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The signs of the menopause

        THE SIGNS OF THE MENOPAUSE
It is normal and natural to lose oestrogen at the time of the menopause. If, like our forebears, we didn't live much beyond the age of 50-ish, this wouldn't cause many problems. Just as women in past ages were starting to get hot flushes and night sweats, along would come the Grim Reaper and their troubles in this world would be over. Few would live to experience the long-term effects of low oestrogen, such as osteoporosis, heart attacks and strokes.
We have looked at how and why oestrogen and progesterone levels fall. Now we will look at what effect this has, and why replacing these hormones — in the form of hormone replacement therapy (HRT) - can help.
Most women probably know about hot flushes, unpredictable moods and loss of sex drive, but what else might there be?
‘You won't believe this, but I just didn't realise my problems were due to the menopause. Of course I recognised the hot flushes, but not anything else. Over the course of 18 months I lost count of the number of times I went to my doctor - we got sick of the sight of each other. I went to him about pains in my joints (he gave me paracetamol), about insomnia and night sweats (he suggested a milky bedtime drink and sleeping tablets), depression ('Why not do some charity work?').
Other things I decided not to see him about, such as sexual difficulties and general mood changes. I couldn't understand what was happening to me as I'd been such a normal, healthy person. Luckily one day I saw another doctor in the practice. She explained that all these things were probably due to the menopause, and she talked to me about HRT, gave me a check-up (which proved I was quite normal!), and I've been on HRT ever since.’
The consequences of low or falling oestrogen are grouped in three categories: (a) early symptoms that, for most women, last between about six months and two years, (b) rather later symptoms that tend to become more noticeable as the years go by, and (c) conditions that may not start for many years and then get steadily worse.

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Keywords for this page: The signs of the menopause