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  »   What Is the menopause?
      
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  What Is the menopause? Inquire here
       
    The menopause happens when there are no more eggs in your ovaries.
   
    Your eggs stimulate your ovaries to produce oestrogen, so there is drop in the levels of oestrogen in the blood when the eggs in your ovaries run out.
   
    This fall in hormone levels disrupts your menstrual cycle and produces the other symptoms that are associated with menopause.
     
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  Causes
     
    The menopause usually happens gradually. For a few years before menopause, your periods may become irregular, happening every two to three weeks to every few months. There may be a change in the amount of bleeding - slightly heavier periods are more common.
     
    Women who smoke go through the menopause an average of two years early.
     
    Menopause is likely to happen later in women who have taken the contraceptive pill or given birth.
     
    Surgery that removes the ovaries causes an immediate menopause.
     
    When menopause happens before the age of 40, it's considered a premature menopause (or early menopause).
       
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  Symptoms
   
  Although some women have no symptoms other than the ending of their periods, eight in 10 experience menopause symptoms. These can include:
   
    hot flushes - eight in 10 women experience flushes
     
    night sweats
     
    palpitations (a feeling of a thumping heartbeat in your chest)
     
    mood changes such as irritability, depression or anxiety, although it's possible that these are due to life changes rather than the menopause itself
     
    difficulty sleeping (insomnia), due to night sweats or mood changes
     
    thinner, drier skin, hair and brittle nails
     
    aches and pains in your joints
     
    loss of interest in sex (libido)
     
    weight gain
     
    headaches
     
    vaginal changes - dryness, pain during sexual intercourse and increased risk of vaginal infections
     
    urinary changes - inability to control urination (incontinence) and increased risk of urinary infections