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What Are The Most Common Side Effects Of Menopause

Hysterectomy Risks And Potential Complications

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When the ovaries remain intact after hysterectomy, the patient can experience menopausal symptoms within 5 years, resulting from the change in normal blood supply to the ovaries.;

With the ovaries removed, the production of the female reproductive hormones will stop, causing the patient to enter surgical menopause immediately.

Women entering early menopause have a higher risk of cardiovascular disease, Alzheimers disease, and osteoporosis . This is more relevant for younger women and those reaching menopause before the age of 50. Hormone replacement therapy to replace the lost estrogen can be effective in such cases.

Hysterectomy can also lead to the development of abnormal blood fat levels and high blood pressure. The risks of coronary artery disease and congestive heart failure are also shown to be higher.;

Some gynecologists are suggesting women opt for nonsurgical alternative therapies for treating conditions like fibroids, endometriosis, and prolapse before choosing the surgical route.

Menopause And Weight Gain

According to a 2017 article, most people experience some weight gain around menopause, but those who did not have overweight before entering menopause can usually manage this with lifestyle measures.

The Office for Womens Health note that many people gain an average of 5 pounds after menopause.

Reasons for weight gain may include:

  • increased hunger due to changes in the hormones that control hunger
  • changes to metabolism, due to hormonal factors
  • eating less healthfully
  • factors relating to midlife

Anyone who has concerns about weight gain should speak to a dietitian or doctor about suitable options, which will likely include dietary and exercise choices. Avoiding excess weight can help reduce the risk of various health problems in the long-term.

People who have obesity before or during menopause are more likely to experience hot flashes and other symptoms. Losing weight can help a person manage some of these challenges.

Click here for some tips on how to manage weight gain around menopause.

Many people say they have difficulty focusing and remembering things during menopause. Some call this brain fog. Stress is a significant factor.

Reasons for stress may include:

  • the impact of physical changes
  • domestic, professional, and other pressures
  • concerns about aging

Ways of managing stress and thinking problems include:

What is brain fog, and who can have it? Find out here.

What Is A Hysterectomy

A hysterectomy is a surgical procedure that commonly involves removing the womans uterus. Your doctor may recommend a hysterectomy for a variety of reasons including:

  • Noncancerous growths in the uterus called uterine fibroids
  • Heavy, lengthy, or otherwise unusual vaginal bleeding
  • Abnormal slippage of the uterus into the vagina called uterine prolapse
  • Severe pain and bleeding caused by endometriosis or adenomyosis
  • Cancer of the uterus, ovary, or cervix

The Different Types of Hysterectomies

It is valuable to note that not all hysterectomies are equal. In fact, there are three distinct versions of the procedure:

  • Total hysterectomy. This most frequently performed type of hysterectomy involves removing all of the uterus, including the cervix. Depending on the condition the procedure is meant to treat, the surgeon will remove the ovaries and fallopian tubes as well.
  • Partial hysterectomy. Sometimes called a subtotal or supracervical hysterectomy, this variation only removes the upper segment of the uterus and leaves the cervix in intact and in place. The ovaries also may be removed here.
  • Radical hysterectomy. As the name may suggest, the radical hysterectomy removes a larger portion than other hysterectomy variations including the entire uterus, the cervix, the tissue surrounding the cervix, and the upper part of the vagina. This type of hysterectomy is usually reserved as a treatment for cervical and other cancers.

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Prioritize Sleep And Relaxation

In addition to a hormone balancing diet you can help balance hormones naturally with simple lifestyle changes, starting with a sleep routine and schedule that spans over the weekend. Theres a significant relationship between cortisol and sleep, the infamous stress hormone can leave your adrenal glands depleted when its overactive.;

Our Tip: Leave the phone one hour before bed, avoid caffeine after 2:00 PM, and make relaxation time part of your schedule.

Is Weight Gain A Side Effect Of Prolia

Side Effects of HRT

No, weight gain wasnt reported as a side effect of Prolia in clinical studies. But weight gain may be a symptom of a side effect called peripheral edema.

