Peri Meno & Post: When Does The Change Happen
Your hormones can begin decreasing in your 30s and may continue well into your 40s and 50s. This is called perimenopause or the transition to menopause for most women.
The average age of menopause for US women is 51. Most women reach this milestone somewhere between ages 45 and 55.
Once your period has stopped for 12 months, you are considered in menopause and enter the postmenopause stage of life.
Home Remedies: Vitamin E Black Cohosh And Herbs
Some women report that vitamin Esupplements can provide relief from mild hot flashes, but scientific studies are lacking to prove the effectiveness of vitamin E in relieving symptoms of menopause. Taking a dosage greater than 400 international units of vitamin E may not be safe, since some studies have suggested that greater dosages may be associated with cardiovascular disease risk.
Other alternative therapies for menopause symptoms
There are many supplements and substances that have been advertised as “natural” treatments for symptoms of menopause, including licorice, dong Quai, chaste berry, and wild yam. Scientific studies have not proven the safety or effectiveness of these products.
What Conditions Can Cause Early Menopause
Certain medical and surgical conditions can influence the timing of menopause.
Surgical removal of the ovaries
The surgical removal of the ovaries in an ovulating woman will result in an immediate menopause, sometimes termed a surgical menopause, or induced menopause. In this case, there is no perimenopause, and after surgery, a woman will generally experience the signs and symptoms of menopause. In cases of surgical menopause, women often report that the abrupt onset of menopausal symptoms results in particularly severe symptoms, but this is not always the case.
The ovaries are often removed together with the removal of the uterus . If a hysterectomy is performed without removal of both ovaries in a woman who has not yet reached menopause, the remaining ovary or ovaries are still capable of normal hormone production. While a woman cannot menstruate after the uterus is removed by a hysterectomy, the ovaries themselves can continue to produce hormones up until the normal time when menopause would naturally occur. At this time, a woman could experience the other symptoms of menopause such as hot flashes and mood swings. These symptoms would then not be associated with the cessation of menstruation. Another possibility is that premature ovarian failure will occur earlier than the expected time of menopause, as early as one to two years following the hysterectomy. If this happens, a woman may or may not experience symptoms of menopause.
Cancer chemotherapy and radiation therapy
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Home Remedies: 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.
What Are The Stages
The process happens slowly over three stages:
Perimenopause. Your cycles will become irregular, but they havenât stopped. Most women hit this stage around age 47. Even though you might notice symptoms like hot flashes, you can still get pregnant.
Menopause. This is when youâll have your final menstrual period. You wonât know for sure itâs happened until youâve gone a year without one. Hot flashes, vaginal dryness, sleep problems, and other symptoms are common in this stage.
Postmenopause. This begins when you hit the year mark from your final period. Once that happens, youâll be referred to as postmenopausal for the rest of your life. Keep in mind that after more than 1 year of no menstrual periods due to menopause, vaginal bleeding isn’t normal, so tell your doctor if you have any ASAP.
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Menopause: Changes And Challenges
Alta Bates Summit Medical CenterBerkeley, California
US Pharm. 2018 43:13-16.
Menopause is the cessation of menstruation in a woman, typically occurring between the ages of 45 and 55 years. Smokers and women with chronic diseases may experience earlier menopause.1 This is a natural biological process, not a disease.
Menopause and perimenopausethe period of transition beginning 2 to 8 years before and lasting up to 1 year after a womans final menstrual periodoccur because as women get older, the ovaries begin to shut down.1 Eventually, ovaries stop producing estrogen and other hormones. Since the body has depended on these hormones for years, when hormone levels decrease, the changes are noticeable and may result in emotional reactions and bodily changes.2 These may include physical symptoms, such as hot flashes, decreased energy levels, and sleep disruption, as well as mood-related symptoms, such as anxiety and depression. Over time, these symptoms gradually disappear.1 Although menopause ends fertility, women can stay healthy, vital, and sexual. This article will briefly review the physiology and types of menopause, signs and symptoms, and symptomatic treatment.
Understand Your Bodys Changes At Menopause
It is important to understand the changes your body is going through before, during and after menopause. There are many different sources of information available. Make sure you seek out reputable websites and brochures that provide up-to-date, non-biased information from organisations that specialise in womens health.
