Menopause
What is Menopause?
Menopause is the term that has historically been used to describe the years of a woman’s life during which estrogen production decreases progressively until, one day, menstruation stops. Technically, menopause means that the ovaries are no longer producing estrogen and that a woman no longer menstruates. The average age for this event is 51. However, we now realize that there is quite a bit more to menopause than the cessation of having a period.
What Is Perimenopause?
Perimenopause is the period of time during which estrogen production fluctuates. Changes in the ovaries may begin sometime during a woman’s 30’s or 40’s and can last several years. As estrogen variances continue, the menstrual cycle may become shorter, or it may become longer. Flow may lighten up or it may become heavier, and this can change from month to month. Some months, there may be no period at all. While menstrual changes are a telltale sign of perimenopause, it is important to consult with your healthcare provider about abnormal bleeding.
Symptoms of Perimenopause
One of the frustrating aspects of perimenopause is that hormone disruption can interrupt a variety of bodily functions. This part of a woman’s journey may include:
Risks of Perimenopause & Menopause
The primary symptoms of hormone changes in a woman’s body affect daily living, and thus the quality of life. The less estrogen a woman has, the greater risk she also has for bone loss, high cholesterol, and cardiovascular disease, including stroke and heart attack. A certain degree of risk can be mitigated with healthy eating and exercise habits. Hormone replacement therapy, or HRT, may also be something to consider.
What Is Hormone Replacement Therapy?
Hormone therapy, or HRT, is tailored to a woman’s need for estrogen as she approaches or completes menopause. Treatment may involve taking estrogen pills or administration via a topical solution, vaginal ring, or skin patch. Pellet therapy has also become a popular method of hormone replacement in recent years. The dosage and type of hormones that are prescribed are based on individual circumstances. Combination hormone therapy may include an appropriate dose of progestin, as well as estrogen, to decrease the risks associated with estrogen-only HRT.
Benefits of Hormone Replacement Therapy
HRT has demonstrated clinical value in the reduction of perimenopause symptoms such as night sweats and hot flashes. Vaginal dryness can improve with local estrogen therapy in the form of a cream or vaginal ring. Treatment also has protective properties that preserve bone density, decreasing the risk of osteoporosis.
Recommendations For Women with Menopause
We are here to support you with personalized health care as you transition through this change of life. A few recommendations for women in perimenopause, and for post-menopausal women, include: