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Is Nausea A Symptom Of Menopause

What Are The Hormonal Changes During Perimenopause

Nausea Menopause Relief | Best Treatment Methods

The hormonal changes you experience during perimenopause are mostly caused by declining estrogen levels. Your ovaries make estrogen, which plays a vital role in maintaining the reproductive system. Once you enter perimenopause, your estrogen levels start to decrease. As estrogen decreases, it throws off the balance with progesterone, another hormone produces by the ovaries. These two hormones together are responsible for ovulation and menstruation. Its common for hormone levels to fluctuate during perimenopause to go up and down like a rollercoaster.

When you reach menopause, your body makes so little estrogen that your ovaries no longer release eggs. At this point, you stop having your period.

Menopause & Nausea What Can You Do

Nausea isnt something you really expect to associate with menopause. Its more commonly linked to pregnancy, or that time of the month. So those of us who suffer from nausea as a symptom of menopause are often taken-aback. Feeling nauseous has a massive impact on your day you cant focus, you dont feel up to doing anything and in the end its a similar feeling to being under-the-weather.

How Is Perimenopause Diagnosed

You dont always need to see a healthcare provider for a perimenopause diagnosis. Many people notice and tolerate the changes in their bodies without a formal diagnosis. If you have symptoms that interfere with your daily activities, see a healthcare provider.

You should reach out to your healthcare provider right away if you have:

  • Blood clots in menstrual discharge.
  • Spotting between periods.
  • Emotional symptoms interfering with your ability to function on a daily basis.

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There can be other factors too so well have a little look at those.

Liver stress

One of the main issues in the menopause is liver stress and I have talked, on a number of occasions, about how important good liver function is to actually see you through the menopause. So the falling hormones can actually stress the liver and if the liver becomes stressed, that will affect your digestion. It can slow everything down. It can also affect the way that your food is broken down in the stomach. And a lot of women find, at this particular point, that they can end up with nausea after eating maybe a heavy meal or after eating a particularly fatty meal. And this seems one of the most common types of nausea that you will actually get.

Low blood sugar levels

Lifestyle Changes To Help Ease Perimenopausal Symptoms

34 Menopause Symptoms and Nausea

1. Diet

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.

3. Exercise

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

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Your Health Questions Answered

  • Answered by: Dr Roger HendersonAnswered: 21/10/2021

    Just like during pregnancy, nausea during the menopause can be worse in the morning. During the perimenopause, it may also be associated with symptoms of premenstrual syndrome . Its still possible to get pregnant during the perimenopause, so if you get morning sickness at this time you should do a pregnancy test if theres a possibility you could be pregnant.

Can My Diet Affect How Well I Sleep

The following tips can help reduce sleep problems:

  • Eat regular meals at regular times.
  • Avoid late-night meals and heavy late-night snacks.
  • Limit caffeine, which is found in coffee, tea, chocolate, and cola drinks. Caffeine stays in the bloodstream for up to 6 hours and can interfere with sleep.
  • Avoid alcohol. It may make you feel sleepy, but it actually affects the cycle of REM and non-REM sleep. This may cause you to wake up throughout the night.

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What About Conventional Remedies

If you have not found a combination of home and herbal remedies to be effective, then it may be time to look for a conventional medicine. It is important to consult your doctor, before taking medications, as then you will be able to find the most effective treatment for you. Treatments include antihistamines and steroid treatments.

If your nausea is a side-effect of HRT then you may be able to find an alternative type of treatment. You will need to consult with your doctor to see what is available and suited to you.

Why Does Menopause Trigger Nausea

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The exact link between menopause and nausea is unclear, but it may be due to hormonal changes. Pregnant women experience morning sickness due to hormone fluctuations, and the same may go for menopause.

Plus, a drop in hormones may result in other gastrointestinal symptoms like bloating, indigestion, and heartburn, which are all other triggers of nausea in menopause.

Nausea may also be worsened by stress and fatigue, which are also common in menopausal women. You may find relief from your nausea by treating and managing your stress and fatigue.

Menopausal hot flashes, causing an intense feeling of burning and rising temperatures followed by shivering and chills, also can bring about nausea.

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Useful Resources On Menopause

There was one book that was detailed and helpful and that was Miriam Stoppards Menopause: The Complete Guide to Maintaining Health and Well-being and Managing Your Life. It was, at the time, and in the bookshops I was looking in , the only one that seemed based on real experience, was written by a female doctor who had clearly been there, and was evidenced-based. Ive just looked up the latest edition, and it is better than ever and I would recommend it whole heartedly. It gave me a context to see my own symptoms in, was clear about where possible therapies were evidence-based and where they were not, and was accessibly and confidently written.

