Menopause occurs when the ovaries naturally stop working resulting in no more periods. For some women the lack of hormone (Estrogen) can result in significant unpleasant effects including hot flushes, poor sleep, lack of energy, itchy skin, vaginal dryness, bladder irritability and poor sex drive just to name a few.
Estrogen replacement (HRT) can help improve many of these symptoms however this can be a difficult process given potential side effects and the perception of breast cancer and stroke risk associated with HRT. Sometimes a trial of different treatment options may be needed to find the best fit for each woman.