Some examples include:
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Treatments For Menopausal Symptoms
Your GP can offer treatments and suggest lifestyle changes if you have severe menopausal symptoms that interfere with your day-to-day life.
- hormone replacement therapy tablets, skin patches, gels and implants that relieve menopausal symptoms by replacing oestrogen
- vaginal oestrogen creams, lubricants or moisturisers for vaginal dryness
- cognitive behavioural therapy a type of talking therapy that can help with low mood and anxiety
- eating a healthy, balanced diet and exercising regularly maintaining a healthy weight and staying fit and strong can improve some menopausal symptoms
Your GP may refer you to a menopause specialist if your symptoms do not improve after trying treatment or if you’re unable to take HRT.
Why Exercise Is Important
Though frequent workouts havent been proven as a means of reducing menopausal symptoms, they can ease the transition by helping to relieve stress and enhance your overall quality of life.
Regular exercise is also an excellent way to stave off weight gain and loss of muscle mass, which are two frequent symptoms of menopause.
Most healthy women should aim for at least 150 minutes of moderate aerobic activity, or 75 minutes of vigorous aerobic activity a week, according to the
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Menopause Care Tips: How To Take Care Of Yourself During Menopause
Menopause is a fact of life for women, but the transition isnt something to dread. Changes occur that impact the body and mind, but treatment is available every step of the way. At Southside Medical Center in Atlanta, GA, we are committed to offering world-class menopause care to our female patients.
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.
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Prescription And Nonprescription Remedies
A number of non-hormonal remedies are available for the treatment of hot flashes. Some of these remedies are available over-the-counter but are not FDA-approved. Some prescription medications are used off label to help reduce hot flashes. Using a product “off label” means that it is not FDA-approved for the treatment of hot flashes, but is often used because it can be safe and effective for hot flash treatment.
When Do I Know That Im Having A Hot Flash
During a hot flash, youll likely feel your body temperature rise. Hot flashes affect the top half of your body, and your skin may even turn red in color or become blotchy. This rush of heat could lead to sweating, heart palpitations, and feelings of dizziness. After the hot flash, you may feel cold.
Hot flashes may come on daily or even multiple times a day. You may experience them over the course of a year or even several years.
Avoiding triggers may reduce the number of hot flashes you experience. These can include:
- consuming alcohol or caffeine
Being overweight and smoking may also make hot flashes worse.
A few techniques may help reduce your hot flashes and their symptoms:
- Dress in layers to help with hot flashes, and use a fan in your home or office space.
- Do breathing exercises during a hot flash to try to minimize it.
Medications such as birth control pills, hormone therapy, or even other prescriptions may help you reduce hot flashes. See your doctor if youre having difficulty managing hot flashes on your own.
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What Are Premature Menopause Early Menopause And Primary Ovarian Insufficiency
Premature menopause and early menopause are conditions where a woman goes through menopause at an earlier age than is typically expected. Both conditions can result in women being unable to become pregnant. If there is no obvious medical or surgical cause for the premature menopause, this is called primary ovarian insufficiency . Primary ovarian insufficiency is also referred to as premature ovarian insufficiency.
The name premature ovarian failure is no longer used because women who are told they have early menopause can have intermittent ovulation, menstrual bleeding or even pregnancy after being told they have ovarian failure.
How Can I Reduce My Risk Of Perimenopause Complications
Irregular periods are the most common symptom of perimenopause. But its important to know when to talk to your healthcare provider about your periods. Sometimes, irregular bleeding can point to an underlying problem.
You can lower your risk of complications by seeking treatment when necessary. Talk to your healthcare provider if you:
- Bleed for more than seven days in a row.
- Bleed between periods.
- Change pads or tampons every one to two hours.
- Have periods more frequently than every 21 days.
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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.
Can I Get Pregnant If I Am Perimenopausal
Yes. Despite a decline in fertility during the perimenopause stage, you can still become pregnant. If you do not want to become pregnant, you should use some form of birth control until you reach menopause .
For some women, getting pregnant can be difficult once they are in their late 30s to early 40s due to a drop in fertility. If becoming pregnant is the goal, there are treatments that can help you get pregnant.
