Menopause is a natural biological process in which there is decline in the production ofreproductive hormones in women between ages 45-55. It is confirmed when 12 months have passed since the last monthly period.

The average age for menopause is between 45 to 55 years of age. It occurs for most of the women between this age, but in some cases it can occur before/after this age.

The symptoms of menopause include
- Mood changes, insomnia
- hot flushes
- vaginal dryness
- irregular periods
- weight gain
- depression, night sweats, anxiety
- memory problems
- headache, dry skin
- reduced bone mass, muscle mass
- hair loss

Perimenopause is the menopause transition period during which ovaries gradually start making less oestrogen. It starts between 30 and 40 years of age.

Bleeding after menopause is not normal and it should be further evaluated to diagnose the cause of bleeding like uterine polyps, fibroids, cancer of uterus, cervix or vagina, infection, and trauma.