Postmenopause Stage

Discover what the third and final stage of menopause is, how long it lasts, and associated health risks
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A colored continuous line illustration of a butterfly as a symbol of transformation.
A butterfly as a symbol of transformation. MENOPAUSE GUIDANCE
Key Takeaways
  • Postmenopause follows menopause and lasts for the remainder of a woman’s life.
  • During this stage, vasomotor symptoms like hot flashes may decline, and sexual, urinary and vaginal symptoms associated with genitourinary syndrome of menopause may emerge.
  • Postmenopausal women are at greater risk of health conditions like osteoporosis, insulin resistance, metabolic syndrome, cardiovascular disease, and high blood pressure.

What is it?

Postmenopause is the stage following menopause and lasts for the remainder of a woman’s life. Vasomotor symptoms like hot flashes may decline, and others like hair, skin, and musculoskeletal changes, and sexual, urinary and vaginal symptoms associated with genitourinary syndrome of menopause (GSM), may emerge. Symptoms can continue for a decade or more in some women.

Symptoms & Risks

In addition to symptom changes, a woman is at greater risk of health conditions associated with reduced estrogen and progesterone. These conditions include osteoporosis, insulin resistance, metabolic syndrome, cardiovascular disease, and high blood pressure.

While the risk for any condition depends on many factors, postmenopausal women are encouraged to maintain regular health check-ups, adopt nutritional and lifestyle changes, and seek appropriate treatment and management options as proactive and reactive measures to safeguard overall health and increase their quality of life.

To learn more, visit the Consequences & Risks and Testing & Screening pages.

Being Proactive

By being proactive, you can experience postmenopause as a liberating and fulfilling time of your life, free from the concerns of menstruation and conception. You can balance vigilance for potential health risks with an approach to health and wellness that integrates lifestyle and medical advice. And for women with a history of endometriosis, dysmenorrhea, menorrhagia, premenstrual syndrome (PMS), or menstrual migraine, their quality of life improves after menopause.

To learn more, visit the Prevention & Safeguarding page.

Postmenopause, calls for a balance of vigilance and wellness, a time to be proactive about health, particularly in regard to increased risks associated with reduced estrogen and progesterone. This balance can be achieved through regular health check-ups and appropriate treatment options as well as nutritional and lifestyle changes. While postmenopause brings a higher risk for certain health conditions, it also provides an opportunity to enhance quality of life, free from the concerns of menstruation and conception, as well as relief from menstrual related conditions. Thus, postmenopause, with targeted proactive measures, can be a fulfilling and empowering stage of life.

Frequently Asked Questions

What is postmenopause and when does it start?

Postmenopause is the stage of a woman’s life that follows menopause, starting after she has gone 12 consecutive months without a menstrual period, including spotting. This stage typically begins for most women in their early 50s and continues for the remainder of her life. Postmenopause marks the end of a woman’s reproductive years.

Where menopause is induced by surgical or medical interventions, a woman may become immediately postmenopausal. During postmenopause, the symptoms a woman may have experienced during menopause, such as hot flashes, may decline, and other symptoms, such as sexual, urinary and vaginal symptoms associated with genitourinary syndrome of menopause (GSM), may emerge. This stage also brings an increase in a woman’s risk of health conditions like osteoporosis and cardiovascular disease due to hormonal changes.

What happens when a woman reaches postmenopause?

When a woman reaches postmenopause, she has reached the end of her reproductive years. During this stage, a woman’s body is undergoing several changes because of the continual decline in estrogen levels. She may experience symptoms such as hair, skin, and musculoskeletal changes, weight gain, and changes in fat distribution, and sexual, urinary and vaginal symptoms associated with genitourinary syndrome of menopause (GSM). Symptoms can continue for a decade or more in some women.

Additionally, postmenopausal women are at an increased risk for certain health conditions like osteoporosis, insulin resistance, metabolic syndrome, cardiovascular disease, and high blood pressure, due to decline in hormones, estrogen, and progesterone. Maintaining regular check-ups with a healthcare professional is recommended to monitor these potential health risks.

Should you take estrogen postmenopause?

Estrogen remains an important hormone for overall health even after reaching postmenopause. While the body’s natural production of estrogen decreases significantly, maintaining a balance of this hormone can be beneficial for bone health, cardiovascular function, and other bodily functions.

Some women may benefit from Hormone Replacement Therapy (HRT), typically containing the hormones estrogen and either progesterone or progestin, to replace and balance hormones in their body and manage symptoms. Hormonal therapies are not for everyone and come with side effects, so should be discussed with a healthcare professional to determine the best course of action.

Sources
  • Dalal PK, Agarwal M. Postmenopausal syndrome. Indian J Psychiatry. 2015 Jul;57(Suppl 2):S222-32. doi: 10.4103/0019-5545.161483.
  • Postmenopause: Signs, Symptoms & What to Expect. Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/21837-postmenopause. Accessed October 9, 2023.
  • Staying Healthy After Menopause. Johns Hopkins Medicine. https://www.hopkinsmedicine.org/health/conditions-and-diseases/staying-healthy-after-menopause. Accessed October 9, 2023.
  • Todd L. Postmenopause: Impact on weight, hot flashes, and more. https://www.medicalnewstoday.com/articles/postmenopause. Accessed October 9, 2023.
  • Your Health in Postmenopause. WedbMD. https://www.webmd.com/menopause/health-after-menopause. Accessed October 9, 2023.
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