THE EVERNOW 2021 MENOPAUSE STUDY
The most up-to-date study on menopause collected from over 40,000 women
Every woman will go through menopause. It will affect her health, her longevity, and her life. Yet this is one of the most overlooked areas of women's health. To help move science forward as well as to better understand the experience of menopause, we surveyed women at all stages of the journey.

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Menopause is life-changing
(It's more than hot flashes)
Every year, 2 million American women will reach menopause, and the symptoms range from uncomfortable to debilitating: Over 95% of respondents rated at least 3 symptoms a 3 or 4 on a severity scale of 0-4.
EVERNOW SURVEY OVERVIEW
MOST COMMON SYMPTOMS
FATIGUE/LOW ENERGY
SLEEP DISRUPTION
WEIGHT CHANGES
BRAIN FOG
3.27
The average severity score across all symptoms on a scale of 0-4
MOST SEVERE SYMPTOMS
FATIGUE/LOW ENERGY
SLEEP DISRUPTION
WEIGHT CHANGES
PAINFUL SEX
It's a 10-20 year journey
with evolving symptoms
The frequency and severity of symptoms change over time. One example is brain fog, which can be more severe in perimenopause. These nuances are important to understand. Perimenopausal symptoms may be subtle and misattributed, thus delaying care and management.
Symptom deep dive: frequency and severity
Our data shows that menopause affects all aspects of women's health and the symptoms are extremely common. They're also wider-ranging than typically discussed. For example, many women (and their doctors) may not know that anxiety or joint pain can be signs of fluctuating hormones.
NEARLY
80%
reported brain fog, weight changes, sleep disruption, and fatigue.
OVER
60%
reported anxiety or depression, joint or muscular pain, night sweats and hot flashes.
OVER
50%
reported skin and hair changes,
vaginal dryness, and mood swings.
The symptoms of menopause are
not merely "bothersome"
They can be severe and surprising—disrupting daily life and health.
Across all 40,000 women, the average symptom was rated a 3.27 on a severity scale of 0-4.
ON A SEVERITY SCALE OF 0-4
Percentage of respondents who rated these symptoms a 4 (highest score)
+60%
+50%
+40%
+30%
Weight changes and painful sex
Fatigue/low energy and sleep disruptions
Joint/muscular discomfort, hot flashes, night sweats, and skin/hair changes
Anxiety/depression, mood swings, brain fog, vaginal dryness
Hysterectomies significantly impact menopause and overall health
Nearly a third of all American women 50 or older have had a hysterectomy. Our data shows that women who have had hysterectomies experience more severe menopause symptoms across the board than those who have not. Strikingly, individuals with hysterectomies are 27% more likely to have a BMI over 30.
An important factor that all women and their doctors should know.
Women who have had hysterectomies
experience more severe menopause
symptoms across the board than those
who have not.
27%
More
Likely
to have a BMI over 30
SEVERE SYMPTOMS + HYSTERECTOMIES
vaginal dryness
10% more women reported as 4 (severity scale: 0-4)
hot flashes
8.6% more women reported as 4 (severity scale: 0-4)
painful sex
8.3% more women reported as 4 (severity scale: 0-4)
sleep disruptions
7.4% more women reported as 4 (severity scale: 0-4)
Perimenopause
It's a different experience than menopause
Most women start perimenopause in their 40s, but our data shows that symptoms may start as early as age 39. This manifests for the most part as "period irregularites." Awareness of new symptoms is a key step toward getting effective treatment in the earlier years.
NEARLY
2/3
of all perimenopausal women rated brain fog, mood swings, and anxiety and depression a 3 or 4 (severity scale: 0-4)
OVER
1/2
of perimenopausal women rated skin and hair changes, as well as joint pain a 3 or 4 (severity scale: 0-4)
Most common perimenopause symptoms:
BRAIN FOG
ANXIETY & DEPRESSION
MOOD SWINGS
JOINT PAIN
BRAIN FOG
ANXIETY & DEPRESSION
MOOD SWINGS
JOINT PAIN
Women who smoke have worse menopausal symptoms
more severe hot flashes
74% smoker vs. 60% non-smokers (21% relative difference)
more night sweats
67% smoker vs. 55% non-smoker (20% relative difference)
more anxiety
58% smoker vs. 48% non-smoker (19% relative difference)
BMI and menopause
Our survey data showed a direct positive
correlation between body mass index (BMI) and
menopause symptom severity: the higher the BMI,
the greater the symptoms
After Evernow treatment
Evernow is currently collecting follow-up data from 200+ of our members about how their symptoms improved after they began taking hormone therapy (HT).
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