Frequent questions

Menopause is the period in a woman’s life when menstruation permanently ceases due to the natural decline in the ovaries’ production of sex hormones, primarily estrogen and progesterone. A woman is considered to have reached menopause when she has gone 12 consecutive months without menstruation, without pathological causes. It is a natural physiological process that marks the end of the reproductive stage.

The average age of menopause varies between 45 and 55 years, although it can occur earlier or later depending on genetic, environmental, and health factors. The average in Western countries is around 51 years.

Perimenopause is the transition period before menopause, when hormonal changes and symptoms related to the progressive decline of estrogen begin to appear. It can last between 2 and 8 years, although for most women it lasts about 4 to 5 years. During this phase, menstrual irregularities, hot flashes, mood swings, and other symptoms may occur.

• Perimenopause: A transitional stage with irregular symptoms before the definitive cessation of menstruation.
• Menopause: The period when menstruation goes 12 months.
• Postmenopause: The stage after menopause, which extends for the rest of one’s life.

It is detected by changes in the regularity of menstrual cycles, the appearance of symptoms such as hot flashes, insomnia, vaginal dryness, mood swings, and changes in weight or skin. Tests for hormones such as FSH and estradiol can help confirm the stage.

Yes, although it is less common. It is called premature ovarian failure and affects between 1-5% of women. It can be genetic, autoimmune, surgical, or idiopathic. It is advisable to consult a specialist to evaluate bone, cardiovascular, and emotional health.

Menstrual irregularities, hot flashes, night sweats, insomnia, vaginal dryness, mood swings, difficulty concentrating, decreased sex drive, and weight gain.

They are due to an alteration in body temperature control, regulated by the hypothalamus, due to a decrease in estrogen. They cause a sudden sensation of heat, redness, and sweating.

Estrogen and progesterone levels decrease, while FSH (follicle-stimulating hormone) and LH (luteinizing hormone) levels increase. This impacts multiple bodily functions: skin, bones, cardiovascular system, genitourinary system, and emotional state.

Not directly, but the decrease in estrogen favors a change in the distribution of body fat, accumulating more in the abdomen. In addition, basal metabolism and energy expenditure usually decrease.

Estrogens stimulate the production of collagen and hyaluronic acid and maintain skin hydration. Its deficiency causes dryness, loss of elasticity, the appearance of wrinkles, and hair loss or thinning.

Yes. Hormonal changes affect neurotransmitters such as serotonin and dopamine, which are related to mood. Irritability, anxiety, sadness, and emotional lability are common.

Yes. Sexual desire can decrease due to hormonal changes, vaginal dryness, discomfort during intercourse, or emotional disturbances. The good news is that there are treatments, specific therapies, and Natural Beauty products that help improve symptoms.

It is the decrease in natural vaginal lubrication due to estrogen deficiency. It is treated with vaginal moisturizers and water- and oil-based lubricants like Intima Care, which help improve all the symptoms of vaginal dryness and discomfort. In severe cases of dryness, treatment with local estrogen creams, suppositories, or vaginal rings is recommended.

Yes. A decrease in concentration and memory lapses are observed, especially during perimenopause, related to the drop in estrogen and changes in brain metabolism.

It is common to have difficulty falling or staying asleep, nighttime awakenings, and daytime fatigue, aggravated by hot flashes, anxiety, or other disturbances.

Yes. Gynecological checkups, thermography, bone densitometry, lipid profile, blood glucose, thyroid, and cardiology checkups are recommended.

• Pap smear and gynecological ultrasound.
• Thermography (depending on age and medical history).
• Hormonal profile if symptoms are present.
• Lipid profile, blood glucose, kidney and liver function.
• Bone densitometry starting at age 50 or earlier if there are risk factors.

Yes. The drop in estrogen promotes bone loss, increasing the risk of vertebral, hip, and wrist fractures.

By maintaining a balanced diet, exercising regularly, controlling weight, blood pressure, cholesterol, and blood glucose, and avoiding tobacco and alcohol.

Vitamin D, Omega-3, hydrolyzed collagen, soy isoflavones, magnesium, and antioxidants, according to a medical evaluation. Most importantly, morning sunbathing is recommended for natural calcium production.

