How Will Menopause Affect Me
Symptoms of menopause may begin suddenly and be very noticeable, or they may be very mild at first. Symptoms may happen most of the time once they begin, or they may happen only once in a while. Some women notice changes in many areas. Some menopausal symptoms, such as moodiness, are similar to symptoms of premenstrual syndrome . Others may be new to you. For example:
- Your menstrual periods may not come as regularly as before. They also might last longer or be shorter. You might skip some months. Periods might stop for a few months and then start up again.
- Your periods might be heavier or lighter than before.
- You might have hot flashes and problems sleeping.
- You might experience mood swings or be irritable.
- You might experience vaginal dryness. Sex may be uncomfortable or painful.
- You may have less interest in sex. It may take longer for you to get aroused.
Other possible changes are not as noticeable. For example, you might begin to lose bone density because you have less estrogen. This can lead to osteoporosis, a condition that causes bones to become weak and break easily. Changing estrogen levels can also;raise cholesterol levels and increase your risk for heart disease and stroke.
Talk to your doctor about possible for your menopause symptoms if they bother you.
Causes Of Postmenopausal Bleeding
There can be several causes of postmenopausal bleeding.
The most common causes are:
- inflammation and thinning of the vaginal lining or womb lining caused by lower oestrogen levels
- cervical or womb polyps growths that are usually non-cancerous
- a thickened womb lining this can be caused by hormone replacement therapy , high levels of oestrogen or being overweight, and can lead to womb cancer
Less commonly, postmenopausal bleeding is caused by cancer, such as ovarian and womb cancer.
So What Kind Of Symptoms Are You Likely To Get
Most women will find their symptoms to be very similar to the ones they had before they started menopause. But, sometimes, they can be exaggerated and they can even be worse than they were before, which is not a nice situation to be in.
So, you might find that you get cramping, which tends to be the most common symptom. You can get the bloating. You can get the sugar cravings. You can get the breast tenderness, the irritability, the bad mood, the anger.
You might find that you get constipated, and you might find that you just feel really uncomfortable and heavy in this particular area.
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Factors That Affect Desire
Your estrogen takes a nosedive during;menopause; and the years leading up to it, called;perimenopause. This change has a huge impact on your sexual function. It can lower desire and make it harder for you to become aroused. It can also make the vaginal canal less stretchy and you may experience dryness, which can cause intercourse to be painful. More than a third of women in perimenopause, or who are postmenopausal, report having sexual difficulties, from lack of interest in sex to trouble having an orgasm.
Additionally, with age youre more likely to experience health problems. Chronic illness and injuries can deplete your energy, cause physical pain and lower your body image all of which affect your sex drive.
What Are The Long
There are several conditions that you could be at a higher risk of after menopause. Your risk for any condition depends on many things like your family history, your health before menopause and lifestyle factors . Two conditions that affect your health after menopause are osteoporosis and coronary artery disease.
Osteoporosis, a “brittle-bone” disease, occurs when the inside of bones become less dense, making them more fragile and likely to fracture. Estrogen plays an important role in preserving bone mass. Estrogen signals cells in the bones to stop breaking down.
Women lose an average of 25% of their bone mass from the time of menopause to age 60. This is largely because of the loss of estrogen. Over time, this loss of bone can lead to bone fractures. Your healthcare provider may want to test the strength of your bones over time. Bone mineral density testing, also called bone densitometry, is a quick way to see how much calcium you have in certain parts of your bones. The test is used to detectosteoporosis and osteopenia. Osteopenia is a disease where bone density is decreased and this can be a precursor to later osteoporosis.
If you have osteoporosis or osteopenia, your treatment options could include estrogen therapy.
Coronary artery disease
- The loss of estrogen .
- Increased blood pressure.
- A decrease in physical activity.
- Bad habits from your past catching up with you .
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When Should I Contact My Doctor
Contact your healthcare provider if you experience vaginal bleeding:
- More than a year after your last menstrual period.
- More than a year after starting hormone replacement therapy .
A note from Cleveland Clinic
Its normal to have irregular vaginal bleeding in the years leading up to menopause. But if you have bleeding more than a year after your last menstrual period, its time to see your healthcare provider. It could be the result of a simple infection or benign growths. But in rare cases, bleeding could be a sign of uterine cancer.
Last reviewed by a Cleveland Clinic medical professional on 05/26/2021.
Are There Any Other Emotional Changes That Can Happen During Menopause
Menopause can cause a variety of emotional changes, including:
- A loss of energy and insomnia.
- A lack of motivation and difficulty concentrating.
- Anxiety, depression, mood changes and tension.
- Aggressiveness and irritability.
