May 12, 2007

Menopause

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DEFINITION Menopause is considered to begin 1 year after a woman's last monthly menstrual period. However, menopause happens in three stages known formally as perimenopause or pre-menopause, menopause and post menopause, basically referring to the stages before, during and after menopause occurs. It is usually the 6 months to 5 years before your last period (perimenopause) that is the source of the most uncomfortable symptoms. During this time, the ovaries stop making hormones and releasing eggs.

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All women go through menopause, usually between the ages 40 and 55 although it can happen anytime after the age of 30, smokers often beginning menopause earlier than non-smokers do. During menopause, women go through physical and mental changes. At first, a women's menstrual periods become irregular and eventually stop. When a woman is in her mid 30's, her ovaries begin to change the amount of estrogen and progesterone they make. A woman can become pregnant during this time so even if periods are irregular during perimenopause, it is best to take precautions if pregnancy is unwanted.SYMPTOMS One of the first signs of perimenopause is a change in your periods. They may become lighter, irregular, last longer, or include heavy bleeding. Spotting between periods may also happen. For a few months to a few years before your last period, your estrogen levels decrease and result in bodily changes. Menopause is experienced differently by each individual. Some women have few symptoms, while others complain of mood swings or excessive vaginal bleeding. Symptoms can include:

  • hot flashes
  • moodiness
  • sleeplessness
  • weight gain
  • reduction in breast size
  • headaches or memory problems
  • joint and muscle stiffness or pain

Hot flashes, or flush, is one of the most common menopausal symptoms with about 80% of American women experiencing them. Hot flashes usually begin with heat in the face and neck and the sensation of heat travels quickly down through the body with the whole flash lasting anywhere from 30 seconds to 5 minutes. This can be followed by heavy sweating and cold shivering. Hot flashes can be as mild as a light blush or severe enough to wake you from a sound sleep. Even during the postmenopausal period, hot flashes, insomnia and other menopausal symptoms can persist for a few years.

THE CAUSE OF MENOPAUSAL SYMPTOMS

Menopause is a natural part of aging, during this time, typically between your late 40's or early 50's the ovaries slow their production of estrogen and other hormones as fertility gradually decreases. While this is happening, your body tries to adjust to the changing hormone levels. At times everything’s okay, then without warning the levels drop and you’re suffering through another raging hot flash, another drenching night sweat, the sudden and all-consuming need to cry for no reason.

Menopause is not a disease. With sufficient, reliable information about the physical and psychological changes of menopause, women are better able to cope with the symptoms and make informed choices about their health. It is a natural process that every woman eventually goes through but does not have to suffer its uncomfortable symptoms.

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