Menopause is a natural period in every woman’s life when her menstrual cycle ends and she transitions from reproductive age to the postmenopausal period. Menopause usually occurs at an average age of around 45-55 years. However, the exact time can vary for each woman.
Causes of menopause
Menopause is a natural stage in every woman’s life, characterized by the cessation of the menstrual cycle for 12 consecutive months. Here are the main causes and factors that influence the onset of menopause:
- Physiological causes. Decreased ovarian function: As women age, their ovaries produce less of the hormones estrogen and progesterone, which regulate the menstrual cycle. Decreased egg supply: Women are born with a certain number of eggs, and this supply eventually runs out, leading to menopause.
- Genetic factors. The timing of menopause is often linked to the age at which a woman’s mother or other relatives experienced menopause.
- Surgery: Removal of the ovaries (oophorectomy) or removal of the uterus (hysterectomy) can lead to early or surgical menopause.
- Medical treatment: Chemotherapy and radiation therapy to treat cancer can damage the ovaries and hasten the onset of menopause.
- Chronic diseases and lifestyle: Some chronic diseases, such as autoimmune disorders, as well as smoking and other unhealthy habits, can accelerate the onset of menopause.
- Malnutrition or extreme exercise. Extreme weight loss or intense exercise can also affect hormonal balance and cause early menopause.
- Psychological stress. Although a direct link between stress and menopause has not been proven, high levels of stress can affect hormonal balance and overall health.
Menopause is a complex process involving the interaction of hormonal, genetic, and environmental factors. It is important to remember that each woman goes through this process individually, and the experience can vary greatly.
Symptoms of menopause
Menopause is a natural period in a woman’s life that brings changes related to the decline in female hormone levels. These changes can cause a variety of symptoms that vary in intensity and duration. Here are the most common ones:
- Hot flashes . The most well-known symptom of menopause. A woman experiences sudden warmth, redness of the skin, especially in the face and upper body.
- Night sweats : Intense sweating during sleep, often associated with hot flashes.
- Mood changes : Mood instability, irritability, feelings of anxiety or depression.
- Sleep problems : Difficulty falling asleep or having interrupted sleep.
- Changes in skin and hair : Skin may become dry and lose elasticity, and hair may become thinner and less shiny.
- Changes in sexual life . Decreased sexual libido, vaginal dryness, which can lead to discomfort during intercourse.
- Weight and metabolism changes . Weight gain, especially in the abdominal area, decreased metabolism.
- Bone problems : Decreased bone density, increasing the risk of osteoporosis and fractures.
- Changes in the menstrual cycle . Irregular menstruation, change in the intensity of bleeding before menstruation stops.
- Cognitive changes : Difficulty concentrating, forgetfulness.
These symptoms can vary and change throughout perimenopause (premenopausal period), menopause, and postmenopause. It is important for women to discuss these changes with their doctor to find effective ways to manage these symptoms and maintain overall health.
Treatment
Treatment for menopausal symptoms focuses on reducing discomfort and supporting a woman’s overall health. There is no one-size-fits-all approach to treatment, so it’s important to choose the methods that work best for your individual woman. Here are some remedies and treatments:
- Hormone therapy. Hormone replacement therapy (HRT) is one of the most effective treatments for menopausal symptoms, including hot flashes and night sweats. HRT can include the following female hormones : estrogen and progesterone, or estrogen alone.
- Non-pharmacological methods. A healthy diet, regular exercise, and maintaining a healthy weight can help reduce some symptoms. Relaxation techniques, yoga, and meditation can help manage stress and improve sleep.
- Vaginal moisturizers and lubricants. To reduce vaginal dryness and discomfort during intercourse.
- Plant-based supplements. Phytoestrogens (such as those from soy and red clover) may help some women, but their effectiveness and safety are still being studied.
- Medications for specific symptoms. Antidepressants may be effective in treating hot flashes and night sweats, especially for women for whom HRT is contraindicated. Bone-strengthening drugs, such as bisphosphonates, may be recommended to prevent osteoporosis.
- Psychological support. Consultations with a psychologist or therapist to manage mood swings, anxiety, or depression.
Please note that treatment for menopause symptoms should be comprehensive and may include lifestyle changes, diet, exercise, and medication.
Life changes and advice
Lifestyle changes and adaptations can help women effectively cope with menopause and its symptoms. Here are some tips that can make the menopause transition easier:
Healthy eating:
- A balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats.
- Including foods rich in calcium and vitamin D to maintain bone health.
- Limiting consumption of alcohol, caffeine, and high-calorie, processed foods.
Regular physical exercise:
- Exercises such as walking, swimming, yoga, or Pilates help reduce menopause symptoms and support heart and bone health.
- Strength training to maintain muscle mass and prevent osteoporosis.
Maintaining a healthy weight:
- Maintaining a healthy weight helps reduce the risk of chronic diseases associated with menopause.
- Stress management:
- Relaxation techniques such as meditation, breathing exercises, aromatherapy, and massage can help you cope with emotional changes.
Skin care:
- Using moisturizers to combat dry skin.
- Sun protection to prevent skin damage.
Sufficient sleep:
- Creating comfortable sleeping conditions, avoiding screens before bed, reducing noise and light levels in the bedroom.
- Social support:
- Discussing changes and your feelings with friends, family, or in support groups.
Regular medical examinations:
- Regular visits to the doctor for health monitoring, including bone density checks, mammograms, and tests for cardiovascular disease.
Sexual health:
- Using lubricants to reduce discomfort during intercourse.
Individual approach:
- It is important to choose an individual approach that meets your specific needs and requirements.
Positive attitude:
- Having a positive attitude and adapting to change can greatly improve your quality of life during and after menopause.
Remember that menopause is not just a set of symptoms, but a new stage of life that can be full of health, activity, and enjoyment.
Tips for women at different stages of menopause
Tips for women at different stages of menopause will help them adapt to the changes that occur in their bodies and maintain their quality of life. Each stage of menopause has its own characteristics:
Premenopause
- Monitor your cycle changes. Pay attention to changes in your menstrual cycle, such as irregularity or changes in the intensity of your bleeding.
- Symptom management: Use remedies to relieve symptoms such as hot flashes, mood swings, or sleep disturbances.
- Active lifestyle. Engage in regular physical activity to support heart and bone health, maintain a healthy diet and get enough sleep. Enrich your diet with vitamins and minerals.
Early stage of menopause
- Hormone replacement therapy (HRT): Discuss the possibility of HRT with your doctor to reduce menopausal symptoms.
- Psychological support: Take care of your psychological health by using stress management strategies.
- Sexual health: Use lubricants and moisturizers in case of vaginal dryness.
Postmenopause
- Health monitoring. Regular medical checkups, including osteoporosis tests, mammograms, and cardiovascular examinations.
- Prevent osteoporosis. Maintain adequate calcium and vitamin D levels, and exercise to strengthen bones.
- Healthy lifestyle. Maintain a healthy lifestyle by avoiding smoking and excessive alcohol consumption.
Remember that menopause is not the end of an active and fulfilling life, but a time of adaptation and change that requires close attention to your own health and well-being.