Menopause

3 mature women walking

Menopause is a natural biological process that marks the end of a woman’s reproductive period. It usually occurs in women between the ages of 45 and 55, but can occur earlier or later. Menopause is characterized by a decrease in the production of estrogen and progesterone, which are the hormones produced by the ovaries and responsible for regulating a woman’s menstrual cycle.

Fun Fact / Menopause has a very strong genetic component. You are likely to experience menopause within a few years (either way) as the age your mother was. 

Signs of Menopause Infographic

Menopause symptoms can be very bothersome to some patients. Some of the most common symptoms include hot flashes, night sweats, vaginal dryness, mood swings, and difficulty sleeping. Women may also experience changes in their libido and experience vaginal atrophy, which can make sex painful.

Fun Fact / The hormonal changes associated with menopause make you more inclined to gain weight around your midsection. Belly fat accumulation is linked to declining estrogen levels as well as genetics and lifestyle. 

There are several ways to manage the symptoms of menopause. One of the most effective ways is hormone replacement therapy (HRT), which involves taking medications that contain estrogen and progesterone. HRT can help alleviate symptoms such as hot flashes, vaginal dryness, and mood swings. However, it is important to note that HRT may increase the risk of certain health problems, such as blood clots, stroke, and breast cancer, so it is important to discuss the risks and benefits of HRT with a healthcare provider.

There are also several non-hormonal remedies that can help manage menopausal symptoms. Lifestyle changes, such as regular exercise, a healthy diet, and stress reduction techniques, can help alleviate symptoms such as hot flashes and mood swings. Over-the-counter medications such as ibuprofen and acetaminophen can also help relieve symptoms such as headaches and joint pain.

Vaginal moisturizers and lubricants can help alleviate vaginal dryness, and there are also prescription medications available that can help improve vaginal health. Women who experience painful intercourse may also benefit from the use of vaginal dilators, which can help stretch and strengthen the vaginal muscles.

Fun Fact / Replens is an OTC vaginal moisturizer that I like to relate to a hair-mask for your hair. It is more like a deep conditioner for your vaginal tissues. Replens should be used 3 times a day for best results and help to lubricate the vaginal tissues. Replens creates a moist film that attaches to the epithelial cell surface. Due to the increased hydration of teh epithelium the vaginal wall is lubricated reducing the incidence of vaginal irritation, skin breakdown, itching and pain. 

The stages of menopause are:

  1. Perimenopause: This stage can begin several years before menopause and is marked by changes in the menstrual cycle, such as irregular periods, heavy bleeding, or shorter or longer cycles. Women may also experience symptoms such as hot flashes, night sweats, vaginal dryness, mood swings, and fatigue.

Fun Fact / Most people relate menopause to the end of vaginal bleeding, but the perimenopause stage can cause erratic cycles that lead to heavier bleeding or even multiple periods in a month. For this reason people often don’t associate these cycle changes with menopause. 

  1. Menopause: Menopause is defined as the point in time when a woman has not had a menstrual period for 12 consecutive months. At this stage, the ovaries stop producing eggs and estrogen levels decline significantly. Menopausal symptoms may continue for several years.
  2. Postmenopause: This stage begins after menopause and lasts for the rest of a woman’s life. Estrogen levels remain low, which can increase the risk of certain health conditions such as osteoporosis, heart disease, and vaginal atrophy. Women may continue to experience symptoms such as hot flashes and mood swings.
Symptoms of Menopause Infographic

It’s important for women to maintain regular check-ups with their healthcare provider during this time and discuss any concerns or questions they have about menopause and its effects on their health. For more information on menopause, visit the American College of Obstetricians and Gynecologists.

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