Oral Contraceptives And Vaginal Treatments
Oral contraceptive pills
Oral contraceptive pills are another form of hormone therapy often prescribed for women in perimenopause to treat irregular vaginal bleeding. Women in the menopausal transition tend to have considerable breakthrough bleeding when given estrogen therapy. Therefore, oral contraceptives are often given to women in the menopause transition to regulate menstrual periods, relieve hot flashes, as well as to provide contraception. They are not recommended for women who have already reached menopause, because the dose of estrogen is higher than that needed to control hot flashes and other symptoms. The contraindications for oral contraceptives in women going through the menopause transition are the same as those for premenopausal women.
Local hormone and non-hormone treatments
There are also local hormonal treatments for the symptoms of vaginal estrogen deficiency. Local treatments include the vaginal estrogen ring , vaginal estrogen cream, or vaginal estrogen tablets. Local and oral estrogen treatments are sometimes combined for this purpose.
Vaginal moisturizing agents such as creams or lotions as well as the use of lubricants during intercourse are non-hormonal options for managing the discomfort of vaginal dryness.
Will I Experience The Same Symptoms As My Mother Sister Or Friends
The symptoms of menopause vary from one woman to another, even in the same families. The age and rate of decline of ovary function differ tremendously. This means youll need to manage your menopause individually. What worked for your mother or best friend may not work for you.
Talk to your doctor if you have any questions about menopause. They can help you understand your symptoms and find ways to manage them that work with your lifestyle.
Bioidentical Or Traditional Hormone Therapy
Traditional hormone therapy uses plant derived, man made hormones or hormones found in the urine of pregnant horses. Patients can take it orally, via patch, or topically to the genital area.
Bioidentical hormones are plant derived or man-made hormones similar to the ones your body produces. Some bioidentical hormones are the same as those used in conventional products. Others are not FDA approved and are available only from compounding pharmacies.
Bioidentical products can include a variety of estrogens, progesterone, testosterone or other hormones. Common bioidentical preparations include one or more of three estrogens: estradiol, estriol, and estrone. The estradiol in a traditional hormone therapy regimen is the same as in a bioidentical one. Typically bioidentical hormones are prescribed topically at a dose designed to affect the whole body. They can also be used topically in the vaginal area or given orally.
If a woman still has her uterus, it is important to combine both bioidentical and traditional preparations of estrogen with progesterone to prevent uterine cancer.
According to the Food and Drug Administration , bioidentical hormones arent safer or more effective than the traditional hormones, however, there is some debate in this area. There is some data that topical estrogens are safer than oral. Groups like the American College of Obstetrics and Gynecologists caution against the use of compounded products specifically, citing safety concerns.
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Menopause Symptoms: When Will They End
Going through menopause can seem like a never ending battle. Just when you think you’re over the worst of it, the symptoms come back stronger and knock you back down. It can be demoralizing and many women wonder whether the battle will ever be over. Read on to discover the truth about menopause symptoms, and see the light at the end of the tunnel.
Hormone Treatment And Therapy
Estrogen and progesterone therapy
Hormone therapy , or menopausal hormone therapy , consists of estrogens or a combination of estrogens and progesterone . This was formerly referred to as hormone replacement therapy . Hormone therapy controls the symptoms of menopause-related to declining estrogen levels , and HT is still the most effective way to treat these symptoms. But long-term studies of women receiving combined hormone therapy with both estrogen and progesterone were halted when it was discovered that these women had an increased risk for heart attack, stroke, and breast cancer when compared with women who did not receive HT. These risks were most pronounced in women over 60 taking hormone therapy. Later studies of women taking estrogen therapy alone showed that estrogen was associated with an increased risk for stroke, but not for heart attack or breast cancer. Estrogen therapy alone, however, is associated with an increased risk of developing endometrial cancer in postmenopausal women who have not had their uterus surgically removed.
Hormone therapy is available in oral , transdermal forms . Transdermal hormone products are already in their active form without the need for “first pass” metabolism in the liver to be converted to an active form. Since transdermal hormone products do not have effects on the liver, this route of administration has become the preferred form for most women.
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What Symptoms Are Caused By The Reduced Levels Of Estrogen In My Body
About 75 percent of women experience hot flashes during menopause, making them the most common symptom experienced by menopausal women. Hot flashes can occur during the day or at night. Some women may also experience muscle and joint pain, known as arthralgia, or mood swings.
It may be difficult to determine whether these symptoms are caused by shifts in your hormones, life circumstances, or the aging process itself.
What Is Perimenopause Or The Transition To Menopause
Perimenopause , or the menopausal transition, is the time leading up to your last period. Perimenopause means around menopause.
