The first signs of discomfort associated with the menopause are caused by fluctuations in the body’s hormone levels. Menopause can last from as little as six months, or up to fifteen years, sometimes even longer. Around 60-80% of women will experience ‘vasomotor disturbances’, which are manifested mainly by uncomfortable and inconvenient hot flushes and night sweats. These may begin during the perimenopause, when you may still have a regular period and persist throughout the menopause itself. Other associated wellbeing issues can include sweating, palpitations, anxiety and feelings of worry or stress. Most women find these disturbing and upsetting but are unsure of how to deal with them.