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♫♫♫ Maria is 45 and is having night sweats and trouble sleeping. She wonders: Are these changes related to menopause? What are the signs and symptoms of menopause? Women begin experiencing changes in midlife that could be related to aging, the transition to menopause, or a combination of both. Often, changes happen to the menstrual cycle, the bodys internal thermostat, sleep, vaginal health, sex drive, bladder health, and mood. A woman has docHubed menopause when she hasnt had a period for a full year. Changes in your period might be the first thing you notice. Periods may be inconsistent, shorter, longer, or lighter or heavier than usual. Many women experience hot flashes, a sudden feeling of heat, during the transition and for many years after menopause. Women may start having difficulties falling and staying asleep. Hot flashes at night (or night sweats) can make this worse. The vagina may become drier, which can make sexual intercourse uncomfortable. Y