Menopause myths: The truth about your sex life and weight gain

Published April 3, 2026 10:00

Yuliya Petrova

Yuliya Petrova

Six menopause myths about aging, sex, and weight
Six menopause myths about aging, sex, and weight / Photo: Shutterstock, photo editor: Serikzhan Kovlanbayev

Menopause is a natural stage in a woman’s life, yet it remains surrounded by misconceptions and unnecessary fears. Here’s what you need to know — and what to ignore.

What happens during menopause

Menopause marks the end of menstrual cycles. During this time, the ovaries reduce production of estrogen and progesterone, leading to hormonal changes that can affect the menstrual cycle, body temperature, mood, sleep, skin and bone health.

Myth 1: Menopause starts suddenly

In reality, menopause is preceded by a transitional phase known as perimenopause, which can last several years. During this period, cycles may become irregular, and symptoms such as mood swings and hot flashes can appear.

Hot flashes are sudden feelings of heat, often accompanied by sweating, flushed skin and a rapid heartbeat. Menopause is officially diagnosed after 12 consecutive months without a period.

Myth 2: It always starts at age 50

The average age range is between 45 and 55, but timing varies. Genetics, lifestyle and overall health all play a role. If menopause begins unusually early or late, it’s advisable to consult a doctor.

Myth 3: Sex life ends after menopause

Lower estrogen levels can lead to vaginal dryness and discomfort, but these issues are treatable. Options such as lubricants, topical estrogen and therapy can help maintain a comfortable sex life. Libido does not automatically disappear.

Myth 4: Weight gain is inevitable

Hormonal changes can affect how the body stores fat, but weight gain is more closely linked to reduced physical activity and loss of muscle mass with age. A balanced diet and regular strength training can help manage weight.

Myth 5: Hormone therapy is unsafe

Menopausal hormone therapy is not suitable for everyone and may carry risks. However, when prescribed appropriately and monitored by a doctor, it is considered an effective and generally safe option for managing severe symptoms.

Myth 6: Hot flashes are the only symptom

Menopause can involve a range of symptoms beyond hot flashes, including sleep disturbances, mood changes, dry skin, reduced bone density and shifts in cholesterol levels.

When to see a doctor

Medical advice is recommended if:

  • Symptoms begin unusually early (before age 40 to 44) or later than expected.
  • Hot flashes are severe or disruptive.
  • Mood swings are intense.
  • Sleep problems persist.
  • There are signs of bone loss, such as reduced height, posture changes or frequent injuries.
  • Any unusual bleeding occurs after age 40.

A natural stage of life

Menopause is not a disease but a normal biological process. With the right approach — healthy habits, awareness and medical support when needed — its symptoms can be managed effectively and with less discomfort.

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