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Perimenopause, the time of change before, and a year after the final menstrual period, is also a time of increased risk for falling, bone loss and occasionally, for fractures. Bone loss is more rapid from the start of irregular flow until a year after the final period compared to the first years of menopause.

Below are the many practical things you can do (with the help of your health care provider) to prevent or treat osteoporosis, the problem of weak or fragile bones. Bone health is influenced by how we live our lives

Women may feel there are no effective improvements in hot flushes and night sweats except hormone therapy or perhaps a newer type of anti-depressive medication - they rightly may not want to take either of these kinds of medicines. The reality is that a lot of very sensible and generally healthy strategies have been shown to improve hot flushes.

Menopause means graduation! One year has passed since the last menstrual period—perimenopause is over. Because of the hormonal changes of the first few years after menopause, bone renovation is more rapid and risks for bone loss are greater. Thus we must continue habits that will keep bones healthy for the rest of our lives.