It can be very effective for severe symptoms and osteoporosis prevention. The benefits and risks must always be assessed individually, keeping in mind that the risks increase after age 50.

Yes. Isoflavones, black cohosh, red clover, sage, and supplements such as omega-3 and collagen, combined with herbal medicine and homeopathy.

Yes, through massages, exercises, facial yoga, lymphatic drainage, complemented with smart cosmetics with natural bioactives, and medical-aesthetic treatments (radiofrequency, mesotherapy, collagen biostimulation) and healthy habits.

Moderate aerobic exercise, muscle strength training, especially legs, glutes, and back, stretching, and pelvic floor work. At least 45 minutes daily.

Kegel exercises, pelvic floor physical therapy, avoiding excess weight, and in persistent cases, considering medical or surgical treatments.

Yes. It is estimated that up to 40-50% of women in perimenopause experience mild to moderate anxiety, irritability, or depression, especially if there is a previous history of it. This is due to hormonal imbalance and psychosocial factors specific to this stage (empty nest syndrome, changes in work or relationships, perception of aging). It’s important to detect it early and seek medical and emotional support.

Yes, although not necessarily or equally for all women. The drop in estrogen causes physical, emotional, and hormonal changes that can affect sexual activity. Among the most common changes are:

• Decreased sexual desire or libido.
• Vaginal dryness and reduced natural lubrication.
• Vulvovaginal atrophy, which causes discomfort or pain during intercourse.
• Changes in the elasticity of the skin and genital tissues.
• Mood swings, which reduce the willingness to have sex.

However, with good communication between partners, specific care, vaginal moisturizing products, appropriate lubricants, and medical therapies if necessary, it is possible to maintain a full and satisfying sex life during and after menopause. Many women even report a freer sexuality by leaving behind the worry of an unwanted pregnancy.

This occurs because estrogen is responsible for keeping the vaginal mucosa hydrated, thick, elastic, and with a protective acidic pH. As estrogen levels decrease during menopause, the mucosa thins and loses its ability to retain water, becoming drier and more fragile. This can cause irritation, burning, or pain during intercourse (dyspareunia) and increase the risk of urinary or vaginal infections.

Treatment includes:

• Water-based lubricants for intercourse.
• Vaginal moisturizers for regular use.
• Topical estrogens (creams, suppositories, or rings) under medical prescription.

It is relatively common, but not inevitable. Libido depends on multiple factors: hormonal, physical, emotional, relational, and social. The drop in estrogen and testosterone, along with insomnia, fatigue, mood swings, and vaginal discomfort, can diminish desire.

Several areas can be addressed to improve this situation:

• Control physical symptoms with medical or natural treatment.
• Use vaginal lubricants and moisturizers.
• Include pelvic floor exercises, which increase genital sensitivity.
• Work on emotional intimacy and mutual understanding.
• Practice sexual self-awareness.
• In certain cases, consider hormone or sexual therapy.

The important thing is to understand that sexuality changes, but it doesn’t disappear, and it can be fully redefined at this stage.

Absolutely yes. Although the female sexual response may change during menopause, with slower arousal and lubrication, this does not prevent pleasurable relationships. In fact, many women report a freer and more satisfying sex life by not having the risk of pregnancy and by knowing their bodies better.

Key points:

• Spend more time caressing and foreplay.
• Use quality lubricants.
• Maintain good communication with your partner.
• Work through insecurities about your body.
• Try new forms of eroticism and pleasure.
• Perform pelvic floor exercises, which improve orgasm.

Mature sexuality can be enriched by a more sensory, emotional, and connected approach.

The pelvic floor is the group of muscles and tissues that support the bladder, uterus, and rectum. During menopause, as estrogen levels decrease, this tissue weakens, leading to urinary incontinence, prolapse, and loss of sexual sensation.

To strengthen it:

• Perform daily Kegel exercises: contract your vaginal muscles as if trying to stop urinating, hold for 5 seconds, and relax. Repeat 10 times, 3 times a day.
• Use Kegel balls or vaginal cones under the supervision of a specialized physical therapist.
• Seek pelvic floor physical therapy for incontinence, prolapse, or pain.

A toned pelvic floor improves sexual quality, urinary continence, and overall well-being.