This natural event, linked to the gradual cessation of significant hormonal activity of the ovaries, may give rise, luckily in a small proportion of women, to debilitating symptoms such as hot flushes, mood instability and urogenital issues such as dryness with intercourse. Most GPs will satisfactorily treat the time leading to this change (pre-menopause) and those conditions arising from the menopause. Any complications or circumstances arising from treatment can be discussed and occasionally a short-stay procedure is needed if there is any unexplained vaginal bleeding.