Im also now aware of work being done by the Health Experiences Research Group which has produced much of the material for the healthtalk site, which includes films of women talking about their experience of menopause. Jenny Hislop, who worked on this project, has written about this in her Evidently Cochrane blog Lets talk about the menopause. You can also find the healthtalk section on Menopause here and its terrific. If only I had been able to access it, it would have saved me a lot of worry and uncertainty, and stopped me thinking that I had become a wild, emotionally unstable woman for ever!

Indigestion Nausea And Bloating More Common During Menopause In Certain Ethnic Groups

New study suggests association of race/ethnicity and menopause status with gastrointestinal problems during menopause transition

The North American Menopause Society

CLEVELAND, Ohio Hormonal changes during the menopause transition have been shown to affect a womans gastrointestinal functions with some unpleasant results such as nausea, bloating, and abdominal pain. A new study suggests that a womans race/ethnicity and menopause status may partially determine the severity of these symptoms. Study results are published online today in Menopause, the journal of The North American Menopause Society .

With the menopause transition, the level of estrogen decreases and cortisol levels increase. This change initiates an increase in adrenalin, which leads to changes in digestive functions and a variety of digestive symptoms. For example, gas could build up with bloating. Foods could go through the GI tract without being fully broken down, resulting in constipation. Acid could break the mucous lining of the stomach wall, resulting in abdominal pain and/or indigestion. Other common GI problems include vomiting, diarrhea, loss of appetite, weight loss or gain, and heartburn.

Study results are published in the article Gastrointestinal symptoms in four major racial/ethnic groups of midlife women: race/ethnicity and menopausal status.

For more information about menopause and healthy aging, visit


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The Best Foods For Nausea

Healthy eating and regular exercise are good ways to manage nausea and other perimenopausal symptoms.

Tell Me What to Eat as I Approach Menopause, a book by Elaine Magee, discusses the best foods and drinks for a perimenopausal diet.

Not only do they relieve the symptoms of perimenopause, but they also promote weight management and heart health. To manage nausea, Magee offers the following tips:

  • Eat more soy-based products. Soy and soy isoflavones support a broad range of perimenopausal symptoms, including nausea.
  • Eat more fruits and vegetables. Plant-based foods contain plant estrogens called phytoestrogens that may alleviate nausea.
  • Replace bad fats with good fats. Omega-3 fatty acids, which are found in fish and nuts, may ease perimenopausal symptoms.
  • Eliminate caffeinated drinks. Replace coffee and soft drinks with water and unsweetened fruit and vegetable juices.
  • Avoid greasy, fatty, and sugary foods. They can wreak havoc on your hormones, leading to nausea and other perimenopausal symptoms.
  • Eliminate the large meals. Instead of eating three large meals, eat several smaller meals throughout the day.
  • Exercise on a regular basis. Physical activity combats stress and fatigue, which may contribute to nausea.

Regular exercise like swimming can reduce perimenopause symptoms.

Gut Feelings Our Hormone Levels Can Cause Menopause Digestion Problems

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Oestrogen tends to stimulate the muscle that lines the length of the intestine progesterone has a more relaxing effect. This causes a natural equilibrium. However, during the menopause, our hormone levels change and oestrogen levels drop, disrupting this natural rhythm.

The result: indigestion, bloating, wind, constipation and diarrhoea.

Naturally, you may think that your sex hormones are only active within your reproductive area. However, researchers have discovered that cells in the intestine lining also have receptor sites for oestrogen and progesterone.

What this means the hormones normally regulating your menstrual cycle also have an impact on your digestion.

When oestrogen levels drop, the natural rhythm in the gut can be disrupted. This has the potential to affect the movement of food and waste products.

The result: indigestion, bloating, wind, constipation and diarrhoea. The menopause, water retention and bloating often go hand-in-hand. For some women, this can become a more persistent and prominent health concern.

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How Common Is Nausea During Menopause

Although not one of the more well-known symptoms, nausea during menopause is a fairly common phenomenon. It is not fully understood why some women develop nausea, and sometimes vomiting, during this time, but it is believed it probably has something to do with dramatic fluctuations in hormones. This is similar to the morning sickness women experience during early pregnancy. As with morning sickness, nausea associated with menopause may be exacerbated by certain things and usually subsides over time.

There is no actual cure for nausea during menopause, although there are some treatments which may help. Eating six small meals a day instead of three large ones is one tactic, and it works because it keeps blood sugar steady throughout the day. Saltine crackers ginger, staying hydrated, and sucking on hard candies are other methods. For very severe nausea, especially if it is accompanied my vomiting or other digestive upset, a prescription anti-nausea medication may be given to alleviate symptoms.

Changes To Your Periods

The first sign of the menopause is usually a change in the normal pattern of your periods.

You may start having either unusually light or heavy periods.

