Menopause-FAQ's

What Are the Long Term Changes Occurring After Menopause?


Most symptoms of the change of life will eventually disappear after the body has adjusted to the new low levels of hormones. But there are other problems that may result from the long-term lack of oestrogen after the menopause and which do not improve with time unless prevented by treatment.

Body and Bladder Changes

These persist long-term due to oestrogen deficiency. After the menopause the vagina shortens, narrows and loses its elasticity. The skin around it may get dry, thin and itchy. This can frequently lead to painful intercourse which may be a cause of emotional stress in a sexual relationship.

Because of the thining of the protective lining of parts of the bladder and urethra some women are more likely to suffer bouts of Cystitis.

Appearance

Much change is the inevitable result of ageing, but the skin becomes particularly thin and dry and loses its suppleness, as a result of the loss of hormones.

Bone changes

Oestrogen is particularly important in keeping the bones strong, so after the menopause, bones slowly become thinner and weaker (osteoporosis) owing to the lack of this hormone. This is responsible for the "brittle bones" of many elderly women, who develop fractures very easily. This explains why older women often break their hips or wrists. Weakening of the spine causes the bent back so often seen in old women – the "dowager’s hump". Bone and joint pains can also result.

How Can a Gynaecologist Help at the Menopause?


The average women reaching the menopause today still has a third of a lifetime ahead of her. It is no longer necessary for women to accept the problems of the menopause as "just their age" and, therefore, as something to be endured. Medical science has led to a better understanding of the causes of these problems and so to better forms of treatment.

A Gynaecologist can replace the oestrogen that has been lost naturally, by the body. This is called Hormonal Replacement Therapy (HRT).

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