The really debilitating side effects of menopause kick in well after your periods stop. Unfortunately this subject is one of the few taboos left and it is appalling that women are allowed to remain in ignorance of this.
You can expect long term to suffer from osteoporosis, osteo- arthritis, vaginal atrophy, loss of libido, stress incontinence, cardiovascular disease, aches and pains-especially joints, skin and hair changes leading to looking older, sleep problems, concentration problems and Alzheimer’s. These are just the ones I can remember off the top of my head.
The hot flushes are more likely to occur in those who had the normal high levels of oestrogen before their levels plummeted. Women who “sail through” the initial phase of menopause do tend to have low oestrogen levels to start with so will hit the later side effects earlier than those who suffered hot flushes.
There is a solution. It is oestrogen replacement therapy but again women are not generally made aware about the benefits until they are well past menopausal age and it is no longer an option.
Those who take HRT from the menopause benefit hugely as they can put off menopause for the rest of their lives and in consequence have a much healthier old age.
Yes, there are a few for whom it is contra indicated but the great majority of women can have a much better quality of life thanks to medical advances.