Sleep changes

Menopause is a Whole-Body Transition

Start with what affecting you most
Confused about
menopause symptoms

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I can’t fall or stay
asleep

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My brain feels foggy
and unfocused

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I’m gaining weight
around my tummy

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I want to know if HRT is
right for me

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I prefer natural or
lifestyle solutions

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What is Menopause and When Does it Happen?

Menopause is a natural biological process marking the end of reproductive years. Understanding the stages and timeline helps you prepare for what’s ahead.

Stage 1

Perimenopause

The transition phase when hormone levels begin to fluctuate

Stage 2

Menopause

12 months without a menstrual period with 1 day milestone

Stage 3

Postmenopause

The years following menopause

Menopause is a natural biological process

Discover how menopause
affects your body

Hormonal changes in menopause

How shifts in estrogen and progesterone affect your brain, metabolism, sleep, and overall health.

Learn how hormones change in menopause

Menopause symptoms explained

Hot flashes, fatigue, mood changes, and other symptoms and why they happen.

Learn how hormones change in menopause

Hormonal changes in menopause

How shifts in estrogen and progesterone affect your brain, metabolism, sleep, and overall health.

Learn how hormones change in menopause

Menopause symptoms explained

Hot flashes, fatigue, mood changes, and other symptoms and why they happen.

Learn how hormones change in menopause

Unlock Your Free Menopause Guide & Take Control of Your Health

Written by trusted health professionals to help you navigate menopause with clarity and confidence.

Supporting your body through menopause

Weight gain during
menopause

Learn more about weight gain

Diet & nutrition during
menopause

Learn more about diet & nutrition

Heart, bones and long-term
health

Learn more about staying healthy

Make Menopause easier.
One meal at a time

Simple, comforting recipes created to help you feel more balanced, energized, and at home in your body again.

Menopause care shaped by experience, designed for midlife

Schellea (Shelly) Fowler is the creator of the VitaliT app and founder of Fabulous50s, a global wellness platform supporting millions of women through midlife and menopause. A qualified personal trainer specializing in exercise for older adults, a Human Performance Coach (NACC), and a meditation and life coach, her work is grounded in science-backed approaches to healthy aging.

What sets Schellea apart is lived experience. She understands firsthand the physical, emotional, and hormonal shifts of menopause — from fatigue and brain fog to weight gain and feeling disconnected from your body. VitaliT was created to be the support she wished she had: practical, empowering, and designed to help women feel strong, confident, and supported through every stage of midlife.

Schellea Fowler

Founder of VitaliT · Human Performance & Menopause Coach

Frequently Asked Questions About Menopause

Menopause is confirmed when you have gone 12 consecutive months without a menstrual period. The average age is 51, though it commonly occurs between 45 and 55.
Perimenopause is the transition phase before menopause when hormones fluctuate and periods become irregular. It typically lasts 4–8 years but can be shorter or longer.
Common early signs include irregular periods, sleep disturbances, mood changes, and hot flashes. Some women also notice brain fog or reduced stress tolerance.
Many symptoms last around 4–7 years, though hot flashes can persist longer for some women. Every woman’s timeline is different.
Hot flashes occur because falling estrogen affects the brain’s temperature regulation. This makes the body suddenly feel overheated even when the environment is normal.
Yes, lower estrogen levels are associated with higher cholesterol and blood pressure. Heart disease becomes the leading health risk for women after menopause.
Hormonal changes shift fat storage toward the abdomen and reduce muscle mass. Slower metabolism also makes weight gain easier.
No, but it becomes easier due to hormonal and metabolic changes. Strength training, protein intake, and daily movement help maintain a healthy weight.
Hormone changes can trigger night sweats, anxiety, and lighter sleep cycles. Poor sleep can worsen mood, memory, and appetite regulation.
Hormonal shifts affect serotonin and other brain chemicals that regulate mood. Women with a prior history of depression may have a higher risk during the transition.
Estrogen production declines as the ovaries stop releasing eggs. This drop affects bones, skin, brain function, and cardiovascular health.
Yes, bone density declines faster after estrogen drops. Women can lose up to 20% of their bone mass in the first 5–7 years after menopause.
Regular exercise helps improve sleep, stabilize mood, and reduce hot flash severity. It is one of the most effective non-medical strategies for symptom relief.
HRT replaces estrogen and sometimes progesterone to reduce menopause symptoms. It is considered safe for many healthy women when started near menopause under medical guidance.
Some women notice improvement within a few weeks, but full benefits may take 2–3 months. Symptom relief often continues to improve over time.
Yes, hormonal changes can influence desire, arousal, and comfort. Emotional wellbeing, sleep, and relationship factors also play important roles.
Lower estrogen causes vaginal tissues to become thinner and drier. Treatments such as lubricants, moisturizers, and local estrogen can restore comfort.
Yes, several safe treatments are available, including vaginal moisturizers and localized estrogen therapy. Many women experience significant relief with the right approach.
Yes, metabolic rate slows with age and muscle loss. This means the body burns fewer calories at rest.
Not always, but calcium and vitamin D are often recommended for bone health. Always consult a healthcare provider before starting supplements.
Yes, diets rich in whole foods, fiber, protein, and healthy fats support hormone balance and heart health. Highly processed foods may worsen inflammation and weight gain.
Yes, ovulation can still occur even if cycles are irregular. Pregnancy becomes unlikely only after menopause is confirmed.
Menopause is a natural biological transition, not a disease. With supportive habits, many women remain strong, mentally sharp, and vibrant for decades.