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Menopause: The beginning of a new era

Menopauza: Egy új korszak kezdete

Menopause is not a disease, but a natural stage of life – yet for many women, it is a difficult, sometimes overwhelming turning point. The physical and mental symptoms accompanying the change often appear slowly, insidiously, and affect daily life unnoticed. More and more women experience fatigue, sleep problems, hot flashes, and mood swings – but few immediately think that all of this could be part of hormonal changes. However, it is worth staying informed in time and arriving prepared for this new era – because with knowledge, awareness, and support, it can be much easier to get through, and even: to live well.

Older woman in black underwear in a seated position, illustration for topics of self-confidence, body image, and healthy aging.

What happens to our bodies?

During the fertile stage of life, the ovaries continuously produce estrogen – the hormone that affects almost all of our organs. Estrogen not only regulates the cycle but also provides protection for our bones, vascular system, brain function, skin elasticity, and the list could go on. It supports the harmony of our bodies invisibly, but powerfully. Yet, this protection is gradually lost as the egg supply is depleted and estrogen levels begin to decrease. It is this hormonal deficiency that triggers a complex of symptoms that manifests differently in everyone. Some notice barely any changes, while for others, menopause brings serious physical and mental challenges that can last for years.

The most common symptoms include:

  • hot flashes and night sweats,
  • weight gain, mainly around the abdomen
  • sleep disorders, anxiety, irritability,
  • depressive mood,
  • decreased libido,
  • and the "brain fog" that affects many – when concentration decreases and thinking becomes slower and duller.

Many feel they are "not themselves" anymore – and this uncertainty, the struggle with physical symptoms, affects their relationships, work, and self-confidence as well. Furthermore, hormonal deficiency carries long-term risks: bone density decreases, and the risk of osteoporosis and fractures increases. Because of all this, it is important not to dismiss the symptoms, but to take them seriously.

Menopause is therefore not just the period marking the end of menstruation, but also one of profound physical and mental adjustment. And if we start talking about it in time – with ourselves and with professionals – then this new era can even become an opportunity.

References:

  1. Santoro N. The Menopause Transition: Signs, Symptoms, and Management. J Clin Endocrinol Metab. 2021;106(1):e377–e394. https://academic.oup.com/jcem/article/106/1/1/5937009?login=false
  2. Greendale GA, et al. Bone Health during the Menopause Transition and Beyond. Front Endocrinol (Lausanne). 2018;9:563. https://www.sciencedirect.com/science/article/abs/pii/S088985451830072X?via=ihub
  3. Morssinkhof MWL, et al. Does menopause elevate the risk for developing depression and anxiety? Eur J Obstet Gynecol Reprod Biol. 2023;282:107–111. https://journals.sagepub.com/doi/10.1177/10398562231165439
  4. Menopause and Mental Health. 2025 Apr-Jun; PMC12237151. https://journals.lww.com/jomh/fulltext/2025/04000/menopause_and_mental_health.1.aspx
  5. Flores VA, et al. Hormone Therapy in Menopause: Concepts, Controversies, and Guidelines. Obstet Gynecol Surv. 2021;76(11):654–662. https://academic.oup.com/edrv/article/42/6/720/6226912?login=false

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