Information About Menopause

SerendipUpdate's picture

Biology 103
2002 First Paper
On Serendip

Information About Menopause

Diana DiMuro

While many people may find the topic humorous, or even frightening, the subject of Menopause is one I had many questions about. My interest and curiosity in this subject stems from my first-hand experience with it: my mom. After much suspicion that she was going through "the change," my sisters and I recently discovered that she had stopped having her period for the last four years. Much to our surprise, we realized that many of our hunches (such as "Hot Flashes" and "Mood Swings") were correct; they were indeed some of the symptoms associated with the periods before and during menopause. I learned that she was taking progestin, a hormone supplement, as well as certain vitamins, to help against the symptoms associated with menopause. Suddenly her violent mood swings and recent irritability began to make more sense. My mom explained that for the first time in her life she had feelings of "blueness" or depression. Despite the realization that my mother was menopausal, I still did not understand what menopause actually is. What are some of its symptoms? Are they treatable? If so, how? Are there any dangers associated with menopause? If so, how can they be prevented or treated? Through my research I would like to take a closer look at these questions to gain a greater understanding of my mom's situation and help others who might also come across it with their own families and friends.

Many of the symptoms and effects of menopause are not actually a result of menopause but are associated with the period of change leading into menopause. The changes and effects are broken down into three stages: perimenopause, menopause, and post menopause:

Perimenopause:
Perimenopause is the period of gradual changes that lead into menopause. They often affect a woman's hormones, body, and feelings. They can actually stop and start again anywhere between a few months or a few years. This period is also known as the "climacteric" period. During this process, the ovaries' production of the hormone estrogen slows down. The hormone levels in a woman's body fluctuate, causing changes, which are often similar (although much more intense) to the changes associated with adolescence.

Menopause:
Menopause occurs when a woman has her last period. A woman's ovaries stop releasing eggs. This is usually a gradual process; however, it can happen all at once.

Post Menopause:
Post Menopause is simply the time after menopause. Women often have many health concerns, which result from menopause (2).

I would like to focus mostly on the period known as perimenopause because of its many symptoms, which often serve as metonymies for menopause on the whole. After looking at many of these symptoms I will take a more focused look at one of menopause's most well known symptoms and how it can be treated. I will also examine some of the other methods of treatment for menopause, as well as some of the dangers associated with menopause and its treatment.

Perimenopause can begin as early as age thirty, however, the average age is fifty-one. Some of the symptoms associated with perimenopause are as follows:
-Irregular menstrual periods
-Achy joints
- Hot flashes
-Temporary and minor decrease in ability to concentrate or recall information
- Changes or loss in sexual desire
- Extreme sweating
- Headaches
- Frequent urination
- Early wakening
- Vaginal dryness
- Mood changes or "swings"
- Insomnia
- Night sweats
- Symptoms/conditions commonly associated with pre-menstrual stress (PMS)

Perimenopause can be any one or a combination of the above symptoms. The symptoms are often very unpredictable and disturbing, especially if a woman does not know they are related to menopause (2). These symptoms usually last between two and three years, though in some cases they can last between ten and twelve years. It is highly important to note that women in perimenopause have reduced fertility but are not yet infertile. There is still a chance of pregnancy during perimenopause, even if a woman's menstruation is highly sporadic (1).

One of the symptoms most commonly associated with perimenopause are "hot flashes." Hot flashes are sudden or mild waves of upper body heat that can last anywhere from thirty seconds up to five minutes. They are caused by rapid changes in hormone levels in the blood (2). The part of the brain that controls body temperature is the hypothalamus. During perimenopause, the hypothalamus can often mistake a woman's body temperature as too warm. This starts a chain reaction to cool her body down. Blood vessels near the surface of the skin begin to dilate and blood rushes to the surface of the skin in an attempt to cool down the body's temperature. This often causes sweating, as well as producing a flushed red look to the woman's face and cheeks (1). Some women experience a rapid heartbeat, tingling in their fingers, or a cold chill after the hot flash. Seventy-five out of one hundred women have hot flashes. Half of them have at least one hot flash a day, while twenty have more than one a day. Most women experience hot flashes from three to five years before they taper off. Although some women may never have a hot flash, or only have them for a few months, others may experience them for years. There is no way to tell when they will stop. Many women suggest keeping a journal to record what triggers a hot flash so that an attempt to prevent the next one can be made (2). Some suggestions by the North American Menopause Society to help combat hot flashes include: trying to wear light layers of clothing, sleeping in a cool room, deep breathing and/or meditation, and regular exercise to fight stress and promote healthy sleep (1). However, prescription hormone treatment is the most common treatment for hot flashes. Replacement of estrogen that is lost during menopause is the most effective treatment against hot flashes. Hormone replacement therapy is also common treatment for many other symptoms of menopause (1).