With peripheral edema, fluid builds up in your body and causes swelling in your arms and lower legs. This can cause your weight to change and may explain any weight gain since starting Prolia treatment.

Peripheral edema is a less common side effect that was reported in clinical studies of females* who received Prolia for osteoporosis after menopause.

If youre concerned about unexplained weight gain while using Prolia, talk with your doctor.

* Sex and gender exist on spectrums. Use of the term female in this article refers to sex assigned at birth.

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What Else Causes Insomnia

Sleepless nights arent uncommon. In fact, most people will face a night or two of restless sleep quite frequently. Common causes include:

  • Stress. Work, family, and personal relationships can take their toll on more than just your mental health. They can affect your sleep, too.
  • Mental health disorders. If you have anxiety, depression, or other mental health disorders, youre at a greater risk for experiencing insomnia. Many of these disorders, in addition to emotional symptoms, can cause sleep disruption.
  • Certain dietary habits. Eating too late in the evening can affect your digestion, and in turn, your bodys ability to sleep. Drinking stimulants such as coffee, tea, or alcohol can also disrupt your bodys sleep cycle.
  • Travel for work. If you have more sky miles than car miles, your sleep schedule is likely affected. Jet lag and time zone changes can take a toll, both in the short term and in the long term.

Your risk for insomnia also increases as you age, especially if youre over age 60. This is because of the natural changes in your bodys sleep cycle.

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 .

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When To See Your Gp

It’s worth talking to your GP if you have menopausal symptoms that are troubling you or if you’re experiencing symptoms of the menopause before 45 years of age.

Your GP can usually confirm whether you are menopausal based on your symptoms, but a;blood test;to measure your hormone levels may be carried out if you’re aged 40 to 45.

Blood tests may also be carried out to help diagnose suspected premature menopause if youre under 40 and have menopausal symptoms.

What Are The Long

Side effects w/ a menopause mustache

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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Side Effects Of Hormonal Therapy

    Side effects can happen with any type of treatment for cancer, but everyones experience is different. Some people have many side effects. Other people have few or none at all.

    If you develop side effects, they can happen any time during, immediately after or a few days or weeks after hormonal therapy. Sometimes late side effects develop months or years after hormonal therapy. Most side effects go away on their own or can be treated, but some side effects may last a long time or become permanent.

    Side effects of hormonal therapy will depend mainly on the type of hormonal therapy, the dose of a drug or combination of drugs and your overall health.

    It is important to report side effects and your concerns about side effects to the healthcare team. Doctors may measure how severe certain side effects are. Sometimes hormonal drug therapy may need to be adjusted if side effects are severe.

    The following are the most common side effects that people tend to experience with hormonal therapy.

    The Period Of Menopause

    As we age, our body follows the process. We might see the wrinkles on our skin and the gray hairs appearing, but we do not really see the internal changes that are happening in our bodies as we grow older. One of the biggest changes in a womans life is the period of menopause. Menopause refers to the end of menstruation in a womans life as a result of the hormonal changes that occur. When the menstruation stops permanently, naturally it means that every possibility of future pregnancies disappears as eggs are no longer released into the ovaries to be fertilized. The hormonal changes refer to the decreased production of estrogen and progesterone the two main hormones in women. But, the lack of menstruations is not the only symptom of menopause. Lets see what are the other symptoms of menopause!

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    Are There Any Risks Related To Hormone Therapy

    Like most prescribed medications, there are risks for hormone therapy. Some known health risks include:

    • Endometrial cancer .
    • Gallstones and gallbladder issues.

    Going on hormone therapy is an individualized decision. Discuss all past medical conditions and your family history with your healthcare provider to understand the risks versus benefits of hormone therapy for you.

    Will I Still Enjoy Sex After Menopause

    Early Menopause Risks and Side Effects

    You should still be able to enjoy sex after menopause. Sometimes, decreased sex drive is related to discomfort and painful intercourse. After treating the source of this pain , many women are able to enjoy intimacy again. Hormone therapy can also help many women. If you are having difficulties enjoying sex after menopause, talk to your healthcare provider.

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    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.

