Yorkshire Menopause Group
The Leeds Guidelines for the Management of the Menopause

The Menopause

The menopause is the time of the last menstrual period. The perimenopause is the period of time before and after the menopause when ovarian function is declining. The average age of the menopause is 51 years. Symptoms typically occur between the ages of 45 and 55 years of age and usually last for 2 to 5 years.

Menopausal Symptoms

Early symptoms

  • Irregular menstrual cycle
  • Hot flushes/Night sweats
  • Insomnia
  • Mood swings/Irritability
  • Anxiety/Panic attacks
  • Poor memory/concentration
  • Joint/ muscle pains
  • Loss of self-esteem
  • Atrophic vaginitis
  • Urethral syndrome
  • Loss of libido
  • Dry hair and skin

Longterm consequences

  • Osteoporosis
  • Coronary heart disease
  • Alzheimer's disease

Many women are able to cope with menopausal symptoms given reassurance, support and self-help measures, e.g. loose cotton clothing, and avoiding spicy foods, can help with hot flushes.

Lifestyle Advice

  • Regular weight bearing exercise (e.g. walking, stepping, running) to reduce the risk of developing osteoporosis
  • Aerobic exercise to reduce the risk of cardiovascular disease
  • Stop smoking
  • Limit alcohol intake to 14 units per week
  • Calcium-rich diet*