While menopause and perimenopause are getting the attention they deserve, there's still a surprising silence surrounding what comes next , post-menopause. This often-overlooked phase begins after you’ve gone a full year without a menstrual period, and unlike the transitional stages, post-menopause is permanent. Once you reach this stage, it becomes a permanent part of your life.
So, what exactly should you expect during post-menopause? The truth is, while some symptoms may ease, others linger and some new ones might even emerge.
The Familiar Faces: Hot Flushes and Sleepless Nights
Let’s begin with the usual suspects: hot flushes and insomnia. While oestrogen levels continue to stay low after menopause, many women still experience hot flushes — though often less intense than before. These can strike at any time and remain disruptive, particularly during the night.
Sleep can remain elusive too. The hormonal shifts affect your body’s natural rhythm, and when paired with anxiety or even mild depression , both common during this time , insomnia becomes more than just the occasional restless night.
Now let’s talk about the symptoms that aren’t getting the airtime they deserve , the ones that sneak up on many women and often go undiagnosed or dismissed.
Dizziness and Light-headedness
Though not as frequently discussed, a surprising number of women report feeling lightheaded or dizzy after menopause. This may be linked to changes in blood flow or the nervous system, influenced by the continued drop in oestrogen.
Oral Health Issues
Around one in four women may experience reduced saliva production, leading to dry mouth known as xerostomia. This uncomfortable condition isn’t just inconvenient; it can lead to gum disease, oral inflammation, and a higher risk of cavities. It's yet another consequence of reduced oestrogen, and sadly, not many women are prepared for it (read more on these topics on our app).
Skin Changes
Dry, itchy skin is another under-recognised post-menopausal symptom. As natural collagen and oil production decline, your skin may lose its ability to retain moisture. The result? Irritation, tightness, and that uncomfortable ‘crawling’ feeling many women describe but rarely mention.
Vaginal Dryness and Discomfort
This symptom is often brushed under the rug, but it’s incredibly common. As oestrogen levels drop, the vaginal tissues become thinner and drier. This can lead to painful intercourse, persistent itching, or a burning sensation , all of which can affect quality of life and emotional well-being.
Emotional Undercurrents
One of the most overlooked aspects of post-menopause is the emotional toll it can take. Many women experience lingering anxiety, mood swings, or low-grade depression and often, these feelings are dismissed or misunderstood.
There’s a cultural misconception that once menopause is over, things ‘go back to normal’. But for many, this simply isn’t true. The hormonal changes may continue to influence both physical and mental health for years. The lack of awareness and support can leave women feeling isolated at a time when they most need understanding.
It’s Time We Talk About It
Far from being a quiet footnote, post-menopause is a significant and sometimes challenging phase in a woman’s journey. While some symptoms may ease with time, others persist or evolve. Talking openly about these experiences, recognising the signs, and seeking proper support can make all the difference.
There’s strength in sharing and power in being informed.
As I conclude, know that you are not alone on this path to better health and wellness. Your journey is unique but together we form a community of strength and support.
Let’s thrive together,
Cristina x
