Postmenopausal? 7 ways your body changes after the menopause

We all know - or think we know - what to expect in the run-up to menopause, but how many of us know what happens afterwards?

Postmenopausal symptoms are still a bit of a taboo, but we think it's time that changed.Most women reach menopause between their late forties and early sixties. In the UK, the average age is 51. This means that the period of being post-menopausal could stretch from your 50s to the end of your life - which could be over four decades!

Read on to find out what to expect from your postmenopausal body...

How do I know if I'm postmenopausal: when is menopause over?

Doctors define menopause as the point at which a woman has gone 12 months without having a period. Then, from this point on, you can consider yourself postmenopausal.

What happens after menopause?

As you wind down from the menopause, your body continues to go through a lot of changes. While your hormone levels adjust to a new normal, you can face changes to different parts of your body, and your health.

Common post menopause symptoms:

1. Your hot flushes will stop - eventually

As your hormones settle down, so will perimenopausal symptoms like hot flushes. Hurrah! However, they may continue for up to 8 years - and things might get worse before they get better. "Leading up to menopause, your oestrogen levels fluctuate. When they're high, you don't have symptoms," gynaecologist Dr. Kevin Audlin explains. "But when you go into menopause and there's a complete lack of oestrogen, you start to notice those symptoms more."

2. Your breasts may look different

Postmenopausal breasts may shrink, change shape, lose firmness and become more prone to lumps. This is because weight can fluctuate during the menopause, meaning your breasts lose their elasticity. Time to go for that bra fitting.

3. Your weight distribution will change

Fat is less likely to settle on the hips and thighs post menopause - but more likely to settle on the waistline. It's thought that the body attempts to ‘hoard' oestrogen in fat cells around the belly area, but experts warn that this kind of fat has been associated with diabetes, heart disease, stroke and even some cancers. Discover our tips to help you deal with menopause weight gain here, if you are concerned.

4. Sex may become more painful

Vulval and vaginal skin tends to become thinner and less elastic post menopause, which can make sex painful or uncomfortable. You'll also produce less lubricating mucus. 20-30% of postmenopausal women experience vaginal bleeding. But all is not lost when it comes to getting intimate after the menopause - there are plenty of ways to keep your sex life alive post-menopause.

5. You might pee when you laugh

Oestrogen plays a key role in keeping the bladder, urethra and pelvic muscles in good working order, making loss of bladder control a common problem for postmenopausal women, when your oestrogen levels are low. Keep up those Kegel exercises, ladies!

6. You'll lose bone density

Bone loss speeds up post menopause. In fact, you could lose up to 20% of your bone density during the first 5-7 years after menopause, putting you at increased risk of osteoporosis and fractures. However, embarking on a strength training exercise programme and consuming plenty of calcium-rich foods can help. For more information on the best foods for menopause click here.

7. Your blood pressure may rise

Oestrogen is thought to help keep blood vessels flexible. Post menopause, as levels of the hormone hit rock bottom, blood pressure tends to rise, along with ‘bad' LDL cholesterol, raising your risk of heart disease and stroke. Heart attack risk seems to rise about 10 years post menopause. Reduce your risk by taking regular exercise, limiting sugar and red meat and upping your intake of fruit, veg, whole grains, nuts and low fat dairy products.

Whatever your symptoms, remember, there are always ways to deal with the symptoms of the menopause and postmenopause to make sure you're comfortable.