Perimenopause is a long transition to menopause, or the time when your periods stop permanently and you can no longer get pregnant. As your body transitions to menopause, your hormone levels may change randomly, causing menopause symptoms unexpectedly. During this transition, your ovaries make different amounts of the hormones estrogen and progesterone than usual.
Irregular periods happen during this time because you may not ovulate every month. Your periods may be longer or shorter than usual. You might skip a few months or have unusually long or short menstrual cycles. Your period may be heavier or lighter than before. Many women also have hot flashes and other menopause symptoms during this transition.
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How Long Does Perimenopause Last
The length of each stage of the menopause transition can vary for each individual. The average length of perimenopause is about four years. Some women may only be in this stage for a few months, while others will be in this transition phase for more than four years. If you have gone more than 12 months without having a period, you are no longer perimenopausal. However, if there are medications or medical conditions that may affect periods, it can be more difficult to know the specific stage of the menopause transition.
How Will I Know If Im Going Through Menopause If Ive Had A Hysterectomy
If your uterus was surgically removed through a hysterectomy, you may not know youre going through menopause unless you experience hot flashes.
This can also happen if youve had an endometrial ablation and your ovaries werent removed. Endometrial ablation is the removal of the lining of your uterus as treatment for heavy menstruation.
If you arent having any symptoms, a blood test can determine if your ovaries are still functioning. This test can be used to help doctors find out your estrogen level, which may be beneficial if youre at risk of osteoporosis. Thats because knowing your estrogen status may be important in determining whether you need a bone density assessment.
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What Is Hormone Therapy
During menopause, your body goes through major hormonal changes, decreasing the amount of hormones it makes particularly estrogen and progesterone. Estrogen and progesterone are produced by the ovaries. When your ovaries no longer make enough estrogen and progesterone, hormone therapy can be used as a supplement. Hormone therapy boosts your hormone levels and can help relieve some symptoms of menopause. Its also used as a preventative measure for osteoporosis.
There are two main types of hormone therapy:
- Estrogen therapy : In this treatment, estrogen is taken alone. Its typically prescribed in a low dose and can be taken as a pill or patch. ET can also be given to you as a cream, vaginal ring, gel or spray. This type of treatment is used after a hysterectomy. Estrogen alone cant be used if a woman still has a uterus.
- Estrogen Progesterone/Progestin Hormone Therapy : This treatment is also called combination therapy because it uses doses of estrogen and progesterone. Progesterone is available in its natural form, or also as a progestin . This type of hormone therapy is used if you still have your uterus.
Hormone therapy can relieve many of the symptoms of menopause, including:
- Hot flashes and night sweats.
- Vaginal dryness.
Menopause And Complementary Therapies
Some women can benefit from using complementary therapies for menopause. But it is important to remember that natural herb and plant medications can have unpleasant side effects in some women, just like prescribed medications. A registered naturopath may provide long-term guidance and balance through the menopausal years.Herbal therapies can often be taken in conjunction with hormone therapy. It is important to let both your doctor and naturopath know exactly what each has prescribed, and to consult your doctor before taking any herbal treatments or dietary supplements for menopause. Some natural therapies can affect or interact with other medications you may be taking.
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What Are Common Menopause Symptoms
Some common menopause symptoms are:
Irregular periods: Periods becoming shorter, longer, heavier, lighter. Skipping periods.
Hot flashes: A hot flash is a sudden, sometimes intense feeling of heat that rushes to your face and upper body. Hot flashes can be really uncomfortable, but they usually only last a few minutes. They can happen a few times a day, a few times a week, or a few times a month.
Night sweats: Hot flashes that wake you up in the middle of the night.
Sleep problems: You may have insomnia trouble falling asleep or staying asleep. You may also start to wake up much earlier than you used to.
Vaginal changes: The lining of your vagina may become thinner, drier, or less stretchy. This can cause dryness or discomfort during sex.
Urinary or bladder infections: You may have to pee more often or get more frequent urinary tract or bladder infections.
Mood changes: Hormone changes can make you feel anxious, irritable, and tired. Your sex drive might change, too.
Weaker bones: Your bones will probably weaken during menopause. If its really bad, it can lead to osteoporosis after menopause. Getting plenty of calcium and vitamin D, and exercising for at least 30 minutes most days of the week can help you maintain bone health.
Some people may have a long and difficult perimenopause, up to 1012 years. But most people find that the common menopause symptoms are temporary and only last 35 years.
What Are Menopause Symptoms And Signs
It is important to remember that each woman’s experience is highly individual. Some women may experience few or no symptoms of menopause, while others experience multiple physical and psychological symptoms. The extent and severity of symptoms varies significantly among women. It is also important to remember that symptoms may come and go over an extended period for some women. This, too, is highly individual. These symptoms of menopause and perimenopause are discussed in detail below.