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Third Stage: Post Menopausal
Post menopause is the stage when a woman has hurdled over the first two stages. Even at this stage, a woman can still experience some of the symptoms. At this point, however, the biggest difficulty that a woman will face is the higher risk of heart attack, stroke and osteoporosis which are all said to be affected by low estrogen levels.
What Does Estrogen Do
The ovaries are the primary producers of estrogen. Estrogen triggers female sex characteristics like breasts and broader hips during puberty. This collection of hormones is also responsible for regulating the menstrual cycle throughout the childbearing years and initiating lactation after pregnancy.
Estrogen also plays a role in bone health by working with vital nutrients to rebuild bone structures. Skin, hair, mucous membranes, pelvic muscles, and the brain are also impacted by estrogen.
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Dealing With The Symptoms Of Menopause
You could argue that the physical and mental changes that occur during menopause aren’t really “symptoms.” The term is usually associated with a disease, which menopause is not. Also, it is often hard to say which changes are a direct result of a drop in hormone levels and which are natural consequences of aging. Some of the symptoms overlap or have a cascade effect. For example, vaginal dryness may contribute to a lower sex drive, and frequent nighttime hot flashes may be a factor in insomnia.
Hot flashes and vaginal dryness are the two symptoms most frequently linked with menopause. Other symptoms associated with menopause include sleep disturbances, urinary complaints, sexual dysfunction, mood changes, and quality of life. However, these symptoms don’t consistently correlate with the hormone changes seen with menopause transition.
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 Can I Do To Prevent Osteoporosis
Osteoporosis isnt entirely preventable, but you can take steps to strengthen your bones. Eating foods high in calcium like cheese, yogurt, spinach or fortified cereals can help boost calcium intake. Adding a calcium supplement can also help. Some people also need a vitamin D supplement because it helps their body absorb calcium.
Update Your Vitamin Regime
Updating your vitamin regime is surely one of the best things to do during menopause. You shouldnt be taking the same multivitamins you have been taking for a long time.
Your body has different needs so you should review the label on your multivitamin. You can also try menopausal supplements which can help you minimize or even get rid of the dreaded symptoms of menopause.
Women who are at the menopausal stage of their lives should take around 400IUs of vitamin E, 1250 mg of calcium, 400 mg of folic acid, 100 mg of vitamin B6, 1000 mg of vitamin C, 500 mg of magnesium and 1200 IUs of vitamin D.
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What Are The Health Risks In Getting Pregnant During Menopause
Some women find themselves waiting longer to have children in order to finish school and work on their career. The rise of easily-available birth control also makes it easier for women to control when they want to become mothers. Due to this and other factors, more and more women in their 30s and 40s are having children, or even becoming first-time mothers. Along with fertility drugs, hormonal therapy, and artificial implantation methods, this later-age motherhood is becoming more normal.
Menopause is not official at the beginning of developing menopausal symptoms. The body may still be making the transition. You will know if you are in the postmenopausal stage if your period has been gone for one full year. During this time, there are a number of complications that are associated, including in labor and delivery.
A womans eggs are developed in a finite number at her birth. With time as she ages, the eggs age as well. Sometimes they may develop chromosomal abnormalities, which decrease the likelihood of getting pregnant naturally. This may also increase the risk of Down syndrome. But if a healthy egg is successfully released she can still become pregnant, even while experiencing perimenopause symptoms.
What Are The Symptoms Of Perimenopause
During perimenopause, most women have menopause-like symptoms. You might have:
The decrease in estrogen also can lead to bone thinning or changing cholesterol levels. During perimenopause, your risk for osteopenia and heart disease increases. Continue to have regular checkups with your healthcare provider to keep an eye on your health. Your provider may recommend lifestyle changes or treatment options to lower your health risks.
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Vaginal Lubricants For Menopause Symptoms
In women for whom oral or vaginal estrogens are deemed inappropriate, such as breast cancer survivors, or women who do not wish to take oral or vaginal estrogen, there are varieties of over-the-counter vaginal lubricants. However, they are probably not as effective in relieving vaginal symptoms as replacing the estrogen deficiency with oral or local estrogen.