Hormone Replacement Therapy (HRT) can come in the form of pills, patches, implants or vaginal creams, to restore estrogen and other hormones that decrease during perimenopause and menopause in a woman's body. While many women find HRT extremely helpful, there are still many side effects to its use. Some women experience pre-menstrual stress (PMS), others experience vaginal bleeding, bloating, nausea, hair loss, headaches, weight gain, itching, increased vaginal mucus, or even corneal changes which may affect a woman's ability to wear contact lenses. Some more serious side effects put women at higher risk for breast cancer and heart disease. Some women use progestin a hormone without estrogen, which is a better replacement therapy for women at risk of blood clots. Progestin is however, a less effective means of birth control.
Many women prefer to use non-hormone therapies to reduce the symptoms of perimenopause and menopause. Regular exercise is a strong recommendation to combat stress and help promote healthy sleeping patterns. A diet high in fruits and vegetables and low in saturated fats is also recommended. Many women try eating soy products to help combat hot flashes(3). Soy contains phytoestrogens, a plant chemical that produces similar effects to estrogen. Others suggest reducing caffeine, alcohol, spicy foods, and even hot beverages(2). Herbal remedies and homeopathy are also quite common solutions to women against using hormones to treat menopause. There are many over-the-counter vaginal creams as well. Menopause Online suggests in increase in the amounts of vitamins E and B6. Research on Vitamin E shows that it can help prevent heart attacks, Alzheimer's disease, and cancer. Vitamin B6 is involved in the production of brain hormones (neurotransmitters). It is often low in people with depression or those taking estrogen in the form of birth control or hormone replacement therapy. Lack of B6, and folic acid has been associated with osteoporosis. An increase in B6 has been shown to help fight heart disease and reduce the symptoms of PMS (3).

Breast Cancer and Heart Disease:
The risk of developing breast cancer increases with age. By the time a woman turns 60, one out of twenty-eight women develop breast cancer. Studies have shown that hormone treatment for ten-fifteen years may slightly increase a woman's chances of developing breast cancer.
Before the age of fifty, women are three times less likely to have a stroke or heart attack then men. Ten years after menopause, women are at the same kind of risk as men. Whether this directly correlates to hormone replacement therapy is not clear (2).

Osteoporosis:
Loss of estrogen can lead to osteoporosis or loss of bone mass. Women may lose between two to five percent of their bone mass per year for up to five years after menopause. Bones can become brittle, more susceptible to breaking. Bone loss begins at age thirty that is why it is important for women to build bone mass early with weight bearing exercise like walking, running, or weight lifting. It is also important to take a calcium supplement to help aid in developing bone mass. At least 1,000 mg of calcium are recommended per woman per day, and 1,200 mg are recommended after menopause. Estrogen replacement therapy can also help in developing and retaining bone mass. There are currently newer non-hormonal medications that are effective as well (2).

What then is the best way to treat the symptoms of menopause? I am not sure whether there is enough conclusive evidence to determine how harmful the use of hormone replacement therapy is. It is currently found to be an effective treatment with varying degrees of side effects. Loss of hormones like estrogen can result in loss of bone mass, as well as leaving a woman's body more susceptible to diseases like breast cancer and heart disease. How much of an affect does hormone replacement therapy have on these diseases and how helpful or harmful is it? This is something I would like to conduct further research on before I give a "better" hypothesis. Before concluding, I'd like to take a closer look at one more aspect of menopause that is often overlooked or misjudged: psychological changes.