The frequency of your periods may also be affected. You may have them every 2 or 3 weeks, or you may not have them for months at a time.

Eventually, you’ll stop having periods altogether.

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An Introduction To Nausea And Menopause

Nausea can be extremely unpleasant, and many people do not realise that it is sometimes a symptom of the menopause. Nausea most often occurs during the peri-menopause, and the symptom is usually at its worst in the morning. It can be accompanied by other PMS-like symptoms.

Nausea can be described as an uncomfortable feeling usually in the upper stomach, characterised by an urge to vomit. Although this feeling usually precedes vomiting, this is not always the case with the menopause.

Nausea may also be a side-effect of HRT. If this is the case, you may want to consider a different type of HRT, or an alternative.

How Does Menopause Affect Heart Health

Sleep problems during menopause & nausea

People are more likely to develop heart disease after menopause. Lower estrogen levels may be part of the cause. It also could be that other health issues that are more common as people get older. These include gaining weight, becoming less active, and developing high blood pressure or diabetes. You can reduce your risk of these health problems by eating a variety of healthy, nutrient-rich foods. It also helps to stay active and maintain an appropriate weight.

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Review Of Indian Literature On Postmenopausal Syndrome

The average age of menopause in India is 47.5 years, with an average life expectancy of 71 years. Therefore, Indian women are likely to spend almost 23.5 years in menopause .

About 3540% women between 40 and 65 years have been diagnosed to suffer from osteopenia and 830% suffer from osteoporosis. All women over 65 years have been found to suffer from osteopenia or osteoporosis .

A study which analyzed a sample consisting of menopausal, premenopausal and postmenopausal women in the age range of 3550 years using a two-stage screening procedure for identifying and screening psychiatric morbidity General Health Questionnaire and Standard Psychiatric Interview, found highest psychiatric co-morbidity in the menopausal group, in terms of age maximum number of cases with psychiatric co-morbidity were from 41 to 45 years. Menopausal women suffered more symptoms of menopause as well as psychiatric symptoms as compared to premenopausal women. Both set of symptoms was found to be less in the postmenopause group also. The most common reported symptoms in the group were depression, depressive thoughts, anxiety, and excessive concern about bodily functions. Supporting the findings of the earlier study the predominant symptom in menopausal women was depression.

Our Tips To Try For Relieving Nausea:

*BONUS: they may help other symptoms too*

Try taking your HRT at night with a well-balanced snack:

This can help keep your blood sugars balanced too. Cheese and crackers, toast and peanut butter, a couple pieces of fruit with some nuts are all great examples. If this doesnt help, discuss changing to another type of HRT with your doctor .

Try adding some phytoestrogen-rich foods into your diet:

This is not likely to make a life-changing difference but if your nausea symptoms are mild it may be worth a try. Phytoestrogens can weakly mimic estrogen in our body. Foods containing soy isoflavones and flaxseed lignans are the most well studied foods containing phytoestrogens. You can take these as a supplement or try to eat foods containing soy and/or flaxseed .

Try adding cinnamon to your drinks or food:

In a 2015 study, it was found that cinnamon significantly decreased the severity of nausea, among other symptoms, whilst on your period. Although not covered in the study, it could be worth a try in perimenopause. The study used 2.52g of cinnamon bark divided into 3 servings daily. Do not continue this over the long term.

Try adding ground or fresh ginger into your diet.

The positive effect of ginger on nausea makes it an age-old recommendation. You can try drinking a cup of warming ginger tea and see if it will bring you any relief!

Other Ideas with ginger:

If you have them, consider trying to manage your hot flashes.

Eat smaller portions more often.

Cooler foods and drinks.

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Nausea During Menopause: Why Does It Happen

For some women, nausea and menopause seem to come together as a package. When we look at what happens during perimenopause and menopause, it isnt surprising that this phase of life comes with so many physical symptoms.

During perimenopause, the ovaries start to shut down. This is because the ovaries have fewer eggs left, so their need to function decreases. As a result of this, the ovaries start to make less estrogen. The hormones dont stop all at once though they fluctuate quite a bit leading up to menopause. These fluctuations in hormone levels cause various symptoms including hot flashes, night sweats, vaginal dryness, mood swings, hair loss, and more.

It is thought that the decrease in progesterone levels can cause nausea in menopause. Progesterone is another hormone that is produced on a regular basis during your reproductive years. It is produced each month by the ovaries after ovulation and helps regulate your cycle.

Just like with estrogen, your ovaries also produce less progesterone approaching menopause. Research has shown that low progesterone levels can cause gastrointestinal problems such as bloating, indigestion, and heartburn. These side effects of low progesterone can also lead to nausea. Menopause has also been shown to cause higher levels of stress and fatigue. These too can lead to nausea during menopause.


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