What is menopause?

Menopause, from the Greek words “men” and “pausis, “meaning “monthly” and “end,” signifies the natural conclusion of a woman’s monthly menstrual cycle, specifically when you’ve been without a period for 12 consecutive months. It’s a normal phase in life that all women will go through following perimenopause, a period when periods gradually cease due to decreased ovarian activity.

Despite its seemingly simple nature, menopause isn’t a one-day event but a transition that spans months or years. This transition involves various physical and psychological symptoms that can persist for years after menstruation stops.

While not an illness, menopause can significantly impact life. Taking proactive steps is crucial, as symptoms can lead 10% of women to leave their jobs, with one in four contemplating quitting. Each woman’s experience is unique, so there’s no universal solution. However, staying informed about the latest research can empower you to understand, cope with, and seek practical help for the challenges of menopause.


At what age does menopause start?

Menopause typically occurs between ages 45 and 55. 5% of women experience it after the age of 55 (late-onset menopause), and 1 in 100 face premature menopause that occurs before the age of 40.

Early menopause occurs when menstruation ceases before the age of 45, which can be attributed to various factors, including cancer treatments, hysterectomy, certain autoimmune diseases, infections, or natural causes.

Precisely predicting the onset of menopause is challenging, but research indicates several influencing factors:

  • Family history: both early and late menopause tend to run in families.
  • The onset of menstruation: initiating periods at a young age has been linked to early menopause.
  • The number of children: giving birth to three children is associated with later onset, while having no children or never getting pregnant is linked to earlier menopause.
  • Weight: overweight and obese women have a 50% higher risk of late menopause, while underweight women are more likely to experience early menopause.
  • Smoking: numerous studies show that women who smoke enter menopause earlier than non-smokers.

Research also suggests that women of African, Asian, and Latino descent are generally more likely to start menopause earlier than white women, experiencing a more extended transition time into menopause with potentially more severe symptoms.

How do you know you’re experiencing menopause?

You can recognise that you’re in menopause when you’ve been experiencing its symptoms, and it has been 12 consecutive months since your last menstrual period. This 12-month stage without a period confirms the transition into menopause. Symptoms can include hot flashes, night sweats, changes in mood, and other signs associated with hormonal shifts.

If you’re uncertain or experiencing discomfort, consulting with a healthcare professional can provide confirmation and guidance.

What happens to your hormones before and during menopause?

As menopause approaches, your ovaries slow down, reducing the production of hormones like oestrogen, progesterone, and testosterone. These hormones impact not only your reproductive cycle but also sleep, weight, energy levels, temperature regulation, skin, soft tissues, and mood. Fluctuating testosterone levels can affect your sex drive.

To understand your hormones better during this time, a test measuring follicle-stimulating hormone (FSH) can provide insights. While a single FSH test may not definitively confirm menopause, consistently elevated levels around 30 lU/L, along with no periods for 12 months, likely indicate menopause.

What are menopause symptoms

Menopause symptoms are largely driven by lower levels of oestrogen, affecting both physical and psychological aspects. For instance, sleep issues, a common complaint during menopause, can lead to low energy, reduced motivation, and mood changes. Interconnected symptoms can contribute to a range of challenges, such as anxiety and stress.

About 75% of women experience menopause symptoms, with a quarter facing severe ones. Given the potential duration of around 7 to 15 years for some, it’s crucial to recognise, understand, and find ways to alleviate these symptoms, recognising that each woman’s experience will vary in terms of length, severity, and specific symptoms.

Here are the top 9 menopause symptoms:

  1. Sleeping problems: stress, low mood, anxiety, and depression can disrupt sleep, often accompanied by night sweats.
  2. Weight gain: menopausal hormonal changes can lead to an average weight gain of around 2 kg, with a shift in fat distribution, often around the midsection, referred to as “meno belly.”
  3. Low energy: decreasing hormone levels contribute to tiredness and fatigue, intensified by sleep issues, stress, mood swings, and low mood.
  4. Joint aches and pains: reduced oestrogen levels affect bone density and joints, leading to stiffness, pain, and muscle aches.
  5. Night sweats: these are linked to temperature regulation issues. Night sweats and hot flushes should be discussed with a GP to rule out non-menopausal causes.
  6. Brain fog: forgetfulness, confusion, and difficulty retaining information during perimenopause and menopause, affecting cognitive function.
  7. Stress and anxiety: mood swings, anxiety, depressive symptoms, anger, and difficulty concentrating are common and often more challenging than physical symptoms.
  8. Low mood: diminishing oestrogen levels can result in a constant low feeling and a loss of interest in enjoyable activities, accompanied by fatigue.
  9. Trouble concentrating: lowered hormone levels can subtly impact concentration, compounded by sleep disturbances, making it harder to focus at work or home.

Menopause symptoms

The most impactful symptoms in menopause, however, often involve the vaginal area, including vaginal dryness and discomfort during sex. Reduced oestrogen levels affect urogenital tissues, leading to urogenital atrophy in the areas around the vagina, vulva, bladder, and urethra. This atrophy causes thinning and dryness of the tissues, resulting in vulval or vaginal dryness, soreness, and irritation. These symptoms, notably painful sex and bladder-related issues can persist, unlike other menopausal symptoms.

