The hot years: the truth about what happens during menopause – and the best ways to get through it

enopause was previously seen as a source of ageist shame, an unexploded bomb, or a suspicious parcel. But it is a natural phase which marks the end of childbearing years and, at last, we have the science and the knowledge to resolve a lot of the surrounding mental and physical health issues. Now is the time to embrace menopause, rather than fear it, and tackle the changes holistically.

This is often when women experience sleeplessness, become forgetful, suffer heart palpitations and inexplicable bouts of irritation. Progesterone promotes calm and helps us sleep; with lowered oestrogen, serotonin decreases too. Just as the pressures of looking after elderly parents and irascible teenagers intensify, the hormones that have kept us on an even keel disappear, and

Women, and some trans men and non-binary people, need to seize this moment for a health upgrade, including simple changes such as taking more exercise, eating more green foods, and finding ways to destress. This is also the time to consider hormone replacement therapy , and find out which version could be the safest for you. When properly prescribed ,

While this is a time of life when stresses can pile up, which may affect the ability to think clearly, women’s brains can be significantly affected by hormone loss, and so, often, is their confidence in holding down a job. Sudden memory blockages can be terrifying, if temporary – retrieving a name or a fact 10 minutes afterwards is no use if you’re in the middle of a meeting or PowerPoint.

Painful joints, arthritis and sports injuries often flare up in menopause, since oestrogen protects joints and decreases inflammation, and 67% of women surveyed reported joint pain. This can be helped by HRT – a study of almost 5,000 postmenopausal women showed

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