All of these emotional changes can happen outside of menopause. You have probably experienced some of them throughout your life. Managing emotional changes during menopause can be difficult, but it is possible. Your healthcare provider may be able to prescribe a medication to help you . It may also help to just know that there is a name to the feeling you are experiencing. Support groups and counseling are useful tools when dealing with these emotional changes during menopause.
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There Are Several Potential Causes But Some Are More Serious Than Others
In most cases, postmenopausal bleeding is caused by issues such as endometrial atrophy , vaginal atrophy, fibroids, or endometrial polyps. The bleeding could also be a sign of endometrial cancera malignancy of the uterine lining, but only in a small number of cases. A 2018 study by the National Cancer Institute found that only about 9 percent of postmenopausal women who saw a doctor for bleeding later received a diagnosis of endometrial cancer.
Still, we want the option to intervene early if it is cancer, since treating it sooner leads to better outcomes, Mantia-Smaldone said.
If endometrial cancer is found early, a woman has a 95 percent chance of surviving the cancer for at least 5 years.
Menopause Symptoms Can Feel Like Pms
Some women develop symptoms of Premenstrual Syndrome for the first time or have more acute;levels of their normal;PMS. These symptoms can be physical, psychological, or emotional. Most of us will have had some level of PMS during the second half of the monthly cycle over the years. Symptoms may have been getting stronger during your 30s and 40s, approaching menopause. Most common symptoms are irritability, aggression, tearfulness, mood swings, breast pain;and fluid retention.
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Do I Still Need A Pap Smear Now That I Am Menopausal
Even if you are menopausal or postmenopausal, you should continue to have Pap or HPV tests. Women who have had a total hysterectomy for a noncancerous condition and have not had a previous history of precancerous Pap tests may be able to stop Pap screening depending on their medical history and risk of contracting human papilloma virus . Screening may also be discontinued at ages 65 or 70 if women have had at least three normal Pap tests in a row and no abnormal Pap tests in the previous 10 years.
When Can You Expect Perimenopause
Chances are, if youre between the ages of 45-50, your irregular periods are a sign of perimenopause. The average age a woman starts the menopausal transition is 47.
While we cannot predict when this will occur for you, the age your mother began to experience symptoms may be a good indicator. Smokers tend to reach menopause earlier than non smokers as well.
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How Long Does The Transition To Menopause Last
Perimenopause, the transition to menopause, can last between two and eight years before your periods stop permanently. For most women, this transition to menopause lasts about four years. You will know you have reached menopause only after it has been a full year since your last period. This means you have not had any bleeding, including spotting, for 12 months in a row.
Cancer Risk And Age At Menopause
According to the American Society of Clinical Oncology,;women who experience late-onset menopause have an increased risk of uterine and breast cancer. This is due to having an increased exposure to hormones such as estrogen. As women menstruate longer, they have more ovulations which also increases the risk of ovarian cancer. Women with a long reproductive life, menarche before the age of 12 years and menopause after age 55 years have an increased risk of these hormone-dependent cancers. A pooled analysis of data from more than 400,000 women found for every year older a woman was at menopause, breast cancer risk increased by approximately;3%.
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No Period For Over A Year
Now, for some women, they might find that they have got to a year or even a year and a bit without a period, and suddenly they get one back again. And this is very often the time when they can get a little bit worried. Some schools of thought say that you are through the menopause once you have not had a period for a year. In our experience, we find that a number of women will get periods back, or they’ll get the odd one back after a year or more.
How To Use Tamoxifen Citrate
Take this medication by mouth with or without food, usually once or twice daily for 5 years, or as directed by your doctor. Daily dosages greater than 20 milligrams are usually divided in half and taken twice a day, in the morning and evening, or as directed by your doctor. If you are using the liquid, measure the dose carefully using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose.
Dosage is based on your medical condition and response to treatment. The duration of treatment to prevent cancer from returning may be between 5 to 10 years, depending on your medical condition and response to treatment.
Use this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day.
If you have breast cancer that has spread to other parts of the body, you may experience increased bone/cancer pain and/or disease flare-up as you start taking tamoxifen. In some cases, this may be a sign of a good response to the medication. Symptoms include increased bone pain, increased tumor size, or even new tumors. These symptoms usually disappear quickly. In any case, report these symptoms right away to your doctor.
Inform your doctor right away if your condition worsens .
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How Sex Changes After Menopause
Chris Kraft, Ph.D.
With no need to worry about getting your period, becoming pregnant or being walked in on by your kids, your postmenopausal sex life should be stellar, right? It can be good, but dont expect it to be the same type of sex you were having in your 20s, says;Chris Kraft, Ph.D., director of clinical services at the;Sex and Gender Clinic;in the department of psychiatry at Johns Hopkins Medicine.
