Menopause often presents as hot flashes, mood changes, night sweats, trouble sleeping, vaginal dryness, and discomfort with intercourse. This is from the lack of estrogen being produced by your ovaries. We can officially say you are through menopause when you have gone 12 consecutive months without a period. However, your symptoms may last years before and years after this point. We can help alleviate your symptoms by replenishing your hormones using hormone replacement therapy. This is safe for most women and the first-line treatment for menopause symptoms.