Symptoms of Menopause
Menopause refers to the period 12 months after you have had your last menstrual period. It also marks the end of your menstrual cycle.
The average age for menopause in the United States is 51 according to the National Institute on Aging. However, perimenopause can start at any time during your 40s or 50s.
Some women go through menopause earlier if they have had surgical removal of the uterus or ovaries or after having treatments for cancer.
The changes usually begin during perimenopause, which is the period where you will start to feel the signs and symptoms of menopause. This phase can begin several years before your last period.
Changes to the levels of two female hormones made in your ovaries – estrogen and progesterone – lead to the start of these symptoms.
The average length of perimenopause is four years before periods officially end.
You may start to notice symptoms months or years before you are in menopause. You won’t know exactly when this will start, but if you pay attention to how you are feeling, you will start to notice changes.
Symptoms will vary from woman to woman, and some women may not have any symptoms that their periods may end soon.
Here are some telltale signs you are entering the menopause:
You will know a hot flash as soon as you have one.
A hot flash is a sudden overwhelming blast of heat starting at your forehead going down into your feet and accompanied by sweating. You may also experience flushing or redness in your face and upper body.
The experience of a hot flash can range from minor sweating to a feeling as if you are covered in too many blankets in a 90-degree room.
Hot flashes are your body’s response to the decreased supply of estrogen. Not all women experience hot flashes, but most do.
How quickly estrogen diminishes determines how frequent and strong your hot flashes will be. If your estrogen production stops suddenly, you are in for some pretty harsh hot flashes.
Night sweats are severe hot flashes occurring after you have fallen asleep.
They wake you up the middle of the night leaving you cold and clammy. Your heart might be pounding, and your sheets soaked in sweat.
For many women, night sweats can be so severe that they disrupt sleep and make it difficult to function during the day.
Menopause causes increases in sweat production separate from hot flashes and night sweats. This rise leads to increased body odor even if you maintain a good hygiene routine.
And while body odor changes are common, they are bothersome.
Ask your doctor about treatments for managing hormonal imbalances or make simple changes to your way of life, such as wearing clothing that is lighter and breathable.
Changes in Periods
If your menstrual periods start to come more often or less often, are heavier or lighter, or have changed in duration, you’re probably on your way to menopause.
It is also possible your periods will become unpredictable, and you may not know when the next one will come, how long it will last, and how heavy or light it will be.
You can still get pregnant as long as you are getting periods, so it is a good idea to maintain your contraception method.
Any bleeding – even spotting – after your periods have completely stopped isn’t normal and should be brought to your doctor’s attention.
One of the earliest signs of menopause is vaginal dryness. As estrogen decreases, so does the body’s lubrication of skin, hair, and more intimate areas, such as the vagina.
Vaginal dryness can make sex painful and uncomfortable.
Talk to your doctor about over the counter (OTC) lubricants, prescription lubricants and gels, oral and cream medications, and/or hormone replacement therapy (HRT) to help ease vaginal dryness. (HRT helps your body to produce natural lubrication.)
Loss of Libido
Some women report they are less interested in sex or have problems getting aroused when they are going through menopause.
The sudden drop in sexual desire is caused by hormonal imbalances and other symptoms of menopause, such as vaginal dryness and depression.
Menopausal mood swings are common but can be hard to cope with. They also bring about a rollercoaster of emotions – one minute you are happy as can be, the next you are either angry or crying hysterically.
Your mood swings can be abrupt and/or extreme. And sometimes your ability to control your moods can be frustrating and confusing.
Anxiety and Depression
Menopause and depression are commonly experienced together, and there are different reasons why some women experience depression and anxiety during menopause.
Some culprits are:
- Chronic health conditions
It is not always possible to completely avoid feelings of anxiety and depression, but with healthy eating, staying active and keeping social helps.
Concentration and Memory Problems
Changes in your hormone levels during menopause can impair your ability to concentrate and can result in memory problems.
It is very common to experience lapses in your memory and have problems concentrating during the early and middle stages of menopause.
Next page: continue to the next page to learn about other common symptoms of menopause including fatigue, incontinence, and weight gain.
If your breasts feel sore and tender, this is probably due to menopausal hormonal changes. You may benefit from wearing comfortable bras and cutting out caffeine which exacerbates swelling.
And even if you still get periods, sore breasts aren’t just going to be limited to your cycle. The severity of pain and tenderness can range from uncomfortable to extremely painful even with the simplest touch.