Psychological Changes:
Although there is no scientific study to support that menopause contributes to true clinical depression, many women do suffer from "feeling blue" or being discouraged. During perimenopause, a woman's hormonal rhythm changes. These hormonal changes contribute often to mood swings. For many women, the hormone changes of menopause coincide with other stresses during midlife. In addition, many women experience changes in their self-esteem and body image. Many women can react to menopause by feeling overwhelmed, angry, out of control, or even numb. It takes someone in the medical profession to determine whether a woman is clinically depressed or just feeling the effects of menopause. Often women can combat their feelings of sadness with herbal remedies like Saint John's Wort, or by changes in their lifestyle to reduce stress. Often times, irritability is closely linked to disturbances in a woman's sleeping pattern, which can be treated by treating hot flashes among other things. Stress-reducing techniques like meditation and deep-breathing are effective for some, while regular exercise and a healthy diet, getting enough sleep, and pampering yourself are all positive ways to help combat stress and sadness. Many women recommend talking to friends and family about menopause. Some even take this a step further and form self-help groups where women can speak to each other about their common experiences with menopause. Often realizing there is another woman out there who understands what you are going through is beneficial to feeling less depressed and overwhelmed by menopause (1).

I think menopause, like depression is something which has a lot of pre-conceived notions by the public and is not necessarily well understood. I think it deserves more research and acknowledgement as a legitimate and substantial occurrence in a woman's life that deserves more respect and understanding, as well as more open acknowledgement. It should not be something which needs to be hid or made the butt of a joke. There is still much research to be done concerning menopause and its treatment. I think once women feel they can openly address menopause they will feel less stress and anxiety towards it.

WWW Sources
1) North American Menopause Society, Menopause Guidebook: Helping Women Make Informed Healthcare Decisions Through Perimenopause And Beyond.
2) Menopause - Another Change in Life
3) Menopause Online
4) National Osteoporosis Foundation
5) National Center for Homeopathy
6) National Breast Cancer Foundation

 

 

Comments made prior to 2007
Thank you so much for the info. on menopause. Hats off to Diana DiMuro. It's rather refreshing to feel the care and concern of a special young lady toward her mother; becoming a part of the solution instead of trying to avoid the maniacal mom some of us turn into. Thanks again. :) ... Jeanette Ashmun, 24 April 2006

Comments

Serendip Visitor's picture

Correction to my previous comment

A woman's probability of being diagnosed with breast cancer is 3.45% for the 10 year span of age 60-69, not 3.45% per year as I erroneously reported below.

Serendip Visitor's picture

Clarification of some statistics

According to the NIH, the average age of menopause, not perimenopause, is 51. (http://www.nia.nih.gov/healthinformation/publications/menopause.htm). The average age of perimenopause is several years younger.

I'd like to speak to your statement "By the time a woman turns 60, one out of twenty-eight women develop breast cancer." From age 50-59 a woman's lifetime probability of developing breast cancer is 1 in 42, and between the ages 60-69 it is 1 in 29. These data are from The National Cancer Institute "A woman’s chance of being diagnosed with breast cancer is:...from age 50 through age 59 . . . . . . 2.38 percent (often expressed as "1 in 42"), from age 60 through age 69 . . . . . . 3.45 percent (often expressed as "1 in 29")". http://www.cancer.gov/cancertopics/factsheet/detection/probability-breast-cancer

Lifetime probability is not a concept that is frequently presented in the media and, therefore, not often explained or understood. It presents far more ominous numbers than the equally correct 3.45% chance of being diagnosed with breast cancer (being diagnosed with breast cancer is not the same as "developing" it) each year for women aged 60-69.

It is also important to note, as did the NCI, "these probabilities are averages for the whole population. An individual woman’s breast cancer risk may be higher or lower, depending on a number of factors, including her family history, reproductive history, race/ethnicity, and other factors that are not yet fully understood."

Rob West's picture

My wife was extremely moody,

My wife was extremely moody, always accusing me of doing something wrong and always looking to fight about something no matter how big or how small. I felt she wanted nothing to do with me in the bedroom to the point I gave up on everything. One day she called me at work and said she had moved out, leaving me with the kids and all the responsibilities of our family and everything we built together in our 23 year marriage. We ended up getting divorced, she has been gone for just over a year now and divorced for 6 months. Recently she wanted to get back together but I told her no. She has been out getting tattoos and running around like a teenager. Could her crazy behavior be because of menopause. I am very confused. She is 50 years old but acts like a teenager.

Billie's picture

Temperature change during menopause

I am 51 and have been going through Menopause for a couple of years now. My doctor has me on Divigel which has been controlling my mood swings and temperature but lately my head burns up all day. My body seems to generally run a higher temperature than everyone else around me but my head feels like it is extremely hot ALL THE TIME. It's not hot flashes - just a constant burn. And it's mainly my face and head. Could it be something other than hormones? My doctor has changed my hormone meds a couple of times now.

