Menopause: Understanding and Managing Its Impact

Menopause, a natural aging process for anyone who menstruates, currently affects around 13 million people in the UK. Despite its prevalence, discussions about menopause remain scarce. This article aims to demystify menopause, providing answers to the most pressing questions and offering practical advice for those navigating this transition.

The Heat of Menopause: Hot Flashes Explained

A major symptom of menopause is hot flashes, affecting approximately 80% of women. These sudden feelings of intense heat are due to changes in estrogen levels, disrupting the body's temperature regulation. Dr. Stephanie Faubion explains this phenomenon as an overactivity of KNDy neurons in the brain, which incorrectly signal the body to cool down.

Coping with Hot Flashes

While hot flashes are brief, their frequency can disrupt daily life and sleep, potentially leading to insomnia and mood changes. Dr. Faubion notes that these symptoms can persist for 7 to 10 years. Lifestyle changes like regular exercise, balanced diet, and avoiding alcohol can mitigate these effects. Hormonal treatments are also available for more severe cases.

Menopause and Sexuality

Dr. Laurie Mintz addresses the common concern of painful sex during menopause, often caused by vaginal dryness due to reduced estrogen. Hormone therapy can effectively treat this issue. However, menopause can also affect libido. Dr. Mintz suggests mindfulness during sex and scheduling intimate moments as ways to enhance sexual desire.

Mental Health and Menopause

Mood swings, anxiety, and irritability are common during menopause. These symptoms, coupled with insomnia and hot flashes, can significantly impact mental health. Dr. Faubion advises addressing these symptoms to alleviate associated mental health issues. Cognitive function, though sometimes affected, usually rebounds post-menopause.

Menopause and Heart Health

Menopause can increase the risk of cardiovascular events and obesity. Dr. Faubion highlights the importance of hormone therapy in managing cholesterol levels and maintaining heart health.

Seeking Menopause Care

Finding the right care for menopause symptoms is crucial. Dr. Faubion recommends consulting specialists, such as those listed by the British Menopause Society, for personalized treatment plans. Dr. Mintz advises those with sexual health concerns to seek specialists in sexual medicine for menopausal women.