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Statistics · 28 figures · 15 sources

Menopause statistics 2026: age at menopause, symptoms, work impact and treatment

This page gathers the key US numbers on when menopause happens, how common and how long-lasting its symptoms are, how it affects women at work, and how many women get treatment. Frequent hot flashes and night sweats last a median of 7.4 years, yet only 4.7% of US postmenopausal women were using hormone therapy in 2020.

By Lindy Health editorialUpdated October 18, 2026Sources: government, peer-reviewed

Key findings

  1. The average age at menopause in the United States is 52, with a usual range of 45 to 58.
  2. Around 80% of menopausal women experience hot flashes, according to the FDA.
  3. Frequent hot flashes and night sweats last a median of 7.4 years, and a median of 10.1 years for African American women.
  4. Menopause symptoms cost an estimated $1.8 billion a year in missed US workdays, and 13.4% of working women aged 45 to 60 reported an adverse work outcome.
  5. Hormone therapy use among US postmenopausal women fell from 26.9% in 1999 to 4.7% in 2020.

What is the average age of menopause?

52

is the average age at menopause in the United States1

Office on Women's Health, US Department of Health and Human Services, 2026
45 to 58

is the usual age range for menopause in women1

Office on Women's Health, US Department of Health and Human Services, 2026
52.54 years

was the median age at the final menstrual period among women in the Study of Women's Health Across the Nation (SWAN)2

SWAN followed 3,302 women from 7 US sites and 5 racial and ethnic groups (1996-2007), with 1,483 observed natural final periods. After adjustment, racial and ethnic groups did not differ in age at menopause.

American Journal of Epidemiology, 2013
4 years

is the average time women spend in perimenopause before their periods stop1

The Office on Women's Health says perimenopause can last between two and eight years.

Office on Women's Health, US Department of Health and Human Services, 2026
Up to 2 years

earlier: how much sooner smoking can cause women to start menopause, compared with women who don't smoke1

Office on Women's Health, US Department of Health and Human Services, 2026
41 million

US women were ages 45 to 64 in 20203

US Food and Drug Administration, 2026

How common are menopause symptoms and how long do they last?

Around 80%

of menopausal women experience hot flashes, which can include sweating, flushing and chills lasting several minutes4

The Office on Women's Health gives a similar estimate of as many as three out of four women.

US Food and Drug Administration, 2023
7.4 years

is the median total duration of frequent hot flashes and night sweats during the menopause transition5

SWAN analysis of 1,449 women with frequent vasomotor symptoms (at least 6 days in the previous 2 weeks), followed from 1996 to 2013.

JAMA Internal Medicine, 2015
4.5 years

is the median time frequent hot flashes and night sweats persisted after the final menstrual period5

Based on 881 SWAN participants with an observable final menstrual period.

JAMA Internal Medicine, 2015
More than 11.8 years

was the median total duration of frequent vasomotor symptoms for women whose symptoms began while they were premenopausal or early perimenopausal5

Women who were already postmenopausal when symptoms began had the shortest duration, a median of 3.4 years.

JAMA Internal Medicine, 2015
10.1 years

was the median total duration of frequent vasomotor symptoms among African American women, the longest of any racial or ethnic group in SWAN5

JAMA Internal Medicine, 2015
Up to 14 years

is how long hot flashes can continue after menopause6

Office on Women's Health, US Department of Health and Human Services, 2025
Up to two-thirds

of women going through perimenopause say they have problems with memory or trouble focusing6

Office on Women's Health, US Department of Health and Human Services, 2025
2 to 4 times

more likely: women were to have a major depressive episode when perimenopausal or early postmenopausal than when premenopausal7

SWAN Pittsburgh site, 221 women. The effect was independent of a history of major depression and of hot flashes.

Psychological Medicine, 2011
55%

of US postmenopausal women with vulvar and vaginal atrophy symptoms reported vaginal dryness, the most common symptom8

REVIVE online survey of 3,046 US postmenopausal women with symptoms; 44% reported pain with intercourse and 37% reported irritation.

Journal of Sexual Medicine, 2013
59%

of postmenopausal women with vulvar and vaginal atrophy symptoms said the symptoms affected their enjoyment of sex8

Only 24% of participants attributed their symptoms to menopause.

Journal of Sexual Medicine, 2013

How does menopause affect women at work?

13.4%

of employed women aged 45 to 60 reported at least one adverse work outcome due to menopause symptoms9

Mayo Clinic survey of 4,440 employed women receiving primary care, conducted March to June 2021.

Mayo Clinic Proceedings, 2023
10.8%

of employed women aged 45 to 60 missed work in the preceding 12 months because of menopause symptoms9

Those who missed work missed a median of 3 days.

Mayo Clinic Proceedings, 2023
$1.8 billion

is the estimated annual loss in the United States from workdays missed due to menopause symptoms9

Mayo Clinic Proceedings, 2023
15.6 times

more likely: women with the most severe menopause symptoms were to report an adverse work outcome than women with the mildest symptoms9

Highest vs lowest quartile of Menopause Rating Scale scores.

Mayo Clinic Proceedings, 2023
24.28%

adjusted presenteeism (reduced productivity while at work) among employed postmenopausal women with severe vasomotor symptoms, vs 4.33% with mild symptoms10

From the 2010 US National Health and Wellness Survey; women with moderate symptoms had adjusted presenteeism of 14.3%.

