Menopause Symptoms and How to Ease Them | Metle Metlik

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Hormonal health

What Are the Symptoms of Menopause and How Can They Be Relieved?

Menopause is a natural stage that every woman experiences. It marks the permanent end of the menstrual cycle after twelve consecutive months without a period.

It usually occurs between the ages of 45 and 55, but in some cases, it may begin earlier — in the late thirties or early forties.

During this stage, the body’s production of key female hormones, estrogen and progesterone, declines. This hormonal shift leads to a range of physical and emotional changes.

Differences in symptoms from one woman to another are entirely normal — menopause is not an illness, but a natural transition that can be managed with awareness and care.

Menopause is not a disease but a new chapter in a woman’s life — one that calls for awareness and care, not fear or anxiety.

What Are the Main Symptoms of Menopause?

During this phase, women may experience a variety of changes that differ in intensity and duration. Here are the 10 most common symptoms:

1. Hot flashes and night sweats

A drop in estrogen can cause sudden sensations of heat, flushing, and sweating that may occur several times a day or at night — often disrupting sleep and causing fatigue.

2. Vaginal dryness and reduced natural lubrication

The decline in estrogen affects vaginal tissues, leading to dryness, burning, or discomfort during intimacy. It can also increase the risk of urinary tract infections.

3. Irregular menstrual cycles

Periods become less predictable in timing and flow before eventually stopping altogether.

4. Sleep problems and insomnia

Many women find it difficult to fall or stay asleep due to night sweats, hormonal fluctuations, or anxiety.

5. Mood swings and depression

Hormonal changes affect brain chemistry, resulting in irritability, sadness, or anxiety without an obvious reason.

6. Changes in weight and body shape

A slower metabolism, fat accumulation around the waist and abdomen, and gradual muscle loss are common.

7. Dry skin and hair thinning

Reduced collagen and oil production make the skin drier and hair more fragile and prone to shedding.

8. Joint and muscle pain

Lower hormone levels can cause stiffness, aches, or discomfort in the joints and muscles.

9. Decreased sexual desire

Hormonal changes, dryness, and stress may temporarily reduce comfort and pleasure during intimacy.

10. Difficulty concentrating and short-term memory lapses

Sleep disturbances and emotional stress can affect focus and memory but usually improve with rest and proper management.

Every woman experiences menopause differently — symptoms vary in type, duration, and intensity.

Menopause and Sexual Well-Being

Menopause does not mark the end of a woman’s sexual life — it marks the beginning of a new, more self-aware phase. In Mech 3ayb Podcast – Episode 10, we discussed Menopause and Sexuality — exploring how women can regain desire, comfort, and confidence in their bodies through understanding and treatment. The episode also covered vaginal dryness, hormonal changes, and the best modern and natural treatment options available today.

Watch the episode here:

How Can Menopause Symptoms Be Relieved?

There are many effective ways to manage menopause symptoms and make this stage easier — from hormonal therapy to natural alternatives and lifestyle adjustments.

1. Hot flashes and night sweats

Hormone Replacement Therapy (HRT) is one of the most effective medical treatments for managing menopause symptoms. It replaces the body’s natural decline in estrogen, progesterone, and sometimes testosterone — helping restore hormonal balance, improve mood, sleep, and energy levels.

HRT does more than relieve symptoms; it also supports long-term health by maintaining bone density, brain function, and muscle strength, and may reduce the risk of osteoporosis and early heart disease.

Hormones are safe for most women when used under medical supervision and are essential for brain, bone, muscle, mood, and sexual health.

Types of Hormone Therapy

Estrogen-only therapy
Usually prescribed for women who have undergone hysterectomy. It helps relieve hot flashes, night sweats, vaginal dryness, and improves sleep and mood.
Combined estrogen and progesterone therapy
Used for women who still have a uterus, as progesterone protects the uterine lining from overgrowth caused by estrogen. Recent studies also suggest that adding progesterone even in women without a uterus can help improve mood and sleep and provide more stable hormonal balance.
Topical estrogen
Includes creams, tablets, or vaginal rings containing low doses of estrogen used directly in the vagina to treat dryness and inflammation. It is highly effective for women who experience vaginal discomfort without needing systemic hormones.
Vaginal Dehydroepiandrosterone (DHEA)
A natural hormone produced by the adrenal gland that converts into estrogen and testosterone when needed. Used as vaginal suppositories, it helps stimulate natural lubrication, improve comfort, and rejuvenate vaginal tissue.
Testosterone therapy
In specific cases, small doses of testosterone may be prescribed for women experiencing low sexual desire or persistent fatigue. Research shows that, under medical supervision, testosterone can improve mood, energy, and libido without causing masculine side effects.

