Menopause and perimenopause Archive

Genitourinary syndrome of menopause, or GSM, was once called vaginal atrophy. But experts changed the name to better reflect the full scope of symptoms, which include vaginal thinning and dryness; burning, irritation, and itching; pain during intercourse; urinary issues such as increased urgency and frequency; and higher risk of urinary tract infections. The majority of women with GSM symptoms don't discuss it with their doctors. But a Harvard expert says they should, since GSM is progressive and can lead to dangerous problems.

After an FDA panel was convened to review black box warnings on menopause hormone therapy, which includes both systemic and vaginal estrogen treatments, the FDA announced in November 2025 it would remove black box warnings from all hormone therapy products containing estrogen. Women considering hormone therapy should discuss their individual health risks with their doctor - such as a history of heart attack or stroke, a blood clot in the legs or lungs, hormone-sensitive cancer, active liver disease, and overall breast cancer and cardiovascular risks.

More than 10 million of the nation's 19 million cancer survivors are women, 80% of whom are 60 or older. Cancer survivors going through menopause may not be able to use systemic hormone therapy if their cancer was hormone-driven, but other measures can provide symptom relief. These include various medications and lifestyle modifications such as cognitive behavioral therapy, meditation, acupuncture, and regular exercise. Some women who can't use systemic hormone therapy may still try vaginal estrogen to ease vaginal dryness, some urinary symptoms, or painful sex.

A 2025 study suggests that postmenopausal women may be able to lower their blood pressure simply by standing more often each day.

Waking up in the middle of the night happens to women more often after age 55 due to many factors. These include diminished hormones and circadian rhythm changes. Stress, bladder changes, medications, chronic pain, and alcohol and caffeine use can also contribute. People can break the cycle of nighttime wake-ups by practicing good sleep hygiene, addressing medical issues, trying mind-body techniques such as deep breathing or meditation, and limiting caffeine, alcohol, and heavy evening meals.

Menopausal hot flashes and night sweats, called vasomotor symptoms, are linked in research to higher odds of dementia and cardiovascular disease. But studies don't necessarily account for other health and lifestyle factors that influence brain and heart health. Women who are physically active and have a lower body mass index are less likely to become cognitively impaired. Disrupted sleep, which is common for women with vasomotor symptoms, may also contribute to cardiovascular and cognitive problems.

Burning mouth syndrome affects about 2% of people, with women up to seven times more likely than men to be diagnosed. Symptoms include burning sensations in the lips, mouth, or throat as well as stabbing pain, tingling, a sour or metallic taste, or the sense that something is crawling inside the mouth. Women's hormone dips during perimenopause and beyond may play a role in the condition, and stress and anxiety are also considered risk factors. To confirm the diagnosis, doctors must first rule out other potential causes of symptoms.

Using hormone therapy, which involves taking estrogen and sometimes progesterone, doesn't stop or slow the approach of menopause. The arrival of menopause is determined by women's ovaries, not by the amount of these hormones in the body.