Life after Menopause: What to Expect and Why Regular Check-Ups are Essential

After 12 consecutive months have passed from your last menstrual period, postmenopause has officially begun. Postmenopause marks the end of your reproductive years, but it does not mean your hormonal journey has ended. Many women think when they stop getting periods, now all their symptoms will go away. But this is not the case our body continues to adapt for many years after reaching lower hormone levels.

For most women in the UK, postmenopause typically starts between the ages of 50 and 55. However, it may occur earlier or later related to individual lifestyle, genetics or other medical aspects. However, oestrogen levels tend to be consistently low during the postmenopausal stage. Low oestrogen continues to affect the reproductive organs (vagina, uterus, etc.) as well as the heart health, bones, metabolism and even mood. Proactive women’s healthcare includes what to expect during postmenopausal changes and how to safeguard your long-term health.

Hormonal Changes in Postmenopause

After menopause, ovulation ends, and there is lower or no oestrogen production from the ovaries.  This hormonal shift impacts almost every system of the body. Oestrogen helps maintain bone integrity, supports the vaginal tissue, manages cholesterol, and protects the brain and the heart.

The decline in oestrogen levels results in an increased risk of certain health conditions, including heart disease, osteoporosis and vaginal atrophy – dryness and thinning of vaginal tissue. This is why postmenopausal care is not just about treating symptoms; it’s about prevention and to monitor your health continuously.

A private gynaecologist in London can help you through this phase with tailored advice, hormone assessments and support to help sustain your health.

Common Symptoms of Postmenopause

While night sweats and hot flushes will probably resolve, you may also get persistent symptoms or others for the first time after menopause. Common postmenopausal symptoms that you may experience include:

• Vaginal dryness, discomfort or itching during sexual intercourse
• Urgent need to urinate or recurrent urinary tract infections
• Fatigue or low energy
• Weight gain and changes in body shape
• Reduced sex drive
• Joint pain or stiffness, or muscle aches
• Mood changes, memory, or lack of concentration

These symptoms are related to low oestrogen levels causing changes in tissues, circulation and brain chemistry. Regular visits can confirm if your symptoms are due to the hormonal changes during menopause or because of some underlying health concern.

The Importance of Postmenopausal Check-Ups

It is important to remember that routine gynaecological care is important, even after menopause. An annual or biannual well-woman health check allows your doctor to monitor relevant aspects of your health related to declining hormones.

At Gynaecology Clinic London, a postmenopausal check-up may include:

• Hormone tests to assess LH, FSH, oestrogen and thyroid function
• Pelvic ultrasound to scan the ovaries and uterus
• Cervical (smear) test if due under NHS or private guidelines
• Bone density test (DEXA scan) to assess risk for osteoporosis
• Breast health check and imaging, if necessary
• Assessment for cholesterol and cardiovascular risk
• Assessment for vaginal and urinary health

All of these assessments will paint a comprehensive picture of your postmenopausal health and allow for appropriate and timely intervention, if needed.

Bone and Heart Health after Menopause

Oestrogen is necessary to maintain bone mineral density, and when levels fall, the bones can become thinner and less dense – resulting in the higher risk of fractures. Postmenopausal women are susceptible to developing osteoporosis, which typically develops silently until a fracture occurs.

Routine bone density scans (DEXA), intake of vitamin D and calcium, as well as resistance-based exercise are important in greatly reducing this risk. Weight-bearing exercise options include yoga, walking, and light weight training to help maintain bone density and muscle tone.

Cardiovascular health is equally essential. Low oestrogen can increase LDL or bad cholesterol and lower HDL or good cholesterol, both of which can increase risk of heart disease. Regular blood pressure monitoring, cholesterol checks, and maintaining an active lifestyle are all very important modalities in prevention.

Hormone Replacement Therapy (HRT) After Menopause

Some women continue or start with Hormone Replacement Therapy (HRT) after menopause to relieve ongoing symptoms as well as safeguard both bone and heart health.

Modern HRT is now delivered in many forms –sprays, gels, tablets or skin patches – and can be formulated specifically to a woman’s medical history and risk profile. Local oestrogen treatments (including creams or pessaries) are effective for vaginal dryness or urinary symptoms, and have little absorption into the system.

HRT will be periodically and regularly reviewed by a private gynaecologist, and the correct dose and formulation will be established. The agreement from NICE and NHS is that HRT can have a safe, individualised approach and be given to relieve symptoms and promote long-term wellbeing.

For women who decline or cannot take hormones, lifestyle changes and non-hormonal treatments can address postmenopausal changes as well.              

Sexual and Vaginal Wellness

Vaginal health can change during postmenopause, due to lower levels of oestrogen. Tissues can become less elastic, thinner, and sometimes drier. These symptoms are usually prevalent in a condition called genitourinary syndrome of menopause (GSM). This can translate into itching and discomfort during intercourse, or recurrent infections.

There are effective treatments available, including lubricants, local oestrogen therapy, and vaginal moisturisers. A consultation with your private gynaecologist in London gives you the privacy and comfort to discuss these symptoms and to receive advice and treatment to alleviate discomfort and restore confidence during intimacy.

Mental and Emotional Well-being

The emotional impacts of postmenopause are typically underestimated. Hormonal changes can have effects on dopamine and serotonin – the brain’s “feel good” chemicals – which influence mood, sleep and attention. Some women experience increased irritability, anxiety or low mood.

It is important to be aware of these emotional changes. There are many supports available, including lifestyle changes, talking therapy, medical options or mindfulness techniques when warranted. Speaking with a physician, therapist or support group ensures that your symptoms are addressed, and not dismissed.

The Importance of Nutrition and Lifestyle

Eating appropriately, with plenty of Vitamin D, calcium, phytoestrogens and omega-3 fatty acids, can help with your overall health after menopause. Select a variety of vegetables, fruits, whole grains and lean protein to maintain your energy level and for supporting bone and heart health.

Cut down on smoking, excessive alcohol use, and limit caffeine, as these can exacerbate bone loss and hot flushes. Staying active – physically and socially – will improve your mood and cognition as well as your long-term wellbeing.

When to See a Gynaecologist

Even after menopause, do not ignore symptoms.  Make an appointment with your gynaecologist if you are experiencing:

• Vaginal bleeding following menopause (needs to be promptly investigated)
• Bloating or pelvic pain
• Painful sex
• Change in vaginal discharge
• Urinary leakage or symptoms of infection
• Extreme fatigue or unexplained weight loss

Early investigation will help rule out serious problems such as ovarian problems or endometrial changes, and ensures timely treatment.

Conclusion

Postmenopause signifies a new chapter in women’s health – one in which you can thrive with proactive care, routine check-ups and balanced living. With appropriate support, most women are in good health and have renewed energy into their later life. At Gynaecology Clinic London, our expert specialists offer full postmenopausal care – from hormonal tests and bone scans to tailored HRT and lifestyle recommendations – so you can remain healthy, empowered and in control at every stage.

Take charge of your postmenopause health whilst you can!

Make an appointment for a private postmenopause check-up or female hormone test in London with our specialist gynaecologists for tailored care and better wellbeing.

BOOK ONLINE NOW 02071832153