Although the physiology ehalth hot flashes has Simple carbohydrate foods studied for more than menopauae years, no one is certain why Energy conservation tips how heakth occur. Adaptation Reviewed Menstrual health and menopause Wnd Health Services. It is not clear if HT use is associated menoause Simple carbohydrate foods increased Mentrual of heath cancer, women who smoke and who are past or current users of HT should be aware that that EPT may possibly promote the growth of lung cancers. Gabapentin Several small studies have suggested that gabapentin Neurontina drug used for seizures and nerve pain, may relieve hot flashes. The physical changes of perimenopause are rooted in hormonal alterations, particularly variations in the level of circulating estrogen. Reducing sodium salt can lower blood pressure and decrease the risk of hypertension, heart disease, and heart failure. Hormone therapy HT.

Menstrual health and menopause -

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Topic Overview What is menopause? What is perimenopause? What causes menopause? What are the symptoms? How is it diagnosed? How is menopause treated? How can you care for yourself?

If you smoke, stop. Quitting smoking can reduce hot flashes and long-term health risks. Get regular exercise. It can help you manage your weight, keep your heart and bones strong, and lift your mood. Limit caffeine and alcohol.

This may help manage menopause symptoms. Eat a heart-healthy diet. Choose foods like vegetables, fruits, nuts, beans, fish, or whole grains.

Limit foods that have a lot of salt, fat, and sugar. Be sure you are getting enough calcium and vitamin D to help your bones stay strong.

Eat foods that are rich in calcium. Ask your doctor if taking a supplement with calcium and vitamin D is right for you. Try to manage stress. Breathing exercises, mediation, or yoga may help. Health Tools Health Tools help you make wise health decisions or take action to improve your health.

Decision Points focus on key medical care decisions that are important to many health problems. Hysterectomy and Oophorectomy: Should I Use Estrogen Therapy ET?

Menopause: Should I Use Hormone Therapy HT? Actionsets are designed to help people take an active role in managing a health condition.

Menopause: Managing Hot Flashes Stress Management: Relaxing Your Mind and Body. Cause Normal changes in your reproductive and hormone systems cause menopause. They include: Smoking. Radiation therapy to or removal of the pituitary gland. Radiation therapy or other treatment to the belly or pelvis that damages the ovaries so that they no longer function.

Genetic and autoimmune diseases. Removal of both ovaries oophorectomy. This causes sudden menopause. Low body fat. Symptoms Symptoms may include: Hot flashes. Trouble sleeping. Vaginal dryness. These include: Mood swings, or feeling depressed or worried. Problems with remembering or thinking clearly.

What Happens In your late 30s, your egg supply starts to decline and hormone production changes. This creates some health concerns, including: Higher risk of osteoporosis.

Skin changes, including thinner, drier skin; thinner, weaker vaginal lining and urinary tract; and higher risk of vaginal and urinary tract infections. Higher risk of tooth loss and gum disease. When To Call Call your doctor if you have: Menstrual periods that are unusually heavy, irregular, or prolonged 1½ to 2 times longer than normal.

Bleeding between menstrual periods, when periods have been regular. Renewed bleeding after having no periods for 6 months or more. Unexplained bleeding while you are taking hormones. Symptoms, such as insomnia , hot flashes , or mood swings, that aren't responding to home treatment and are interfering with your sleep or daily life.

Vaginal pain or dryness that doesn't improve with home treatment, or you have signs of a urinary tract infection , such as pain or burning during urination or cloudy urine.

Examinations and Tests Your age, your history of menstrual periods, and your symptoms will tell your doctor if you are near or at menopause. Treatment Overview Menopause is a natural part of growing older.

Medicines may include: Hormonal birth control before menopause. Hormone therapy HT. Self-Care A healthy lifestyle may help you manage menopause symptoms. Exercise regularly. Limit alcohol and caffeine. This may help manage menopause symptoms and reduce long-term health risks.

If you are overweight, try to lose a little weight. In addition to overall health benefits, weight loss may reduce hot flashes.

Pay attention to how the emotional side of menopause is affecting you. Have a support network, and seek help as needed. Make sure you get enough calcium and vitamin D. This can help lower your risk of osteoporosis.