How Does Menopause Affect My Bladder Control
Unfortunately, bladder control issues are common for women going through menopause. There are several reasons why this happens, including:
- Estrogen. This hormone plays several roles in your body. It not only controls your period and promotes changes in your body during pregnancy, estrogen also keeps the lining of your bladder and urethra healthy.
- Pelvic floor muscles. Supporting the organs in your pelvis your bladder and uterus are called the pelvic floor muscles. Throughout your life, these muscles can weaken. This can happen during pregnancy, childbirth and from weight gain. When the muscles weaken, you can experience urinary incontinence .
Specific bladder control problems that you might have can include:
- Stress incontinence .
- Urge incontinence .
- Painful urination .
- Nocturia .
Symptoms Of The Menopause
Most women will experience menopausal symptoms. Some of these can be quite severe and have a significant impact on your everyday activities.
Common symptoms include:
- reduced sex drive
- problems with memory and concentration
Menopausal symptoms can begin months or even years before your periods stop and last around 4 years after your last period, although some women experience them for much longer.
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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 .
How To Know When Menopause Is Over
When you are going through the menopause it can be hard to see the light at the end of the tunnel, but its important to know that there is an end to it. So, this week on A.Vogel Talks Menopause I thought I would take a look at how to know when menopause is over, including how long it lasts, what are the signs that menopause is finally over and how you can feel afterwards.
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When Youre Going Through Menopause It Can Be Hard To See The Light At The End Of The Tunnel But Its Important To Keep In Mind That There Is An End To It
Hi and welcome to another edition of A.Vogel’s Menopause Flash. Today I’m going to talk about how to tell when menopause is over, including how long it lasts, the signs that menopause is finally over and how you can feel afterwards.When you’re in the middle of menopause and feeling really awful, or you’re just having a tough time, just knowing that it will come to an end can be really helpful.
Who Can I Talk To
Though theres still stigma and embarrassment around the menopause, its important to know that youre not alone and theres support out there.
Try to be open about your symptoms with your partner, family and friends it can help them to understand what youre going through and could reduce any embarrassment about symptoms.
Sharing experiences with other women going through the same thing could be reassuring. There are many websites, blogs and videos online where women have shared their stories of the menopause.
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How Can Herbal Remedies Help
There are some herbal remedies which can help with symptoms of the menopause and the troublesome periods to go with them.
- Agnus castus Agnus castus is a licensed herbal remedy used to help relieve the symptoms of PMS. In the lead up to the menopause your periods might become heavier and more painful than before due to fluctuations in the hormone oestrogen
- Soy isoflavones Our Menopause Support contains an extract of fermented soya beans, providing phytoestrogenic isoflavones to gently support you through the menopause
- Sage Our Menoforce® Sage tablets is a licensed herbal remedy used to relieve excessive sweating and menopausal hot flushes.
Symptoms Of Menopause Include:
- Absence of period for 12 months
- Hot flashes
- Cognitive changes
- Vaginal dryness
- Generalized itching
- Bone loss
Once your period has officially stopped, the estrogen levels in your body will gradually decline also, you will no longer produce another female hormone called progesterone. Such hormonal changes may intensify the hot flashes, mood swings, or other symptoms you may have been experiencing throughout perimenopause, or they may trigger symptoms you have yet to experience. Another physical sign of menopause is bone loss . And although hot flashes usually subside, some women experience hot flashes for the rest of their life.
If you experience these symptoms, the first thing you should do is make an appointment with your provider. As Estrogen therapy can help with the cardiovascular issues that come with menopause, it is recommended that estrogen therapy begin within five years of the last period.
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Lifestyle Factors To Support You During The Menopause
There are a number of easy self-help tips that you can try at home to help keep the symptoms of menopause under control:
- Diet During the menopause even very small changes in lifestyle factors can make a big difference for better or for worse! Try to reduce refined carbohydrates and sugary sweet treats as you can risk throwing your hormones off further, exacerbating cravings and encouraging weight gain. Eat plenty of fresh fruit and vegetables rich in vitamins and minerals, opt for whole grain sources of carbohydrates, up your intake of omega-3 with lots of oily fish and include a source of protein in every meal
- Think about drinks Its not just what you eat, but also what you drink that matters. Ensure you drink at least 1.5 litres of plain, still water a day to keep you hydrated and your bowels moving regularly. Also, try to avoid sugary drinks, alcohol and caffeine as much as possible as these can put a strain on the endocrine system and make you feel anxious or jittery
- Stress Stress can be exacerbated during the menopause so its important to not let it get on top of you. Practice breathing exercises, or try taking part in a yoga class after work, above all else make sure you take time out to do things you enjoy and take your mind off the stresses of modern life
- Exercise – Regular moderate exercise can help with many of the symptoms of menopause. It can help support your mood, sleep, body weight and often helps to keep pesky food cravings under control too!