Menopause can cause irregular periods, lengthening cycles, hot flashes, night sweats, brain fog, sleep disturbances, vaginal atrophy, dryness, reduced libido, and pain with intercourse.

“their period is becoming irregular their cycle is lengthening and things of that nature but in terms of actual symptoms that are disruptive to their quality of life it are these Vasa mutter symptoms so hot flashes and night sweats it's not clear why some women get these horribly and some women actually don't get them at all most women do get them um to varying degrees and uh again there's a there's a spectrum there other women will talk about things like brain fog sleep disturbances and again the Sleep disturbances could be related to what we just said cuz I got to think if you're having hot flashes and night sweats that can't be good for your sleep so you know is that sufficiently uh driving the Sleep disturbances or is there something else that's driving them um as time progresses into menopause other things will occur there will be sexual changes so vaginal atrophy dryness and reduction in libido and again those can be related but they can be independent we know testosterone plays an important role in libido and we know that estrad plays an important role in vaginal uh um in the the absence of estrogen is driving the vaginal symptoms so um and of course if and then of course you have uh pain with intercourse that's a result of all of those things as well which then feeds forward on the decreased libido as you go a little bit further you start to see another major consequence of this which is the destruction of bone”