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Can You Get Menstrual Cramps After Menopause

Hormonal Causes Of Severe Pain During Irregular Periods

Can Periods Restart After Menopause?

The pain associated with irregular periods is usually caused by fluctuations in hormone levels, particularly estrogen and progesterone. During menopause, estrogen and progesterone as well as some other hormones, are created in the body in less stable, consistent amounts. These fluctuations can cause a number of other menopausal symptoms as well, such as hot flashes, night sweats, and vaginal dryness.

Psychological Or Social Conditions

Numerous psychological and social theories have been proffered to explain why women may become depressed during perimenopause. Some of these are related to the following factors:

  • Change in the childbearing role

  • Loss of fertility, which may be associated with a loss of an essential meaning of life

  • Empty nest syndrome

  • The societal value of youth .

Other Drugs Used For Menopausal Symptoms

Despite its risks, hormone therapy appears to be the most effective treatment for hot flashes. There are, however, nonhormonal treatments for hot flashes and other menopausal symptoms.


The antidepressants known as selective serotonin-reuptake inhibitors are sometimes used for managing mood changes and hot flashes. A low-dose formulation of paroxetine is approved to treat moderate-to-severe hot flashes associated with menopause. Other SSRIs and similar antidepressant medicines are used “off-label” and may have some benefit too. They include fluoxetine , sertraline , venlafaxine , desvenlafaxine , paroxetine , and escitalopram .


Several small studies have suggested that gabapentin , a drug used for seizures and nerve pain, may relieve hot flashes. This drug is sometimes prescribed “off-label” for treating hot flash symptoms. However, in 2013 the FDA decided against approving gabapentin for this indication because the drug demonstrated only modest benefit. Gabapentin may cause:

  • Drowsiness

Recommended Reading: What Causes Hot Flashes Besides Menopause

Ht Forms And Regimens

HT comes in several forms:

  • Oral tablets or pills
  • Vaginal ring
  • Topical gel or spray

HT pills and skin patches are considered “systemic” therapy because the medication delivered affects the entire body. The risk for blood clots, heart attacks, and certain types of cancers is higher with hormone pills than with skin patches or other transdermal forms.

Vaginal forms of HT are called “local” therapy. Doctors generally prescribe vaginal applications of low-dose estrogen therapy to specifically treat menopausal symptoms such as vaginal dryness and pain during sex. This type of ET is available in a cream, tablet, or ring that is inserted into the vagina.

“Bioidentical” Hormones

“Bioidentical” hormone therapy is promoted as a supposedly more natural and safer alternative to commercial prescription hormones. Bioidentical hormones are typically compounded in a pharmacy. Some compounding pharmacies claim that they can customize these formulations based on saliva tests that show a woman’s individual hormone levels.

The FDA and many professional medical associations warn patients that “bioidentical” is a marketing term that has no scientific validity. Formulations sold in these pharmacies have not undergone FDA regulatory scrutiny. Some of these compounds contain estriol, a weak form of estrogen, which has not been approved by the FDA for use in any drug. In addition, saliva tests do not give accurate or realistic results, as a woman’s hormone levels fluctuate throughout the day.

Your Health Questions Answered

7 Natural Remedies for Menstrual Cramps
  • Answered by: Dr Roger HendersonAnswered: 25/10/2021

    Endometriosis can cause pain in the fallopian tubes at any age, including after the menopause. However, its more common before and up to the menopause, and often settles down postmenopause. If you have abdominal discomfort after the menopause, see your doctor.

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How To Treat Menopause Leg Cramps

Treating leg cramps will depend greatly upon the underlying cause. For otherwise healthy women passing through the menopausal transition, hormonal imbalance may be to blame, making this the primary issue needing to be resolved.

Menopause symptom treatments that evolve around promoting endocrine system health are centered on healthy nutrition, regular exercise, and wholesome habits for symptom-relief.

Initially, women should focus on optimizing their diets to include ample amounts of lean protein, complex carbs, and healthy fats that consist of foods rich in plant-based estrogens. These include legumes, nuts, seeds, soy, and fresh fruits and vegetables. When rounded off with regular exercise 30 minutes a day, five days a week and addiction control, women are on their way to hormonal health.

However, for optimal results at beating leg cramps during menopause, women should consider the use of alternative medicine, such as phytoestrogenic herbal supplements or hormone-regulating supplements, both of which directly combat hormonal imbalance.

For women who suffer from leg cramps during perimenopause due to other causes, work with your trusted healthcare provider to find the right solution for you, which could include a medication regimen.

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General Recommendations For Ht

Current guidelines support the use of HT for the treatment of severe hot flashes that do not respond to non-hormonal therapies. General recommendations include:

  • HT may be started in women who have recently entered menopause.
  • HT should not be used in women who have started menopause many years ago.
  • Women should not take HT if they have risks for stroke, heart disease, blood clots, and breast cancer.
  • Currently, there is no consensus on how long HT should be used or at what age it should be discontinued. Treatment should be individualized for a woman’s specific health profile.
  • HT should be used only for menopause symptom management, not for chronic disease prevention.

Initiating Therapy

Before starting HT, your doctor should give you a comprehensive physical exam and take your medical history to evaluate your risks for:

  • Heart disease
  • Osteoporosis
  • Breast cancer

While taking HT, you should have regular mammograms and pelvic exams and Pap smears. Current guidelines recommend that if HT is needed, it should be initiated around the time of menopause. Studies indicate that the risk of serious side effects is lower for women who use HT while in their 50s. Women who start HT past the age of 60 appear to have a higher risk for side effects such as heart attack, stroke, blood clots, or breast cancer. HT should be used with care in this age group.

Discontinuing Therapy

Safety Concerns

Women who should not take hormone therapy include those with the following conditions:

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Treating Post Menopause Bleeding

If you have postmenopausal bleeding it is important to have it investigated.

You will most likely be referred to a gynaecologist who may:

  • ask you questions about the history of your health
  • examine you
  • do a blood test
  • look at the inside of your vagina and cervix using special tongs . At the same time, they may take a tiny sample of your cervix for testing .

The kind of treatment you have will depend on what is causing the bleeding.

  • Atrophic vaginitis and thinning of the endometrium are usually treated with drugs that work like the hormone oestrogen. These can come as a tablet, vaginal gel or creams, skin patches, or a soft flexible ring which is put inside your vagina and slowly releases the medication.
  • Polyps are usually removed with surgery. Depending on their size and location, they may be removed in a day clinic using a local anaesthetic or you may need to go to hospital to have a general anaesthetic.
  • Thickening of the endometrium is usually treated with medications that work like the hormone progesterone and/or surgery to remove the thickening.

Before treatment there are a number of tests and investigations your gynaecologist may recommend.

All treatments should be discussed with you so that you know why a particular treatment or test is being done over another.

Related information

Gaps In Knowledge And Future Directions

Period symptoms but no period during menopause

It has been difficult to distinguish between symptoms that result from loss of ovarian function and those from the aging process or from the socio-environmental stresses of midlife years. Symptoms which result from loss of ovarian function should resolve by hormone replacement, but it has not been found so. Further research is required in this direction.

Symptoms have variable onset in relation to menopause. Some women experience symptoms earlier during perimenopause while some experience them at a later time. When should treatment start is also an issue for debate.

As recent data from the WHI establish the risks of long-term HRT use, concern about using HRT, even as a short-term intervention, has increased substantially. Although HRT remains the first-line treatment for hot flushes, the WHI findings have drawn attention to nonhormonal treatments of hot flushes and other menopausal symptoms. Growing evidence to support the efficacy of serotonergic antidepressants and other psychoactive medications in the treatment for hot flushes suggests that nonhormonal interventions will prove important alternatives to HRT. As further evidence of the benefits of psychoactive medications for menopausal symptoms is established, the choice between using hormonal and nonhormonal therapies for the management of menopausal symptoms will continue to evolve.

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Postmenopausal Bleeding Is Never Normal

Whether its light spotting or a heavier flow, vaginal bleeding after menopause can signal potential health problems.

