Menopause

Menopause is the point when you have gone 12 months without a period, with no other cause. Perimenopause is the transition leading up to it. During this time, periods may change and symptoms may begin. A licensed physician can review your history and help explain which stage you may be in.

Common menopause symptoms include hot flashes, night sweats, sleep problems, and vaginal dryness. Period changes often begin during perimenopause. Some people also notice mood changes or trouble concentrating. Symptoms differ widely, and other conditions can cause similar changes. A licensed physician can help assess what may be causing your symptoms.

Hormone tests are not always needed to diagnose menopause. For many people in midlife, age, symptoms, and period history provide enough information. Hormone levels change during perimenopause, so one test may not give a clear answer. A licensed physician decides whether testing is useful based on your health history.

Menopause hormone therapy uses estrogen, sometimes with a progestogen, to treat certain symptoms. It can reduce hot flashes and night sweats. Results vary. The right option depends on your symptoms, whether you have a uterus, and your health risks. A licensed physician in your state decides whether treatment is appropriate.

Systemic menopause hormone therapy may not be appropriate if you have certain cancers, unexplained vaginal bleeding, liver disease, or a history of blood clots, stroke, or heart attack. Your age and time since menopause also matter. A licensed physician must review your full history before deciding whether to prescribe it.

Non-hormone prescription medicines are options for some people with menopause hot flashes. Certain antidepressants, gabapentin, and medicines that target temperature-control signals can reduce symptoms. Results vary. These options have different side effects and monitoring needs. A licensed physician can review which, if any, fits your health history and current medicines.

Vaginal moisturizers, lubricants, and certain prescription treatments can ease menopause-related dryness and discomfort. Results vary. Moisturizers are used regularly, while lubricants are used during sexual activity. Persistent pain, bleeding, discharge, or urinary symptoms need a medical review. A licensed physician can decide whether a prescription or an in-person exam is appropriate.

Yes. Menopause can coincide with sleep problems, mood changes, and trouble concentrating. Night sweats may interrupt sleep, while stress and other health conditions can add to these concerns. Treatment may help, but results vary. Persistent sadness, anxiety, or daytime sleepiness deserves a medical review rather than being blamed only on hormones.

Bleeding after menopause is not considered normal and should be checked, even if it happens once or is only light spotting. Causes include tissue thinning, polyps, and sometimes cancer. Do not assume dryness or hormone therapy is the reason. Contact a clinician promptly to arrange an evaluation, often in person.

At Verra Health, a licensed physician in your state reviews your online or video visit and decides whether menopause treatment is appropriate. Verra is available in all 50 states and DC. Some states or medications require video visits. Prescriptions are not guaranteed, and medication is charged only after physician approval.