
WHO Explains Menopause: Warning Signs, Health Risks and What Women Need to Know
Menopause is a natural stage of ageing, but its symptoms can affect women's physical health, emotional well-being and quality of life, according to the World Health Organization (WHO).The World Health Organization has highlighted the importance of improving awareness, access to healthcare and support for women experiencing menopause, a biological transition that marks the end of their reproductive years.According to the WHO, most women experience natural menopause between the ages of 45 and 55. However, some women experience it earlier, including before the age of 40, while medical treatments and certain surgical procedures can also trigger menopause.What Is Menopause?Menopause occurs when a woman's ovaries lose their normal follicular function and produce substantially less oestrogen, eventually ending menstrual periods.Natural menopause is confirmed after a woman has gone 12 consecutive months without menstruation, provided there is no other obvious medical or physiological explanation.The transition leading up to menopause is known as perimenopause. It may last several years and can bring changes to menstrual cycles, sleep patterns, mood and overall well-being.The WHO stresses that menopause is not a disease. However, the symptoms associated with it can become severe enough to disrupt daily activities, relationships and professional life.Common Signs and SymptomsThe symptoms of menopause vary considerably. Some women experience few difficulties, while others may face several symptoms that persist for years.Common symptoms include:Hot flashes and night sweats: Sudden feelings of heat, often accompanied by sweating, skin flushing or a racing heartbeat.Irregular periods: Menstrual cycles may become unpredictable before stopping completely.Sleep difficulties: Insomnia and night sweats can interfere with restful sleep.Mood changes: Some women experience anxiety, low mood or depression.Vaginal dryness: Reduced oestrogen can cause vaginal discomfort, dryness and pain during sexual intercourse.Urinary symptoms: Some women experience urinary incontinence or other changes in bladder function.The WHO notes that these symptoms can affect physical, emotional, mental and social well-being.Health Risks After MenopauseMenopause also marks a period when women need to pay attention to certain long-term health risks.The decline in oestrogen levels is associated with accelerated bone loss, which can increase the risk of osteoporosis and fractures.Cardiovascular risk also becomes an important consideration as women age and the relative cardiovascular protection associated with their premenopausal hormonal environment diminishes.Changes in the pelvic support structures may increase the risk of pelvic organ prolapse.These changes do not mean that every woman will develop these conditions. Rather, they highlight the importance of preventive healthcare, appropriate screening and regular medical reviews.Can Menopause Symptoms Be Treated?Yes. According to the WHO, both hormonal and non-hormonal interventions are available to help manage menopause-related symptoms.Treatment should be tailored to the woman's symptoms, medical history, preferences and individual health risks. Women experiencing symptoms that interfere with daily life should discuss available options with a qualified healthcare professional.Lifestyle measures that support general health, including regular physical activity, balanced nutrition, adequate sleep and avoiding tobacco, can also contribute to healthy ageing. Specific symptoms may require additional medical treatment.Women should not start hormone therapy or other medication without appropriate clinical advice.Can a Woman Become Pregnant During Perimenopause?Yes. Pregnancy remains possible during perimenopause, even when menstrual cycles become irregular.The WHO recommends contraception to prevent unintended pregnancy until 12 consecutive months have passed without menstruation, although individual circumstances and medical advice may affect contraceptive decisions.After natural menopause, pregnancy is unlikely without specialized fertility treatment.Menopause also does not eliminate the risk of sexually transmitted infections, including HIV. Appropriate protection and testing remain important when relevant.Why Menopause Awareness MattersThe WHO has identified limited awareness, inadequate healthcare training and barriers to accessing menopause-related services as continuing public health challenges.Some women may not recognize their symptoms as menopause-related or may feel uncomfortable discussing them with family members, employers or healthcare providers.The organization advocates for better public awareness, improved training for healthcare workers, and access to counseling, diagnosis and treatment as part of routine healthcare.The WHO also emphasizes that menopause should be understood as one stage in a woman's life, rather than as an illness or the end of her ability to lead an active and fulfilling life.When Should Women Seek Medical Advice?Women should consider consulting a healthcare professional when symptoms become severe, persistently disturb sleep, affect emotional well-being or interfere with daily activities.Menopause-like symptoms occurring before age 40 warrant medical assessment. Unusual bleeding, particularly any bleeding after menopause has been established, should also be evaluated promptly.A healthcare professional can determine whether symptoms are associated with menopause or another condition and recommend appropriate care.Note:Menopause is a natural biological transition, but the symptoms and health changes associated with it deserve attention. Better awareness, early assessment of concerning symptoms and access to appropriate treatment can help women protect their health and maintain their quality of life.Women should not feel ashamed to discuss menopause or assume they must endure severe symptoms without support.Source: World Health Organization (WHO)











