How menopause reshapes gut health
Our survey of 1,526 women shows that gut health deteriorates for most women during menopause - usually beginning in perimenopause.
Have you had a period in the last 12 months?
Do you struggle with irregular periods, hot flashes, or mood changes?
Are you experiencing significant changes in your cycle or symptoms?
Menopause is complex and it affects every women differently. While there are more than 20 common signs of menopause, there are over 100 official signs associated with perimenopause, menopause and postmenopause.
Many women believe the menopause is something that affects them in the mid-late 40s, but hormonal changes marking the beginning of the menopause can start years before. In fact, it is not uncommon for these changes to start in your late 30s or a decade before your actual menopause.
Perimenopause
A transitional period that usually begins 4-10 years before menopause.
Menopause
Menopause lasts for one day - the day you have been 12 consecutive months without a period.
Postmenopause
Postmenopause is the next day after menopause and beyond.
Surgical-induced menopause
Surgical-induced menopause, also known as medically induced menopause, occurs when a woman's ovaries are surgically removed or when their function is intentionally halted.
While some women will sail through menopause with no signs at all. The majority of women will experience a variety of signs, and the impact of these on physical and mental health can be devastating on lives, relationships and jobs.
Period Changes
Period Changes
A more obvious symptom that may alert you to hormonal changes is an alteration in your menstrual cycle. Periods can become heavier or lighter, or they can become more or less frequent as a result of changes and fluctuations in hormones, and eventually menstruation will stop.
Brain Fog
Brain Fog
Difficulty concentrating and memory lapses are common as hormone levels fluctuate.
Hot Flushes
Hot Flushes
Sudden waves of heat, often with flushing and sweating, day or night.
Poor Sleep
Poor Sleep
Night sweats and hormonal changes can disrupt how well and how long you sleep.
Weight Gain
Weight Gain
Changing hormones can shift how your body stores fat, especially around the middle.
Mood Swings
Mood Swings
Irritability, low mood and anxiety can come and go as hormones fluctuate.

Our survey of 1,526 women shows that gut health deteriorates for most women during menopause - usually beginning in perimenopause.
MenoFriend® is a natural, non-hormonal supplement formulated to support women through the menopausal transition - with effectiveness that increases the longer it's taken.
Our diet is the foundation of our health and wellbeing and it is even more important when going through menopause. What we eat and avoid can have a significant impact on menopause signs. In a menopause survey of 1,526 women, 82% had made changes to their diet to help with symptoms of menopause, and 66% found these changes effective.* Discover the best foods to reach for and avoid during menopause to manage signs.
Foods to reach for
Foods to avoid
Menopause affects every family in the world, and it can no longer be a taboo subject. While not everyone is comfortable talking about personal experiences of menopause, it is important for women to know they can talk about it without being judged or shamed and ultimately be given the opportunity to speak. Hear seven women #BreakTheTaboo on menopause in our 'Menopause Roundtable'. The conversation includes their menopause signs and the impact it has on their daily lives at home and work.
Sarah's journey
Sarah Parish discusses the impact of menopause
Read more
Claire's journey
Claire's journey: Navigating horrific menopause symptoms
Read more
Alison's journey
Alison's journey: Practicing self-care during the menopause
Read more
Sue's journey
A positive view of menopause
Read more
Janine's journey
Janine's journey: Finding confidence during the menopause
Read more
Carole's journey
Carole's journey: From postnatal depression to menopause
Read more
Emma's journey
Emma Skeets on surgically-induced menopause
Read moreLearn common myths surrounding menopause and how you can overcome symptoms so you can lead life to its fullest!

This is one of the biggest misconceptions about menopause. The majority of women successfully work through the menopause, either through changes in their diet and lifestyle, or with support from a menopause supplement, HRT or a combination of all these changes.
Not true. Not all women have hot flushes, and not all women experience symptoms of menopause. Some women will experience mild symptoms only. The drop in female sex hormones interferes with the function of the adrenal glands, and this combination of low oestrogen, progesterone and disrupted adrenal glands triggers hot flushes. There is some research that suggests that consuming isoflavones during menopause can reduce the incidence of hot flushes.
Unfortunately this is far from the case. Only 40% of medical schools in the UK have menopause in the curriculum. This is because it is a natural occurrence and not a disease (even though it can feel like one), and therefore is not prioritised in the medical curriculum. There are however some specialist practitioners such as endocrinologists who can be very helpful, so don’t rule out everyone in the medical profession. Many women also find great help from alternative and complementary therapists such as Nutritional Therapists, Herbalists and Acupuncturists. Again, remember that menopause in the medical profession is a specialism so look for someone who specialises in hormone health and menopause.
Many women do not realise that the menopause is setting in until much later during menopause, often because the symptoms may be confused for something else. The menopause does not always set in during the late 40s to 50s - some women can go through early menopause after just one period. There are several conditions that can lead to early menopause, so it is always best to get consult your GP or a specialist if you are unsure. Your GP can check your hormone levels in your blood and tell you if you are approaching the menopause or going through it.
It's not easy mentally to be approaching or going through the menopause. In addition, hormones can play havoc with moods and the changes that are occurring can themselves cause more stress and confusion, especially if it is unexpected. You may enjoy '5 foods to improve your mood'. However some women sail through the menopause mentally and physically, and although it is not just a state of mind (think about how hormones cause PMS!), there are things you can do to help you transition through menopause and alleviate mood swings. Menopause supplements can be of real benefit, so too can HRT, but there are other options including counselling, cognitive behavioural therapy (CBT) for menopause, meditation and yoga.
Although some women find sex a little more difficult during the menopause, many women find that the increase in testosterone levels can actually increase libido. If you are suffering from vaginal dryness there are some great natural lubricants on the market which can help. If vaginal atrophy (VA) or thinning is a problem, consider taking Vitamin D supplements as these have been shown in research to help reduce dryness of the vaginal atrophy due to menopause. Try to maintain an active sex life because regular sex can help to alleviate these symptoms or at least keep them at bay.
Exercise is really important before and after menopause. However you may need to make a few changes to your routine because 'menopause fatigue' is a real thing. Exercise, especially weight-bearing exercise, is essential though the menopause. Due to the decline in oestrogen, the bones start to lose Calcium, and you can slow down the rate of loss in Calcium through exercise, so ensure you build exercise into your weekly routine.
We are passionate about supporting women to thrive through life, including menopause. Our expert team provide resources on what happens before, during and after menopause to support women through all stages of menopause.
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According to a report by the NHS Confederation, around 60, 000 women in the UK are unable to work because of the impact of menopause symptoms on their overall physical and mental health. It's important for all employees to feel safe, valued and respected. In some countries there is a stigma surrounding menopause; it is therefore even more important that companies are explicit about supporting employees and there is a clear and accessible pathway to seek help.
In our menopause research, only 10% believed that employers provide enough support for women going through menopause, and just 30% believed employers are understanding of how menopause affects them at work.*
Resources to help write a menopause policy:
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Menopause survey: Menopause survey: Based on a UK survey conducted by DRV+ of 1500 women, nationally representative, during February 2024. All customer survey findings reflect our own efforts and have not been influenced or verified by any external organisations or third-party entities.