Physical Symptoms of Menopause
What Physical Changes Should You Expect?
As your hormones shift during menopause, your body sends clear signals that things are changing. Some of these symptoms may be subtle at first, while others appear suddenly and persist. Though they may feel alarming, most physical symptoms are part of a normal transition and can be managed effectively.
At The Menopause Association, we believe every woman deserves to feel informed and supported. Below is a breakdown of the most common physical symptoms, why they happen, and what you can do about them.
Hot Flashes and Night Sweats
These are among the most well-known menopause symptoms. They’re caused by fluctuations in estrogen, which affect the body’s internal thermostat.
What they feel like:
- A sudden wave of heat in the upper body
- Flushed skin, rapid heartbeat, sweating
- Can last seconds to several minutes
Night sweats can disrupt sleep and lead to daytime fatigue, irritability, and reduced focus.
Treatment options:
- Hormone therapy
- Cooling techniques, layered clothing, and fans
- Certain supplements or low-dose antidepressants
Vaginal Dryness and Discomfort
- Vaginal dryness
- Itching or burning
- Pain during intercourse
- Increased risk of UTIs
- Vaginal estrogen creams or tablets
- Bioidentical hormone therapy
- Moisturizers or lubricants
- Pelvic floor therapy for additional support
Weight Gain and Metabolic Changes
Many women notice weight gain, especially around the midsection, despite no changes in diet or activity.
Contributors:
- Hormonal imbalance (especially insulin and cortisol)
- Slower metabolism
- Loss of muscle mass
- Sleep disturbances
What helps:
- Targeted lifestyle interventions
- Strength training and protein-rich nutrition
- Mindful eating practices
- Managing stress and sleep hygiene
This topic is explored further in our metabolic and cognitive symptoms section.
Sleep Disruption
Insomnia, frequent waking, and light sleep are common during all stages of menopause.
Why it happens:
- Night sweats
- Anxiety or hormonal imbalance
- Drop in melatonin and progesterone
Management tools:
- Sleep hygiene routines
- Cooling pillows and breathable bedding
- Natural supplements like magnesium
BHRT or non-hormonal medications
Other Physical Changes
Less talked about, but just as valid:
- Joint or muscle pain
- Skin dryness or thinning
- Hair loss or thinning
- Changes in body odor or sweat patterns
- Dry eyes or mouth
These changes can impact self-image and comfort, but they often respond well to the right combination of preventive care and targeted support.
You’re Not Alone
While physical symptoms can be frustrating, they don’t have to define this chapter of your life. The Menopause Association offers access to research-backed treatments, provider directories, and community resources to help you feel like yourself again.
Explore more about emotional symptoms or move on to learn about cognitive and metabolic changes.