Menopause is defined as occurring 12 months after your last menstrual period and marks the end of menstrual cycles. Menopause can happen in your 40s or 50s, but the average age is 51 in the United States.
Menopause is a natural biological process. Although it also ends fertility, you can stay healthy, vital and sexual. Some women feel relieved because they no longer need to worry about pregnancy.
Even so, the physical symptoms, such as hot flashes, and emotional symptoms of menopause may disrupt your sleep, lower your energy or — for some women — trigger anxiety or feelings of sadness and loss.
Don't hesitate to seek treatment for symptoms that bother you. Many effective treatments are available, from lifestyle adjustments to hormone therapy.
Causes-Menopause can result from:
Natural decline of reproductive hormones. As you approach your late 30s, your ovaries start making less estrogen and progesterone — the hormones that regulate menstruation — and your fertility declines.
In your 40s, your menstrual periods may become longer or shorter, heavier or lighter, and more or less frequent, until eventually — on average, by age 51 — you have no more periods.
Hysterectomy. A hysterectomy that removes your uterus but not your ovaries (partial hysterectomy) usually doesn't cause immediate menopause. Although you no longer have periods, your ovaries still release eggs and produce estrogen and progesterone.
But surgery that removes both your uterus and your ovaries (total hysterectomy and bilateral oophorectomy) does cause menopause, without any transitional phase. Your periods stop immediately, and you're likely to have hot flashes and other menopausal signs and symptoms, which can be severe, as these hormonal changes occur abruptly rather than over several years.
Chemotherapy and radiation therapy. These cancer therapies can induce menopause, causing symptoms such as hot flashes during or shortly after the course of treatment. The halt to menstruation (and fertility) is not always permanent following chemotherapy, so birth control measures may still be desired.
Primary ovarian insufficiency. About 1 percent of women experience menopause before age 40 (premature menopause). Menopause may result from primary ovarian insufficiency — when your ovaries fail to produce normal levels of reproductive hormones — stemming from genetic factors or autoimmune disease. But often no cause can be found. For these women, hormone therapy is typically recommended at least until the natural age of menopause in order to protect the brain, heart and bones.
Symptoms-In the months or years leading up to menopause (perimenopause), you might experience these signs and symptoms:
·         Irregular periods
·         Vaginal dryness
·         Hot flashes
·         Night sweats
·         Sleep problems
·         Mood changes
·         Weight gain and slowed metabolism
·         Thinning hair and dry skin
·         Loss of breast fullness
It's possible, but very unusual, to menstruate every month right up to your last period. More likely, you'll experience some irregularity in your periods.
Skipping periods during perimenopause is common and expected. Often, menstrual periods will occur every two to four months during perimenopause, especially one to two years before menopause. Despite irregular periods, pregnancy is possible. If you've skipped a period but aren't sure you've started the menopausal transition, you may want to determine whether you're pregnant.
Complications--After menopause, your risk of certain medical conditions increases. Examples include:
Heart and blood vessel (cardiovascular) disease. When your estrogen levels decline, your risk of cardiovascular disease increases. Heart disease is the leading cause of death in women as well as in men. So it's important to get regular exercise, eat a healthy diet and maintain a normal weight. Ask your doctor for advice on how to protect your heart, such as how to reduce your cholesterol or blood pressure if it's too high.
Osteoporosis. This condition causes bones to become brittle and weak, leading to an increased risk of fractures. During the first few years after menopause, you may lose bone density at a rapid rate, increasing your risk of osteoporosis. Postmenopausal women with osteoporosis are especially susceptible to fractures of their hips, wrists and spine.
Urinary incontinence. As the tissues of your vagina and urethra lose elasticity, you may experience frequent, sudden, strong urges to urinate, followed by an involuntary loss of urine (urge incontinence), or the loss of urine with coughing, laughing or lifting (stress incontinence). You may have urinary tract infections more often
Strengthening pelvic floor muscles with Kegel exercises and using a topical vaginal estrogen may help relieve symptoms of incontinence.
Sexual function. Vaginal dryness from decreased moisture production and loss of elasticity can cause discomfort and slight bleeding during sexual intercourse. Also, decreased sensation may reduce your desire for sexual activity (libido).
Water-based vaginal moisturizers and lubricants may help. Choose products that don't contain glycerin because women who are sensitive to this chemical may experience burning and irritation. If a vaginal lubricant isn't enough, many women benefit from the use of local vaginal estrogen treatment, available as a vaginal cream, tablet or ring.
Weight gain. Many women gain weight during the menopausal transition and after menopause because metabolism slows. You may need to eat less and exercise more, just to maintain your current weight.
Well selected Homoeopathic medicines are effective for the hormonal changes in the body. Effective Homoeopathic remedies are available for the treatment of menopause and its associated complaints.

LACHESIS 200- Lachesis is one of the top Homoeopathic medicines for menopause.There is severe headache beginning at the back and passing over to the front of head. Another leading character is extreme hot flushes during menopause. There is a burning sensation as if coal is placed on the body.Hypersensitive to touch is an important feature of Lachesis. The woman cannot tolerate tight clothing around neck or waist. The patient is highly talkative . Mentally the woman is melancholic and irritable. She feels great depression and does not want to do any business and lacks interest in daily routine work. The woman feels a distressing palpitation of the heart and pulsation of the body.

SEPIA 200- Sepia woman is irritable and sensitive and aversion to family to those loved best to sympathy to company , yet desire to be alone. She is tall , thin and easily depressed.There is sudden flushes of heat with sweat and weakness. There is a tendency to faint due to weakness.  The woman have a dragging or bearing down sensation as if everything would escape through the vagina. She has an aversion to sex. Leucorrhoea with dyspepsia or constipation is found during menopause.

AMYLOSUM NITROSUM 3X- Amylosum nitrosum is an excellent remedy for menopausal stage with severe headache and flushes of heat. These complaints are associated with great anxiety and palpitation. It may accompany facial flushing.

GRAPHITES 200- Graphites is one of the best remedy for hormonal changes in woman during menopausal stage. The main action of Graphites is that it controls obesity during menopause.The woman experiences severe constipation along with fissures in anus. Mentally the woman is miserable  and unhappy. She weeps without any cause. Music makes her weep. The woman is sensitive to cold.

PLATINUM MET 200- Platinum met is effective for arrogant and proud ladies who are prone to localized numbness and coldness.There is mental troubles associated with menopause. Platina woman is weary of everything. Everything seems changed or different.  There is ovaritis with excessive bleeding. Ovaries sensitive and burn.

PULSATILLA NIG. 30—Pulsatilla is suited to mild, timid, emotional, and tearful persons. They have an irritable temper which is changeable. Pulsatilla woman experiences hot perspiration in close and warm room. She cannot tell her symptoms without weeping.

SANGUINARIA CAN. 30-Sanguinaria can is prescribed for menopause with severe burning sensation as from hot water. Burning in various parts of the body like face, palms, soles stomach etc. Another feature is severe headache along with menopausal complaints. The woman experiences a bearing down sensation with leucorrhoea smelling like fish or old cheese.

SULPHUR 200- Sulphur should be given an intercurrent remedy when well selected remedies fail to give complete cure.Sulphur patients loosing their weight and have great weakness. Skin coarse  and inclined to look dirty. Everything around is dirty and indescribably untidy.

OOPHORINUM 30- Oophorinum is effective for the hormone changes during menopause. It is prescribed for acne rosacea and other skin disorder during menopause.

VALERIANA Q-Valaeriana is best for woman during the menopausal stage with sleep disturbances. There is sleepless with nocturnal itching and muscular spasms.

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