But beyond these representations, what happens physiologically and emotionally at the menopause?
While emotions can be overwhelming, the body can also undergo significant changes. The term menopause often conceals two very distinct stages: the pre-menopause or peri-menopause, and then the menopause. Both take hold and gradually follow each other as hormone levels change.
Firstly, progesterone, which is the hormone of the 2nd part of the cycle and which leads the ovulation dance at the start of the period, will gradually decrease as the ovary responds less to the FSH and LH hormones sent by the pituitary gland. Ovulation will therefore be more difficult to achieve and the corpus luteum, which results from ovulation and produces progesterone, will not always be present. Faced with this, the pituitary gland will increase its hormone production to stimulate the ovary at all costs, and these attempts at adjustment are one of the reasons for the various problems that can arise during this period.
The onset of the pre-menopause can therefore be identified by various signals, such as shorter cycles, more frequent or irregular periods, and generally heavier periods, but also, for some women, discomforts of the same type as those of pre-menstrual syndrome: hot flushes, digestive problems, migraines, etc.
Then it's the turn of oestrogen to slowly decline, no longer allowing ovulation and leading to the complete cessation of menstruation. The menopause is considered to be present when there has been no menstruation for a year.
It is generally a more pleasant period than the one before, as the hormones gradually stabilise, but many changes occur in the body, including a slowing of the metabolism, which can encourage weight gain; a reduction in digestive enzymes, which can cause more digestive problems if the diet is not adapted; greater fragility of the bones and cardiovascular system, as oestrogen used to protect these systems; and more sensitive and fragile skin.