Talking about sex after menopause is not shameful, but rather a courageous step towards a deeper understanding of your body and your needs.

Bioidentical Hormones: The Recommended Form of HRT

Today, most experts recommend bioidentical hormones — plant-derived hormones (from soy or wild yam) that are chemically identical to those naturally produced by the body. They are safer, better tolerated, and provide a more balanced response than older synthetic forms.

Bioidentical hormones can be used in any form of HRT (oral, topical, vaginal, or patch) and are often preferred because they reduce side effects like bloating, headaches, and mood changes.

The Broad Benefits of Hormone Therapy

Effectively relieves hot flashes and night sweats
Improves sleep quality and overall mood
Enhances sexual desire and relieves vaginal dryness
Protects bones and prevents osteoporosis
Supports brain function and prevents early cognitive decline
Increases energy and maintains muscle tone
Promotes heart and vascular health when properly used

Important Notes

Starting HRT in the early years of menopause yields the greatest benefit with the lowest risk.
Regular check-ups and blood tests are essential, especially for women with a family history of breast or heart disease.
HRT is not necessarily lifelong — it can be adjusted gradually according to symptoms and medical guidance.
The ideal form (oral, patch, or topical) should be chosen based on personal needs and response.

Bioidentical hormones are not a separate therapy — they are the most natural, accurate, and recommended form of hormone replacement, offering optimal balance with minimal side effects.

2. Non-Hormonal Treatments

Non-hormonal medications:
- Certain antidepressants (SSRIs) may help reduce hot flashes but can sometimes lower sexual desire.
- Blood pressure medications may help control night sweats.
- Bone-strengthening drugs (bisphosphonates) prevent bone loss and maintain density.
Nutritional supplements:
Calcium, magnesium, vitamin D, and omega-3 fatty acids help support bone, muscle, and mood health.
Natural and herbal remedies:
Black cohosh, maca, and ginseng are commonly used to ease symptoms — though consultation with a healthcare provider is recommended.
Lubricants and moisturizers:
Applied daily or before intimacy to reduce dryness and discomfort.

3. Lifestyle and Integrative Treatments

1. Healthy nutrition

A plant-based diet rich in legumes, leafy greens, and fresh fruits supports hormonal balance.
Soy is especially beneficial for its natural phytoestrogens.
Limit caffeine, spicy foods, and sugar, as they can increase hot flashes.

During menopause, the body becomes more sensitive to environmental and dietary factors. Our No Tox Program supports the liver and digestive system in cleansing harmful substances and excess hormones.

Results include:

Improved mood and energy
Reduced bloating and fatigue
Natural hormonal balance

2. Physical activity

Regular movement helps regulate circulation, improve mood, and reduce stress.
Walking, swimming, and light daily exercise help maintain fitness and overall well-being.

Our Yoga for a Better Sex Life program is specifically designed to support women during menopause. It focuses on gentle, restorative movements that reconnect you with your body and enhance feminine energy.

This program helps:

Improve sleep quality
Reduce stress and anxiety
Increase pelvic blood flow
Enhance sexual desire and comfort

3. Sleep and stress management

Maintaining a consistent sleep routine, along with mindfulness and deep breathing, helps improve sleep quality and emotional balance.

FAQs About Menopause

1. Do all women need hormone therapy?

Yes, fertility gradually decreases as the number and quality of eggs decline. But this doesn’t mean you can’t conceive — many women get pregnant naturally in their 30s and beyond with a healthy lifestyle and proper medical guidance.

2. How can I know if my fertility is good?

Yes. When prescribed and monitored by a healthcare professional, it is safe for most women and supports bone, brain, muscle, mood, and sexual health.

3. Can periods return after menopause?

Once twelve consecutive months have passed without a period, menopause is confirmed. Any bleeding afterward should be evaluated by a doctor.

4. Can sexual well-being improve without medication?

Yes — through exercise, natural lubricants, yoga, emotional connection with your partner, proper nutrition, and quality sleep.

In Conclusion

Menopause is not the end — it’s the beginning of a new phase of awareness and self-care. With understanding, proper treatment, and attention to both physical and emotional health, every woman can navigate this transition with confidence and comfort. Hormones, along with holistic programs like our Yoga program for a Better Sex Life and our No Tox Program, help women restore balance from within and embrace this stage fully. Approaching menopause with awareness is the key to physical and emotional well-being in the second half of life.

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