How to manage menopause? Tell yourself, ‘Me, no break’

What are the unknown symptoms of menopause that women can ignore?

The female hormones, estrogen and progesterone, are responsible for a woman’s femininity, sexuality, reproductive career and general well-being. When a woman reaches menopause (that is, 12 months after her last period), the level of these hormones decreases. It has an effect on almost every system in his body. However, not all women have all the symptoms of menopause all the time. For the most part the transition is smooth, others have mild symptoms that can be managed with lifestyle changes. Only a few have major symptoms that require medical attention.

There may be body odor, dry eyes, dry mouth, dry, chapped skin as well as chills (not those associated with fever but sensitivity to temperature differences), hair loss, bloating (the body tends to retain fluids as estrogen levels drop) and unnecessary fatigue. Low estrogen levels also slow metabolism, which leads to weight gain. Melatonin, the hormone that is released by the pineal gland to regulate our sleep-wake cycle, plunges, causing insomnia. Since your hormones are intertwined, it’s a good idea to get checked out for thyroid issues, even if you’ve never had one before.

Why am I gaining weight?

Women often wonder why they gain weight even though they eat the same amount of food and exercise regularly. This is because metabolism slows down with menopause and age. This means that you have to work twice to maintain an optimal weight. Some women feel bloated, especially when hormones fluctuate during the peri-menopause phase. This is a period of upheaval before menstruation stops, usually between the ages of 45 and 52. Mood swings are common because the production of the feel-good hormone serotonin depends on the production of estrogen, while sleep problems occur due to its effect on melatonin , the sleep hormone. Hot flashes, depression, joint pain, frequent urination also contribute to insomnia and irritability; the underlying cause should be addressed for restful sleep and improved mood.

Why do you need to get rid of belly fat immediately?

This is because the accumulation of layers of fat around the abdominal region can lead to heart problems and diabetes, both of which must be combated with vigorous exercise.

Should I take hormone replacement therapy (HRT)?

As for HRT (hormone replacement therapy) now called Hormone Therapy for Menopause (THM), it is not the elixir of youth, the panacea for all ills, as we once thought. It could have side effects which can sometimes include uterine and breast cancer. It should be used under strict medical supervision, only in specific situations and for the shortest possible time.

So I wouldn’t recommend it except in exceptional circumstances when menopause sets in before age 40. Estrogen protects the heart and therefore anyone who experiences menopause earlier than usual needs estrogen supplements. Or low estrogen could cause bad cholesterol or LDL levels to spike, increasing heart risk in women. Such therapies must be medically supervised and adjusted. For other uncontrollable conditions like vaginal dryness and extreme hot flashes, there are specific medications. You have estrogen creams for vaginal dryness that can be easily administered with an applicator.

Can I have a urinary tract infection during menopause?

What you get is a leaky bladder and urgent nature calls. This is because the vaginal wall and the bladder are made of the same tissue.

When will I know that I have gone from pre-menopause to menopause? Should I be worried about late menopause?

You can only consider yourself menopausal when there has been a gap of 12 months after your last period. This is preceded by the perimenopause phase, when there are irregularities in your menstrual cycle. You may experience longer intervals between your menstrual cycles, but the fact that they happen means you still have some way to go before they stop. Generally, we allow a window between the mid-40s and mid-50s. Incidentally, late menopause (after age 54) is largely beneficial although the incidence of breast and genital cancers is increasing slightly. If your menstrual cycle doesn’t stop at age 55, we check for endometriosis, when the uterine walls thicken.

What about menorrhagia or excessive bleeding?

A person may feel very tired and experience continual pain and cramping. In some cases, heavy periods lead to too much blood loss and cause anemia. Menstrual cups generally absorb more blood than tampons or pads, so a person may need to empty their cup less often than they would need to change pads or tampons. Get rest, drink plenty of fluids, and take iron and vitamin C supplements to prevent iron deficiency. You can take anti-inflammatories to relieve the pain.

How do you handle symptoms like hot flashes in social situations?

You may feel sudden waves of heat passing through you or have cold sweats. This is because low estrogen levels affect your body’s ability to thermoregulate. A few quick tips for dealing with hot flashes would be to keep a glass of cold water nearby, wear layered clothing that can easily be removed, and breathe deeply. Take medication to manage the disease only when you find it completely unmanageable. And since low estrogen levels lower serotonin levels, what we call one of the happiness hormones, it’s important that you keep a positive mind and don’t overthink your condition. There’s just a body transition you’re making and over time the body settles down. Remember that you have gone through stages in your life and menopause is one of those stages that does not jeopardize your life but lifts you to a new level of self-awareness. In fact, all your life, you tend to live up to your expectations as a woman. Now you must determine your own sense of yourself.

Also, pick up a new activity if you feel like you’re not doing enough. Do you hear village women talking about menopause as a major health issue?

They are so busy with their lives and tasks that they don’t even realize they are going through changes.

Should you take medication?

Considering that your bone health is weakening, start taking calcium supplements as recommended by the doctor. Definitely do not try herbal medicines that promise relief, are unregulated and do not meet industry standards for drug production. I have had cases of women reporting post menopausal bleeding from taking such supplements.

As more and more women spend a third of their lives in the post-menopausal period, it is important that they do not pay for the increased number of years with a reduced quality of life. Even embarrassing conditions like leaking urine when sneezing or painful intercourse due to vaginal dryness have a cure and they don’t have to suffer in silence. Maintain a balanced lifestyle and sign up for annual checkups in the future.

My final piece of advice to lovely ladies is to not obsess over your looks; you are beautiful as you are. The lines that draw your face have a story to tell, while the wrinkle-free skin of youth is a blank canvas on which life has yet to leave its mark. As for your weight, ignore the detractors because “a recent study found that women who carry a little extra weight tend to live longer than men who mention it.”

(Dr. Amrinder Bajaj is the author of Live Your Best Life, Understanding Menopause for a Wiser, Happier and Healthier You, published by Penguin)

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