
¿Cuánto tiempo duran los síntomas de la menopausia?
Revisado por pares por Dr Colin Tidy, MRCGPÚltima actualización por Heather AinsworthÚltima actualización 30 Jun 2026
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Sofocos, sudores nocturnos, cambios de humor, sequedad vaginal, aumento de peso: todos han sido relacionados con la menopausia. Pero, ¿cómo saber qué esperar y cómo evitar que tus síntomas interfieran con tu vida?
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Despite the name, menopausia isn't a stage that lasts for years – it's actually a single point in time. The symptoms of menopause are what tend to last, often starting during perimenopause and continuing well after your final period.
While every woman's experience is different, here's how long the most common menopause symptoms typically last.
How long do common menopause symptoms last?
Sofocos
Duration: 3-7 years
Hot flushes are one of the most common symptoms of menopause. They cause a sudden feeling of heat that spreads across your chest, neck, and face. You might also become flushed, sweaty, mareado, or notice your heart beating faster than usual.
Most hot flushes last for a few minutes, although they can feel much longer in the moment. They vary from person to person too - some women experience an occasional mild flush, while others have intense episodes 15 to 20 times a day.
Hot flushes usually begin around the time of your final period. On average, they last for around three and a half years, but for some women they can continue for up to seven years.
Sequedad vaginal
Duration: long term
Sequedad vaginal is caused by falling oestrogen levels, which make the vaginal tissues thinner, drier and less elastic. It can lead to soreness, itching, discomfort during sex and an increased chance of urinary tract infections (UTIs).
Unlike some menopause symptoms, vaginal dryness often doesn't improve on its own. It usually starts during perimenopause and can continue long after your last period.
Without treatment, it may persist for many years or even for the rest of your life, but vaginal moisturisers, lubricants, and local oestrogen treatments can be very effective.
Brain fog
Duration: 2-5 years
Brain fog describes problems with memory, concentration, and mental clarity that many women experience during menopause. You might find it harder to focus, forget words, or misplace everyday items more often than usual.
Brain fog is most common during perimenopause and the first year after your final period, when hormone levels fluctuate the most.
For many women it gradually improves within a few years after menopause, although stress, poor sleep, and anxiety can make symptoms last longer.
Sudores nocturnos
Duration: 3.5-7+ years
Sudores nocturnos are hot flushes that happen while you're asleep, often causing heavy sweating that can leave your clothes or bedding damp. They can disrupt your sleep and leave you feeling tired the next day.
Night sweats usually begin around the time of your final period and tend to follow a similar pattern to hot flushes.
On average, they last for around three and a half years, although some women experience them for up to seven years or longer.
Difficulty sleeping
Duration: 2-5 years
Difficulty sleeping is one of the most frustrating symptoms of menopause. You may struggle to fall asleep, wake frequently during the night or wake much earlier than usual. Night sweats, anxiety, and changing hormone levels can all contribute.
Sleep problems are often at their worst during perimenopause and the first few years after menopause.
For many women, sleep gradually improves as hormone levels stabilise, although some continue to experience insomnia for several years, particularly if other symptoms persist.
Mood changes
Duration: 2-4 years
Mood changes during menopause can include irritability, low mood, ansiedad, tearfulness, and feeling overwhelmed. Hormonal changes, poor sleep, and the emotional impact of midlife can all play a role.
Mood symptoms are most common during perimenopause, when hormone levels fluctuate the most.
Symptoms typically improve within a few years after their final period, although some continue to experience anxiety or depresión beyond menopause and may benefit from treatment or support.
Aumento de peso
Duration: long term
Many women notice it's easier to gain weight during menopause, particularly around the tummy. Falling oestrogen levels, age-related muscle loss, and a slower metabolism can all contribute, making it harder to maintain your usual weight.
Unlike some menopause symptoms, weight gain isn't usually temporary. Changes in body composition can continue after menopause unless they're managed through ejercicio regular, strength training, and a balanced diet.
Low libido
Duration: 2-5+ years
A lower sex drive is a common symptom of menopause. Hormonal changes, vaginal dryness, poor sleep, stress, and mood changes can all affect your interest in sex.
Low libido can begin during perimenopause and may continue after your final period. For some women it improves as other menopause symptoms settle, while for others it lasts longer.
Treatment for symptoms such as vaginal dryness, alongside hormone therapy or psychosexual support where appropriate, can often help.
Dolor articular
Duration: several years
Joint pain and stiffness during menopause can affect the knees, hips, shoulders, hands, and other joints. Many women notice aching, stiffness first thing in the morning or after sitting still for long periods.
Joint pain often starts during perimenopause and can continue into the years after menopause. Some women find it improves as hormone levels settle, whereas others may continue to experience ongoing stiffness or aches.
Staying active, maintaining a healthy weight and strengthening muscles around the joints can help reduce symptoms.
Why some women experience symptoms longer
Menopause may be over in a few years for some women, but for others, symptoms can linger well into postmenopause.
How long symptoms last depends on a range of factors including:
Genetics: your family history may play a role. If your mother or sisters experienced long-lasting menopause symptoms, there's a chance you may too.
Lifestyle factors: smoking, high stress levels, poor sleep, and being less physically active can make some menopause symptoms more severe or longer lasting.
Age of onset: women who go through menopause at a younger age, whether naturally or because of surgery or medical treatment, may experience symptoms for a longer period.
Historial médico: certain health conditions, such as anxiety, depression, or thyroid disorders, can overlap with menopause symptoms or make them feel more intense.
HRT use: hormone replacement therapy (HRT) doesn't shorten menopause itself, but it can significantly reduce symptoms while you're taking it. Some women notice symptoms return when they stop HRT, while others find they've eased by then.
How to manage menopause symptoms
Many menopause symptoms improve over time, but if you are struggling, there are plenty of ways to make them more manageable.
Simple lifestyle changes can help ease mild symptoms, while treatments such as HRT and other therapies may provide relief if your symptoms are having a significant impact on your daily life.
Hot flushes: keep cool, avoid triggers (such as alcohol, caffeine, and spicy foods), and consider TRH o complementary and alternative treatments if symptoms are severe.
Vaginal dryness: use vaginal moisturisers and lubricants, or try topical HRT for longer-lasting relief.
Brain fog: exercise regularly, prioritise sleep and keep your mind active. HRT may also help some women.
Night sweats: keep your bedroom cool, wear breathable sleepwear, and opt for a thinner duvet, especially during the warmer months.
Difficulty sleeping: stick to a regular bedtime, limit caffeine and screens before bed, and treat underlying menopause symptoms.
Mood changes: stay active, manage stress, and consider terapias de conversación or HRT if symptoms are persistent.
Weight gain: focus on strength training, regular exercise and a balanced, protein-rich diet.
Low libido: treat vaginal dryness, communicate openly with your partner, and ask your GP about HRT or testosterone if appropriate.
Joint pain: stay active, build muscle with strength training, and maintain a healthy weight.
Resumen
Menopause looks different for every woman, so there's no single timeline for how long symptoms will last. While symptoms such as hot flushes, brain fog, and mood changes often improve within a few years, others, including vaginal dryness and weight gain, can continue long after your final period.
Lifestyle changes, hormone replacement therapy (HRT) and other treatments can make a significant difference. If your symptoms are affecting your sleep, relationships, work or quality of life, speak to your doctor about the treatment options available.
Selecciones del paciente para Menopausia y TRH

