Until it is complete, a woman can still become pregnant. If she is sexually active and doesn't want to start a pregnancy, she should use birth control until at least a year without a period. Menopause occurs because the ovaries produce less of the female hormones. It may take a while for the body to adjust to this. Most women notice some changes in their bodies, but aren't bothered by them.
Some women have physical or emotional changes that seem uncomfortable.
A common discomfort of menopause is having hot flashes or flushes. These are caused by an overreaction of blood vessels in the skin. A short sensation of intense heat travels from the chest to the head. The woman may sweat heavily, and feel cold afterwards. This can occur when she is awake or asleep.