Menopause is defined as the time when the ovaries stop producing eggs, produce less estrogen and progesterone, and menstruation stops for 12 consecutive months. Most people will become menopausal between the ages of 45 and 55. Before menopause onset, one will experience perimenopause, the transitional stage leading up to menopause, which begins, on average, 4 years before the final menstrual period.
In October, we celebrate Menopause Awareness Month, coming together to raise awareness of the symptoms associated with menopause and the support options available to those experiencing it, encouraging women to embrace this phase of life rather than solely suffering through it. Our providers at Essex County OB/GYN understand menopause and are here to help you through every step of your experience. Although everyone will experience menopause uniquely and individually, let’s explore five common menopause concerns and misconceptions associated with them.
1. Hot Flashes
Hot flashes are one of the many common symptoms of menopause. During hot flashes, women can become so hot they are sweating through their shirts one minute, and the next minute they feel as cold as ice. Many women think they just need to suffer through these moments like a rite of passage, but this is not true!
The most effective way to treat hot flashes is hormone therapy. Estrogen can help alleviate the discomfort of hot flashes, but it is important to weigh the risks and benefits before taking hormones. The FDA has also approved an oral medication specifically for the treatment of moderate to severe vasomotor symptoms (hot flashes), which is a promising alternative therapy for patients who are not able to take hormones. Other prescription medications, such as antidepressants and anti-seizure medication, may also help minimize hot flashes. Talk to your provider to find the best course of treatment for you, since treatment should be tailored to each individual person.
In addition to medication, lifestyle changes may also help you better manage your hot flashes. Consider:
- Dressing in layers
- Avoiding alcohol, spicy foods, and caffeine
- Maintaining a healthy weight
2. Vaginal Dryness
Women experiencing menopause often express that vaginal dryness makes sex painful or impossible, and they are sometimes embarrassed to talk about it. The following remedies can help decrease your vaginal dryness and increase your comfort levels:
- Vaginal moisturizers, which can be either internal or external
- Lubricants
- Estrogen creams or tablets
- Vaginal rings, which release low doses of estrogen over a period of 90 days
Don’t be embarrassed to talk to your provider! We are all here to support you and help you find your best course of treatment.
3. Weight Gain
Women are frequently frustrated by how menopause can change their bodies. They feel it’s impossible to lose weight, they gain weight unexpectedly, or they have developed “menopause belly.” Despite these concerns, menopause ≠ weight gain. It is a natural part of aging, but there are ways to maintain your physical health.
Make sure you move! Exercise and any physical activity will help you build muscle and keep a healthy weight, and strength training becomes even more important as we age. Additionally, be mindful of your diet. Try to eat more protein, vegetables, fruits, and whole grains, and less processed foods or sugary snacks and beverages. During this time of change, seek and surround yourself with a group of people who support you and your lifestyle goals.
4. Osteoporosis
Menopause is the most common cause of osteoporosis, which is a condition where bones become weak. Estrogen helps slow down the natural breakdown of bones, so when estrogen levels decrease during menopause, bone loss speeds up. This bone thinning is associated with increased risk of fractures and associated morbidity. There are things you can do to help prevent bone loss and treat osteoporosis, including medications, therapies, and lifestyle changes.
5. Cardiovascular Disease
Women with underlying conditions, a family history of heart disease, or even no history of heart disease, have heard about the risks of cardiovascular disease associated with menopause. While this may sound stressful, there are things you can do to mitigate these risks! Exercising regularly and maintaining a healthy diet will help reduce the risk of heart disease. Regular screening with your provider will also help you identify risks early and begin a treatment plan that works for you.
Here at Essex County OB/GYN, we can support women dealing with any and all complications associated with menopause. We listen to our patients’ concerns and partner with them to determine which treatments are right for them, given their unique medical history, risk factors, and specific complaints.
Talking to a professional about your symptoms is critical to finding the best treatment plan to improve your quality of life through menopause. Contact us today to book an appointment!