đŸŠē Dr. Aminul

Home / Conditions & Services / Menopause & Women's Endocrine Health

Menopause & Women's Endocrine HealthāĻŽā§‡āύ⧋āĻĒāϜ āĻ“ āύāĻžāϰ⧀āĻĻ⧇āϰ āĻāĻ¨ā§āĻĄā§‹āĻ•ā§āϰāĻžāχāύ āĻ¸ā§āĻŦāĻžāĻ¸ā§āĻĨā§āϝ

Support for menopausal symptoms and the hormonal, bone, and metabolic changes that come with this life stage.āĻŽā§‡āύ⧋āĻĒāĻœā§‡āϰ āϞāĻ•ā§āώāĻŖ āĻāĻŦāĻ‚ āĻāχ āĻœā§€āĻŦāύāĻĒāĻ°ā§āĻŦ⧇ āφāϏāĻž āĻšāϰāĻŽā§‹āύāϜāύāĻŋāϤ, āĻšāĻžāĻĄāĻŧ āĻ“ āĻŽā§‡āϟāĻžāĻŦāϞāĻŋāĻ• āĻĒāϰāĻŋāĻŦāĻ°ā§āϤāύ⧇ āϏāĻšāĻžāϝāĻŧāϤāĻžāĨ¤

What it isāĻāϟāĻŋ āϕ⧀

Menopause is the natural stop of periods, usually around age 45-55, caused by declining ovarian hormone production.āĻŽā§‡āύ⧋āĻĒāϜ āĻšāϞ⧋ āĻŽāĻžāϏāĻŋāϕ⧇āϰ āĻ¸ā§āĻŦāĻžāĻ­āĻžāĻŦāĻŋāĻ• āϏāĻŽāĻžāĻĒā§āϤāĻŋ, āϏāĻžāϧāĻžāϰāĻŖāϤ ā§Ēā§Ģ-ā§Ģā§Ģ āĻŦāĻ›āϰ āĻŦāϝāĻŧāϏ⧇, āϝāĻž āĻĄāĻŋāĻŽā§āĻŦāĻžāĻļāϝāĻŧ⧇āϰ āĻšāϰāĻŽā§‹āύ āĻ‰ā§ŽāĻĒāĻžāĻĻāύ āĻ•āĻŽā§‡ āϝāĻžāĻ“āϝāĻŧāĻžāϰ āĻ•āĻžāϰāϪ⧇ āĻšāϝāĻŧāĨ¤

It brings hormonal changes that can affect bone health, metabolism, and day-to-day symptoms.āĻāϟāĻŋ āĻāĻŽāύ āĻšāϰāĻŽā§‹āύāϜāύāĻŋāϤ āĻĒāϰāĻŋāĻŦāĻ°ā§āϤāύ āύāĻŋāϝāĻŧ⧇ āφāϏ⧇ āϝāĻž āĻšāĻžāĻĄāĻŧ⧇āϰ āĻ¸ā§āĻŦāĻžāĻ¸ā§āĻĨā§āϝ, āĻŦāĻŋāĻĒāĻžāĻ• āĻ“ āĻĻ⧈āύāĻ¨ā§āĻĻāĻŋāύ āϞāĻ•ā§āώāĻŖāϕ⧇ āĻĒā§āϰāĻ­āĻžāĻŦāĻŋāϤ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇āĨ¤

Common symptomsāϏāĻžāϧāĻžāϰāĻŖ āϞāĻ•ā§āώāĻŖ

  • Hot flashes and night sweatsāĻšāϟ āĻĢā§āĻ˛ā§āϝāĻžāĻļ āĻ“ āϰāĻžāϤ⧇ āϘāĻžāĻŽ
  • Irregular periods leading up to menopauseāĻŽā§‡āύ⧋āĻĒāĻœā§‡āϰ āφāϗ⧇ āĻ…āύāĻŋāϝāĻŧāĻŽāĻŋāϤ āĻŽāĻžāϏāĻŋāĻ•
  • Mood changes and sleep disturbanceāĻŽā§‡āϜāĻžāϜ āĻĒāϰāĻŋāĻŦāĻ°ā§āϤāύ āĻ“ āϘ⧁āĻŽā§‡āϰ āĻŦā§āϝāĻžāϘāĻžāϤ
  • Vaginal drynessāϝ⧋āύāĻŋāĻĒāĻĨ⧇āϰ āĻļ⧁āĻˇā§āĻ•āϤāĻž
  • Longer-term bone loss and cholesterol changesāĻĻā§€āĻ°ā§āϘāĻŽā§‡āϝāĻŧāĻžāĻĻā§€ āĻšāĻžāĻĄāĻŧ āĻ•ā§āώāϝāĻŧ āĻ“ āϕ⧋āϞ⧇āĻ¸ā§āĻŸā§‡āϰāϞ⧇āϰ āĻĒāϰāĻŋāĻŦāĻ°ā§āϤāύ

Important causesāϗ⧁āϰ⧁āĻ¤ā§āĻŦāĻĒā§‚āĻ°ā§āĻŖ āĻ•āĻžāϰāĻŖ

Natural ovarian aging is the main cause of menopause.āĻĄāĻŋāĻŽā§āĻŦāĻžāĻļāϝāĻŧ⧇āϰ āĻ¸ā§āĻŦāĻžāĻ­āĻžāĻŦāĻŋāĻ• āĻŦāĻžāĻ°ā§āϧāĻ•ā§āϝāχ āĻŽā§‡āύ⧋āĻĒāĻœā§‡āϰ āĻĒā§āϰāϧāĻžāύ āĻ•āĻžāϰāĻŖāĨ¤

Surgical removal of the ovaries or certain medical treatments, such as chemotherapy, can cause earlier menopause.āĻĄāĻŋāĻŽā§āĻŦāĻžāĻļāϝāĻŧ āĻ…āĻ¸ā§āĻ¤ā§āϰ⧋āĻĒāϚāĻžāϰ⧇ āĻ…āĻĒāϏāĻžāϰāĻŖ āĻŦāĻž āϕ⧇āĻŽā§‹āĻĨ⧇āϰāĻžāĻĒāĻŋāϰ āĻŽāϤ⧋ āĻ•āĻŋāϛ⧁ āϚāĻŋāĻ•āĻŋā§ŽāϏāĻž āφāĻ—āĻžāĻŽ āĻŽā§‡āύ⧋āĻĒāĻœā§‡āϰ āĻ•āĻžāϰāĻŖ āĻšāϤ⧇ āĻĒāĻžāϰ⧇āĨ¤

How it is evaluatedāϕ⧀āĻ­āĻžāĻŦ⧇ āĻŽā§‚āĻ˛ā§āϝāĻžāϝāĻŧāύ āĻ•āϰāĻž āĻšāϝāĻŧ

Diagnosis is usually based on age and symptom pattern rather than a single test.āύāĻŋāĻ°ā§āĻŖāϝāĻŧ āϏāĻžāϧāĻžāϰāĻŖāϤ āĻāĻ•āĻ• āϕ⧋āύ⧋ āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ āĻĒāϰāĻŋāĻŦāĻ°ā§āϤ⧇ āĻŦāϝāĻŧāϏ āĻ“ āϞāĻ•ā§āώāϪ⧇āϰ āϧāϰāύ⧇āϰ āωāĻĒāϰ āĻ­āĻŋāĻ¤ā§āϤāĻŋ āĻ•āϰ⧇ āĻ•āϰāĻž āĻšāϝāĻŧāĨ¤

