Menopause Issues

The menopausal period cause a number of physical and mental changes within a woman’s body. These may be a result of hormonal changes that occur within the body during this period. Some of the common symptoms and issues related with menopause are

Hot Flashes

Hot flashes may be experienced by women in perimenopause or maybe long after the last menstrual period. It causes sweating and pink or reddish skin. Heart palpitations and feelings of anxiety are felt during hot flashes. Those that affect during night can disrupt sleep causing mood changes and fatigue.


Most hot flashes reduce over time. You can minimize hot flashes by identifying the triggers and avoiding them. Deep breathing exercises have also been found to be helpful in some women. Short term hormone therapy might also be effective in treating hot flashes. You can talk to your physician regarding the best possible solution for you.

Vaginal changes

Vaginal dryness and irritation may be experienced due to low estrogen levels. Inflammation of the vaginal walls may also occur. All this makes sexual intercourse unpleasant.


Vaginal dryness can be treated using vaginal lubricants or vaginal moisturizers. Estrogen treatment in the form of rings, creams and tablets also improve the condition.

Irregular Uterine Bleeding

In women nearing menopause, the uterus shrinks slightly. Changes in menstrual cycle are typical signs of menopause. Vaginal bleeding is uncommon post menopause if you are not on hormone therapy. This needs to be consulted with your gynecologist. But in women using hormone therapy bleeding or spotting during the first few months of therapy may be common.

Irregular periods

In the early stages of menopause, menstrual cycles may become shorter. The bleeding during a period may become heavier or lighter. If you don’t get

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periods for more than 3 months at a stretch, it might indicate menopause. Irregular periods could also be a result of other gynecological problems such as fibroids or polyps.


Birth control pills or intermittent doses of the hormone progesterone may be helpful. An intrauterine device may also be used to reduce bleeding. You can talk to your doctor regarding the best approach to your problem.

Physical and Mental changes

Some common physical and mental problems associated with menopause are

  • Mood Swings and depression are more common when you near menopause and are attributed to the hormonal fluctuations. Lifestyle changes like getting enough sleep, exercise can help reduce mood swings. Antidepressants can also be prescribed by your physician to overcome depression.
  • Memory and Concentration Problems can be experienced during perimenopause.
  • Insomnia or difficulty to fall asleep is one common problem experienced by women during perimenopause. Sleep cycle changes and you feel fatigued, tense, irritable or moody. Medications are available as a temporary solution.
  • Low sexual desire may be caused by a number of reasons including low estrogen levels, vaginal dryness, lack of sleep making you feel fatigued, urinary incontinence etc. Estrogen may prove helpful in dealing with low sexual desire.
  • Weight Gain: Although weight gain is a common problem experienced by women in this age group there are no evidences which show that it is directly linked to menopause.
  • Urinary Incontinence: Due to decreased estrogen levels and aging changes in urinary anatomy occurs. This causes problems like frequent urination, pain during urination, urine leakage etc. Bladder and urethral infections or muscle weakness caused by aging or injuries during childbirth etc may also cause urinary incontinence. Bladder training may provide relief to some extent. Reducing the consumption of coffee, tea and alcohol can also prove to be helpful.You can talk with your doctor on the treatment options available.
  • Heart Palpitation: Some women in perimenopause experience palpitations (increase by 8-16 beats )during hot flashes though they seem to improve after menopause
  • Dry Skin and hair
  • Headaches: headaches can be common and can be linked to the hormonal changes during menopause.

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