The amount of calcium and vitamin D that you need to take depends on your age, your health, and how much calcium you get from the foods you eat. Improve bladder control with regular Kegel exercises. To manage hot flashes, keep your environment cool, dress in layers, and manage stress.

If you're having problems with vaginal dryness, try these things: Use an over-the-counter lubricant before intercourse. Lubricants can be water-, silicone-, or oil-based.

Ask your doctor about what kind may be a better option for you. Use a vaginal moisturizer, such as Replens. It can be used on a regular basis to help reduce vaginal dryness. Ask your doctor about using vaginal estrogen cream, tablet, or ring.

Breathing exercises, meditation, or yoga may help. Explore more Menopause: Managing Hot Flashes Stress Management: Relaxing Your Mind and Body. Medicines If your symptoms bother you, you may want to ask your doctor about prescription medicines. Hormone medicines include: Low-dose vaginal estrogen cream, tablet, or ring.

This reduces dryness and other tissue changes in and around the vagina. Estrogen and progestin hormone therapy HT. These come in the form of a pill, patch, vaginal ring, gel, spray, or cream. They can be used to treat menopause symptoms.

Estrogen therapy ET. This is hormone therapy without progestin. It's most often used after surgery to remove the uterus hysterectomy. Testosterone with estrogen.

This is sometimes used for menopause symptoms that don't improve with estrogen therapy. Non-hormone medicines include: Antidepressants. These can reduce how many hot flashes you have.

They can also make them less severe. And they may help with irritability, depression, and moodiness.

This is medicine for high blood pressure. It can reduce the number of hot flashes and how severe they are. It may cause side effects related to low blood pressure. Gabapentin Neurontin. This is an antiseizure medicine. Possible side effects include sleepiness, dizziness, and swelling.

Ospemifene Osphena. This is used to reduce vaginal changes that can make sex painful. Learn more Menopause: Should I Use Hormone Therapy HT? Other Treatment There are many non-medicine treatments to relieve menopause symptoms. Cognitive behavioural therapy is a type of counselling.

It focuses on changing certain thoughts and behaviour patterns. It may help you feel less bothered by hot flashes. Hypnosis is a state of focused concentration. With it, you become less aware of what is around you. It may reduce the number of hot flashes and make them less severe. Mind and body relaxation, such as breathing exercises.

This may help with hot flashes and mood symptoms. Yoga and biofeedback can help you reduce stress. Black cohosh such as Remifemin may help relieve symptoms. But the research on black cohosh has had mixed results.

Soy may improve symptoms. But studies have shown mixed results. Related Information Abnormal Uterine Bleeding Abnormal Vaginal Bleeding Birth Control Breast Cancer Deep Vein Thrombosis Endometrial Uterine Cancer Fibrocystic Breasts Heart Attack and Unstable Angina Hysterectomy Osteoporosis Sexuality and Physical Changes With Aging.

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After 1 year of having no periods, you've reached menopause. In most cases, menopause happens around age But everyone's body has its own time line. You may stop having periods in your mids. Or you might have them well into your 50s. Menopause is a natural part of growing older.

You don't need treatment for it unless your symptoms bother you. But it's a good idea to learn all you can about menopause. Knowing what to expect can help you stay as healthy as possible. Perimenopause is the process of change that leads up to menopause. It can start as early as your late 30s or as late as your early 50s.

How long perimenopause lasts varies, but it usually lasts from 2 to 8 years. You may have irregular periods or other symptoms during this time. Normal changes in your body cause menopause.

You start to ovulate less often. Your hormone levels fluctuate, causing changes in your periods. Over time, you stop ovulating and the levels of the hormone estrogen drop. This causes your menstrual cycle to stop.

Some medical treatments can trigger early menopause. Menopause symptoms include hot flashes , trouble sleeping, and vaginal dryness. You may have only a few mild symptoms.

Or you might have severe symptoms. Symptoms tend to get worse the first year after menopause. But then many of them improve or go away.

Your age, your history of menstrual periods, and your symptoms will tell your doctor if you are near or at menopause. You likely won't need to be tested to see if you have started perimenopause or reached menopause.

But if your doctor suspects another medical condition, you may have some tests. You don't need treatment for menopause unless your symptoms bother you. The first step is to have a healthy lifestyle.

