About Menopause and Menopause Symptoms
Menopause is a normal part of life. It is one step in a long, slow
process of reproductive aging. For most women this process begins silently
somewhere around age 40 when periods may start to be less regular.
Declining levels of the hormones estrogen and progesterone cause changes in
your periods. These hormones are important for keeping the vagina and uterus
healthy as well as for normal menstrual cycles and for successful pregnancy.
Estrogen also helps to keep bones healthy. It helps women keep good
cholesterol levels in their blood. Some types of surgery can bring on
menopause. For instance, removal of your uterus (hysterectomy) will make
your periods stop. When both ovaries are removed (oophorectomy), menopause
symptoms may start right away, no matter what your age.
Menopause Symptoms,
Hormones and Change
What Are
the Signs of Menopause and Menopause Symptoms?
What
About Heart and Bones for Menopause Symptoms Relief?
How Can I Stay
Healthy Throughout Menopause?
What
About Hormone Replacement for Menopause Symptom Relief?
What about
Phytoestrogens for Menopause Symptom Relief?
A woman’s body changes throughout her lifetime. Many of those changes are
due to varying hormone levels that happen at different stages in life.
Puberty often starts when a girl is about 12 years old. Her body
changes—breasts and pubic hair develop, monthly periods begin. Menopausal
transition, commonly called perimenopause, is the time when a woman’s body
is closer to menopause. At this time, a woman’s periods may become less
regular, and she may start to feel menopause symptoms, such as hot flashes
and night sweats. Perimenopause usually begins about 2 to 4 years before the
last menstrual period. It lasts for about 1 year after your last period.
Menopause is marked by a woman’s last menstrual period. You cannot know for
sure what is your last period until you have been period free for 1 full
year. Postmenopause follows menopause and lasts the rest of your life.
Pregnancy is no longer possible. There may be some symptoms, such as vaginal
dryness, which may continue long after you have passed through menopause.
Changing hormone levels can cause a variety of symptoms that may last
from a few months to a few years or longer. Some women have slight
discomfort or worse. Others have little or no trouble. If any of these
changes bother you, check with your doctor. The most common symptoms are:
Changes in periods. One of the first signs may be a change in a woman’s
periods. Many women become less regular; some have a lighter flow than
normal; others have a heavier flow and may bleed a lot for many days.
Periods may come less than 3 weeks apart or last more than a week. There may
be spotting between periods. Women who have had problems with heavy
menstrual periods and cramps will find relief from these symptoms when
menopause starts.
Hot flashes. A hot flash is a sudden feeling of heat in the upper part or
all of your body. Your face and neck become flushed. Red blotches may appear
on your chest, back, and
arms. Heavy sweating and cold shivering can follow. Flashes can be as mild
as a light blush or severe enough to wake you from a sound sleep (called
night sweats). Most flashes last between 30 seconds and 5 minutes.
Problems with the vagina and bladder. The genital area can get drier and
thinner as estrogen levels change. This dryness may make sexual intercourse
painful. Vaginal infections can become more common. Some women have more
urinary tract infections. Other problems can make it hard to hold urine long
enough to get to the bathroom. Some women find that urine leaks during
exercise, sneezing, coughing, laughing, or running.
Sex. Some women find that their feelings about sex change with menopause.
Some have changes to the vagina, such as dryness, that makes sexual
intercourse painful. Others feel freer and sexier after menopause — relieved
that pregnancy is no longer a worry. Until you have had 1 full year without
a period, you should still use birth control if you do not want to become
pregnant. After menopause a woman can still get sexually transmitted
diseases (STDs), such as HIV/AIDS or gonorrhea. If you are worried about
STDs, make sure your partner uses a condom each time you have sex.
Sleep problems. Some women find they have a hard time getting a good
night’s sleep – they may not fall asleep easily or may wake too early. They
may need to go to the bathroom in the middle of the night and then find they
aren’t able to fall back to sleep. Hot flashes also may cause some women to
wake up.
Mood changes. There may be a relationship between changes in estrogen levels
and a woman’s mood. Shifts in mood may also be caused by stress, family
changes such as children leaving home, or feeling tired. Depression is NOT a
symptom of menopause.
Changes in your body. Some women find that their bodies change around the
time of menopause. With age, waists thicken, muscle mass is lost, fat tissue
may increase, skin may get thinner. Other women have memory problems, or
joint and muscle stiffness and pain. With regular exercise and attention to
diet, many of these changes may be eased or prevented.
