Health and wellbeing in your 60s and beyond

Many women in their 60s and beyond feel they have “missed the window” for menopause support.

While the conversation may change slightly at this stage, there is still much that can be done to support your health and wellbeing.

Whether you are continuing treatment, considering options for the first time, or simply wanting to feel more like yourself again, it is not too late to seek support.


Recognising ongoing menopausal symptoms

Some women, particularly those not taking hormone replacement therapy (HRT), continue to experience menopausal symptoms well into their 60s and beyond.

These may include:

  • Sleep disruption

  • Hot flushes or night sweats

  • Brain fog or reduced concentration

  • Low mood or anxiety

  • Fatigue

  • Vaginal or urinary symptoms such as dryness, discomfort or recurrent urinary tract infections

Others may simply feel “not quite right” without being able to pinpoint a specific symptom.


Understanding HRT in your 60s

For some women, starting HRT in their 60s may still be appropriate, particularly if symptoms are ongoing and affecting quality of life.

The balance of risks and benefits can change with age, which means decisions should always be individualised and made with a clinician.

When prescribed appropriately, HRT can:

  • Improve menopausal symptoms

  • Support bone health and help reduce the risk of osteoporosis

Local (vaginal) oestrogen is particularly important at this stage. It can:

  • Improve vaginal dryness and discomfort

  • Reduce urinary frequency and urgency

  • Help prevent recurrent urinary tract infections

Despite this, it remains underused in the UK.

Supporting your health long term

Your 60s and beyond are also a time to focus on protecting long-term health and maintaining independence.

Simple, consistent habits can make a meaningful difference:

Movement and strength

  • Strength training to maintain muscle and bone

  • Cardiovascular exercise for heart health

  • Balance and mobility work to reduce falls risk

Nutrition

  • Adequate protein intake to support muscle strength

  • Calcium-rich foods for bone health

  • Ongoing vitamin D supplementation

Daily rhythms

  • Regular meals to support energy

  • Consistent routines

  • Daylight exposure

  • A calm, supportive sleep environment


Emotional wellbeing and connection

Emotional wellbeing remains just as important as physical health.

Connection, purpose and enjoyment all play a vital role in healthy ageing. Strong relationships and meaningful activities are linked to improved mood, reduced stress, and better overall health.

This stage of life can be an opportunity to refocus on what matters most to you.

Preventative health and screening

Ongoing screening and monitoring continue to play an important role in maintaining health.

In the UK, this includes:

  • Breast screening (every 3 years until age 71)

  • Bowel cancer screening

  • Blood pressure monitoring

  • Cardiovascular risk assessment, including cholesterol and blood glucose

  • Bone health assessment where appropriate


A gentle reminder

It is never too late to seek support.

You have not “missed your chance”.

If you are struggling with symptoms or simply not feeling like yourself, there are still options available to help you feel better and support your long-term health.

Explore further support

If you would like personalised advice, we offer specialist menopause consultations tailored to your individual needs.

You can also explore more guidance in our menopause and lifestyle resources.

Article written by Dr Emma Ginns and Dr Mari Walling, British Menopause Society Registered Specialist GPs, Co-founders of Lemala Health, April 2026

This information is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for personalised guidance.

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