Menopause is a natural phase of life during which hormonal balance gradually changes. Hot flashes, sleep disturbances, mood swings, or an irregular cycle are among the common accompanying symptoms. How severe the symptoms are varies greatly from person to person – gynecological consultation can help you find individually suitable approaches.
Possible causes
Declining Estrogen Levels
Decreasing hormone production by the ovaries is the central cause of symptoms. The body needs time to adjust to the new situation.
Hot Flashes and Sweating
Sudden sensations of heat accompanied by sweating are among the most well-known symptoms. They can occur during the day and at night.
Sleep and Mood Changes
Difficulty falling asleep and staying asleep, as well as mood swings, are common during this phase. They are often related to hormonal changes.
Changes in Cycle and Vagina
The menstrual cycle becomes more irregular, and the vaginal mucosa may become drier. Both are part of the natural transition.

Typical steps at the doctor's office
- 1During the consultation, the type, severity, and progression of symptoms, as well as their impact on daily life, are assessed.
- 2A gynecological examination and, if needed, measurement of hormone levels help to evaluate the overall picture.
- 3Individually appropriate support and guidance options are discussed together.
What you can do yourself
- Regular physical activity in fresh air supports sleep, mood, and general well-being.
- Light, breathable clothing and a cool bedroom can make hot flashes more bearable.
- Relaxation exercises and a calm evening routine promote falling asleep and staying asleep.
- A balanced diet and adequate fluid intake are particularly beneficial during this phase.
Gynecological consultation is advisable if symptoms are distressing, interfere with daily life, or if you feel uncertain. Questions about preventive care and the various support options available can also be discussed thoroughly during the consultation.

Frequently asked questions
- How long do menopausal symptoms last?
- This is very individual and can range from a few months to several years. Symptoms often decrease over time.
- Are hot flashes a cause for concern?
- Hot flashes are a typical and harmless symptom of hormonal changes. If they are very distressing, a consultation is worthwhile.
- Do I still need to monitor my cycle during menopause?
- An irregular cycle is normal. However, unusual or renewed bleeding should still be evaluated by a gynecologist.
Not sure whether you should go or whom to see? Describe your symptoms — we'll find the right practice in your area.
