The postmenopausal phase usually begins at one full year after the last menstrual cycle. During postmenopause most of the discomfort of the menopausal changes have faded to some degree and symptoms such as hot flashes are less intense and energy and emotional levels become more balanced. While postmenopause usually begins around age 50, some women become postmenopausal in their mid-40s, while others do so in their later 50s. Since postmenopausal women produce less estrogen, there are some still symptoms that they might experience. About 10 percent to 15 percent of postmenopausal women will experience vaginal dryness, which can lead to painful intercourse. Women who have had a hysterectomy and undergone surgical menopause may experience incontinence and decreased libido. And some women will find that the hot flashes and night sweats that started during perimenopause persist for a few years. Most women, however, feel much better once the hormonal "storms" of perimenopause abate and talk of increased energy and new vitality.
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