SYMPTOMs

How are you feeling?

The menopausal transition is a particularly vulnerable time because of hormonal changes and other changes that occur at midlife. Here’s what happens.

40's
Perimenopause
COMMON SYMPTOMS
Sleep disruption
Brain fog
Fatigue
Weight changes
Mood swings
Anxiety /
depression
50's
Menopause
COMMON SYMPTOMS
Hot flashes
Night sweats
Sleep disruption
Joint pain
Brain fog
60's+
Late Menopause
COMMON SYMPTOMS
Painful sex
Urinary issues
Vaginal dryness
Brain fog
Select the symptoms you’re experiencing
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Hot Flashes
90
%
improvement by month 3
  • Hot flashes, the most common symptom of menopause AND perimenopause, are sudden feelings of intense heat, and are sometimes accompanied by skin flushing, rapid heartbeat, and feelings of anxiety or dread.
  • Nearly 80% of women who completed Evernow’s health intake experience hot flashes during their menopause transition.
  • Hot flashes are treatable—estradiol (estrogen) is the most effective proven treatment. Paroxetine (Brisdelle) can also help mitigate hot flash symptoms.
  • After one month of Evernow treatment, 74% of women report a reduction in hot flash symptoms; 94% by month two.
Night Sweats
81
%
improvement by month 3
  • Night sweats are sudden waves of heat in your body that cause you to sweat profusely and typically cause a woman to wake up during the night drenched in sweat.
  • More than 66% of women who completed Evernow’s health intake reported night sweats during their menopause transition.
  • Night sweats are treatable - estradiol (estrogen) is the most effective proven treatment, paroxetine (Brisdelle) can also help mitigate night sweats.
Vaginal Dryness
73
%
improvement by month 2
  • Vaginal dryness is pretty much what it sounds like—feeling not well lubricated, itchy, and irritated. It can make sex anything from uncomfortable to extermely painful. 
  • More than 50% of women who completed Evernow’s health intake reported vaginal dryness during their menopause transition.
  • Vaginal dryness can be treated and even reversed–vaginal estradiol is the preferred treatment if you are just having vaginal symptoms and not other symptoms of menopause. If you are experiencing both vaginal symptoms and additional menopause symptoms (hot flashes, night sweats, or insomnia), your provider may also recommend systemic estradiol (via patch or pill).
Brain Fog
60
%
improvement by month 3
  • Brain fog can include everything from trouble with memory and concentration to difficulty processing information, solving problems or coming up with words. Because the symptoms of brain fog are so general, it can sometimes be misdiagnosed as mild cognitive impairment–which is linked to progressive conditions like early onset dementia or Alzheimer’s disease–and this can be scary.
  • 76% of women report experiencing brain fog through their menopause transition.
  • Systemic Estradiol replenishes the estrogen that your ovaries are no longer producing as you approach menopause–it’s your decreasing levels of estrogen that are causing the feeling of “brain fog” in the first place. There are many recent studies that show that taking hormonal therapies such as estradiol in the perimenopausal/menopausal years may have some cognitive benefits. However, they are not yet conclusive and further research is needed.
Anxiety
68
%
improvement by month 3
  • Anxiety is the feeling of fear, apprehension, or nervousness that arises in a stressful situation. Physical symptoms may include a racing heart, rapid breathing, sweating, trembling, muscle weakness, and stomach issues. Women are more likely to report anxiety during perimenopause than before its onset; hormone therapy can be helpful.
  • 62% of women who completed Evernow’s health intake report experiencing anxiety and/or depression during menopause.
  • There’s increasing evidence that menopausal hormone therapy (MHT) can help treat emotional changes, including anxiety, that occur during menopause by helping restore estrogen levels. Additionally, Paroxetine (aka Paxil or Brisdelle) is the most commonly used class of antidepressants used to treat anxiety and are known as selective serotonin reuptake inhibitors (SSRIs), which increase the amount of serotonin in the brain and thereby improve mood and reduce anxiety.
Depression
68
%
improvement by month 3
  • Depression involves more than just “feeling blue:” anxiety, sadness, or emptiness tend to persist with depression, and these can be accompanied by guilt, hopelessness and loss of appetite, focus, and sleep.
  • 62% of women report experiencing anxiety and/or depression during menopause.
  • A number of effective medications are available for treating depression, and they often go hand in hand with psychotherapy. Paroxetine (aka Paxil): A commonly used class of antidepressants used to treat depression are known as selective serotonin reuptake inhibitors (SSRIs), which increase the amount of serotonin in the brain and thereby improve mood.
Weight Changes
63
%
improvement by month 3
  • As women go through menopause, weight gain tends to be more pronounced. Not only does the number on the scale go up, but the extra weight is often distributed around the midsection, leading many women to shift from a pear-shaped figure to an apple-shaped one. In addition to hormone changes, menopause is associated with symptoms that can lead to trouble sleeping, which is also associated with weight gain. 
  • Nearly 80% of women who completed Evernow’s health intake report weight changes during their menopause transition.
Skin / Hair Changes
74
%
improvement by month 1
  • As you go through menopause, you might notice more hair falling out in the shower or left behind on your pillowcase after sleeping. While hair loss can be alarming, know that it’s a normal part of menopause for many women and can be addressed in several ways.
  • Up to 66% of postmenopausal women will experience hair loss.
Joint Pain
68
%
improvement by month 3
  • Joint pain is any discomfort, pain or inflammation in a joint—where your bones meet. Joint pain can make everyday activities—going for a walk, carrying groceries, even getting dressed—difficult and painful.
  • 64% of women who completed Evernow’s health intake experience joint pain during their menopause transition.
  • Evidence shows that estrogen therapy (systemic estradiol) can be an effective treatment for menopausal joint pain by providing the estrogen that your ovaries no longer produce. Research also shows that estrogen therapy is effective at improving joint pain in post-menopausal women who have had a hysterectomy.
Low Libido
%
reduction by month 2
  • During the menopausal transition, some people find that their libido, or sex drive, changes, and they no longer feel spontaneous desire. Shifting hormones can hamper arousal and lead to physical changes that might make you less interested in or uncomfortable during sex. 
  • Both systemic and vaginal estrogen therapy can help you deal with vaginal dryness and atrophy that may cause discomfort during sex. Testosterone therapy can also help improve sex drive in women. Although it is not FDA-approved for use in women, it is often used for this reason in postmenopausal women with the support of several medical societies, including the North American Menopause Society.
Source: The Evernow 2021 and 2022 Menopause Studies – collected from over 100,000 women