Many believe menopause is a short phase that lasts a year or two.
But according to menopause and weight loss advisor Gitte Boesen, it actually stretches across five distinct phases – and can span over a decade.
Here’s what to expect, phase by phase.
It’s not just about hot flashes

While hot flashes are the most recognized symptom, the reality is much broader.
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Hormonal changes can cause bloating, sleeplessness, anxiety, memory issues, and even shifts in appetite.
Often, women don’t realize these symptoms are menopause-related.
Weight loss requires a new approach

Traditional weight loss advice often fails during menopause. Hormonal shifts affect both appetite and fat storage, especially around the abdomen.
According to Gitte Boesen, this calls for a strategy tailored to the body’s changing chemistry.
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Every woman is different

There’s no universal menopause experience. Some women feel minimal changes, while others struggle for years.
Understanding the phases can help women identify what’s happening in their bodies and why they feel the way they do.
Symptoms can last for over 10 years

Contrary to common belief, menopause-related symptoms can stretch out over a full decade or more.
From the early 40s to the late 50s and beyond, hormonal shifts can affect energy, mood, weight, and general well-being.
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There is balance on the other side

The good news? It gets better.
As the body adapts to its new hormonal state, many women find they feel more centered, gain better control over their weight, and enjoy a calmer state of mind.
Menopause is a journey – and it doesn’t end in chaos.
Early peri-menopause (42–46 years)

This is where it all begins, often earlier than many expect.
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Hormonal changes start with a drop in progesterone, leading to symptoms like bloating, mood swings, and weight gain – particularly around the stomach.
Menstrual cycles become irregular, and women may feel more emotionally sensitive.
Late peri-menopause (46–51 years)

This is typically the most chaotic phase hormonally.
Estrogen and progesterone levels fluctuate significantly, triggering symptoms like insomnia, headaches, memory fog, and mood swings.
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Appetite changes, stress increases, and weight loss becomes harder. This stage can last up to three years and symptoms can be unpredictable.
Menopause (around 52 years)

Menopause is marked by 12 months without a period.
This phase is often the peak of symptoms, including joint pain, increased weight gain, and emotional instability. Energy and motivation may dip.
Despite being a milestone, this stage tends to be brief – but intense.
Early post-menopause (52–58 years)

Although menstruation has stopped, the body is still adjusting. Many continue to experience hot flashes, night sweats, and vaginal dryness.
Weight may keep increasing, and hormonal changes are still very much present. This stage can last up to six years.
Late post-menopause (from around 58 years)

This is the phase where things begin to settle. Mental clarity improves, mood becomes more balanced, and many women feel a new sense of well-being.
However, risks for osteoporosis and heart disease increase, and it becomes harder to build muscle mass. Still, many report a renewed sense of balance.
This article is based on information from Berlingske.