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Quanto tempo duram os sintomas da menopausa?

Hot flushes, night sweats, mood swings, vaginal dryness, weight gain - they've all been linked to the menopause. But how do you know what's in store and how can you stop your symptoms from interfering with your life?

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Despite the name, menopausa isn't a stage that lasts for years – it's actually a single point in time. The symptoms of menopause are what tend to last, often starting during perimenopause and continuing well after your final period.

While every woman's experience is different, here's how long the most common menopause symptoms typically last.

How long do common menopause symptoms last?

Ondas de calor

Duration: 3-7 years

Hot flushes are one of the most common symptoms of menopause. They cause a sudden feeling of heat that spreads across your chest, neck, and face. You might also become flushed, sweaty, tontura, or notice your heart beating faster than usual.

Most hot flushes last for a few minutes, although they can feel much longer in the moment. They vary from person to person too - some women experience an occasional mild flush, while others have intense episodes 15 to 20 times a day.

Hot flushes usually begin around the time of your final period. On average, they last for around three and a half years, but for some women they can continue for up to seven years.

Secura vaginal

Duration: long term

Secura vaginal is caused by falling oestrogen levels, which make the vaginal tissues thinner, drier and less elastic. It can lead to soreness, itching, discomfort during sex and an increased chance of urinary tract infections (UTIs).

Unlike some menopause symptoms, vaginal dryness often doesn't improve on its own. It usually starts during perimenopause and can continue long after your last period.

Without treatment, it may persist for many years or even for the rest of your life, but vaginal moisturisers, lubricants, and local oestrogen treatments can be very effective.

Névoa cerebral

Duration: 2-5 years

Névoa cerebral describes problems with memory, concentration, and mental clarity that many women experience during menopause. You might find it harder to focus, forget words, or misplace everyday items more often than usual.

Brain fog is most common during perimenopause and the first year after your final period, when hormone levels fluctuate the most.

For many women it gradually improves within a few years after menopause, although stress, poor sleep, and anxiety can make symptoms last longer.

Suores noturnos

Duration: 3.5-7+ years

Suores noturnos are hot flushes that happen while you're asleep, often causing heavy sweating that can leave your clothes or bedding damp. They can disrupt your sleep and leave you feeling tired the next day.

Night sweats usually begin around the time of your final period and tend to follow a similar pattern to hot flushes.

On average, they last for around three and a half years, although some women experience them for up to seven years or longer.

Dificuldade para dormir

Duration: 2-5 years

Difficulty sleeping is one of the most frustrating symptoms of menopause. You may struggle to fall asleep, wake frequently during the night or wake much earlier than usual. Night sweats, anxiety, and changing hormone levels can all contribute.

Sleep problems are often at their worst during perimenopause and the first few years after menopause.

For many women, sleep gradually improves as hormone levels stabilise, although some continue to experience insomnia for several years, particularly if other symptoms persist.

Mood changes

Duration: 2-4 years

Mood changes during menopause can include irritability, low mood, ansiedade, tearfulness, and feeling overwhelmed. Hormonal changes, poor sleep, and the emotional impact of midlife can all play a role.

Mood symptoms are most common during perimenopause, when hormone levels fluctuate the most.

Symptoms typically improve within a few years after their final period, although some continue to experience anxiety or depressão beyond menopause and may benefit from treatment or pode fazer toda a diferença. "Esperava que a amamentação fosse natural, mas não foi," diz Dee, fundadora de.

Ganho de peso

Duration: long term

Many women notice it's easier to gain weight during menopause, particularly around the tummy. Falling oestrogen levels, age-related muscle loss, and a slower metabolism can all contribute, making it harder to maintain your usual weight.

Unlike some menopause symptoms, weight gain isn't usually temporary. Changes in body composition can continue after menopause unless they're managed through exercícios regulares, strength training, and a balanced diet.

Low libido

Duration: 2-5+ years

A lower sex drive is a common symptom of menopause. Hormonal changes, vaginal dryness, poor sleep, stress, and mood changes can all affect your interest in sex.

Low libido can begin during perimenopause and may continue after your final period. For some women it improves as other menopause symptoms settle, while for others it lasts longer.

