Although women undergo multiple body changes in their lifetime, the
hormonal changes occurring after cessation of the menses can be truly
vexatious. Termed menopause, many women dread this partly because it
signals the onset of ageing. But menopause is simply a transition
between two major phases of a women’s life; not a disorder.
How it happens
If one year passes without menstrual periods, menopause is confirmed to
have occurred. The transition phase after the last menstrual cycle may
last for years. During this time many women experience various symptoms
due to hormonal changes. Bone density often diminishes and blood
cholesterol levels may rise.
In most women, menopause occurs around the age of 50. In some cases, it
can set in before 40. Premature Menopause is more likely to occur in
women who smoke, have never been pregnant or live at high altitudes. In
cases where none of these reasons apply, the doctor may advise a
check-up to rule out other problems. For most women, menopause normally
occurs between 45 and 55 years. If menopause occurs after 55, it is
considered to be late menopause.
Menopausal symptoms vary in intensity from woman to woman. With the
onset of menopause, the ovaries dramatically reduce production of
oestrogen — the main sex hormone in women, which is essential for the
menstrual cycle — and progesterone. Although oestrogen occurs in both
males and females, it is present in higher levels among women. Since it
affects many parts of the body its loss is thought to cause many
menopause symptoms. During menopause, production of testosterone, the
‘male’ hormone involved in libido or sexual drive, also decreases. As a
result, women’s sexual responses may also change. But this could also be
due to vaginal dryness and the thinning of vaginal walls, which may
make sex uncomfortable. This can be remedied through adequate
lubrication.
Treatment options
Since many symptoms are associated with lower oestrogen levels,
oestrogen replacement could reduce some symptoms. Since hormone
replacement therapy carries the risk of vaginal bleeding and is linked
with higher risk of breast cancer, stroke and heart disease, it should
only be considered under expert medical supervision.
Treatment could also include lifestyle changes. Dietary changes involve
avoiding caffeine, alcohol and spicy foods. For those susceptible to
heart diseases, a low-fat, low-cholesterol diet is advised. Foods or
supplements with calcium and vitamin D also help. Eating soy foods is
also good, since soy contains oestrogen. Plenty of exercise is
recommended; especially Kegel exercises, which strengthen the pelvic and
vaginal muscles. Strength and resistance training strengthens the
bones.
If women follow these guidelines, the menopause years will bring minimum discomfort and maximum well-being.
Common symptoms
Hot flashes, mood swings, sleep disturbances, anxiety and headaches.
Rapid bone loss causing osteoporosis and increasing bone fracture risks.
Urinary incontinence and burning during urination. Changes in the
bladder and urethra may cause higher frequency and urgency of urination,
including increased risk of urinary tract infection after menopause.
Pain during sex and changes in vaginal discharge.
Changes in breast shape.
Increase in cholesterol levels heightening heart-disease risk; irregular heartbeats and weight gain.
Pubic muscles can lose tone, and the vagina, uterus or urinary bladder could prolapse causing stress incontinence.
Changes in levels of normal microorganisms in the vagina may increase the risk of vaginal yeast infections.
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