The age at which women reach menopause is quite variable and can be from as early as 30 years or as late as 60 in some rare cases.

During this stage, gradual but definite changes take place in the woman, in many ways.

Hot flashes are the most obvious outward sign of the changes taking place, but other changes also take place and can, for some women be most distressing.

Poor sleep comes with its own complications, and often make the depression and the anxiety of the menopause even worse.

To add injury to insult, this is often a time when other changes are taking place in the woman's life.