ABSTRACT

Furthermore, when well-being was measured

in a cross-sectional and prospective Australian

study of the menopause transition, no effects

of menopausal status were found.8 Despite the

fact that a wide variety of physical and

psychological symptoms have been attributed

to hormone changes during the menopause-

such as irritability, headaches, depression,

anxiety, weight gain, aches and pains, poor

memory and concentration, and loss of

libido-hot flushes and night sweats

(vasomotor symptoms) are the only definite

symptoms of the menopause.9 Even if

symptoms are reported by women in surveys

this does not necessarily mean that the

symptoms are problematic. Porter and

colleagues10 asked a random sample of 6084

Scottish women whether they experienced a

number of symptoms and then whether they

perceived them to be a problem. Vasomotor

symptoms and atrophic vaginal changes were

the only symptoms to be associated with

menopausal status; 57% reported having hot

flushes and 22% regarded these as a problem.