The average age of achieving full menopause is 50 1/2 years. Usually menopause (absence of periods, hot flashes, nite sweats, dysphoria,vaginal dryness, changes in libido etc.) is a gradual process evolving over 1-2 years rather than an abrupt event. There is a subset of women who actually begin having very frequent (2-3 times per month) annoying periods, spotting etc. Most women begin skipping months and their periods basically "fade out". Contrary to common views, the majority of women do not experience hot flashes nor excessive perspiration/nite sweats (vasomotor symptoms).
The once widespread use of hormone replacement therapy is controversial and rarely used. There are numerous herbal supplements and phytoestrogens/soy extracts useful for treatment of vasomotor symptoms, mood changes, and libido issues. Over-the-counter vaginal moisturizers/prescription estrogen cream can treat vaginal dryness. Vitamin D supplements, extra dietary calcium and various prescription meds can enhance bone strength. Check out the American College of Obstetrics and Gynecology Website
for information on various Women's Health topics.
