One of the first signs of approaching menopause is a change in menstrual periods. For some women periods become infrequent, with bleeding becoming lighter or heavier. Others will get their periods more frequently, and may begin spotting in mid-cycle. As body chemistry changes many women gain weight, even though they have not changed their eating or exercising habits. These premenopausal symptoms may last two years; sometimes they can last for four to five years. Each woman is different, and this change of life can be experienced differently. The following are general symptoms that are associated with menopause:

- Hot flashes or flushes. These symptoms are sudden feelings of heat that may spread all over the body. They may wake you at night.
- Difficulty sleeping.
- Changes in the vagina and urinary tract. Women become more susceptible to dryness, infections, discomfort with intercourse, and urinary incontinence.
- Changes in the menstrual cycle, including irregular bleeding.
- Osteoporosis.
- Emotional symptoms.

Menopause is a time of transition and opportunity as you move into another life stage. The staff at Total Woman Care can help you through the changes of menopause, while paying close attention to the physical and emotional effects on your body. With the use of various therapies our staff is prepared to help you achieve a renewed sense of well-being and health. We look forward to helping you on this journey.