Can menopause lead to weight gain? Gynecologist busts this and 6 other myths

No, menopause does not occur overnight, and yes, it is still possible to get pregnant after the age of 40. Here’s what you need to know about menopause.
Menopause refers to the end of the reproductive years of a woman, usually marked by consecutive 12 months of no menstruation. While this is a natural biological condition, it is often shrouded in myths and misconceptions. In an interview with HT Lifestyle, Dr. Astha Dayal, director of obstetrics and gynecology, CK Birla Hospital, Gurugram said, “Knowing the facts can empower women to welcome this phase with optimism and sound health choices.” Also read | Menopause and hormonal changes: Doctor shares tips to manage symptoms naturally
The gynecologist further busted several myths about menopause.
Myth 1: Menopause occurs overnight
Fact: Menopause is not a sudden occurrence, but a gradual process often initiated by perimenopause, which takes several years. Hormone levels are unsteady during this time, causing irregular periods before they completely cease.
Myth 2: Only older women experience menopause
Fact: Although the mean age is 45–55, a few women also go through early menopause because of genetics, medical interventions, or illness. Knowledge is the key to timely intervention and symptom management.
Myth 3: Menopause always leads to severe symptoms
Fact: Not all women suffer from extreme hot flashes, mood changes, or sleeplessness. Symptoms are often mild for most and may be managed with lifestyle modifications, eating habits, and sometimes medication.

Myth 4: Menopause marks the end of sex
Fact: While hormonal changes do impact libido and vaginal health, these can be corrected through open discussion with your physician, lubricants, hormone therapy, or other medical treatments. Most women have rich and satisfying relationships after menopause. Also read | Menopause coach shares 6 tips to improve sleep during menopause; says eat well, reduce screen time and stay cool
Myth 5: Weight gain is automatic
Fact: Hormonal shifts can change fat distribution, but menopause itself won't automatically lead to weight gain. Eating healthily, exercising regularly, and sleeping well contribute much more towards keeping a healthy weight.
Myth 6: You can't get pregnant after 40
Fact: As long as you haven't been 12 months without your period, you are still able to get pregnant. You might still need to use birth control during perimenopause if you do not want to get pregnant.
Myth 7: Hormone Replacement Therapy (HRT) is dangerous for everyone
Fact: HRT can be safe and effective for many women when prescribed after a thorough evaluation. It’s important to discuss the benefits and risks with your gynecologist to determine what’s best for you. Also read | Doctor shares 6 ways women can take care of their mental health during menopause
Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.
ABOUT THE AUTHORTapatrisha DasTapatrisha Das is a Lifestyle Journalist at Hindustan Times. She covers health, mental health, relationships, festivals, fashion and travel. She is passionate about narrating interesting stories in the lifestyle space.Read More
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