Menopause, 2013
$770

is the incremental indirect (work productivity loss) cost per woman per year associated with untreated vasomotor symptoms11

Insurance claims analysis of 252,273 women with untreated symptoms (1999-2011) vs matched controls. They had 57% more work productivity loss days and $1,346 higher direct medical costs per year.

Menopause, 2015

How many women get treatment for menopause symptoms?

4.7%

of US postmenopausal women were using menopausal hormone therapy in 2020, down from 26.9% in 199912

NHANES prescription data on 13,048 postmenopausal women, 1999 to March 2020.

JAMA Health Forum, 2024
1.7%

of commercially insured and Medicare Advantage women aged 40 and older used systemic hormone therapy in 2023, down from 4.4% in 200713

OptumLabs claims; use defined as at least 180 days of filled prescriptions in a year.

Mayo Clinic Proceedings, 2026
27.1%

of women with moderate to severe vasomotor symptoms had never been prescribed a treatment despite access to healthcare14

REALISE study of physician-reported data on women in the United States and five European countries, 2020.

Maturitas, 2024
11%

of US postmenopausal women with vulvar and vaginal atrophy symptoms were using vaginal prescription therapies8

56% had ever discussed their symptoms with a healthcare professional, and 29% used over-the-counter vaginal products.

Journal of Sexual Medicine, 2013
6.8%

of US family medicine, internal medicine and OB-GYN residents said they felt adequately prepared to manage women experiencing menopause15

2017 survey with 177 respondents to this question; 20.3% reported receiving no menopause lectures during residency.

Mayo Clinic Proceedings, 2019
2023

is the year the FDA approved Veozah (fezolinetant), the first neurokinin 3 receptor antagonist approved to treat moderate to severe menopausal hot flashes4

Approved May 12, 2023. Veozah is not a hormone.

US Food and Drug Administration, 2023

Menopause statistics: FAQ

What is the average age of menopause in the US?

The average age at menopause in the United States is 52, according to the Office on Women's Health, and the usual range is 45 to 58. In the SWAN study, the median age at the final menstrual period was 52.54 years.

How long do hot flashes last?

In the SWAN study, frequent hot flashes and night sweats lasted a median of 7.4 years in total and persisted a median of 4.5 years after the final period. African American women reported the longest duration, a median of 10.1 years.

How common are hot flashes?

The FDA says hot flashes occur in around 80% of menopausal women. The Office on Women's Health puts it at as many as three out of four women.

How much does menopause cost employers and the economy?

A 2023 Mayo Clinic study estimated an annual US loss of $1.8 billion from workdays missed due to menopause symptoms. In that survey, 13.4% of employed women aged 45 to 60 reported an adverse work outcome and 10.8% missed work in the prior year.

How many women take hormone therapy for menopause?

National survey data show hormone therapy use among US postmenopausal women fell from 26.9% in 1999 to 4.7% in 2020. Insurance claims show systemic hormone therapy use among women 40 and older fell from 4.4% in 2007 to 1.7% in 2023.

Sources

  1. Menopause basics. Office on Women's Health, US Department of Health and Human Services, 2026. government
  2. Factors related to age at natural menopause: longitudinal analyses from SWAN (Gold EB et al.). American Journal of Epidemiology, 2013. peer-reviewed
  3. FDA Approves Labeling Changes to Menopausal Hormone Therapy Products. US Food and Drug Administration, 2026. government
  4. FDA Approves Novel Drug to Treat Moderate to Severe Hot Flashes Caused by Menopause. US Food and Drug Administration, 2023. government
  5. Duration of menopausal vasomotor symptoms over the menopause transition (Avis NE et al.). JAMA Internal Medicine, 2015. peer-reviewed
  6. Menopause symptoms and relief. Office on Women's Health, US Department of Health and Human Services, 2025. government
  7. Major depression during and after the menopausal transition: Study of Women's Health Across the Nation (SWAN) (Bromberger JT et al.). Psychological Medicine, 2011. peer-reviewed
  8. Vulvar and vaginal atrophy in postmenopausal women: findings from the REVIVE survey (Kingsberg SA et al.). Journal of Sexual Medicine, 2013. peer-reviewed
  9. Impact of Menopause Symptoms on Women in the Workplace (Faubion SS et al.). Mayo Clinic Proceedings, 2023. peer-reviewed
  10. Impact of the severity of vasomotor symptoms on health status, resource use, and productivity (Whiteley J et al.). Menopause, 2013. peer-reviewed
  11. Incremental direct and indirect costs of untreated vasomotor symptoms (Sarrel P et al.). Menopause, 2015. peer-reviewed
  12. Menopausal Hormone Therapy Use Among Postmenopausal Women (Yang L et al.). JAMA Health Forum, 2024. peer-reviewed
  13. United States Menopausal Hormone Therapy Usage Trends: An Observational Study (Faubion SS et al.). Mayo Clinic Proceedings, 2026. peer-reviewed
  14. Real-world evaluation of treatment utilization by women experiencing vasomotor symptoms associated with menopause in the United States and Europe: Findings from the REALISE study (Kingsberg S et al.). Maturitas, 2024. peer-reviewed
  15. Menopause Management Knowledge in Postgraduate Family Medicine, Internal Medicine, and Obstetrics and Gynecology Residents: A Cross-Sectional Survey (Kling JM et al.). Mayo Clinic Proceedings, 2019. peer-reviewed

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Lindy Health. “Menopause statistics 2026: age at menopause, symptoms, work impact and treatment.” Updated October 18, 2026. https://lindyhealth.com/statistics/menopause-statistics/