It should always be brought up with your provider, said Gina M. Mantia-Smaldone, MD, a gynecologic oncologist at Fox Chase Cancer Center. And the sooner, the better. Rather than waiting for your next planned checkup, give your gynecologist a call quickly to schedule an evaluation.

Status Of Hormone Replacement Therapy

Assessment of the risks versus the benefits of HRT has become a challenging task for the physicians. Controversial issues have surrounded the status of HRT for postmenopausal women lately. Several randomized controlled trials present contradicting evidence and have raised questions about the short-term risks of long-term benefits of HRT. Evidence from clinical trials like the WHI and The Heart and Estrogen/Progestin Replacement Study trial does not support HRT use for prevention of cardiovascular disease. The association of HRT with cancer, stroke, cognition, cardiovascular disease, venous thromboembolism, osteoporosis, gallbladder disease is under scrutiny. The latest controversial results of randomized controlled trials in recent years have posed newer challenges for the physicians in prescribing HRT for postmenopausal women.

Also Check: Estrogen Dizziness

What Is Uterine Cancer

Uterine cancer is a general term that describes cancers of the uterus, or womb:

  • Endometrial cancer develops in the endometrium, the inner lining of the uterus. Its one of the most common gynecologic cancers cancers affecting a womans reproductive system.
  • Uterine sarcoma develops in the myometrium, the muscle wall of the uterus. Uterine sarcomas are very rare.

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Why Does The Menopause Cause Period Pain

Things To Do To Avoid Menstrual Cramps After Menopause

The menopause is a time when the hormones that regulate your menstrual cycle, in particular, oestrogen, begin to fluctuate. Naturally, this causes changes to your menstrual cycle, your periods become irregular and eventually stop. Alongside this, you may also experience period pain. However, it is also possible to experience period pain even when you are not having a period. Although it is not known exactly why this is, it is thought to be a result of conflicting messages being sent by your hormones. Eventually, as your hormones settle again, these symptoms should disperse.

It is important to remember that period pain may also be an indication of a more serious health condition, such as endometriosis or ovarian cysts, so if you are concerned, it is important to speak to your doctor.

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What Should I Ask My Healthcare Provider

If youve received a uterine cancer diagnosis, ask your provider:

  • What is the cancers stage?
  • What treatment options will be best for me?
  • Will I need more than one treatment?
  • Are there clinical trials I can take part in?
  • Whats the goal of treatment?
  • What can I expect after treatment?
  • Will cancer come back?
  • Am I at high risk for other cancers?

After Menopause Vulvovaginal Troubles Are Common And Linked With Other Pelvic Problems

After menopause, more than half of women may have vulvovaginal symptoms that have a big impact on their lifestyle, emotions, and sex life. Whats more, the symptoms tend to travel with other pelvic troubles, such as prolapse and urinary and bowel problems. But many women arent getting help, shows a study published online today in Menopause, the journal of The North American Menopause Society .

The researchers from Dartmouth, Yale, and the Connecticut Healthcare System recruited 358 women ages 55 and older from primary care offices and senior centres to answer questions about common symptoms after menopause. The women answered questionnaires, not only about symptoms such as vaginal and vulva dryness and irritation and their impact, but also about other menopause symptoms, other pelvic problems such as urinary urgency and urinary and faecal incontinence, whether they had seen a gynaecologist, and what sort of treatment they had received.

Vulva and vaginal symptomsitching, burning, stinging, pain, irritation, dryness, discharge, or odourwere very common. A little more than half of the women said they had one or more of these. The symptoms also had a significant impact on their lives. Forty percent of the women with symptoms said the symptoms posed emotional problems, and 33% said they had an impact on their lifestyle. More than three-quarters of the women who were sexually active with a partner said the symptoms posed problems in their sex lives.

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Home And Natural Remedies

  • zataria
  • zinc sulphate

That said, the evidence is very limited. Supplements can sometimes have side effects or interact with medicines you take, so you should always check with your doctor before adding them to your routine.