Hormone blood tests are sometimes used, especially for earlier-than-expected menopause, and bone density or metabolic screening is often recommended around this time.āĻ•āĻ–āύ⧋ āĻ•āĻ–āύ⧋ āĻšāϰāĻŽā§‹āύ āϰāĻ•ā§āϤ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻž āĻšāϝāĻŧ, āĻŦāĻŋāĻļ⧇āώāϤ āĻĒā§āϰāĻ¤ā§āϝāĻžāĻļāĻžāϰ āĻšā§‡āϝāĻŧ⧇ āφāϗ⧇ āĻŽā§‡āύ⧋āĻĒāϜ āĻšāϞ⧇, āĻāĻŦāĻ‚ āĻāχ āϏāĻŽāϝāĻŧ āĻĒā§āϰāĻžāϝāĻŧāχ āĻšāĻžāĻĄāĻŧ⧇āϰ āϘāύāĻ¤ā§āĻŦ āĻŦāĻž āĻŽā§‡āϟāĻžāĻŦāϞāĻŋāĻ• āĻ¸ā§āĻ•ā§āϰāĻŋāύāĻŋāĻ‚ āϏ⧁āĻĒāĻžāϰāĻŋāĻļ āĻ•āϰāĻž āĻšāϝāĻŧāĨ¤

Common treatment approachesāϏāĻžāϧāĻžāϰāĻŖ āϚāĻŋāĻ•āĻŋā§ŽāϏāĻžāϰ āĻĒāĻĻā§āϧāϤāĻŋ

Lifestyle measures can help manage many symptoms day to day.āĻĻ⧈āύāĻ¨ā§āĻĻāĻŋāύ āĻ…āύ⧇āĻ• āϞāĻ•ā§āώāĻŖ āĻĒāϰāĻŋāϚāĻžāϞāύāĻžāϝāĻŧ āĻœā§€āĻŦāύāϝāĻžāĻĒāύ⧇ āĻĒāϰāĻŋāĻŦāĻ°ā§āϤāύ āϏāĻžāĻšāĻžāĻ¯ā§āϝ āĻ•āϰāϤ⧇ āĻĒāĻžāϰ⧇āĨ¤

Hormone therapy is an option for appropriate candidates, after an individualized discussion of risks and benefits.āĻā§āρāĻ•āĻŋ āĻ“ āωāĻĒāĻ•āĻžāϰāĻŋāϤāĻžāϰ āĻĒ⧃āĻĨāĻ• āφāϞ⧋āϚāύāĻžāϰ āĻĒāϰ āωāĻĒāϝ⧁āĻ•ā§āϤ āĻ•ā§āώ⧇āĻ¤ā§āϰ⧇ āĻšāϰāĻŽā§‹āύ āĻĨ⧇āϰāĻžāĻĒāĻŋ āĻāĻ•āϟāĻŋ āĻŦāĻŋāĻ•āĻ˛ā§āĻĒāĨ¤

Non-hormonal medication options are available for hot flashes when needed.āĻĒā§āϰāϝāĻŧā§‹āϜāύ⧇ āĻšāϟ āĻĢā§āĻ˛ā§āϝāĻžāĻļ⧇āϰ āϜāĻ¨ā§āϝ āύāύ-āĻšāϰāĻŽā§‹āύāĻžāϞ āĻ“āώ⧁āϧ⧇āϰ āĻŦāĻŋāĻ•āĻ˛ā§āĻĒāĻ“ āĻĒāĻžāĻ“āϝāĻŧāĻž āϝāĻžāϝāĻŧāĨ¤

Bone health and cardiovascular risk are monitored going forward, since both change after menopause.āĻŽā§‡āύ⧋āĻĒāĻœā§‡āϰ āĻĒāϰ āĻšāĻžāĻĄāĻŧ⧇āϰ āĻ¸ā§āĻŦāĻžāĻ¸ā§āĻĨā§āϝ āĻ“ āĻšā§ƒāĻĻāϰ⧋āϗ⧇āϰ āĻā§āρāĻ•āĻŋ āωāĻ­āϝāĻŧāχ āĻĒāϰāĻŋāĻŦāĻ°ā§āϤāĻŋāϤ āĻšāϝāĻŧ āĻŦāϞ⧇ āĻ­āĻŦāĻŋāĻˇā§āϝāϤ⧇ āĻāϗ⧁āϞ⧋ āĻĒāĻ°ā§āϝāĻŦ⧇āĻ•ā§āώāĻŖ āĻ•āϰāĻž āĻšāϝāĻŧāĨ¤

