Menopause is often described as an endpoint, a singular biological milestone marking the close of reproductive life. It is frequently framed as a hormonal deficiency state: declining oestrogen, progesterone, and testosterone leading to a constellation of symptoms. The truth is, menopause is not a stand-alone event; it is part of a lifelong pattern of hormonal fluctuation that begins at puberty and continues through the menstrual cycle, pregnancy, the postpartum period, the perimenopausal transition, and beyond. This handout kindly shared by Dr Natasha Lazareski considers the menopause journey through hormonal fluctuation, as oppose to hormonal failure.
NATASHA LAZERESKI is a medical doctor and expert in organisational health, psychosocial risk management, coaching, and experienced acceptance and commitment therapy (ACT) practitioner. Natasha uses ACT to enhance individual mental and physical health, leadership behaviours, and organisational culture and has a special interest in supporting women through menopause, training health professionals and leaders in effective, evidence-based approaches.




