The average age of menopause is 49–52 years globally, but in India, it often occurs earlier around 44–46 years. Genetics largely determines your menopause timing.

• India & Philippines: ~44 years
• USA: ~51 years
• UK: ~52 years

Premature Menopause: Ovarian failure before 40 affects 1–2% of women.

Menopause occurs in phases, each with unique hormonal changes:

• Pre-Menopause: Regular cycles, no symptoms
• Perimenopause: Irregular cycles, hot flashes, mood swings (usually starts around 47 years)
• Menopause: Final menstrual period, confirmed after 12 months without a period
• Post-Menopause: Begins one year after last period; symptoms may persist

Menopause symptoms vary but often include hormonal, physical, and emotional changes that impact daily life and overall well-being.

• Irregular periods or skipped menstrual cycles
• Hot flashes and night sweats
• Vaginal dryness causing discomfort during intercourse
• Mood swings, irritability, and increased anxiety
• Sleep disturbances leading to fatigue
• Unexplained weight gain and slower metabolism
• Loss of bone density, increasing osteoporosis risk

The severity of menopause symptoms varies and is influenced by genetics, hormonal balance, lifestyle habits, and overall health status.

• Genetic predisposition to hormonal fluctuations
• High stress levels and poor stress management
• Obesity or excess body weight impacting estrogen balance
• Underlying conditions like thyroid disorders or diabetes
• Poor diet and lack of essential nutrients

Hormonal changes during menopause often affect mental well-being, leading to mood swings, anxiety, and reduced self-confidence in many women.

• Mood swings and irritability
• Increased risk of depression or anxiety
• Difficulty concentrating and memory lapses
• Sleep disturbances contributing to fatigue and stress
• Loss of self-confidence and emotional stability

After menopause, reduced estrogen levels raise the risk of several health conditions affecting bones, heart, metabolism, and urinary health.

• Osteoporosis: Bone thinning leading to fractures
• Heart disease: Increased cholesterol and cardiovascular risk
• Obesity and diabetes: Slower metabolism and hormonal changes
• Urinary issues: Incontinence and vaginal atrophy causing discomfort

Menopause is usually diagnosed clinically after 12 months without periods, supported by symptoms and, if needed, hormone testing or imaging.

• No menstrual periods for 12 consecutive months after age 45
• Typical symptoms such as hot flashes and vaginal dryness
• Blood tests: FSH, LH, and estrogen levels (especially for early menopause)
• Ultrasound may show reduced uterine and ovarian size

Management focuses on symptom relief and long-term health:

• Hormone Replacement Therapy (HRT): For severe hot flashes, vaginal atrophy
• Non-hormonal options: SSRIs for mood swings, gabapentin for hot flashes
• Vaginal lubricants and moisturizers: For dryness
• Lifestyle measures: Exercise, healthy diet, relaxation techniques

Adopting healthy lifestyle habits can help manage menopause symptoms and reduce long-term health risks like osteoporosis and heart disease.

• Eat a balanced diet rich in calcium, Vitamin D, and phytoestrogens
• Exercise regularly with weight-bearing and pelvic floor exercises
• Maintain a healthy weight to reduce stress on bones and heart
• Practice relaxation techniques such as yoga and deep breathing
• Quit smoking and limit alcohol intake to protect overall health

Including nutrient-rich foods and supplements in your diet can help manage menopause symptoms and support bone, heart, and hormonal health.

• Calcium-rich foods: Dairy products, fortified plant milk, leafy greens
• Vitamin D sources: Eggs, fortified cereals, and safe sunlight exposure
• Phytoestrogens: Soy products, chickpeas, flax seeds
• Omega-3 fatty acids: Fatty fish, chia seeds, walnuts

Seek medical help if you experience:

• Heavy or irregular bleeding after 45
• Severe hot flashes or insomnia
• Unexplained weight loss or depression
• Bone or joint pain indicating osteoporosis

Dr. Dimple Doshi offers expert menopause care in Mumbai with personalized treatment plans, focusing on both symptom relief and long-term health.

• 27+ years of experience in gynecology and women’s health
• Specialized in hormone therapy and non-hormonal alternatives
• Holistic approach combining medical care with lifestyle counseling
• Advanced diagnostic and treatment facilities at Vardaan Hospital, Goregaon

ICD-10 Codes for Menopause and Related Conditions

CPT Codes for Menopause Evaluation and Management

Q1. What is menopause?

Ans. Menopause is the natural biological process that marks the end of a woman’s menstrual cycles. It is diagnosed after 12 consecutive months without a period.

Q2. At what age does menopause usually occur?

Ans. The average age of menopause is between 49 and 52 years, though it can vary. In India, it typically occurs around 44–46 years.

Q3. What are the early signs of menopause?

Ans. Early signs include irregular periods, hot flashes, night sweats, mood swings, vaginal dryness, and changes in sleep patterns.

Q4. How is menopause diagnosed?

Ans. Menopause is usually diagnosed based on symptoms and absence of menstruation for 12 months. Blood tests like FSH may confirm menopause in certain cases.

Q5. What are the common symptoms of menopause?

Ans. Common symptoms include hot flashes, mood changes, vaginal dryness, reduced libido, sleep disturbances, and weight gain.

Q6. What causes menopause?

Ans. Menopause occurs due to the natural decline of ovarian function and reduced estrogen production with age.

Q7. What is premature menopause?

Ans. Premature menopause refers to menopause before the age of 40, often due to genetic factors, autoimmune diseases, or surgical removal of ovaries.

Q8. Can menopause affect bone health?

Ans. Yes. Lower estrogen levels after menopause increase the risk of osteoporosis and fractures. Calcium and vitamin D intake is essential.

Q9. Does menopause increase heart disease risk?

Ans. Yes. Reduced estrogen levels may increase cholesterol and risk of cardiovascular diseases. Regular check-ups are advised.

Q10. How long do menopause symptoms last?

Ans. Symptoms may last 4–5 years on average, though some women experience them for a shorter or longer period.

Q11. Can I get pregnant during menopause?

Ans. Natural pregnancy is unlikely after menopause, but pregnancy is possible during perimenopause until periods completely stop.

Q12. What treatments are available for menopause symptoms?

Ans. Treatments include lifestyle changes, hormone replacement therapy (HRT), vaginal estrogen, and medications for bone and heart health.

Q13. Are there natural ways to manage menopause symptoms?

Ans. Yes. Regular exercise, a balanced diet, adequate sleep, and stress management can ease symptoms naturally.

Q14. When should I see a doctor for menopause symptoms?

Ans. Consult a doctor if symptoms severely affect your quality of life, or if you experience heavy bleeding, severe hot flashes, or mood changes.

Q15. Why choose Dr. Dimple Doshi for menopause care in Mumbai?

Ans. Dr. Dimple Doshi offers personalized menopause management at Vardaan Hospital, Goregaon West, using evidence-based treatments and preventive care.