    How Is Menopause Diagnosed

    There are several ways your healthcare provider can diagnose menopause. The first is discussing your menstrual cycle over the last year. If you have gone a full year without a period, you may be postmenopausal. Another way your provider can check if you are going through menopause is a blood test that checks your follicle stimulating hormone level. FSH is a hormone produced by the pituitary gland this gland is located at the base of your brain. However, this test can be misleading during the beginning of menopause when your body is transitioning and your hormone levels are fluctuating up and down. Hormone testing always need to be interpreted in the context of what is happening with the menstrual period.

    For many women, a blood test is not necessary. If you are having the symptoms of menopause and your periods have been irregular, talk to your healthcare provider. Your provider may be able to diagnose menopause after your conversation.

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    What Are The Hormonal Changes During Menopause

    The traditional changes we think of as “menopause” happen when the ovaries no longer produce high levels of hormones. The ovaries are the reproductive glands that store eggs and release them into the fallopian tubes. They also produce the female hormones estrogen and progesterone as well as testosterone. Together, estrogen and progesterone control menstruation. Estrogen also influences how the body uses calcium and maintains cholesterol levels in the blood.

    As menopause nears, the ovaries no longer release eggs into the fallopian tubes, and youll have your last menstrual cycle.

    Important Questions To Ask About Menopause Hormone Medicines

    Hot in Here: Coping With Symptoms of Early Menopause
    • Are hormones right for me? Why?
    • What are the benefits?
    • What are the serious risks and common side effects?
    • How long should I use hormone therapy?
    • What is the lowest dose that will work for me?
    • Are there any non-hormone medicines that I can take?

    Want more information about menopause? Check the FDA website at:

    The drug and risk information in this booklet may change. Check for the latest facts on each product listed in this booklet.

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    What Is Hormone Replacement Therapy

    Hormone replacement therapy is a treatment for menopause symptoms. It involves taking synthetic hormones . HRT can involve taking estrogen alone or estrogen combined with another hormone, progestin. Some people have found that HRT can relieve menopause symptoms. These symptoms include hot flashes, vaginal dryness, and some urinary problems. However, HRT is not for everyone. Recent studies suggest that for most people, the risks of using HRT may outweigh the benefits. Talk to your doctor about the risks and benefits of HRT.

    The American Academy of Family Physicians recommends;against;the use of combined estrogen and progestin for the prevention of;chronic;conditions in postmenopausal women. The AAFP also recommends;against;the use of estrogen for the prevention of chronic conditions in postmenopausal women who have had a;hysterectomy.

    According to the AAFP, This recommendation applies to postmenopausal women who are considering hormone replacement therapy for the primary prevention of chronic medical conditions. It does not apply to women who are considering hormone therapy for the management of menopausal symptoms, or to women who have had premature menopause , or surgical menopause.

    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

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    Home Remedies: Plant Estrogens

    Plant estrogens

    Isoflavones are chemical compounds found in soy and other plants that are phytoestrogens, or plant-derived estrogens. There is a perception among many women that plant estrogens are “natural” and therefore safer than HT, but medical researchers haven’t proven this scientifically. Most scientific studies have not shown a benefit of phytoestrogens in controlling hot flashes. In addition, there is concern that some phytoestrogens might act like estrogen in some tissues of the body. Therefore, many experts recommend that women who have a history of breast cancer avoid phytoestrogens.

    Increased Risk Of Some Health Conditions

    Pin on Menopause infographics

    After menopause, the risk of certain health issues appears to increase. Menopause does not cause these conditions, but the hormonal changes involved may play some role.

    Osteoporosis: This is a long-term condition in which bone strength and density decrease. A doctor may recommend taking vitamin D supplements and eating more calcium-rich foods to maintain bone strength.

    Cardiovascular disease: The American Heart Association note that, while a decline in estrogen due to menopause may increase the risk of cardiovascular disease, taking hormone therapy will not reduce this risk.

    Breast cancer: Some types of breast cancer are more likely to develop after menopause. Menopause breast cancer, but hormonal changes involved appear to increase the risk.

    Skin changes can also occur around the time of menopause. Find out more.

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