This is usually nothing to worry about, but because postmenopausal bleeding may be an early indication of other problems, including cancer , it should always be checked by a physician. A reduction in estrogen is associated with a number of side effects that can be very annoying. Hot flashes, caused by an increase of blood flow in the blood vessels of the face, neck, chest and back, and vaginal dryness, caused by thinning of the tissues of the vaginal wall, are the two side effects most frequently experienced. The mood changes and lack of sex drive that are also sometimes associated with menopause may result partially from the hormone decrease, but may also result from having to deal with hot flashes and vaginal dryness. In addition to these side effects there are others that may go undetected for many months or years.
Mood changes .
Irregular menstrual periods . Each woman should discuss her individual risks and benefits with her health care provider. Reduce the undesirable symptoms of menopause. Help decrease vaginal drying. Prevent osteoporosis after menopause.