Live Better With • September 4, 2025 • 5 min read
Menopause symptoms can put a strain on your relationship. Here are tips for coping together…
Changing hormones can cause a variety of uncomfortable symptoms, from hot flushes (hot flashes) and night sweats, to vaginal dryness and mood swings. These issues, together with other mid-life stresses, can sometimes put significant pressure on a relationship.
In addition, there may be other big changes happening in the mid-life years, such as the children leaving home, or caring for ageing parents, which can add to the pressure.
The good news is, there are things you can do to help deal with these problems, and retain your intimacy and sense of togetherness as a couple. Here are some top tips to help you get through the menopause together…
Knowing what to expect can be very helpful for both parties. During menopause, fluctuating hormones can cause a wide range of physical issues, including night sweats, vaginal dryness, headaches, sore breasts, irregular periods, weight gain, fatigue and difficulty sleeping. It can also cause emotional and cognitive problems, including mood swings, ‘brain fog’, anxiety and depression.
Dealing with these issues can have a big impact on a relationship. Researching the menopause together can help you anticipate potential challenges and look for ways to help reduce them. Try doing some research online, or looking at magazine articles together. There are also many books covering all aspects of the menopause, which you could read together – from self-help guides to health-boosting recipes.
You can view a range of Live Better With recommended books to help with understanding and managing the menopause here.
During the menopause, a woman can experience a range of different emotions and physical symptoms, and may become overwhelmed. When emotions are running high, it can be all too easy to take things personally.
It’s important to be patient and supportive of each other, and to try to remain non-judgmental and see things from your partner’s point of view. Try to remember the root cause of the problem, and that this stage won’t last forever.
It can also help to offer each other regular reassurance, to let your partner know that you still love them, and it’s not their fault, and look for ways to show each other that you still care.
The menopause can cause issues with sex and intimacy. Changing hormones can cause a dip in a woman’s sexual desire (or libido), and falling levels of oestrogen can cause the vaginal area to become less lubricated, meaning that sex may become painful.
On top of this, fatigue, depression or problems with body image can also affect a woman’s confidence and her desire to have sex.
With all this going on, it can be easy for the sexual side of a relationship to break down and for resentment to develop. It’s important for couples to keep the lines of communication open, and if necessary look for other ways to be intimate. You can read our article on how to cope with painful sex during menopause here.
If vaginal dryness (or atrophy) is an issue, there are some great lubricants, moisturisers and other products that can help to improve things. You can see a range of Live Better With recommended products to help with vaginal dryness and low libido here. And see our guide to the best intimate aids here.
One common problem that couples can find particularly challenging is dealing with night sweats – excessive episodes of sweating at night, which are caused by hormonal changes. This can be the cause of many a night-time dispute, with one partner wanting to fling open all the windows while the other is desperately clinging on to the duvet!
Problems with night sweats and insomnia can also lead some couples to sleep apart, making it even more difficult to maintain intimacy.
However, there are lots of things you can do to help make things more comfortable at night, such as installing a fan, and using lighter bedding made from cotton or bamboo, which are naturally soft and moisture-wicking. You could even try using separate duvets on the same bed for a while!
You can view a range of Live Better With recommended products designed to help with getting a good night’s sleep here.
If sex is proving difficult, you can look for other ways to stay close and maintain a sense of togetherness as a couple. Try to concentrate on building up the romantic and sensuous side of your relationship.
Going on a romantic dinner date, enjoying a massage, or cuddling up on the sofa and watching a movie can help to create togetherness and build confidence, without any additional pressure.
Sharing a hobby can help you to feel more connected as a couple, and give you a sense of common interest. You could try starting a new hobby or learning a new skill together, such as cooking or pottery, or doing something physically active such as walking in the country, or exercise classes.
Exercise can also help with some menopause symptoms, including weight issues and hormonal imbalances.
Menopause is a natural phase of life. For some women it marks a new freedom, as periods come to an end and the risk of pregnancy diminishes. For others, it can be a difficult and challenging time.
Either way, it’s important to remember that this phase will come to an end, and it can help to share any changes or concerns you may be feeling. Men can also face changes at this time of life, including declining levels of testosterone, which can affect emotions, libido and sexual performance, as well as other health and ageing issues.