You can also try these home remedies:

  • Put a heating pad or hot water bottle on your abdomen. Research finds that heat is as effective for relieving cramps as ibuprofen .
  • Massage your belly. Gentle pressure can offer some relief from the pain.
  • Practice stress-reducing techniques, like deep breathing, meditation, or yoga. found that period pain was twice as common in women who were stressed out than in women with low stress. Stress can also make the cramps you have more severe.

Menstrual Cramps After Menopause

Managing Abnormal Uterine Bleeding after Menopause – Dr. Mukta Nadig | Cloudnine Hospitals

Hello, I am 57 and post menopausal for 3 years. Over the last 2 months I have experienced severe cramping and pelvic pressure with a dropping feeling in my vaginal area. I have an ultrasound set up for this month. I have not had any bleeding yet . My doctor said as we age the lining of the wall becomes thin and I may have a prolasped uterus. I did have numerous fibroids prior to menopause but didn’t have any symptoms after menopause. Just curious if anyone else has had the dropping feeling. Thanks

0 likes, 12 replies

  • Posted 4 years ago

    I was just wondering if your lower stomach has an uncomfortable feeling when walking and standing like pressure bloated and uncomfortablke feeling hard to explain. I have some of what you mentioned

  • Posted 4 years ago

    yes, the cramps are much worse when standing or walking. I do have the bloated feeling and also back pain. What kind of symptoms are you having?

  • Posted 4 years ago

    Well i thought i had a prolapse until my doc said it wasnt as i didnt have children and that it was pressure of fibroids pushing fown on pelvic wall. It feels like a drppping feeling.

  • Posted 4 years ago

    Hi, thank you for responding. Did you have fibroids prior to menopause? What kind of treatment did you have?

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    When To See A Doctor

    Your risk for ovarian cancer increases as you get older. Ovarian cancer is rare in people under 40. Half of all ovarian cancers are found in people with a uterus and ovaries aged 63 years or older.

    Symptoms of ovarian cancer include:

    • Feeling bloated
    • Discomfort in your abdomen or pelvic area
    • Feeling full quickly when eating, or having a loss of appetite
    • Needing to urinate more often or more urgently than usual
    • Pain during sex
    • Weight loss
    • Constipation

    Many noncancerous conditions can also cause these symptoms, so try not to worry too much if you experience something on the list. Still, if you have symptoms, its a good idea to see your doctor for an exam to rule out cancer.

    Possible Causes Of Periods After Menopause

    Menopause is the final stage of a woman’s reproductive life cycle. Though it marks the end of menstruation, some women may experience postmenopausal bleeding or a period after menopause. Given below is some information on the causes of postmenopausal bleeding.


    Menopause is the final stage of a womans reproductive life cycle. Though it marks the end of menstruation, some women may experience postmenopausal bleeding or a period after menopause. Given below is some information on some of the causes of postmenopausal bleeding.

    • Since menopause marks the end of menstruation, having a period after menopause can cause stress. There are underlying causes of postmenopausal bleeding. Lets first look the reproductive life cycle of women. After the onset of puberty, women undergo a series of physiological changes throughout their reproductive years. The duration of the menstrual cycle ranges from 28 to 35 days. These changes are brought about by changes in the levels of hormones called estrogen and progesterone. The beginning of the menstrual cycle begins the rupture of uterine lining or the endometrium. The menstrual bleeding cycle lasts for a period of 3 to 5 days.

    What Causes Postmenopausal Bleeding?

    Women are said to be in menopause, if they have not gotten a single period for a year.

    Read Also: Menopause Dizzy Spells

    What Are The Symptoms Of Uterine Cancer

    Signs of uterine cancer can resemble those of many conditions. Thats especially true of other conditions affecting reproductive organs. If you notice unusual pain, leaking or bleeding, talk to your healthcare provider. An accurate diagnosis is important so you can get the right treatment.

    Symptoms of endometrial cancer or uterine sarcoma include:

    • Vaginal bleeding between periods in women before menopause.
    • Vaginal bleeding or spotting in postmenopausal women, even a little amount.
    • Lower abdominal pain or cramping in the pelvis, just below the belly.
    • Thin white or clear vaginal discharge in postmenopausal women.
    • Extremely long, heavy or frequent vaginal bleeding in women older than 40.


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