Hi doctor my age is 47 and I think my manstral is...

Dear Customer
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The menopause is when a woman stops having periods and is no longer able to get pregnant naturally.

First sign of menopause?

• The first sign of the menopause is usually a change in the normal pattern of your periods.
• You may start having either unusually light or heavy periods.
• The frequency of your periods may also be affected.
• You may have them every 2 or 3 weeks, or you may not have them for months at a time.
• Eventually, you'll stop having periods altogether.

Common symptoms include:

• hot flushes
• night sweats
• vaginal dryness and discomfort during sex
• difficulty sleeping
• low mood or anxiety
• reduced sex drive (libido)
• problems with memory and concentration

Treatment of menopause?

• hormone replacement therapy (HRT) 
• vaginal oestrogen creams, lubricants or moisturisers for vaginal dryness
• cognitive behavioural therapy (CBT)
• eating a healthy, balanced diet and exercising regularly

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Kind Regards