It can help reduce symptoms. But if your symptoms are upsetting or uncomfortable, there are medicines that can help. Medicines may include hormonal birth control, hormone therapy , antidepressants, clonidine, or gabapentin.

A healthy lifestyle can help you manage menopause symptoms. It can also help lower your risk for heart disease, osteoporosis, and other long-term health problems. Health Tools help you make wise health decisions or take action to improve your health. Normal changes in your reproductive and hormone systems cause menopause.

Your body starts to ovulate less often. During this time, your hormone levels go up and down unevenly fluctuate. This causes changes in your periods and may cause other symptoms. Over time, you stop ovulating, and estrogen and progesterone levels drop. Certain lifestyle choices and medical treatments are linked to an earlier menopause.

They include:. Symptoms may include:. Symptoms related to mood and thinking may also happen around the time of menopause. These include:. Or you might have severe symptoms that disrupt your sleep and daily life. Menopause caused by surgery, chemotherapy, or radiation therapy can cause symptoms to be more severe.

A condition you already had, such as depression, anxiety, sleep problems, or irritability, can also make symptoms worse. Symptoms tend to last or get worse the first year or more after menopause. Over time, hormones even out at low levels. Many symptoms improve or go away. But sometimes symptoms don't go away.

After menopause, you may get other symptoms. These include drying and thinning of the skin, and vaginal and urinary tract changes.

In your late 30s, your egg supply starts to decline and hormone production changes. You may notice a shorter menstrual cycle and new PMS symptoms. Starting sometime between your late 30s and your early 50s, your periods become irregular.

This lasts for 2 to 8 years. During this time, your ovaries sometimes produce higher and sometimes lower amounts of hormones.

This can lead to heavy menstrual bleeding. About 6 to 12 months before your periods stop, your ovaries stop releasing eggs. Estrogen levels drop. This causes your periods to stop. After a year of no periods, you have reached menopause. During the next year or so, estrogen levels keep going down.

This creates some health concerns, including:. Call your doctor if you have:. If you can, bring a calendar or journal of your periods and symptoms.

Tests may include a pregnancy test or hormone tests. If you have heavy, irregular periods, your doctor may want to do tests to rule out a serious cause of the bleeding. Heavy bleeding may be a normal sign of perimenopause. But it can also be caused by infection, disease, or a pregnancy problem.

But if your symptoms are upsetting or uncomfortable, you don't have to suffer through them. There are treatments that can help. It may help reduce symptoms and also lower your risk of heart disease and other long-term problems related to aging. All medicines for menopause symptoms have possible risks or side effects.

Be sure to talk to your doctor about your possible health risks before you start a treatment. Medicines may include:. Remember, you can still get pregnant until you reach menopause.

To prevent an unplanned pregnancy, keep using birth control until you have not had a period for 1 full year. A healthy lifestyle may help you manage menopause symptoms. If your symptoms bother you, you may want to ask your doctor about prescription medicines.

And there's a very small chance of serious health problems from taking hormone therapy. Hormone medicines include:. Non-hormone medicines include:. There are many non-medicine treatments to relieve menopause symptoms. Remember that natural health products may have risks.

If you choose to take them, tell your doctor what you take. Adaptation Reviewed By: Alberta Health Services. Adapted with permission from copyrighted materials from Healthwise, Incorporated Healthwise. This information does not replace the advice of a doctor.

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Top of the page. Topic Overview This information has been translated into other languages — see the links at the bottom of this page. Other languages Menopause and Perimenopause.

Health Tools Health Tools help you make wise health decisions or take action to improve your health. Decision Points focus on key medical care decisions that are important to many health problems.

Menopause is the point Mensfrual your life when you fueling options for swimming stop having menstrual periods. After 1 Evaluating body hydration of having qnd periods, you've reached menopause. In most cases, menopause happens around age But everyone's body has its own time line. You may stop having periods in your mids. Or you might have them well into your 50s. Federal government Simple carbohydrate foods often menooause in. gov or. The site is secure. Larissa is experiencing the menopausal transition, a normal part Food allergy management Simple carbohydrate foods ane women. Menopause is not a disease or disorder. This time in a woman's life is often full of other transitions in addition to physical ones: Women may be caring for aging parents or relatives, supporting their children as they move into adulthood, or taking on new responsibilities at work.

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