Understanding Menopause: Key Symptoms, Treatments, and Support for Women Over 40

For decades, women experiencing menopause have been told to simply “grin and bear it” because it’s a natural part of ageing. This outdated mindset has left many suffering in silence, believing nothing can be done.

But here’s the truth: menopause is a natural transition, not a condition to simply endure. With the right knowledge and support, you can navigate this stage of life with confidence and vitality.

If you’re reading this and recognising yourself, know that you’re not alone — millions of women share your experience. And support is available.

Perimenopause Symptoms and the Three Stages of Menopause

Menopause is officially diagnosed after 12 consecutive months without a menstrual period. But the journey involves three distinct stages:

• Perimenopause: Often starting in a woman’s 40s, hormone fluctuations cause irregular periods and early menopause symptoms like hot flushes, brain fog, and sleep issues. This phase can last months or even a decade.

• Menopause: The point when ovaries stop releasing eggs and producing most oestrogen and progesterone. The average age is 51.

• Postmenopause: The years after menopause, when symptoms may continue and new health considerations emerge, such as bone density loss and cardiovascular changes.

The Hormonal Shift Behind Menopause Symptoms

Menopause is more than “getting older” because of the dramatic hormonal changes involved. Oestrogen levels can drop by 90%, while progesterone virtually disappears.

These hormones influence nearly every system in your body, which explains the wide range of perimenopause and menopause symptoms:

• Brain function: memory, mood, and focus

• Heart health: blood vessel protection and cholesterol balance

• Bones: strength and density

• Skin and hair: collagen and hair growth

• Sleep regulation: progesterone supports calm and deep rest

• Temperature control: fluctuating oestrogen levels trigger hot flushes and night sweats

If you’ve been struggling silently, it’s not your fault — women simply haven’t been given enough information or support.

Why “It’s Just Natural” Is a Harmful Menopause Myth

Yes, menopause is natural — but so are broken bones and vision changes, and we treat those without question. Dismissing symptoms as something women must “endure” minimises their very real impact.

Common menopause and perimenopause symptoms include:

• Hot flushes and night sweats

• Brain fog and memory lapses

• Mood swings, anxiety, and low motivation

• Insomnia and sleep disturbances

• Joint pain and stiffness

• Changes in sexual health and intimacy

These aren’t minor inconveniences. Research shows symptoms can last 7–10 years, sometimes longer — affecting work, relationships, confidence, and overall wellbeing.

Menopause Treatment Options: From MHT to Lifestyle Support

Thankfully, awareness is growing. Healthcare providers and researchers now recognise that women deserve more than “grin and bear it.” Here’s what we know about effective menopause support:

Medical Options

Menopausal hormone therapy (MHT) is the most effective treatment for many women. It helps relieve hot flushes, night sweats, and protects bone and heart health. For those who cannot use MHT, non-hormonal medications are available.

Lifestyle Choices

Healthy nutrition, regular exercise, stress management, and good sleep hygiene can reduce symptoms like brain fog, low energy, and insomnia. Even small changes can make a big difference.

Complementary Approaches

Mind-body therapies such as yoga, acupuncture, or mindfulness may help some women manage symptoms alongside medical care.

Every Journey Is Unique

There’s no “one-size-fits-all” solution. Some women respond well to MHT, others to natural remedies for menopause, and many benefit from a combination of approaches.

Early Action Helps

The earlier you address perimenopause symptoms, the better your long-term health outcomes are likely to be.

How to Take Control of Perimenopause and Beyond

If you’re navigating perimenopause or menopause, remember: you have options, and you don’t have to go through it alone.

Here are some empowering steps:

• Seek a healthcare provider with expertise in menopause and women’s health.

• Stay informed about treatment options, from MHT to natural remedies.

• Connect with other women for community and support.

• Prioritise self-care with sleep, nutrition, exercise, and stress management.

• Advocate for yourself — your symptoms deserve to be heard and addressed.

The Bottom Line: Thriving Through Menopause

Menopause is not just about getting older — it’s a major hormonal transition that touches every aspect of health. But you don’t have to suffer in silence.

Every woman deserves accurate information, compassionate care, and access to effective treatments. By shifting the mindset from “just endure it” to “optimise and thrive”, you can approach this stage as a time of renewal, clarity, and strength.

With the right support — whether through MHT, lifestyle changes, or complementary therapies — menopause can be the beginning of a healthier, more empowered chapter of life.

Your journey is unique, and you have the right to make informed decisions about your health and happiness.

Educational note: This blog is for information only and does not replace medical advice. Always consult a qualified healthcare professional for personalised guidance.