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Modern myths about menopause

Miss Anne Henderson
Written in association with: Miss Anne Henderson Consultant gynaecologist, British Menopause Society Advanced Specialist in Tunbridge Wells
Sources: Top Doctors GB
Published: 04/04/2025 Edited by: Karolyn Judge on 20/05/2025

Menopause is a natural phase in a woman's life, yet it is surrounded by misconceptions that can cause unnecessary worry or prevent women from accessing the right support. Understanding the truth about menopause can help women navigate this transition with confidence and clarity.

 

Woman researching the modern myths of menopause

 

Myth 1: Menopause only happens in your 50s

 

While the average age for menopause is around 51, it can happen earlier or later. Some women experience menopause in their 40s, and others may go through early or premature menopause due to genetics, medical conditions, or treatments such as chemotherapy.

 

 

Myth 2: Menopause means the end of sexual health

 

Many women believe that menopause signals the end of their sexual health and enjoyment, but this is not true. While hormonal changes can lead to vaginal dryness and a lower libido, treatments such as hormone replacement therapy (HRT), vaginal moisturisers, and lifestyle adjustments can help maintain a fulfilling sex life.

 

 

Myth 3: Hot flushes are the only symptom

 

Hot flushes are a well-known symptom, but menopause can bring a wide range of effects, including sleep disturbances, mood changes, brain fog, joint pain, and increased anxiety. Every woman experiences menopause differently, and symptoms can vary in severity and duration.

 

 

Myth 4: You can’t get pregnant after menopause symptoms begin

 

While fertility declines with age, it is still possible to conceive during perimenopause, the transitional phase before menopause is complete. Until a woman has gone 12 months without a period, contraception is still necessary to prevent pregnancy.

 

 

Myth 5: Hormone replacement therapy (HRT) is dangerous

 

There has been significant concern about HRT due to outdated studies linking it to breast cancer and cardiovascular risks. However, more recent research shows that for many women, HRT is a safe and effective way to manage symptoms and can even provide protective benefits against osteoporosis and heart disease. The risks and benefits should always be discussed with a healthcare professional.

 

 

Myth 6: Menopause causes inevitable weight gain

 

Hormonal changes can make weight management more challenging, but menopause itself does not directly cause weight gain. Factors such as a slower metabolism, lifestyle habits, and muscle loss with age contribute more to weight changes. Regular exercise and a balanced diet can help maintain a healthy weight.

 

 

Myth 7: There’s nothing you can do about menopause symptoms

 

Many women believe they simply have to ‘put up with’ menopause, but there are numerous treatments and lifestyle strategies that can help. HRT, cognitive behavioural therapy (CBT), dietary adjustments, and exercise can all improve symptoms and enhance quality of life.

 

 

Understanding the nuances of menopause helps women get the right treatment

 

Dispelling these myths is essential in helping women make informed choices about their health. Seeking advice from healthcare professionals, staying active, and maintaining a healthy diet can all contribute to a smoother menopause transition. With the right support, menopause can be managed effectively, allowing women to embrace this phase of life with confidence.

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