Menopause

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Menopause — Holistic Approaches & Practitioners | Gyfts

Frequently Asked Questions

What is the difference between natural and surgical menopause?

Natural menopause occurs when the ovaries gradually reduce hormone production, typically over several years of perimenopause before periods finally cease permanently. Surgical menopause (oophorectomy) occurs when both ovaries are removed surgically — causing an abrupt, complete cessation of ovarian oestrogen and progesterone production that is often more severe symptomatically than natural menopause. Women who undergo surgical menopause before the natural age benefit significantly from HRT (until at least the average age of natural menopause at 51) to protect cardiovascular and bone health.

Does menopause affect cardiovascular risk?

Yes — oestrogen has significant cardioprotective effects including maintaining arterial elasticity, HDL cholesterol levels, and insulin sensitivity. After menopause, the accelerated loss of oestrogen protection contributes to a progressive increase in cardiovascular risk that narrows the gender gap between men and women. This is one reason that HRT started within 10 years of menopause (the "timing hypothesis") is associated with cardiovascular benefit rather than risk — a distinction from older studies that enrolled women who were many years post-menopause.

How does menopause affect bone health?

Oestrogen regulates bone remodelling — maintaining the balance between osteoblast (bone-building) and osteoclast (bone-resorbing) activity. After menopause, the loss of oestrogen accelerates bone resorption, with the fastest bone loss occurring in the first 3–5 years post-menopause. This increases the risk of osteoporosis and fractures, particularly at the spine, hip, and wrist. HRT effectively protects bone density. Calcium, vitamin D, resistance exercise, and smoking cessation are important adjuncts. A DEXA scan may be appropriate for women with additional risk factors.

Can mindfulness and psychological approaches help with menopause symptoms?

Yes — cognitive-behavioural therapy (CBT) specifically adapted for menopause has the strongest evidence of any psychological approach, demonstrating significant reduction in hot flush interference, sleep quality, and mood symptoms in multiple clinical trials. It is recommended in UK NICE menopause guidelines as a non-hormonal option. Mindfulness-based approaches reduce perceived severity of hot flushes and improve overall wellbeing. These are particularly valuable for women who cannot or choose not to use HRT.

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Overview

Symptoms & Affected Systems

Contributing Factors

Supporting Lifestyle Strategies

Evidence Context

When to Seek Professional Help

Related Conditions

Anxiety

Hormonal Imbalance

Insomnia

Osteoporosis

Frequently Asked Questions

References