Kelsey-Seybold Clinic’s Frances Smith, M.D., Department Chair of Obstetrics and Gynecology, and Irene Sobolevsky, M.D., Internal Medicine, discuss menopause – in simplest terms – and what you can expect.
FACTS & FIGURES
On average, women begin menopause at age 51. This critical passage affects each woman differently. Many women begin experiencing signs of menopause, or begin perimenopause, in their early to mid-40s. Others may experience changes associated with menopause as early as their mid-30s.
HOW DO I KNOW IF I’M IN MENOPAUSE? WHAT ARE THE SIGNS?
“Most women become accustomed to their own hormone rhythm, and during perimenopause this rhythm changes,” says Dr. Sobolevsky.
“Hormone level fluctuations cause irregular cycles. Some patients report feeling of a loss of control,” she adds. “Cycle irregularity and the associated emotions can be upsetting and lead to mood swings.”
Menopause means the cessation, or stopping, of a woman’s monthly cycle.
“The most common signs leading up to menopause are changes in the monthly cycle, hot flashes, and moodiness,” says Dr. Smith “During a hot flash, women will experience a measurable increase in body temperature. Some may feel hot only on the inside, while others' skin will flare up and feel hot to the touch.”
ARE THERE OTHER SIGNS?
Along with hot flashes and mood swings, you may also experience dryness and night sweats.
“Hot flashes and night sweats can create a chain reaction and prevent you from sleeping soundly,” says Dr. Sobolevsky. “I recommend exercise. It will help you sleep better and manage your weight. I also recommend limiting your consumption of red wine and spicy foods.”
HOW LONG WILL THIS LAST?
“The good news is that perimenopause and menopause symptoms will end after a time,” notes Dr. Smith. “The duration will vary for each woman.”
She cautions, “Now that you've reached this stage and have become more susceptible to osteoporosis, you have to take care of yourself. Be sure to take vitamin D and Calcium, and don't forget to exercise!”
HOW CAN I RELIEVE THE SYMPTOMS?
“For relief, try to increase your level of exercise, eat a healthy diet, quit smoking and reduce the amount of alcohol you consume,” says Dr. Sobolevsky. “Women should realize that non-pharmacological interventions are important complements to medications.”
Dr. Smith adds, “Many different medications are recommended to treat menopause and perimenopause symptoms, including: Hormone Replacement Therapy (HRT). Over-the-counter remedies have not been found to relieve these symptoms.”
The doctors also suggest that you consult with your personal physician before taking “natural” supplements, herbal remedies or alternative medicines – especially if you’re already taking prescription medications or have other chronic illnesses.
WHEN SHOULD I VISIT THE DOCTOR?
“If you’re experiencing markedly shortened menstrual cycles and irregular bleeding, visit your doctor in order to rule out serious problems including polyps, tumors and fibroids,” Dr. Smith advises.
HELPFUL HINTS
* Add yogurt to your diet
* Swimming
* Exercise regularly (60 min., 3 times per week)
* Take vitamin D and Calcium daily
* Limit your consumption of red wine and spicy foods
SIGNS OF MENOPAUSE
You may be experiencing menopause if you are experiencing one or more of these symptoms:
* Irregular Period
* Hot Flashes
* Sleep Disturbances
* Mood Swings
* Sense of a loss of control
* Night Sweats
