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.
Menopause Flu Like Symptoms
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Treating Cramps After Menopause
Treatment for postmenopausal cramps will vary depending on the underlying cause. Some possible treatment options may include:
Fibroids: If you do have pain caused by fibroids, painkillers will usually be recommended first.
There are medications available to help shrink fibroids. If these prove ineffective, surgery, such as a myomectomy or hysterectomy, may be recommended.
Endometriosis: There’s no cure for endometriosis and it can be difficult to treat. Treatment aims to ease symptoms so the condition does not interfere with your daily life.
- Medication: Pain medication may be prescribed to ease discomfort.
- Surgery: Surgery is usually reserved for severe symptoms when hormones are not providing relief. During the operation, the surgeon can locate the sites of your endometriosis and may remove the endometrial patches.
Irritable Bowel Syndrome: Treatment for IBS can include changes to diet and lifestyle, mind/body therapies , and medications. Often, a combination of treatments will provide the most relief. There is still much that is not understood about IBS, so it may take some experimentation with different therapies to achieve positive results.
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Skin And Nail Changes
The menopause has a knock on effect for skin, as collagen and fat storage relies on oestrogen.
For some women their skin will feel drier, more saggy and wrinkly.
But for others, they may get acne for the first time, as Dr Philippa says: Oestrogen has an anti-acne effect. As levels fall it seems to unmask the effects of testosterone, and testosterone can dominate.
Testosterone can stimulate the sebaceous glands, making them secrete thick greasy sebum, which is why some women notice oily skin and adult acne can appear.
Nails can also become more brittle and break more easily.
Dr Philippa said: Nails are made of a protein called keratin, which is the same protein that makes hair, even though hair and nails have totally different textures!
The falling levels of oestrogen in the body affect the nails making them more dehydrated.
How To Boost Bone Health Midlife
To keep your bones strong, make sure you include weight-bearing exercises, such as brisk walking or jogging, in your routine, because they allow your bones to work against gravity to get stronger. Also, dont smoke: Its been linked to an increased risk of bone fracture and osteoporosis, according to the National Institute of Arthritis and Musculoskeletal and Skin Diseases.
Lastly, eat a healthy diet, including foods high in vitamin D or from 15 minutes of sun exposure several days a week and calcium . Make sure you have adequate calcium and vitamin D, says Randolph. Most American diets dont have enough of either .
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Its Better To Stand Than Sit If And When You Can
The formula is simple: The more time that your bodys in motion, the more calories your body will burn. One low-effort way to do that? Stay as vertical as possible throughout the day, Peeke says. Not only will that increase calorie burn, it can also help prevent other health problems. A study published in January 2018 in the journal Obesity found that prolonged sitting is connected to higher levels of abdominal fat, as well as fat thats accumulated around organs such as the liver, which increases risk for diabetes and heart disease.
Staying vertical isnt exactly the same as breaking out a full-on sweat . To stay upright more often, stand and pace when youre on the phone, or park further from the front door of the places youre going, so youll have to walk more. If youre a binge watcher, place a pedal exerciser on the floor in front of your couch, so you can fit in some needed movement while still catching up on all your favorite shows.
To stay upright more often, stand and pace when youre on the phone, or park farther from the places youre going so youll have to walk a little more. If youre a binge-watcher, place a pedal exerciser on the floor in front of your couch, so you can fit in some needed movement while still catching up on your favorite shows.
Why Does It Happen
Experts arent totally sure about what causes this phenomenon, but hormone fluctuations throughout your menstrual cycle are the most likely culprit.
Before your period, prostaglandins, which are hormone-like fatty acids, are produced to help your uterus shed its lining.
Cyclic changes in your sex hormones, mainly estrogen, can also cause you to feel run down, along with causing your more run-of-the-mill period symptoms, like cramps, breast tenderness, and mood swings.
Chemical changes in your brain, such as fluctuations in serotonin and other chemicals related to mood states, may also trigger some PMS symptoms, according to the Mayo Clinic. These include fatigue, sleep problems, food cravings, and depression.
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Shrink Belly Fat With Tai Chi Or Quigong
Maybe youve never tried it or perhaps youve seen a group of people practicing tai chi together in a public park but a recent research study from Hong Kong showed that this Chinese discipline of low-impact meditative movements could help trim waistlines in middle aged and older adults. This study, published in the June 2021 issue of Annals of Internal Medicine, found that people age 50 and older with central obesity who practiced tai chi for 12 weeks shrunk their bellies as successfully as those who participated in aerobic exercise and strength training for the same amount of time. The study authors wrote that tai chi health benefits similar to those of conventional exercise and thus provides an alternative and more amenable exercise modality for middle-aged and older adults to manage central obesity.