If you can deal with it together you may find you become even closer, and this will help you enjoy a healthy and loving relationship in the years to come.
Finally, if you do find that you’re struggling to cope as a couple, it might be time to get some help from a specialist. Counselling can help many couples to deal with the symptoms of the menopause and other mid-life challenges.
This article was originally written and published by our partner Live Better With.
Live Better With’s mission is to make everyday living a bit better for the millions of people living with long term health conditions, all over the world. We do this through thousands of curated products, informative content, useful services and a thriving online community. Visit Live Better With here.

[Menopause](https://nabtahealth.com/glossary/menopause/) is a natural and [inevitable stage in a woman’s life](https://nabtahealth.com/articles/nabta-health-celebrates-women-during-their-age-of-hope/) that marks the end of reproductive years. While it is a significant milestone, it can also bring about various physical and emotional changes. [Menopause](https://nabtahealth.com/glossary/menopause/) often presents a unique set of challenges, but with proper knowledge and strategies, it is possible to navigate this transition with grace and improved well-being. In this article, we will explore effective strategies for managing [menopause](https://nabtahealth.com/glossary/menopause/) and empowering women to embrace this new chapter in their lives. #### Understanding [Menopause](https://nabtahealth.com/glossary/menopause/) [Menopause](https://nabtahealth.com/glossary/menopause/) typically occurs between the ages of 45 and 55, with the average age being 51. It is defined as the permanent cessation of menstruation, which happens when a woman’s [ovaries](https://nabtahealth.com/glossary/ovaries/) stop producing eggs and her hormone levels, particularly estrogen and [progesterone](https://nabtahealth.com/glossary/progesterone/), decline. The transition to [menopause](https://nabtahealth.com/glossary/menopause/), known as [perimenopause](https://nabtahealth.com/glossary/perimenopause/), can last several years and is often accompanied by various symptoms that can range from mild to severe. #### **Managing Symptoms** **Hot Flashes and Night Sweats:** Hot flashes are one of the most common symptoms of [menopause](https://nabtahealth.com/glossary/menopause/). To manage them, try wearing light and breathable clothing, avoiding triggers like spicy foods and caffeine, and keeping your living and sleeping spaces cool. Deep breathing [exercises and meditation](https://nabtahealth.com/articles/effects-of-menopause-on-the-body/) techniques can also help reduce the intensity and frequency of hot flashes. **Hormone Replacement Therapy ([HRT](https://nabtahealth.com/glossary/hrt/)):** For women experiencing severe menopausal symptoms, hormone replacement therapy may be an option. [HRT](https://nabtahealth.com/glossary/hrt/) involves taking estrogen and, in some cases, [progesterone](https://nabtahealth.com/glossary/progesterone/) to alleviate symptoms. However, [HRT](https://nabtahealth.com/glossary/hrt/) should be approached with caution and under the guidance of a healthcare professional, as it carries potential risks and side effects. **Sleep Disturbances:** [Menopause](https://nabtahealth.com/glossary/menopause/) can disrupt sleep patterns, leading to [insomnia](https://nabtahealth.com/glossary/insomnia/) and daytime fatigue. Establishing a consistent sleep routine, creating a comfortable sleeping environment, and practicing relaxation techniques before bed can improve sleep quality. Avoiding caffeine and electronic devices close to bedtime is also recommended. **Mood Swings and Emotional Well-being:** [Menopause](https://nabtahealth.com/glossary/menopause/) can bring about mood swings, irritability, and feelings of sadness or anxiety. Engaging in regular exercise, such as yoga or brisk walking, can help stabilize mood and reduce stress. Prioritizing self-care, maintaining a support network, and seeking professional help, if needed, are essential for [maintaining emotional well-being](https://nabtahealth.com/articles/effects-of-menopause-on-the-body/) during this phase. **Bone Health:** Estrogen plays a crucial role in maintaining bone density. As estrogen levels decline during [menopause](https://nabtahealth.com/glossary/menopause/), women become more susceptible to [osteoporosis](https://nabtahealth.com/glossary/osteoporosis/). To promote bone health, ensure an adequate intake of calcium and [vitamin D](https://nabtahealth.com/glossary/vitamin-d/) through a balanced diet or supplements. Engaging in weight-bearing exercises, such as strength training or dancing, can also help maintain bone density. **Vaginal Dryness and Sexual Health:** Reduced estrogen levels can [lead](https://nabtahealth.com/glossary/lead/) to vaginal dryness, discomfort during intercourse, and a decreased libido. Using water-based lubricants or vaginal moisturizers can alleviate dryness. Open communication with your partner and seeking guidance from a healthcare professional can help address concerns related to sexual health. #### **Lifestyle Adjustments** In addition to symptom management, adopting a healthy lifestyle can contribute to overall well-being during [menopause](https://nabtahealth.com/glossary/menopause/): **Balanced Diet:** A diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats supports hormonal balance and provides [essential nutrients](https://awake-wellness.com/about-us). Limiting processed foods, sugar, and caffeine can help manage symptoms. **Regular Exercise:** Engaging in regular physical activity has numerous benefits during [menopause](https://nabtahealth.com/glossary/menopause/), including reducing hot flashes, improving mood, and maintaining bone health. Aim for at least 150 minutes of moderate-intensity aerobic exercise per week, along with strength training exercises. **Stress Management:** [Menopause](https://nabtahealth.com/glossary/menopause/), coupled with other life stressors, can contribute to increased stress levels. Adopt stress management techniques like deep breathing, meditation, yoga, or engaging in hobbies to reduce stress and promote relaxation. **Smoking and Alcohol:** Smoking and excessive alcohol consumption can worsen menopausal symptoms and increase the risk of health problems such as [osteoporosis](https://nabtahealth.com/glossary/osteoporosis/) and cardiovascular disease. Quitting smoking and moderating alcohol intake are vital for overall health during [menopause](https://nabtahealth.com/glossary/menopause/). #### **Conclusion** While [menopause](https://nabtahealth.com/glossary/menopause/) brings about significant changes in a woman’s life, it doesn’t have to be a time of suffering. By understanding the physical and emotional aspects of [menopause](https://nabtahealth.com/glossary/menopause/) and implementing management strategies, women can successfully navigate this transformative phase. Remember, each woman’s experience is unique, so it’s essential to work closely with healthcare professionals to develop a personalized approach to managing [menopause](https://nabtahealth.com/glossary/menopause/) effectively.

You may have heard [menopause](https://nabtahealth.com/glossary/menopause/) is [different for every woman](https://nabtahealth.com/articles/nabta-health-celebrates-women-during-their-age-of-hope/). When [perimenopause](https://nabtahealth.com/glossary/perimenopause/) starts (typically sometime between 45 and 55 years), how long each stage of [menopause](https://nabtahealth.com/glossary/menopause/) lasts (there are three stages – [perimenopause](https://nabtahealth.com/glossary/perimenopause/), [menopause](https://nabtahealth.com/glossary/menopause/), and [postmenopause](https://nabtahealth.com/glossary/postmenopause/)), the effects of [menopause](https://nabtahealth.com/glossary/menopause/) on the body … And the effects of [menopause](https://nabtahealth.com/glossary/menopause/) on the mind. To confuse matters further, many early signs of [menopause](https://nabtahealth.com/glossary/menopause/) can be mistaken for other health conditions. And how [perimenopause](https://nabtahealth.com/glossary/perimenopause/) is diagnosed isn’t always consistent. Some [doctors will recommend](https://nabtahealth.com/product/menopause-wellbeing-consultation/) a series of blood tests to monitor hormone levels over time, while others will diagnose [perimenopause](https://nabtahealth.com/glossary/perimenopause/) based on physical symptoms. But there are some changes that happen to a menopausal woman’s body over time that can impact long-term health. It’s worth talking about these so that women can prepare for the symptoms and effects and [protect their health long-term](https://nabtahealth.com/articles/about-the-three-stages-of-menopause/). #### _‘Short-term’ effects of [menopause](https://nabtahealth.com/glossary/menopause/) on