You may not even notice two important changes that happen with menopause.
* Loss of bone tissue can weaken your bones and cause osteoporosis.
* Heart disease risk may grow, due to age-related increases in weight,
blood pressure, and cholesterol levels.
Osteoporosis. To maintain strong bones, the body is always breaking down
old bone and replacing it with new healthy bone. For women, the loss of
estrogen around the time of menopause causes more bone to be lost than is
replaced. If too much bone is lost, bones become thin and weak and can break
easily. Many people do not know they have weak bones until they break a
wrist, hip, or spine bone (vertebrae). Doctors can test bone density (bone
densitometry) to find out if you are at risk of osteoporosis. You can lower
your risk of bone loss and osteoporosis by making changes to your lifestyle
— regular weight-bearing exercise and getting plenty of calcium and vitamin
D can help. There are also drugs available that prevent bone loss. Talk to
your doctor to find out what is best for you.
Heart disease. Younger women have a lower risk of heart disease than do
men of the same age. But after menopause, a woman’s risk of heart disease is
almost the same as
a man’s. In fact, heart disease is the major cause of death in women,
killing more women than lung or breast cancer. It’s important to know your
blood pressure, and levels of cholesterol, HDL, triglycerides, and fasting
blood glucose. You can lower your chance of heart disease by eating a
healthy diet, not smoking, losing weight, and exercising regularly. There
are also drugs that can help. Talk to your doctor to be sure you are doing
everything possible to protect your heart.
To stay healthy you can make some changes in the way you live. For
example:
* Don’t smoke.
* Eat a healthy diet that is low in fat and cholesterol and moderate
in total fat. Your diet should aim to be high in fiber and include fruits,
vegetables, and whole-grain foods. It should also be well balanced in
vitamins and minerals, including calcium.
* Lose weight if you are overweight.
* Take part in weight-bearing exercise, such as walking, jogging,
running, or dancing, at least 3 days each week.
* Take medicine to lower your blood pressure if your doctor prescribes
it for you.
* For vaginal discomfort, use a water-based vaginal lubricant (not
petroleum jelly) or an estrogen cream.
* If you frequently feel an urgent need to urinate, ask your doctor
about techniques such as pelvic muscle exercises, biofeedback, and bladder
training that can help you improve muscle control.
* Be sure to get regular pelvic and breast exams, Pap tests, and
mammograms. Contact
your doctor right away if you notice a lump in your breast.
* If you are having hot flashes, keep a diary to track when they
happen. You may be able to use this information to help find out what
triggers them.
* Try these tips to help manage hot flashes:
* When a hot flash starts, go somewhere cool.
* If hot flashes wake you at night, try sleeping in a cool room.
* Dress in layers that you can take off if you get too warm.
* Use sheets and clothing that let your skin “breathe.”
* Have a cold drink (water or juice) at the beginning of a flash.
What
About Hormone Replacement for Menopause Symptom Relief?
Recent studies are recommending that hormone replacement therapy using
estrogen and progestin (HRT) be used only for short-term treatment of
menopausal symptoms. Studies involving women taking estrogen without
progestin (ERT) are still in progress. While ERT alone increases the risk of
endometrial cancer, estrogen taken in combination with progestin (HRT) does
not increase the risk. Women who have had a hysterectomy do not have an
increased risk of uterine cancer. A woman who has a uterus and is unable to
tolerate the side effects of progestin in hormone replacement therapy (HRT)
may consider estrogen-only replacement therapy (ERT) if testing shows no
abnormalities of the endometrium. Close observation for precancerous changes
of the endometrium is required, including an annual pelvic exam and an
annual endometrial biopsy. No studies have compared different types
estrogens to see whether there is a difference in their effects. Some women
prefer estrogens that do not come from animal products.
What about
Phytoestrogens for Menopause Symptom Relief? Phytoestrogens
are naturally occurring compounds derived from plants that have estrogenic
activity. They have a similar chemical structure to estrogen and bind to the
receptors, acting like hormone regulators. As a group of compounds they
exhibit many properties and can behave by boosting estrogen effects even
though the dose is minuscule. They can also act to minimize the effect of
estrogen when there is excess and seem to have anti-bacterial and
anti-fungal properties and reduce the effects of viruses. Menozac has been
developed as a natural alternative support product, formulated with the
best-known combination of high-potency phytoestrogen botanicals which have
a long empirical history of relieving menopausal symptoms, and supporting
the body's hormonal balance.
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