The first signs of beginning menopause in most women are changes in the menstrual cycle, which can be observed from the age of 40-45 years. Often, however, these are not considered the first signs of the menopause, but are attributed to other causes such as everyday stress. The monthly bleeding often becomes much stronger and much longer, and the period between individual bleedings longer than usual until it finally stops completely after the so-called menopause (last menstrual period). Intermediate bleeding (bleeding in the cycle without the onset of menstruation being expected) often occurs. These observations are summarized by textbooks as “dysfunctional bleeding”.
Excessive hot flashes sweating
Another frequently described symptom of early menopause is sudden and unexpected hot flushes, sweating and excessive sweating. These are observed particularly in the area of the face, neck and upper body. At first, there is a strong reddening of the described skin areas, then the onset of heavy sweating (sweating) and finally chills.
Dry mucosa
Many women also complain during their menopause about the increasing dryness of the mucous membranes (especially in the area of the vagina and labia), which causes problems during sexual intercourse. Due to the decreasing estrogen level (female sex hormone) at this time, there may be less moisture in the vagina during sexual arousal, which is also called lubrication disorder.
Sleep disorders and mood swings
Another typical sign of menopause is sleep disturbance. Affected women have problems falling asleep as well as sleeping through the night, often caused by hot flushes during the night. Other causes of restless sleep can also be of a mental, psychological and spiritual nature.
Mood swings, i.e. sudden, unprovoked and uncontrolled changes of feeling (for example, from overjoyed to very angry to angry), also frequently occur during the menopause and can lead to severe irritability and inner restlessness, which make it difficult to fall asleep relaxed. Possible consequences of the resulting lack of sleep are exhaustion during the day and reduced performance. This can lead to a vicious circle, because constant exhaustion can lead to dissatisfaction, which in turn can cause problems falling and staying asleep.
This dissatisfaction can even turn into a depressive mood in some women and should not be underestimated. For many women, the menopause is a taboo subject, which is often concealed, despite the fact that the topic has been well explained in the meantime. The knowledge that one’s own body is developing from a young, fertile woman to a somewhat more mature, infertile woman is scary for many. One should always be aware that this process of change is something completely normal that affects every woman sooner or later. If the mood swings (especially in the direction of sadness, exhaustion and depression) are too much of a burden, it is advisable to seek professional psychological advice.