Menopauses Effects On The Immune System
So why do we get sick more easily during this time? A few reasons: First, perimenopause and menopause can ramp up the stress hormone cortisol. When we have too much cortisol for too long, a study at Dartmouth found, it can increase inflammation and weaken our immune systems ability to fight off infections.
And menopause can have a lot of add-on effects: major night sweats or poor sleep, not enough exercise due to no energy or menopausal fatigue, poor diet, and changes in our gut flora can all increase the possibility of getting sick.
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You Feel Beyond Your Years
Hormone interruption has many women suffering joint pain, which really adds insult to injury, leaving you feeling like you cant enjoy the activities you like to do.
Many women are concerned that this is not normal but perimenopause actually affects most women at some stage in their lives. If you are suffering, youre not alone and it is worth asking for help. It may be as simple as revisiting contraception choices or it may be worth exploring gentle and appropriate hormone replacement therapy . Talking about it is the first step to taking back control of your quality of life.
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How Can Natural Remedies Help
Natural remedies can often be really helpful for preventing and treating colds, coughs and flu.
Probably the best known herb for fighting the symptoms of colds and flu is Echinacea, and many people use this all winter as a preventative too.
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Other herbs that may be helpful if you do catch one of those lurgies going around:
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Lifestyle Changes To Help Ease Perimenopausal Symptoms
It is important to consume a healthy diet. This should include foods such as fresh vegetables and whole grain products. Lower calorie dairy products that are rich in calcium, should also be included.
2. Weight control
It is very important to determine the optimal weight for each individual’s height and body type. Body mass index charts should be used, and women should work to maintain their ideal weight.
Regular moderate physical activity for at least thirty minutes three times per week is ideal. If time is limited, aerobic exercise such as jogging or fast walking is preferred. However, if time is not an issue, muscle building or maintenance should be attempted using light weights or other forms of progressive resistance.
4. Smoking cessation!
This is very important in the management of perimenopause. In smokers, the level of carbon monoxide in the bloodstream increases each time a cigarette is consumed. Carbon monoxide has been shown to increase the rate of breakdown of estrogen in the body. This can lead to worsening hot flushes. In addition, smokers tend to lose bone at a higher rate than non-smokers, and this can contribute to worsening osteoporosis at an accelerated rate.
5. Dietary supplements
- Fatty fish
- Talk to friends or family about issues that are causing you stress.
- Seek professional help if you need it.
7. Get more sleep
8. Talk to your doctor
How Does Symptom Checker Work
Everyday Healths Symptom Checker is a certified preliminary diagnosis and triage tool powered by Infermedica that leverages artificial intelligence, data science experts, and physicians to assess more than 1,500 symptoms and 800 conditions.
All content featured in the tool is created through a rigorous content development process. Infermedicas team of data scientists and medical professionals, led by Chief Medical Officer Irv Loh, MD, regularly analyzes statistical information collected by the tool to identify content areas that need to be expanded.
Medical content editors create the new content, adding an original source to each piece of new medical information. The content is then peer-reviewed by another medical content editor to validate all sources and identify potential areas for improvement.
After the content is peer-reviewed, Infermedicas doctors identify literature-based clinical cases from sources such as The BMJ, The New England Journal of Medicine, The American Journal of Medicine, Mayo Clinic Proceedings, BioMed Central, and Oxford journals to create clinical test cases.
The clinical test cases are then added to the medical database and validated against a diagnostic engine. A specialist verifies the newly created content and a data scientist identifies and corrects potential issues, such as duplicate symptoms.
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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 .
What Alternative Medical Therapies Help Ease Perimenopausal Symptoms
This product is a commonly used herbal extract that is touted as a treatment for hot flashes. Multiple studies have shown that it is ineffective. It has numerous side effects, and there have been issues with liver toxicity.
These are naturally occurring estrogens in two forms: 1) lignans, and 2) isoflavones.
Lignans are found in:
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What Are Hot Flashes
Hot flashes can be a pretty unpleasant symptom of perimenopause and menopause. We dont totally understand the cause of hot flashes.
Most people describe a hot flash as a sudden hot feeling that spreads all over your body but mostly the upper body, like your arms, chest, and face. You may also get sweaty, and your fingers may tingle and your heart may beat faster. A typical hot flash usually lasts anywhere from 1 to 5 minutes.