Treatment for symptoms such as vaginal dryness, alongside hormone therapy or psychosexual support where appropriate, can often help.

Dor nas articulações

Duration: several years

Joint pain and stiffness during menopause can affect the knees, hips, shoulders, hands, and other joints. Many women notice aching, stiffness first thing in the morning or after sitting still for long periods.

Joint pain often starts during perimenopause and can continue into the years after menopause. Some women find it improves as hormone levels settle, whereas others may continue to experience ongoing stiffness or aches.

Staying active, maintaining a healthy weight and strengthening muscles around the joints can help reduce symptoms.

Why some women experience symptoms longer

Menopause may be over in a few years for some women, but for others, symptoms can linger well into postmenopause.

How long symptoms last depends on a range of factors including:

  • Genetics: your family history may play a role. If your mother or sisters experienced long-lasting menopause symptoms, there's a chance you may too.

  • Lifestyle factors: smoking, high stress levels, poor sleep, and being less physically active can make some menopause symptoms more severe or longer lasting.

  • Age of onset: women who go through menopause at a younger age, whether naturally or because of surgery or medical treatment, may experience symptoms for a longer period.

  • Histórico médico: certain health conditions, such as anxiety, depression, or thyroid disorders, can overlap with menopause symptoms or make them feel more intense.

  • HRT use: hormone replacement therapy (HRT) doesn't shorten menopause itself, but it can significantly reduce symptoms while you're taking it. Some women notice symptoms return when they stop HRT, while others find they've eased by then.

How to manage menopause symptoms

Many menopause symptoms improve over time, but if you are struggling, there are plenty of ways to make them more manageable.

Simple lifestyle changes can help ease mild symptoms, while treatments such as HRT and other therapies may provide relief if your symptoms are having a significant impact on your daily life.

  • Hot flushes: keep cool, avoid triggers (such as alcohol, caffeine, and spicy foods), and consider TRH ou complementary and alternative treatments if symptoms are severe.

  • Vaginal dryness: use vaginal moisturisers and lubricants, or try topical HRT for longer-lasting relief.

  • Brain fog: exercise regularly, prioritise sleep and keep your mind active. HRT may also help some women.

  • Night sweats: keep your bedroom cool, wear breathable sleepwear, and opt for a thinner duvet, especially during the warmer months.

  • Difficulty sleeping: stick to a regular bedtime, limit caffeine and screens before bed, and treat underlying menopause symptoms.

  • Mood changes: stay active, manage stress, and consider terapias de conversa or HRT if symptoms are persistent.

  • Weight gain: focus on strength training, regular exercise and a balanced, protein-rich diet.

  • Low libido: treat vaginal dryness, communicate openly with your partner, and ask your GP about HRT or testosterona if appropriate.

  • Joint pain: stay active, build muscle with strength training, and maintain a healthy weight.

Resumo

Menopause looks different for every woman, so there's no single timeline for how long symptoms will last. While symptoms such as hot flushes, brain fog, and mood changes often improve within a few years, others, including vaginal dryness and weight gain, can continue long after your final period.

Lifestyle changes, hormone replacement therapy (HRT) and other treatments can make a significant difference. If your symptoms are affecting your sleep, relationships, work or quality of life, speak to your doctor about the treatment options available.

Leitura adicional e referências

  • NICE NG23: Menopause: identification and management
  • Avis NE, Crawford SL, Greendale G, et al; Duração dos sintomas vasomotores na menopausa durante a transição menopausal. JAMA Intern Med. 2015 abr;175(4):531-9. doi: 10.1001/jamainternmed.2014.8063.

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Dra. Sarah Jarvis

Consultora Clínica

MA (Cantab), BM, BCh (Oxon), DRCOG, FRCGP, MBE

Após se formar em medicina em Cambridge e Oxford, a Dra. Sarah Jarvis MBE tornou-se médica de clínica geral.

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Dr Colin Tidy, MRCGP

Médico Generalista, Autor Médico

MBBS, MRCGP, MRCP (Paediatrics), DCH

Dr Colin Tidy é um médico do NHS, baseado em Oxfordshire.

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