For a long time, symptoms like hot flashes, insomnia, or vaginal dryness were seen as something women simply had to endure without complaint. But now, a new generation is rejecting this silence and seeking help from gynecologists to manage the symptoms of menopause. However, some of these symptoms may also be important indicators of heart health. Gynecologist Cristina Garcí­a Casals from the Materno Infantil Hospital in La Coruña explains in an interview with La Voz de Galicia that what was once an exceptional consultation fifteen years ago has now become routine. Many women who are going through menopause are now seeking medical help, having previously endured symptoms like hot flashes, insomnia, and dryness in silence due to limited options or distrust of hormone treatments. Menopause symptoms are now opening up new paths for care, ranging from plant-based supplements to bio-identical hormones. Most women don’t experience only one issue, but hot flashes remain the most common and disruptive symptom. These sudden waves of heat, often accompanied by night sweats, can disrupt sleep and affect daily life. Far from being a simple discomfort, they are also a sign of increased cardiovascular risk, a connection that many patients still overlook. Treating menopause is not just about improving comfort; it also has significant implications for overall health and longevity. According to the specialist, proper care can influence morbidity and mortality. Several studies support this, linking frequent or early hot flashes with more fragile arterial health. Therefore, alleviating the symptom can also protect the heart. There is no single solution, but a tailored approach for each woman. Hormones are not always the first choice, and treatment may start with plant-based derivatives like soy isoflavones before moving on to other options if the discomfort persists. Not all menopausal women need treatment, nor do they need to follow it for the same duration or with the same molecule. When hormonal treatment is needed, the transdermal route—using patches or sprays absorbed through the skin—is gaining popularity. This method allows estrogen to reach the blood without passing through the liver, which reduces the risk of blood clots compared to oral pills. Recommendations generally suggest not to exceed ten years of treatment or the age of sixty, though the doctor may adjust this limit based on the individual case, especially in cases of early menopause. New technologies are also being used to address menopause symptoms. The pharmacy is no longer the only source of relief. For conditions like the genitourinary syndrome or urinary incontinence, non-medicinal technologies are being used as support, including lasers, shock waves, and magnetotherapy, which stimulates tissues with a magnetic field. New drugs targeting hot flashes without hormones are also expected, as they directly affect the brain circuits responsible for heat. Lifestyle choices are also important during this time, as menopause is associated with muscle and collagen loss that weaken the pelvic floor and can lead to organ descent. Two weekly sessions of strengthening exercises, a careful diet, and quitting smoking can help prepare the body, just as maintaining good bone mass is essential. In the coming years, more targeted molecules and devices designed specifically for women’s health are expected to emerge.