Menopause is a universal life transition, yet many women enter it feeling unprepared for the physical and emotional changes it brings. Even as awareness grows, many still struggle silently, unsure what’s normal, treatable, and when to seek care. Symptoms can disrupt daily life and work, yet many never seek medical support, highlighting a clear need for better education, reassurance, and access to knowledgeable providers.

Menopause is a Journey, Not a Sudden Event

“A common misconception about menopause is that it happens all at once,” said Susan Angelicola, MSN and a Menopause Society Certified Practitioner at Summit Health. “In reality, it is a gradual process that unfolds over several years and includes three distinct phases: perimenopause, menopause and post-menopause.”

Perimenopause is the transitional phase when hormone levels fluctuate and menstrual cycles may change. It can begin four to eight years before the final menstrual period. During this time, women may notice physical, emotional or cognitive changes. While many changes are expected and not concerning, heavy, prolonged, or unusually frequent bleeding should be discussed with a healthcare provider.

Menopause is defined as the point 12 months after the final menstrual period. The average age is about 51, though timing varies widely and may be influenced by genetics, medical conditions or certain treatments or surgeries, such as removal of a woman’s ovaries.

Post-menopause lasts for the reminder of a woman’s life. Over time, symptoms like hot flashes may lessen, while long-term health considerations, such as vaginal health, bone density, and cardiovascular health become increasingly important.

Common Symptoms

Declining levels of estrogen and progesterone can affect nearly every system in the body. Symptoms are very individual, vary widely in type and severity and may include:

• Hot flashes, involving sudden warmth, sweating, flushing or chills.
• Sleep disturbances, including waking during the night without a clear cause.
• Cognitive changes, often described as “brain fog,” difficulty finding words or short-term memory lapses.

Because these symptoms can overlap with other medical conditions, ongoing communication with a trusted healthcare provider is essential. Download this symptom chart to learn more.

Why Many Women Don’t Seek Care – and Why That Needs to Change

Despite how common menopause symptoms are, a recent Mayo Clinic study found that:

• 34% of respondents reported moderate to very severe symptoms.
• More than half experienced sleep changes and weight gain.
• 80% of respondents did not seek medical care for their symptoms.

Some women dismiss symptoms as “just part of aging” while others are unaware that effective, evidence-based treatments exist. Menopause care is not one-size-fits-all, and symptoms should never be minimalized.

Seeking care allows providers to confirm symptoms are menopause-related, rule out other medical conditions, and develop individualized strategies to improve quality of life and long-term health.

A Holistic Approach 

“Menopause is more than managing symptoms; it's a pivotal time to focus on preventive care and overall wellness,” said Susan Angelicola. “Hormonal changes can affect bone health, heart health, mental well-being, and sexual health, making comprehensive, coordinated care essential.”

She continued, “Women benefit most when they partner with providers who understand menopause across all stages; take time to listen to concerns and goals; consider the whole person; and coordinate care across specialties when needed.

Looking Ahead: A New Chapter

“While post-menopause does not have an endpoint, many women describe it as a time of renewed clarity and confidence," said Susan Angelicola. “With the right support, this stage can offer stability, resilience, and a stronger connection to one’s health and well-being.”

“Menopause is not something to endure alone – and it’s never too early or too late to seek guidance,” she added. “Open conversations, accurate information, and expert care can make this transition not only manageable but also empowering.” 

If you are experiencing symptoms and would like help navigating during this transitional period, be sure to reach out to your women’s health team at Summit Health.

Learn more

New Jersey patients: Learn about our Menopause and Wellness Center here and watch a webinar on How to Thrive in Menopause here.

Westmed patients: Learn about Women’s Health and Wellness Services here and register for an upcoming webinar on menopause led by Westmed doctors on April 28, RSVP now.