When to see a specialistāĻ•āĻ–āύ āĻŦāĻŋāĻļ⧇āώāĻœā§āĻž āĻĻ⧇āĻ–āĻžāĻŦ⧇āύ

Menopause before age 40 (premature menopause)ā§Ēā§Ļ āĻŦāĻ›āϰ āĻŦāϝāĻŧāϏ⧇āϰ āφāϗ⧇ āĻŽā§‡āύ⧋āĻĒāϜ (āφāĻ—āĻžāĻŽ āĻŽā§‡āύ⧋āĻĒāϜ)

Severe symptoms affecting daily lifeāĻĻ⧈āύāĻ¨ā§āĻĻāĻŋāύ āĻœā§€āĻŦāύāϕ⧇ āĻĒā§āϰāĻ­āĻžāĻŦāĻŋāϤ āĻ•āϰāĻž āϤ⧀āĻŦā§āϰ āϞāĻ•ā§āώāĻŖ

Considering hormone therapyāĻšāϰāĻŽā§‹āύ āĻĨ⧇āϰāĻžāĻĒāĻŋ āĻŦāĻŋāĻŦ⧇āϚāύāĻž āĻ•āϰāϞ⧇

Bone or metabolic concerns around this transitionāĻāχ āĻĒāϰāĻŋāĻŦāĻ°ā§āϤāύāĻ•āĻžāϞ⧇ āĻšāĻžāĻĄāĻŧ āĻŦāĻž āĻŽā§‡āϟāĻžāĻŦāϞāĻŋāĻ• āωāĻĻā§āĻŦ⧇āĻ—

Need a specialist assessment?āĻŦāĻŋāĻļ⧇āώāĻœā§āĻž āĻŽā§‚āĻ˛ā§āϝāĻžāϝāĻŧāύ āĻĻāϰāĻ•āĻžāϰ?

Book an appointment in Dhaka, Chattogram, Patiya, or online.āĻĸāĻžāĻ•āĻž, āϚāĻŸā§āϟāĻ—ā§āϰāĻžāĻŽ, āĻĒāϟāĻŋāϝāĻŧāĻž āĻ…āĻĨāĻŦāĻž āĻ…āύāϞāĻžāχāύ⧇ āĻ…ā§āϝāĻžāĻĒāϝāĻŧ⧇āĻ¨ā§āϟāĻŽā§‡āĻ¨ā§āϟ āύāĻŋāύāĨ¤

Book AppointmentāĻ…ā§āϝāĻžāĻĒāϝāĻŧ⧇āĻ¨ā§āϟāĻŽā§‡āĻ¨ā§āϟ āύāĻŋāύ

Frequently asked questionsāĻĒā§āϰāĻžāϝāĻŧāĻļāχ āϜāĻŋāĻœā§āĻžāĻžāϏāĻŋāϤ āĻĒā§āϰāĻļā§āύ

At what age does menopause usually happen?āϏāĻžāϧāĻžāϰāĻŖāϤ āϕ⧋āύ āĻŦāϝāĻŧāϏ⧇ āĻŽā§‡āύ⧋āĻĒāϜ āĻšāϝāĻŧ?

Most commonly between 45 and 55, with the average around 50-51, though it varies between individuals.āϏāĻžāϧāĻžāϰāĻŖāϤ ā§Ēā§Ģ āĻĨ⧇āϕ⧇ ā§Ģā§Ģ āĻŦāĻ›āϰ⧇āϰ āĻŽāĻ§ā§āϝ⧇, āĻ—āĻĄāĻŧ⧇ āĻĒā§āϰāĻžāϝāĻŧ ā§Ģā§Ļ-ā§Ģā§§ āĻŦāĻ›āϰ, āϤāĻŦ⧇ āĻŦā§āϝāĻ•ā§āϤāĻŋāϭ⧇āĻĻ⧇ āĻāϟāĻŋ āĻ­āĻŋāĻ¨ā§āύ āĻšāϤ⧇ āĻĒāĻžāϰ⧇āĨ¤

Is hormone therapy safe?āĻšāϰāĻŽā§‹āύ āĻĨ⧇āϰāĻžāĻĒāĻŋ āĻ•āĻŋ āύāĻŋāϰāĻžāĻĒāĻĻ?

