While most uncomfortable at night, hot flashes can appear at any time of the day without warning. Drying and thinning of the vaginal tissues. The tissues supporting the pelvic organs lose their elasticity resulting in painful intercourse, or urinary tract problems. Women who are at higher risk for osteoporosis are thin, smokers, most likely Asian or white, and not very physically active. It is advised to increase calcium intake and physical activity.
Cardiovascular disease becomes more of a risk for women after menopause.
The decrease of estrogen does no longer give the natural protection from heart attack and stroke. Not all women experience these symptoms, and they do not necessarily last for the duration of the perimenopausal period. Some ways to relieve or prevent these symptoms is to eat a healthy diet, and exercise regularly.