Hot flashes at night are called night sweats. Sometimes they can get so severe that you soak your sheets with sweat.
Hot flashes are super common. More than 3 out of 4 people have them while going through perimenopause and menopause.
Nothing will make hot flashes stop completely, but there are some things you can do to help get some relief. Wearing light, loose clothes, keeping your room cool, drinking cold liquids, and avoiding alcohol and caffeine can help you stay cool.
Prescription hot flash treatments can be helpful, too. Hormone therapy works best to treat hot flashes, but other medicines like SSRIs and SNRIs and clonidine may also help. Research shows that herbs, vitamins, acupuncture, and reflexology dont help with hot flashes.
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It Might Not Be Menopause: 7 Diseases With Similar Symptoms
In ancient Greece, men believed that a womans uterus wandered around her body, causing problems wherever it landed. This gave birth to a diagnosis that was popular all the way up until the early 20th century: female hysteria. Hysteria is derived from the Greek word for uterus, hystera, and was considered an especially troubling medical diagnosis for women.
Though weve since evolved from that way of thinking, women are still being misdiagnosed by doctors. Often their symptoms are chalked up to changing hormones or menopause, causing doctors to sometimes miss conditions that become life-threatening if left untreated.
According to a 2016 study by the University of Leeds, women have a 50 percent higher chance of being misdiagnosed after a heart attack than men. A 2014 study published in the medical journal Diagnosis found that women are also 33 percent more likely to be misdiagnosed following a stroke.
Worried your menopause symptoms could be something else? Here are seven diseases that share some of the same symptoms as menopause.
Lyme diseaseLyme disease is a tick-borne illness that can become dangerous if it isnt diagnosed. The most common signs of the disease are a rash with a bulls eye pattern and flu-like symptoms such as fever or fatigue. However, Lyme disease can also cause extreme headaches, dilated pupils, and a quickening heartbeat all symptoms that are associated with menopause.
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Find A Friend Or A Group To Exercise With
To attack belly fat and any other menopause weight gain, youll need to burn between 400 and 500 calories most days of the week from cardiovascular exercise, such as walking briskly, jogging, bicycling, dancing, or swimming, Peeke says. Need motivation? Find a friend who needs to exercise as much as you do, and set a date to work out together. Research published in April 2015 in the British Journal of Health Psychology found that actively looking for a new workout partner and exercising together is beneficial for both exercise and emotional support.
If you dont have a buddy to join you on your weight loss mission, it may be time to try a group fitness class at your local gym or community center. Data published in November 2017 in the Journal of Osteopathic Medicine found that participating in regular group fitness classes resulted in a significant decrease in stress and a rise in physical, mental, and emotional quality of life compared with exercising regularly on your own or not engaging in regular exercise at all.
Is Nausea A Symptom Of Menopause
The menopause when you stop having periods can cause various physical symptoms, as your body goes through lots of changes.
Feeling sick is thought to be a possible symptom. But it isnt known how many people suffer from nausea due to the menopause, and there may be several causes.
It can be a side effect of medication, such as hormone replacement therapy . It may also be that hormonal changes happening in your body during this time can trigger feelings of sickness.
Read on to learn more about why you can feel nauseous during the menopause, what treatment options are available, and when you should see a doctor.
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What Medications Ease Perimenopausal Symptoms
There are a variety of medications that may ease perimenopausal symptoms in women. These include
There is no “cure” for perimenopause.
One of the most effective and infrequently mentioned methods of treating the spectrum of problems encountered during perimenopause is the combination birth control pill. These pills contain synthetic forms of estrogen and progesterone, the two primary hormones produced by a normally functioning ovary. They act by preventing the ovary from releasing its own estrogen and progesterone. They also work to inhibit ovulation, thus preventing pregnancy.
While on birth control pills, a woman’s body responds directly to the hormones in the pill, and her endogenous ovarian hormone production is suppressed. Thus, the irregular, frequently heavy, menstrual periods, which are common during perimenopause, can be eliminated. She will bleed in response to the hormones in the pills. The birth control pills also prevent ovarian cyst formation, which is common during perimenopause and is directly tied to irregular ovulation due to erratic ovarian hormone production. Birth control pills are also known to decrease breast cyst formation, and they may also decrease the frequency and intensity of headaches.
Who should not use oral contraceptives for perimenopausal symptoms?
Systemic hormonal products
Topical vaginal estrogen