It can be appropriate and effective for many women, but the decision depends on individual health history and risks, discussed with your doctor.āĻāϟāĻŋ āĻ…āύ⧇āĻ• āύāĻžāϰ⧀āϰ āϜāĻ¨ā§āϝ āωāĻĒāϝ⧁āĻ•ā§āϤ āĻ“ āĻ•āĻžāĻ°ā§āϝāĻ•āϰ āĻšāϤ⧇ āĻĒāĻžāϰ⧇, āϤāĻŦ⧇ āϏāĻŋāĻĻā§āϧāĻžāĻ¨ā§āϤāϟāĻŋ āĻŦā§āϝāĻ•ā§āϤāĻŋāĻ—āϤ āĻ¸ā§āĻŦāĻžāĻ¸ā§āĻĨā§āϝ āχāϤāĻŋāĻšāĻžāϏ āĻ“ āĻā§āρāĻ•āĻŋāϰ āωāĻĒāϰ āύāĻŋāĻ°ā§āĻ­āϰ āĻ•āϰ⧇, āϝāĻž āϚāĻŋāĻ•āĻŋā§ŽāϏāϕ⧇āϰ āϏāĻžāĻĨ⧇ āφāϞ⧋āϚāύāĻž āĻ•āϰ⧇ āύ⧇āĻ“āϝāĻŧāĻž āωāϚāĻŋāϤāĨ¤

Why does bone health matter at menopause?āĻŽā§‡āύ⧋āĻĒāĻœā§‡ āĻšāĻžāĻĄāĻŧ⧇āϰ āĻ¸ā§āĻŦāĻžāĻ¸ā§āĻĨā§āϝ āϕ⧇āύ āϗ⧁āϰ⧁āĻ¤ā§āĻŦāĻĒā§‚āĻ°ā§āĻŖ?

Declining estrogen speeds up bone loss, so this is a common time to assess fracture risk and start preventive measures.āχāĻ¸ā§āĻŸā§āϰ⧋āĻœā§‡āύ āĻ•āĻŽā§‡ āϝāĻžāĻ“āϝāĻŧāĻžāϝāĻŧ āĻšāĻžāĻĄāĻŧ āĻ•ā§āώāϝāĻŧ āĻĻā§āϰ⧁āϤ āĻšāϝāĻŧ, āϤāĻžāχ āĻāχ āϏāĻŽāϝāĻŧāϟāĻŋ āĻĢā§āĻ°ā§āϝāĻžāĻ•āϚāĻžāϰ āĻā§āρāĻ•āĻŋ āĻŽā§‚āĻ˛ā§āϝāĻžāϝāĻŧāύ āĻ“ āĻĒā§āϰāϤāĻŋāϰ⧋āϧāĻŽā§‚āϞāĻ• āĻŦā§āϝāĻŦāĻ¸ā§āĻĨāĻž āĻļ⧁āϰ⧁āϰ āωāĻĒāϝ⧁āĻ•ā§āϤ āϏāĻŽāϝāĻŧāĨ¤

Can periods stopping before 40 be normal?ā§Ēā§Ļ āĻŦāĻ›āϰ⧇āϰ āφāϗ⧇ āĻŽāĻžāϏāĻŋāĻ• āĻŦāĻ¨ā§āϧ āĻšāĻ“āϝāĻŧāĻž āĻ•āĻŋ āĻ¸ā§āĻŦāĻžāĻ­āĻžāĻŦāĻŋāĻ• āĻšāϤ⧇ āĻĒāĻžāϰ⧇?