the body_ First, let’s talk about the ‘short-term’ effects of [menopause](https://nabtahealth.com/glossary/menopause/) on the body. When a woman is perimenopausal her hormones start to fluctuate due to the decline in reproductive hormones (estrogen and [progesterone](https://nabtahealth.com/glossary/progesterone/)) produced by her [ovaries](https://nabtahealth.com/glossary/ovaries/). These hormonal deficiencies [lead](https://nabtahealth.com/glossary/lead/) to many physical changes taking place in a woman’s body long before her ‘official’ [menopause](https://nabtahealth.com/glossary/menopause/). The physical changes and symptoms women experience due to the reduction in hormones can be unpleasant and debilitating. Common ‘short-term’ symptoms of [menopause](https://nabtahealth.com/glossary/menopause/) include: – Hot flashes / flushes – Night sweats – Irregular periods – Disturbed sleep – Urinary incontinence – Mood swings and anxiety – Low libido ‘Short-term’ is misleading here because for some women [these symptoms](https://nabtahealth.com/articles/about-the-three-stages-of-menopause/) can continue for several years. However, it’s important to differentiate between these common signs of [perimenopause](https://nabtahealth.com/glossary/perimenopause/) and early [postmenopause](https://nabtahealth.com/glossary/postmenopause/), and the long-term negative effects of [menopause](https://nabtahealth.com/glossary/menopause/) on the body. #### _What are the long-term effects of [menopause](https://nabtahealth.com/glossary/menopause/) on the body?_ Periods eventually stop completely (a woman is officially considered in [menopause](https://nabtahealth.com/glossary/menopause/) after 12 consecutive months of no periods) and for some women this finality can be emotionally tricky. The decline in estrogen has a profound impact throughout a woman’s body and can have serious implications for her health, the most significant of which are heart health and bone strength and density. [Osteoporosis](https://nabtahealth.com/glossary/osteoporosis/) is linked with estrogen deficiency, making postmenopausal women particularly prone to loss of bone mass and fragile bones that fracture easily. Studies show that [half of all women over 60](https://www.menopause.org.au/hp/information-sheets/osteoporosis) will suffer at least one fracture due to [osteoporosis](https://nabtahealth.com/glossary/osteoporosis/). Estrogen also protects cardiovascular health by shielding against cardiovascular disease, high blood pressure, and controlling [LDL](https://nabtahealth.com/glossary/ldl/) (bad) [cholesterol](https://nabtahealth.com/glossary/cholesterol/) and [inflammation](https://nabtahealth.com/glossary/inflammation/). Ongoing low levels of estrogen mean menopausal and postmenopausal women are at higher risk of developing coronary heart disease or a stroke. Long-term hormone deficiency also increases a woman’s risk of chronic health conditions including type 2 diabetes, dementia, and bowel cancer. Other [long-term side effects](https://nabtahealth.com/articles/menopause-the-symptoms-nobody-talks-about/) of [menopause](https://nabtahealth.com/glossary/menopause/) include hair loss, loss of skin elasticity and wrinkles, dark spots and dry skin, [insomnia](https://nabtahealth.com/glossary/insomnia/), decreased muscle mass, vaginal dryness, weight gain, depression, brain fog, and joint and muscle pain. #### _[HRT](https://nabtahealth.com/glossary/hrt/) to treat effects of [menopause](https://nabtahealth.com/glossary/menopause/) on the body_ [HRT](https://nabtahealth.com/glossary/hrt/) replaces the hormones the body is no longer producing. The hormone treatment includes estrogen, and sometimes [progesterone](https://nabtahealth.com/glossary/progesterone/), and is given as a skin patch, gel, spray, or pill. Research has shown that for most women who take [HRT](https://nabtahealth.com/glossary/hrt/) the benefits outweigh the risks with their [perimenopause](https://nabtahealth.com/glossary/perimenopause/) [symptoms improving within 3-6 months](https://nabtahealth.com/articles/menopause-the-symptoms-nobody-talks-about/) of starting [HRT](https://nabtahealth.com/glossary/hrt/). And taking [HRT](https://nabtahealth.com/glossary/hrt/) reduces the risk of developing [osteoporosis](https://nabtahealth.com/glossary/osteoporosis/), cardiovascular disease, type 2 diabetes, bowel cancer, osteoarthritis, and other health conditions due to hormone deficiency.