Talk to your doctor if breast soreness and tenderness cause you a lot of discomforts. Your doctor can recommend an OTC treatment or prescribe one to other you some relief.
Fatigue is a very common symptom of menopause and involves feelings of weakness, tiredness, and low energy. You may also experience irritability and inability to focus.
Menopausal fatigue is caused by hormone changes, especially estrogen. When estrogen drops, so does your energy.
Chronic fatigue can severely impact your life. If fatigue is affecting you at work or in your relationships, talk to your doctor about treating hormonal imbalances to restore energy levels.
Many menopausal women report unrefreshing sleep and problems falling asleep.
Research shows women start to experience sleep issues years before the onset of menopause according to the UCLA Sleep Disorders Center.
Waking up several times during the night, struggling with insomnia, or tossing and turning, could also be menopause related.
If these issues affect your focus during the day, talk to your doctor about ways to resolve and manage sleep problems.
Women who experience headaches around or during their monthly cycles will likely experience them during menopause. Headaches can also be a side effect of HRT therapy.
As your body begins to slow down its production of estrogen, your headaches will be more frequent and severe.
The good news is that once you officially reach menopause, you will stop experiencing these headaches due to lowered hormone levels.
Hair, Skin, and Nail Changes
When your estrogen levels decrease, your hair can become dry, thin, and weak and prone to split ends and breakage.
Your skin may also become dry and thin, and you might find you have sensations your skin is itchy or tingly, or you may experience a crawling feeling.
Hormonal fluctuations can also lead to brittle fingernails. Symptoms of brittle nails include:
- Changes in normal nail color
- Ridges on nails
- Peeling, cracking, curling, chipping or splitting
- White spots
- A feeling of dryness
- Dry cuticles and hangnails
Reduced levels of estrogen cause the thinning of the lining of the urethra – the short tube that allows passage of urine from the bladder to the outside of your body. The surrounding pelvic muscles will also start to weaken as you get older – a process called pelvic relaxation.
Both factors will result in urinary incontinence – involuntary urine leakage.
Small changes such as drinking less coffee, tea, sodas, and alcohol, limiting other liquids, and keeping a healthy weight can help minimize your symptoms.
Kegel exercises can help to tighten your pelvic floor. These exercises involve repeatedly tightening and releasing your pelvic floor muscles for a few seconds at a time.
Weight gain is the most frustrating part of menopause for most women especially since the weight starts to accumulate at your midsection.
Therefore, as you get older, it is important to maintain a healthier lifestyle because having more weight in your midsection puts you at risk for many serious health conditions, including heart disease.
Bloating is a very common symptom of menopause and related to the increase of intestinal gas and fluid retention caused by hormonal fluctuations. It is similar to the bloating you experience before and during your period.
Irregular Heart Beat
An irregular heartbeat is a relatively common problem in women going through menopause. The problem is related to fluctuating estrogen levels.
An irregular heartbeat is known medically as heart palpitations. It occurs when the heart beats faster than normal or more forcefully. This might give an unpleasant awareness of your heartbeat and may feel as if your heart is pounding or has skipped a beat.
While irregular heartbeat is normal during menopause, these events may alarm you. And while it is likely nothing to worry about, you should still talk to your doctor if these episodes are frequent or scary enough to cause you concern.
Osteoporosis is a bone disease that weakens your bones and increases your risk of fractures.
The actual cause of it is unknown, but researchers do know there is a connection between osteoporosis and menopause.
The lack of estrogen is directly linked to a decrease in bone density, and the longer a woman is experiencing lower estrogen, the more likely her bone density will be compromised.
Talk to your doctor about your risk factors for osteoporosis and potential ways to preserve bone health.
Seeing Your Doctor
You should be seeing your doctor regularly for preventative healthcare and any medical concerns. Continue going to your appointments before, during, and after menopause.
Preventative healthcare should include mammograms and breast and pelvic exams.
You should talk to your doctor about heavy or irregular menstrual bleeding that is abnormal for you, new bleeding between periods, bleeding while you are taking hormone replacement therapy, and any bleeding from your vagina after you have not had a period for at least six months.
Your doctor can also prescribe medications to help you manage some of the symptoms of menopause, including insomnia, hot flashes, mood changes, and vaginal dryness.
Don’t be embarrassed about your menopausal experiences and learn to be open to talking with your doctor about any concerns related to menopause or other health worries.