Beyond Hot Flushes: 50+ Symptoms of Menopause You Need to Know

Menopause is an inevitable part of life. Every woman will go through it, and generations of women before them have gone through it too. So why does it still catch so many by surprise?

You’ve heard about the typical menopause symptoms like hot flushes and night sweats, but menopause is so much more than that. “These days there are over 50 symptoms that have been attributed to perimenopause and menopause,” says Menopause Specialist Dr. Ginni Mansberg(1). So, if you’ve been feeling “off” in your 40s or suspect menopause might be sneaking up on you, this guide is for you. We’re here to walk you through the 50+ symptoms you might encounter so you’re equipped for what’s ahead.

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What is Menopause: A Natural Transition

Menopause is more than the end of your periods. It’s a shift—a major hormonal transition that marks the end of your reproductive years. As Dr. Mansberg explains, “Menopause is defined as the point when you’ve gone 12 months without a menstrual period.”(1) This typically happens between ages 45 and 55, with an average of 51(2). But the process starts long before that.

The years leading up to menopause are called perimenopause. This is when your hormones start fluctuating, periods become unpredictable, and the symptoms creep in. For some women, perimenopause can start as early as their 30s or 40s and last for 7–10 years(3). Once you’ve hit that 12-month mark with no periods, you’ve officially reached menopause. Everything beyond that is postmenopause. Symptoms might stick around, but they often ease up with time.

What’s often misunderstood is that menopause isn’t just about your body shutting down your periods. It’s about a whole new phase of life that comes with its own set of challenges—and knowing what to expect gives you the power to face it head-on.

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Menopause Symptoms

The Classic Symptoms: Hot Flushes, Night Sweats, and Weight Gain

Let’s start with the symptoms you’ve probably heard about. Hot flushes—those sudden waves of heat that leave you flushed, sweaty, and uncomfortable—are what most people associate with menopause. And for good reason. As Dr. Mansberg puts it, “Vasomotor symptoms, better known as hot flushes, can happen hourly, up to 200 times a day, and through the night, stealing your sleep and sanity.”(1) About 80% of women experience hot flushes and night sweats during menopause.(2)

Then there’s weight gain, especially around the belly. It’s frustrating, it’s common, and it’s another part of the hormonal shift. But it’s not just about those stereotypical changes. There’s more going on beneath.

Musculoskeletal Symptoms: Achey Joints and Bone Density

Menopause can make you feel like your body is working against you. Achy joints and muscle stiffness can appear out of nowhere, and no amount of stretching seems to make it better. The drop in estrogen also means your bones are more vulnerable. Lower estrogen levels are linked to osteoporosis, making you more prone to fractures. It’s why paying attention to bone density and joint health is so important during and after menopause.

For some women, there are even stranger symptoms like tingling in the hands and feet or that dreaded frozen shoulder. The key is knowing what’s happening to your body so you can take steps to manage these symptoms.

Mental and Emotional Health: It’s Not All in Your Head

The emotional rollercoaster of menopause is real. Mood swings, irritability, and anxiety can come out of nowhere. That foggy feeling—brain fog, where simple things like finding your keys feel impossible—can make you feel like you’re losing your edge. It’s not uncommon to feel overwhelmed, and it’s not just because of the changes happening around you—it’s because of the changes happening inside you.

As Dr. Mansberg points out, “Perimenopause and menopause are the highest risk periods in a woman’s life to experience anxiety and depression.”(1) These emotional symptoms are not something you have to “tough out.” Recognising that they’re linked to hormonal changes is crucial, and there are treatments, from Menopausal Hormone Therapy (MHT) to natural alternatives, that can help you regain your sense of self.

Sexual and Reproductive Health Symptoms: Vaginal Dryness, Libido, and More

One of the most challenging aspects of menopause for many women is its impact on sexual health. Vaginal dryness, pain during sex, and a loss of libido can make intimacy feel like more of a chore than a joy. Genitourinary Syndrome of Menopause (GSM), which affects most postmenopausal women and up to 80% of women over 65, is caused by the drop in estrogen and includes symptoms like vaginal dryness, itching, burning, and urinary issues such as recurrent infections or incontinence(4).

As Dr. Mansberg explains, “Despite how common these symptoms are, they are rarely talked about, and only 7% of women ever receive treatment.”(1) This silence needs to end. There are effective treatments available, from MHT to hormone-free options like lubricants and moisturisers.

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Menopause Symptoms Management

Take Control of Your Body

Menopause is a natural part of life, but that doesn’t mean you have to suffer through it. Start by educating yourself—knowledge is power.

Knowing hormone levels and how they affect physical and emotional health during menopause is key. Talk to your healthcare provider about your symptoms, your family history, and what’s important to you.

You have choices. Whether you’re interested in natural solutions, lifestyle changes, or Menopausal Hormone Therapy (MHT), you decide what’s best for you. Various options can work to alleviate menopausal symptoms, so speak to your healthcare provider and come up with a personalised plan.

Menopause is a Journey

Menopause is a journey, not a destination. It’s the natural end of the reproductive stage in women’s lives and it comes with a range of experiences and symptoms.

Some may only experience minor discomfort, while others may have more severe symptoms that can last for years. It’s a big change, but it’s also a new chapter in your life. By talking about menopause and understanding the symptoms, you can take on this transition with confidence.

Remember, you’re not alone. Millions of women are on this journey with you. The more we talk about it, the better prepared we’ll all be. Embrace this new chapter with the knowledge that you have choices, support, and the strength to handle whatever comes your way.