While you may have greater freedom at home, this is also a stage of life with a lot of changes that can affect your intimacy, he says. Youre redefining your roles and your relationship as the kids go off to college and your careers wind down. And youre also physically changing.
How Often Should I Get A Pap Smear Now That I Am Menopausal
You can get a Pap test every three years if both of these are true for you:
Women who have a higher risk of cancer may need a Pap test more often. Your doctor can recommend what is best for you.
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Perimenopause: Rocky Road To Menopause
What are the signs of perimenopause? You’re in your 40s, you wake up in a sweat at night, and your periods are erratic and often accompanied by heavy bleeding: Chances are, you’re going through perimenopause. Many women experience an array of symptoms as their hormones shift during the months or years leading up to menopause that is, the natural end of menstruation. Menopause is a point in time, but perimenopause is an extended transitional state. It’s also sometimes referred to as the menopausal transition, although technically, the transition ends 12 months earlier than perimenopause .
If You Are Having Very Difficult Symptoms Of Menopause Including Irregular Periods You Should Consider Some Changes To Your Lifestyle As Necessary
Please visit our Treatments page and Lifestyle pages for some information and inspiration on a wide variety of topics from Nutrition to Exercise, Sex and your changing home and wardrobe at midlife. Here at My Second Spring, we’re interested in chatting to you about all things midlife not just the pesky symptoms of menopause. We hope you’ll find lots of cool articles to read there and also on our blog.
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Can Menopause Cause Depression
Your body goes through a lot of changes during menopause. There are extreme shifts in your hormone levels, you may not be sleeping well because of hot flashes and you may be experiencing mood swings. Anxiety and fear could also be at play during this time. All of these factors can lead to depression.
If you are experiencing any of the symptoms of depression, talk to your healthcare provider. During your conversation, your provider will tell you about different types of treatment and check to make sure there isnt another medical condition causing your depression. Thyroid problems can sometimes be the cause of depression.
Bleeding After Menopause: Its Not Normal
Too often I see women with advanced endometrial cancer who tell me they experienced postmenopausal bleeding for years but didnt think anything of it. This shows we need to do a better job educating our patients about what to expect after menopause.
Women need to know postmenopausal bleeding is never normal, and it may be an early symptom of endometrial cancer. Any bleeding, even spotting, should trigger a visit to your doctor as soon as possible. Dont wait to make an appointment until after the holidays or even next week. Do it today.
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Make Your Health A Priority
Women are known to focus on their families first and put their own health second. But you cant care for loved ones if youre not healthy yourself. Listen to your body. Alert your doctor to any changes or abnormal issues such as postmenopausal bleeding as soon as possible.Dont stop seeing your general gynecologist for an annual exam when you hit menopause. Just because your reproductive years have ended doesnt mean those body parts go away! Your cancer risk increases as you age, and your gynecologist can screen for the disease and help you manage any conditions caused by hormone changes.If youre experiencing postmenopausal bleeding or have any concerns about your gynecologic health, request an appointment online or by calling .
When Do Periods Stop At Menopause
There can be gaps of up to 12 months between periods. You could go for 3-4 months without a period and the have a regular period for a few months
When having sex it is well advised to use contraception for up to 24 months after our last period. If you are having intermittent periods then you are most likely still ovulating and could become pregnant.
Changes in the monthly cycle are an indication that you are in perimenopause.;There is no typical pattern of change -;each woman can experience a combination of different symptoms.
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Itisdefinitely True That Sex After Menopause Can Be Painful At Least For Some Time
The most prominent change I hear about from my patients is that sometimes sex can become painful after menopause, board-certified ob/gyn Antonio Pizarro, M.D., tells SELF. Most of the time, this is related to a loss of estrogen. That can cause what’s known as vaginal atrophy or genitourinary syndrome of menopause, in which the vaginal tissue becomes thinner and more delicate, Dr. Pizarro explains. Issues like pain, vaginal dryness, and urinary problems can crop up as a result of vaginal atrophy. Around half of postmenopausal people experience these symptoms, according to the Mayo Clinic.
Doctors mainly treat vaginal atrophy with some form of estrogen supplementation, but there can be drawbacks. Pizarro notes that theres a small risk the amped up estrogen can contribute to uterine cancer unless a woman pairs it with the synthetic hormone progestin. But combining the two may then increase a woman’s risk of breast cancer, according to The American Cancer Society, which has a comprehensive breakdown of the benefits and drawbacks of using hormones to deal with menopause symptoms.