Dr. Holly Lucille's picture

Natural Hormone Balancing Is The Key

You have some good points here but please note that it is very normal in todays world to reach the onset of menopause in your late 30s and early 40s, the key to make this natural phase of life a healthy and happy time is to manage your hormone balance naturally via
careful methodical testing of better diets, natural supplements, routines and exercises.

For each and every woman hormone balancing is a personal thing so it's hard to apply any general rules, you must learn to understand your body, research well the treatments you
are thinking of trying and keep a log/journal
of any new medication, supplement, nutrition, routine change, etc along with any (side) effects you notice.

Dr. Holly Lucille
Certified Naturopathic Physician, Author and Educator.
Healing menopause and andropause for her clients.
Founder of the popular, informative, educational & resourceful site author of the NaturaPause treatment.

Peggy's picture

Many Unanswered Questions

There are still many unanswered questions for women going through menopause. Although there can be similar symptoms from woman to woman, the strength and duration of symptoms can vary greatly between individuals. My mother had horrible symptoms, and took synthetic hormone replacements, which had terrible side effects. I was lucky; although I had symptoms which were irritating, they were mild to moderate and didn't last long. I didn't know at the time there were natural remedies out there which could help; I just suffered through it. It won't be so with my daughters. They will be educated about what is going on with their bodies, what options are available for relief, and will be empowered through the ability to make their own choices.

Anonymous's picture

Another menopause?

I had my uterus removed when I was 28 years old. I went through menopause around forty. I haven't had hot flashes for around 9 years till 12/09. Now I have intense hot flashes, around 25-30 a day. I also have them all night. I spend my entire night taking covers off and putting them back on a layer at a time, just to remove them again. One minute I am freezing, the next burning up. Most of these flashes are accompanied with nasea and dizziness.Is this common after so many years since menopause?

Jeannie's picture

Menopause after Hysterectomy

This is a good review of menopause and some of the perimenopausal signs and symptoms. I think another interesting take on this would be iatrogenic menopause or menopause that comes as a result of a total hysterectomy where the uterus, cervix and ovaries are all removed. This has been an unfortunate result for many women who have had hysterectomies especially those women who are well under the age of 40. This has led to much talk and debate over hormone replacement therapy and its proposed relief of menopausal symptoms after a hysterectomy. I have read many articles online about this subject. I found some good and encouraging information at .

Again great review.

Anonymous's picture

Early Stages of Menopause

I'm 46 years old and I guess I'm in the early stages of menopause, I have the mood swings, strange periods, and what's really bothering me is the breast tenderness, they actually hurt worse each month, is this also a common effect of early stages of menopause?

Renee's picture

menopause and depression

My sister-in-law is 46 years old and is suffering with depression and menopause. She's been spotting on and off for 1 year. In my opinion, she needs to be checked by a doctor and have some blood work done to determine if she needs hormone replacement. However, she doesn't have a job or medical insurance. Is there an alternative?

thanks

Anonymous's picture

For the last few months I

For the last few months I have been having severe hot flushed spells that last a few seconds sometimes longer and it feels like I have a fever but then it goes away and it may not happen again for awhile and I am only 36 and I feel fine otherwise. Is it possible that I am beginning menopause or should I be concerned that some other health problem is at work?

Anonymous's picture

gaining weight

I am a 46 year old woman who has had a hysterectomy 2 yrs ago. I seem to be gainging more and more weight which is affecting other areas of my health. Such as high blood presure and a collapsing disk in my lower back. What am I to do.
I can't keeping going on this way. I am not on any hormone therapy. What natural things can I do.

Anonymous's picture

metapause

i am very discouraged about my my bloating, hot flashes , also mood swings. i just cant believe that i used to be so small , as in a size 7 and now i cant fit into anything can someone plese please help me, i have no medical insurance and i dont what to do.

bipasha's picture

menopause problem

my mother who is 48 years old is suffering from a serious problem of menstruation. once it starts, it doesnt stop. we have shown all the renowned doctors in town but of no avail. it stops after taking some heavy dose medicine but again it recurs the next month. she canot be operated anymore as she has already been operated a number of times for various other reasons and moreover there is a mesh set inside her stomach. i would be grateful if u please suggest some help.
thaking you in aticipation,
bipasha.

Post new comment

The content of this field is kept private and will not be shown publicly.