I had my last period at the age of 48, eleven years ago.
I never got hot flushes, no real mood swings and never had any of the 'major' symptoms of menopause.
Then, about five or six years ago I developed vaginal atrophy. My GP prescribed different ointments - worked on the outside but inside I was still very sore. No issues showing up on tests, just pure vaginal atrophy. I tried over the counter ointments too. Nothing worked.
I had a smear test early last year which was agony (never had any problems before even though it's not the most comfortable thing, but this was sore). So I went back to the GP who prescribed VagiFem pessaries.
Oh my God the difference! I only use them twice a week on the GP's orders but I had to have a scan a few months ago as I have a cyst on the ovary and they were keeping an eye on it. I was really tense as, last time, they had to do the scan internally and was worried about the pain. No pain. No discomfort. Absolutely amazing.
And, oddly enough, even though I 'thought' I hadn't had any menopausal symptoms, I now find I sleep like a log most nights whereas my sleep was always fitful after my periods stopped. So I suppose I was having sleep problems without really recognising them as such.