Published on October 31, 2024
When we talk about menopause, the most common image that comes to mind is hot flashes. However, Dr. Mary Claire Haver and Dr. Sarah Berry explain that hot flashes are not the most prevalent symptom of menopause; in fact, they rank only fifth. More widespread symptoms include sleep disruption, anxiety, and weight gain. These symptoms result from estrogen receptors located throughout the body, influencing a wide range of bodily functions during menopause.
Many women may not be aware that symptoms like vertigo, brain fog, and muscular-skeletal issues can be associated with menopause. Dr. Haver emphasizes that menopause isn't a sudden change but a transition that can begin 7-10 years prior to the last menstrual period. This period, called perimenopause, involves fluctuating estrogen levels, often leading to misdiagnosis since the symptoms are both varied and non-specific.
Dr. Berry highlights a staggering disparity in research: while there are over a million studies on pregnancy, menopause receives far lesser attention with only 94,000 studies. This lack of focus has resulted in a societal understanding that menopause is just about reproduction stopping rather than seeing it as an ongoing health condition requiring attention and research.
Many women find their healthcare providers are not always supportive or informed about menopause, largely due to the lack of education in medical training. Dr. Haver suggests women arm themselves with knowledge and research to advocate for better healthcare support. Preparing questions and documenting symptoms are crucial steps to take when seeking medical advice.
Menopause significantly alters women’s long-term health risks. As estrogen levels drop, there is an increased risk for cardiovascular disease, osteoporosis, and cognitive decline. This is due to changes in how women metabolize food and interact with environmental factors, which exacerbates risk factors such as high blood pressure and cholesterol levels, highlighting the necessity for proactive health management during this stage.
Historically, hormone replacement therapy (HRT) was viewed with caution due to perceived risks. However, recent research suggests that starting HRT early in the menopause transition can have cardiovascular benefits, reduce cognitive decline, and even lower mortality risks. Dr. Haver encourages women to discuss the personalized risks and benefits of HRT with their healthcare providers.
Nutritional interventions can significantly impact both the symptoms and health risks associated with menopause. Dr. Berry's research indicates that women who maintain a high-quality diet experience fewer menopausal symptoms. Implementing dietary changes like increasing fiber intake and reducing added sugars can contribute to a healthier transition.
Consistent resistance training is vital for maintaining muscle mass and bone strength during menopause. Dr. Haver advises women to engage in weight-based exercises at least twice a week to prevent frailty and support long-term bone health. Simple practices like using a weighted vest can also be beneficial in daily routines.
Frozen shoulder, a lesser-known symptom often associated with menopause, can lead to severe joint pain and limited movement. Recognizing and addressing such symptoms early with physical therapy and medical guidance is important for maintaining quality of life.
The conversation about menopause is evolving, with growing discussions on the varied symptoms and health impacts beyond hot flashes. It is essential for women and healthcare communities to continue advocating for better research and resources to navigate menopause effectively.
# Menopause
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