Key findings
- The average age at menopause in the United States is 52, with a usual range of 45 to 58.
- Around 80% of menopausal women experience hot flashes, according to the FDA.
- Frequent hot flashes and night sweats last a median of 7.4 years, and a median of 10.1 years for African American women.
- 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.
- 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?
is the average age at menopause in the United States1
is the usual age range for menopause in women1
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.
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.
earlier: how much sooner smoking can cause women to start menopause, compared with women who don't smoke1
US women were ages 45 to 64 in 20203
How common are menopause symptoms and how long do they last?
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.
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.
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.
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.
was the median total duration of frequent vasomotor symptoms among African American women, the longest of any racial or ethnic group in SWAN5
is how long hot flashes can continue after menopause6
of women going through perimenopause say they have problems with memory or trouble focusing6
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.
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.
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.
How does menopause affect women at work?
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.
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.
is the estimated annual loss in the United States from workdays missed due to menopause symptoms9
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.
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%.
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.
How many women get treatment for menopause symptoms?
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.
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.
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.
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.
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.
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.
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
- Menopause basics. Office on Women's Health, US Department of Health and Human Services, 2026. government
- Factors related to age at natural menopause: longitudinal analyses from SWAN (Gold EB et al.). American Journal of Epidemiology, 2013. peer-reviewed
- FDA Approves Labeling Changes to Menopausal Hormone Therapy Products. US Food and Drug Administration, 2026. government
- FDA Approves Novel Drug to Treat Moderate to Severe Hot Flashes Caused by Menopause. US Food and Drug Administration, 2023. government
- Duration of menopausal vasomotor symptoms over the menopause transition (Avis NE et al.). JAMA Internal Medicine, 2015. peer-reviewed
- Menopause symptoms and relief. Office on Women's Health, US Department of Health and Human Services, 2025. government
- 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
- Vulvar and vaginal atrophy in postmenopausal women: findings from the REVIVE survey (Kingsberg SA et al.). Journal of Sexual Medicine, 2013. peer-reviewed
- Impact of Menopause Symptoms on Women in the Workplace (Faubion SS et al.). Mayo Clinic Proceedings, 2023. peer-reviewed
- Impact of the severity of vasomotor symptoms on health status, resource use, and productivity (Whiteley J et al.). Menopause, 2013. peer-reviewed
- Incremental direct and indirect costs of untreated vasomotor symptoms (Sarrel P et al.). Menopause, 2015. peer-reviewed
- Menopausal Hormone Therapy Use Among Postmenopausal Women (Yang L et al.). JAMA Health Forum, 2024. peer-reviewed
- United States Menopausal Hormone Therapy Usage Trends: An Observational Study (Faubion SS et al.). Mayo Clinic Proceedings, 2026. peer-reviewed
- 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
- 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/