Menopause A natural decline in reproductive hormones when a woman reaches her 40s or 50s.

Menopause is signaled by one year or more without a menstrual cycle.

Common symptoms include hot flashes and vaginal dryness. There may also be sleep disturbances. The combination of these symptoms can cause anxiety or depression.

Menopause is a natural process with treatments that focus on symptomatic relief. Vaginal dryness is treated with topical lubricants or estrogens and noninvasive in office procedures such as MLT(Mona Lisa TOUCH) vaginal laser. Medications can reduce the severity and frequency of hot flashes. In special circumstances, oral hormone therapy may be used.