The symptoms of menopause are caused by the changes in the hormonal levels. Symptoms include: hot flashes, night sweats, changes in sleep patterns, fatigue, headaches, muscle and joint pain, vaginal dryness, depression, mood swings or anxiety. The changes in hormonal levels can also cause additional health problems including osteoporosis (thinning and weakening of bones), coronary artery disease, urinary incontinence and weight gain. Our Menopause Clinic specializes in management of severe menopause symptoms and menopause complicated by other medical conditions.