Menopause Symptoms and Treatments: What to Expect When You Hit Those 40s – Dr. Hrishikesh Pai

Feeling tired, irritated, sleepless nights, forgetful, sweating when others are comfortable, too much period flow, too little period flow, skipping periods – please visit your gynecologist, Dr. Hrishikesh Pai, at Budget Fertility Centre, Mumbai, because you might be in the perimenopause phase.

Menopause Symptoms and Treatments

As you age, you probably start to notice more and more changes in your body. Your periods might become less regular. You might begin to have trouble falling and staying asleep every night. Your skin might start to feel tighter than it used to. And your periods might begin to come and go more than once a month. These are all signs that you’re going through menopause. But, of course, menopause isn’t something that happens all at once. It’s a process that usually lasts for about a decade, lasting from the early 40s to the early 50s.

The hormonal changes that happen as you go through menopause are responsible for this range of symptoms. But because menopause can be such a difficult time, it can also bring up a lot of emotions and feelings.

Below, we’ll explore the most common menopause symptoms and treatments so you can get through the transition with as few surprises as possible, says Dr. Hrishikesh Pai.

Dr. Hrishikesh Pai is considered one of the best gynecologists in Mumbai, and he is the founder of Budget Fertility Centre.

Dr. Pai Specializes in IVF and infertility treatments. He has an unmatched experience of 40 years in his field.

Why Does Menopause Happen?

Dr. Hrishikesh Pai explains menopause, its causes, and its symptoms. You can book your consultation with him through,, and other healthcare portals.

Due to the hormonal changes that menopause brings, the body becomes less receptive to estrogen, which causes the ovaries to stop releasing eggs. Menopause is a long process taking at least 10 years till you achieve complete menopause.

During this course, the level of estrogen keeps reducing, thereby reducing your ovulation until when it stops completely,

This part of menopause makes it difficult: it’s hard to know what will happen next.

To make up for this loss of egg production, the ovaries produce more progesterone. Progesterone helps regulate the endocrine system and helps with sleep and mood regulation.

Progesterone can have many effects on the body, but it has a few that you might be concerned about in this new stage of life. One of these effects is an increased risk for heart disease because progesterone can trigger an increase in LDL cholesterol levels. And this isn’t something that just happens in later years; some studies have shown that women who are going through menopause now have higher rates of heart disease than those who are not going through menopause yet.


The Hormonal Changes of Menopause

As you go through menopause, your hormones will change and affect your body in various ways. Hormonal changes vary depending on the woman, but there are some common changes that happen to all women going through menopause. These include:

– Increased production of estrogen during the stages of perimenopause

– Decreased levels of estrogen during postmenopause

– Decreased production of testosterone and progesterone in late postmenopause

– Some women may also experience weight gain as well as hot flushes and night sweats


 Sleep Changes During Menopause

During menopause, you might start to sleep better and longer than you used to. This might be because your body is more relaxed. At the same time, this can also be a sign that you’re going through hormonal changes since the hormone levels are changing during menopause.

Another change during menopause is that many women find it difficult to fall asleep at night. They might struggle with insomnia and wake up feeling tired or disoriented in the morning. There are different treatments for insomnia during menopause, like almost everything else. One treatment takes melatonin while going through the night, and another uses natural remedies like valerian root tea before bedtime.

Try these natural remedies if you find yourself struggling with sleep during menopause.

 Mood Swings During Menopause

One of the most common symptoms of menopause is mood swings. These mood swings can come in waves, including higher highs and lower lows that make it difficult to focus on anything. The fluctuations in your mood might have a lot to do with what’s happening in your life. As you go through menopause, you might be experiencing many changes in your work or personal life—both good and bad.

If you feel anxious or depressed a lot, talk to your doctor about the changes that are happening during this time in your life so you can get the proper treatment.

Bones and Skin Conditions

As you age, your bones and skin can start to feel weaker. This might cause a lot of discomforts when you walk or exercise. To prevent this, it’s essential to get plenty of vitamin D and calcium in your diet. If your bones are feeling weak, talk to your doctor about taking supplements that will help support them.

You might also start to develop skin conditions like acne and eczema as you go through menopause. These conditions can make you self-conscious if they happen on the wrong part of your body or at the wrong time. To prevent these problems, be sure to use moisturizing products regularly, avoid triggers that make these issues worse (like wearing tight clothes), and keep yourself hydrated with lots of water.

Heart and Blood Vessel Issues

Heart and blood vessel issues can be a particularly troubling symptom of menopause. They can happen after years of having no problems, and it’s easy to feel like you’re going crazy when these symptoms start to show up. There are two significant kinds of heart and blood vessel problems that women go through during menopause:

The first is atrial fibrillation, which is a condition where the momentary contraction of your heart muscle doesn’t fire properly. It can lead to dizziness, lightheadedness, insomnia, or actually passing out. Atrial fibrillation is also called “irregular heartbeat.”

The second is coronary artery disease. Coronary artery disease is when plaque builds up inside the arteries that carry oxygen-rich blood to the heart muscle. This plaque causes your arteries to narrow or even close off completely, cutting off the flow of oxygen-rich blood and leading to chest pain that worsens with each heartbeat or as you exercise or stand upright.

But there are plenty of other less severe cardiac symptoms you might experience as well, such as shortness of breath, palpitations (rapid heartbeat), fatigue, chest discomfort/pain, low energy levels/fatigue/low motivation, poor sleep quality/disturbed sleep patterns.

Treatments for these conditions vary depending on how severe they are and what side effects they have on your life overall. Nevertheless, many relief treatments exist for both of these conditions.

What are the treatments for women undergoing menopause?

Menopause can be a difficult time, but that doesn’t mean you have to go through the process alone. Hormone replacement therapy is one of the most common treatments for women undergoing menopause. This treatment helps ease the symptoms of hot flashes, mood swings, and vaginal dryness, and it can even help with bone density. Other treatments you might try include bioidentical hormone replacement therapy, acupuncture, and alternative therapies like yoga or meditation.

Hormone therapy comes with risks of breast cancer and cardiovascular diseases. Speak to Dr. Hrishikesh Pai about your concerns.


Being a woman is no easy task, but you can simplify your being by reading up on the changes you experience in yourself, physically and mentally. Involve your family and take them along to the doctors. A word of counseling from the doctor will let you and your family know what is to be expected in the coming years.

Tend to your needs and take care.