This is called premature menopause and isn't typical; it's worth evaluating since it has different health implications than natural menopause.āĻāϕ⧇ āφāĻ—āĻžāĻŽ āĻŽā§‡āύ⧋āĻĒāϜ āĻŦāϞāĻž āĻšāϝāĻŧ āĻāĻŦāĻ‚ āĻāϟāĻŋ āϏāĻžāϧāĻžāϰāĻŖ āύāϝāĻŧ; āĻāϟāĻŋ āĻŽā§‚āĻ˛ā§āϝāĻžāϝāĻŧāύ āĻ•āϰāĻž āωāϚāĻŋāϤ, āĻ•āĻžāϰāĻŖ āĻ¸ā§āĻŦāĻžāĻ­āĻžāĻŦāĻŋāĻ• āĻŽā§‡āύ⧋āĻĒāĻœā§‡āϰ āĻšā§‡āϝāĻŧ⧇ āĻāϰ āĻ¸ā§āĻŦāĻžāĻ¸ā§āĻĨā§āϝāĻ—āϤ āĻĒā§āϰāĻ­āĻžāĻŦ āĻ­āĻŋāĻ¨ā§āύāĨ¤

Do all women need treatment for menopause symptoms?āĻŽā§‡āύ⧋āĻĒāĻœā§‡āϰ āϞāĻ•ā§āώāϪ⧇āϰ āϜāĻ¨ā§āϝ āĻ•āĻŋ āϏāĻŦ āύāĻžāϰ⧀āϰ āϚāĻŋāĻ•āĻŋā§ŽāϏāĻž āĻĒā§āϰāϝāĻŧā§‹āϜāύ?

No, some manage well with lifestyle changes alone; treatment is based on how much symptoms affect your life and your individual risk factors.āύāĻž, āϕ⧇āω āϕ⧇āω āĻļ⧁āϧ⧁ āĻœā§€āĻŦāύāϝāĻžāĻĒāύ⧇ āĻĒāϰāĻŋāĻŦāĻ°ā§āϤāύ āĻ•āϰ⧇āχ āĻ­āĻžāϞ⧋āĻ­āĻžāĻŦ⧇ āϏāĻžāĻŽāϞ⧇ āύ⧇āύ; āϚāĻŋāĻ•āĻŋā§ŽāϏāĻž āύāĻŋāĻ°ā§āĻ­āϰ āĻ•āϰ⧇ āϞāĻ•ā§āώāĻŖ āφāĻĒāύāĻžāϰ āĻœā§€āĻŦāύāϕ⧇ āĻ•āϤāϟāĻž āĻĒā§āϰāĻ­āĻžāĻŦāĻŋāϤ āĻ•āϰāϛ⧇ āĻāĻŦāĻ‚ āφāĻĒāύāĻžāϰ āĻŦā§āϝāĻ•ā§āϤāĻŋāĻ—āϤ āĻā§āρāĻ•āĻŋāϰ āωāĻĒāϰāĨ¤

RelatedāϏāĻŽā§āĻĒāĻ°ā§āĻ•āĻŋāϤ

Medical author/reviewer: Dr. Mohammad Aminul Islam, Endocrinologist. Last updated: October 2026.āϚāĻŋāĻ•āĻŋā§ŽāϏāĻž āϞ⧇āĻ–āĻ•/āĻĒāĻ°ā§āϝāĻžāϞ⧋āϚāĻ•: āĻĄāĻž. āĻŽā§‹āĻšāĻžāĻŽā§āĻŽāĻĻ āφāĻŽāĻŋāύ⧁āϞ āχāϏāϞāĻžāĻŽ, āĻāĻ¨ā§āĻĄā§‹āĻ•ā§āϰāĻžāχāύ⧋āϞāϜāĻŋāĻ¸ā§āϟāĨ¤ āϏāĻ°ā§āĻŦāĻļ⧇āώ āĻšāĻžāϞāύāĻžāĻ—āĻžāĻĻ: āĻ…āĻ•ā§āĻŸā§‹āĻŦāϰ ⧍ā§Ļ⧍ā§ŦāĨ¤