Women's Health Archive

Women receive less information about perimenopause compared with the earlier milestones of puberty and pregnancy. Some women deal with an array of symptoms they don't connect to perimenopause and aren't aware that lifestyle changes can offset them. The menopause transition often involves weight gain from both shifting hormones and aging. Regular exercise and strength training can mitigate weight gain. Healthy eating habits and sounder sleep can also offset perimenopausal symptoms.

An estimated six in 10 women will at some point experience symptoms from pelvic floor weakness. Risk factors include pregnancy (especially with vaginal delivery), chronic constipation, family history, smoking, aging, menopause, obesity, chronic coughing, and occupations involving heavy lifting. Women with pelvic floor weakness may experience signs such as leaking urine, having trouble using a tampon, being unable to fully empty their bladder or rectum, and feeling a bulge in their vagina.

Women officially reach menopause a year after periods end. Any vaginal bleeding after menopause should be evaluated. Bleeding can come from vaginal dryness or atrophy, medication side effects, various infections, endometrial thickening, or cancer.

The FDA added a boxed warning in December 2024 to fezolinetant (Veozah), a nonhormonal drug that reduces hot flashes and night sweats in menopausal women. The drug may cause rare but serious liver injury.