covers the head-to-toe physical, spiritual, and sexual changes that are much more important than the basic definition suggests,” says OBGYN Susan Hardwick-Smith, MD, of Complete Midlife Wellness Center in Houston, Texas.

Menopause can be different for each person experiencing it—some feel empowered from not having to deal with tampons and birth control anymore, while others may experience severe hot flashes, vaginal dryness, and mood changes like irritability, sadness, or feeling overwhelmed. Whatever your personal menopause journey entails, remember that it is a natural transition, and that you can turn to your healthcare providers (HCPs) for help with any symptoms. Here are some important things to keep in mind.

Sources: Johns Hopkins Medicine. Introduction to ... + 16
  1. Johns Hopkins Medicine. Introduction to Menopause. Accessed May1, 2023.
  2. Kroenke CH, Caan BJ, Stefanick ML, et al. Effects of a dietary intervention and weight change on vasomotor symptoms in the Women's Health Initiative. Menopause. 2012 Sep;19(9):980-8.
  3. The North American Menopause Society. The Experts do Agree About Hormone Therapy. Page accessed June 24, 2022.
  4. Mayo Clinic. Hot flashes. Page accessed June 6, 2022.
  5. Johns Hopkins Medicine. How Does Menopause Affect My Sleep? Page Accessed June 6, 2022.
  6. MD Anderson Cancer Center. Alcohol and breast cancer risk:  What to know. Accessed June 6, 2022.
  7. Mayo Clinic. Fitness tips for menopause: Why fitness counts. March 12, 2021. Accessed June 6, 2022.
  8. Mayo Clinic. Vaginal atrophy. September 17, 2021. Accessed June 6, 2022.
  9. Harvard Health Publishing. Menopause-related hot flashes and night sweats can last for years. August 14, 2020. Accessed June 22, 2022.
  10. The North American Menopause Society. What You Should Know About Memory and Concentration at Midlife. May 2011. Accessed June 22, 2022.
  11. Harvard Health Publishing. 12 ways to keep your brain young. May 13, 2022. Accessed June 22, 2022.
  12. The North American Menopause Society. Fitness After 40: Building the Right Workout for a Better Body. 2022. Accessed June 22, 2022.
  13. The North American Menopause Society. Decreased Desire. 2022. Accessed June 22, 2022.
  14. The North American Menopause Society. Effective Treatments for Sexual Problems. 2022. Accessed June 22, 2022.
  15. The American College of Obstetricians and Gynecologists. The Menopause Years. November 2021. Accessed June 24, 2022.
  16. NIH: National Institute on Aging. Hot Flashes: What Can I Do? September 30, 2021. Accessed June 24, 2022.
  17. Office on Women’s Health. Menopause and your health. February 22, 2021. Accessed June 24, 2022.
Written by Olivia DeLong.
Medically reviewed by Joanne Perron, MD, MPH.March, 2024
Updated onAugust, 2026
Written by Olivia DeLong.
Medically reviewed by Joanne Perron, MD, MPH.March, 2024
Updated onAugust, 2026
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