Hormonas
Menopausia - las preguntas que debes hacer
A partir de 2026, las preguntas sobre la menopausia se incluirán en los controles de salud rutinarios del NHS para todas las mujeres mayores de 40 años. Pero aunque su médico le preguntará directamente sobre la menopausia, es fundamental que descubra lo que necesita saber sobre cómo se siente. Consultamos a un panel de expertos en menopausia las preguntas clave que debe hacer.
por Lawrence Higgins

Hormonas
¿Cuál es la relación entre la menopausia y el colesterol?
Después de la menopausia, tienes un mayor riesgo de enfermedad cardíaca (cardiovascular), y es la principal causa de muerte en mujeres. Tus niveles de colesterol juegan un papel importante aquí, y por eso es importante asistir a tus chequeos de salud del NHS.
por la Dra. Sarah Jarvis
Lecturas adicionales y referencias
- NICE NG23: Menopause: identification and management
- Avis NE, Crawford SL, Greendale G, et al; Duration of menopausal vasomotor symptoms over the menopause transition. JAMA Intern Med. 2015 Apr;175(4):531-9. doi: 10.1001/jamainternmed.2014.8063.
Sobre el autorVer biografía completa

Dra. Sarah Jarvis
Consultora Clínica
MA (Cantab), BM, BCh (Oxon), DRCOG, FRCGP, MBE
Después de formarse en medicina en Cambridge y Oxford, la Dra. Sarah Jarvis MBE se convirtió en médica general.
Acerca del revisorVer biografía completa

Dr Colin Tidy, MRCGP
Médico General, Autor Médico
MBBS, MRCGP, MRCP (Paediatrics), DCH
El Dr. Colin Tidy es un médico del NHS, con sede en Oxfordshire.
Historial del artículo
La información en esta página es revisada por pares por clínicos calificados.
Artículo también disponible en Inglés, Alemán, Español, Francés, Italiano, Portugués, Hindi, Hebreo, Árabe, y Sueco.
Próxima revisión: 30 Jun 2029
30 Jun 2026 | Última versión
16 Apr 2018 | Publicado originalmente
Escrito por:
Dra. Sarah Jarvis

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