Additionally, lower oestrogen levels contribute to low libido, reducing the desire for intimacy and sex.

Identify your specific triggers that are making menopause symptoms worse

Understanding what factors worsen symptoms is crucial. The main triggers likely to intensify menopause symptoms for many women include:

  • stress at work;
  • a stressful event;
  • alcohol;
  • sugar;
  • caffeine;
  • fatty food;
  • hot weather;
  • spicy food;
  • cold weather; and
  • changes to your diet.

Considering the diverse impact of menopause, exploring various treatment options is essential. Familiarising yourself with available choices empowers you to make informed decisions and equips you with practical tools to navigate your menopause more smoothly.

How to manage menopause symptoms

Navigating menopause can be a unique journey for every woman, as the experience varies in terms of symptoms, duration, and intensity. While menopause brings about natural changes in hormonal levels, it doesn’t mean you have to endure its symptoms without relief.

Managing menopause symptoms involves a combination of understanding, self-awareness, and informed decision-making. From lifestyle adjustments and stress management to exploring medical interventions and seeking emotional support, there are various approaches to help alleviate the challenges posed by menopause.

In this journey, knowledge becomes a powerful tool, enabling women to make informed choices tailored to their individual needs. Below are some strategies and insights on how to effectively manage menopause symptoms, empowering women to embrace this phase with resilience and well-being.

You're not alone

Medical treatments

The primary medical treatment for menopause is hormone replacement therapy (HRT), considered statistically the most effective for relieving symptoms in healthy women. HRT, prescribed by your GP or available as vaginal oestrogen from pharmacists, replenishes depleted oestrogen and progesterone hormones.

It comes in various forms, such as tablets, patches, gels, implants, creams, or pessaries. Discussing risks and benefits with your GP is crucial to determine if HRT is the right option for you, especially if you need a menopause diagnosis, are considering HRT, are facing challenges with existing treatment, or want to understand its safe duration.


Regular exercise plays a crucial role in managing menopause symptoms. It boosts endorphin levels, alleviates anxiety and depression, maintains physical fitness, and supports healthy weight.

Exercise builds muscle mass, protects bones, enhances flexibility, reduces the risk of heart disease, improves sleep, and may even reduce the severity of hot flushes. Additionally, it increases blood flow to the brain, aids in reducing brain fog, and has been shown to improve self-worth and quality of life in postmenopausal women.

Diet and lifestyle

A balanced diet rich in nutrients, vitamins, and minerals significantly impacts energy levels and mental health during menopause. Reducing foods that induce lethargy and incorporating more protein and fibre can make a real difference in maintaining overall well-being.

Natural supplements

Supplements containing natural phytoestrogens, which mimic oestrogen in the body, can help balance hormones during menopause. M-Pause, our completely natural and hormone-free supplement, offers gentle but effective support tailored to your unique menopause journey.

Tailored for both perimenopause and menopause, M-Pause harnesses the power of phytoestrogens derived from hop and red clover extracts. These plant-based compounds effectively balance oestrogen levels, addressing the discomfort commonly associated with this life stage.

Remarkably, studies have confirmed a 4*x reduction in hot flashes and a 2*x decrease in night sweats within just six weeks* of incorporating M-Pause into your routine.

Building positive lifestyle habits

Implementing small daily changes can lead to lasting results during menopause. Cognitive behavioural therapy exercises, guided imagery meditation for better sleep, pelvic training for sensitive bladders, and deep breathing exercises for stress and anxiety can contribute to overall well-being.

Consider the positives

Discovering you’re going through menopause brings a mix of emotions. However, it’s worth reflecting on potential benefits, including: 

  • No more periods: freedom from worries about unexpected periods during holidays or important events, no more expenses on sanitary products, and relief from PMS, period pain, and menstrual headaches. Plus, confidently wear white trousers again.
  • No more contraception: postmenopause (usually two years after your last period) or after the age of 55, you can safely stop contraception without concerns about pregnancy.
  • A time for self-reflection: menopause is an opportunity to re-evaluate life, focusing on personal wants and needs in your fifties and beyond. The decrease in oxytocin, often associated with caring, can allow for more time for self-care, described by some women as liberating.
  • Health and habits focus: menopause prompts many women to reassess their health habits, often incorporating exercise and revisiting diet and lifestyle choices. With menopause increasing the risk of conditions like osteoporosis and heart disease, adopting regular exercise and a healthier diet can help mitigate these risks.
  • Increased optimism: with decades of life experience, women in their 40s and 50s typically have greater self-assurance and confidence to pursue their desires and communicate their needs. As menopause symptoms are managed, a sense of calmness and improved temperament often follows. Research also indicates that levels of optimism tend to peak in the mid-fifties.

*Disclaimer: the effects of the product may vary between individuals and could differ from those described on the website. Our products are not intended to prevent, treat or cure any disease or serious illness. Maintaining a balanced diet and a healthy lifestyle is important.

Products for you