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This work further discourses the biochemical and physiological processes before, during and after menopause; including the relationship between menopause-associated hormonal changes, sweating and the resultant effect on fluid and electrolyte (especially sodium and potassium) balance exhibited as alterations in thirst sensation. It also highlights various treatments and life style modifications available to those women with occasionally troublesome menopausal symptoms particularly hot flushes and night sweats, and concludes with the controversial relationships between body mass index, physical exercise, and menopausal symptoms.