#### Nabta Health celebrates women during their ‘Age of Hope’ You may notice a shift in the language we use for [](https://nabtahealth.com/health-goals/i-think-im-going-through-perimenopause/)[perimenopause](https://nabtahealth.com/glossary/perimenopause/), [menopause](https://nabtahealth.com/glossary/menopause/), and post-[menopause](https://nabtahealth.com/glossary/menopause/) at Nabta Health; \[Age of Despair\] is now \[Age of Hope\]. You will see this evolution reflected on our Aya app, throughout our information hub and across all our communications. And it is our hope that with this shift, [menopause](https://nabtahealth.com/glossary/menopause/), a natural biological [process in every woman’s life](https://nabtahealth.com/articles/getting-started-with-nabta-health-your-101-guide-to-perimenopause-and-menopause/), will start to be celebrated as a time of renewal, transformation, and even improved social status. #### _Age of Hope. What’s in a word?_ Nabta supports women throughout their healthcare journey. We help women overcome physical and mental barriers and enable them to [lead](https://nabtahealth.com/glossary/lead/) a healthy and confident life. And we celebrate every stage of a woman’s life, from periods and [puberty](https://nabtahealth.com/glossary/puberty/), to pregnancy, postpartum, [perimenopause](https://nabtahealth.com/glossary/perimenopause/) and beyond. Doing this effectively sometimes means challenging taboos, negative or damaging beliefs, and overcoming stigmas. And in certain cases, it means championing more positive ways to communicate universal experiences. We recognise the part language plays in shaping and defining how whole societies think about a subject. #### _Nabta Health champions a positive women’s health experience_ 51% of the world’s population will [go through](https://nabtahealth.com/articles/getting-started-with-nabta-health-your-101-guide-to-perimenopause-and-menopause/) [menopause](https://nabtahealth.com/glossary/menopause/) and each woman’s experience of how [menopause](https://nabtahealth.com/glossary/menopause/) affects her own mind and body is deeply personal and unique to her. This is mirrored in cultural attitudes to [menopause](https://nabtahealth.com/glossary/menopause/), which differ across the globe, and in some cases across communities. [Studies](https://www.pghr.org/post/menopause-understanding-the-implications-of-society-and-culture) show that our culture and its influence on the way we approach [menopause](https://nabtahealth.com/glossary/menopause/) has a powerful effect on how women experience emotional and physical perimenopausal symptoms. And whether [menopause](https://nabtahealth.com/glossary/menopause/) is seen as a positive or negative event. In those societies with a more positive cultural attitude towards [menopause](https://nabtahealth.com/glossary/menopause/), and where aging is viewed positively, women report fewer symptoms of [menopause](https://nabtahealth.com/glossary/menopause/). In these societies the post-reproductive years are widely viewed as a positive transition into a stage of life crucial to society: older, experienced, and wise women with [energy to spare](https://nabtahealth.com/articles/perimenopause-weight-gain/). #### _Move over ‘age of despair’_ For many years the word for ‘[menopause](https://nabtahealth.com/glossary/menopause/)’ in Arabic has literally translated to ‘age of despair’. This expression is thought to be linked with the end of childbearing years, as if a woman’s value is defined by her youth and fertility. Her usefulness and attractiveness linked with her ability to produce children. The message of misery and hopelessness was hard to ignore. #### _Finding optimism in [menopause](https://nabtahealth.com/glossary/menopause/)_ Nabta hopes that in challenging this limiting terminology, and all its negative connotations, we can begin to celebrate this new stage in a woman’s life as one of hope, regeneration, and renewal. Nabta’s initiative is reflected by a recent campaign in Saudi Arabia. A sanitary products brand aimed to change the perceptions of [menopause](https://nabtahealth.com/glossary/menopause/) in the Middle East because 81% of Saudi women surveyed believed the word for [menopause](https://nabtahealth.com/glossary/menopause/) should be changed to something more positive such as, [“renewal, reflection, wisdom or creativity”.](https://www.campaignlive.co.uk/article/tena-bids-rebrand-menopause-women-middle-east/1709590) Nabta is reimagining women’s health. From periods and [puberty](https://nabtahealth.com/glossary/puberty/), to pregnancy, postpartum, [perimenopause](https://nabtahealth.com/glossary/perimenopause/) and beyond, Nabta Health offers a new, holistic model of healthcare that is built around you and your health goals.