Managing the menopause
The menopause is a normal, natural part of ageing, which affects all women and is defined as the last menstrual period.
For many people, the menopause is a natural part of growing older and they do not have symptoms that affect their everyday life enough to need treatment.
In the UK, the average age that women begin to feel the symptoms of the menopause is around 51. For those who reach the menopause before the age of 40, this is known as a ‘premature menopause’.
The menopause is a retrospective diagnosis that can be confirmed when a woman has missed her periods for 12 consecutive months. The gradual transition over the preceding years is known as “the perimenopause”.
During this time, which can last up to 10 years, the ovaries gradually produce less oestrogen, periods may become irregular, fertility decreases and women may begin to experience menopausal symptoms.
At the Agora, we provide advice on managing the menopause. We see women who are worried that they might be entering the menopause, as well as those who have reached the menopause and are confused about the treatment options that are available to relieve symptoms and maintain their long-term health.
For people who do need treatment, or who are worried about their long-term health, we can offer advice about the advantages and risks of hormone replacement therapy (HRT), as well as a diet and lifestyle programme to help reduce symptoms. We also offer advice about fertility services available for women who have had a premature menopause.
Menopause MOT
- Medical assessment which includes: blood pressure, BMI & bloods, FSH, LH Oestradiol & Testosterone.
- Doctors Consultation.
- 3 month review includes repeat Oestradiol & Testosterone and follow up doctors consultation.
- Any extra tests recommended by the doctors will be at an additional fee.
Managing the menopause – Frequently Asked Questions
What are the different stages of menopause?
The menopause is a retrospective diagnosis that can be confirmed when a woman has missed her period for 12 consecutive months.
The gradual transition leading up to this is the perimenopause, which can last up to 10 years. Once a woman has gone through the menopause she is described as “post menopausal”.
What are the symptoms of the menopause?
The British Menopause Society cites 55 symptoms attributable to the menopause.
Symptoms include changes in menstrual cycle, vasomotor symptoms (sweats and flushes), sleep disturbance, fatigue, sexual dysfunction, urinary symptoms, vaginal dryness, mood changes, poor concentration, weight gain, headaches, palpitations, joint pain, impaired cognitive function “brain fog”, low self-esteem, and difficulties in decision making. No one symptom is diagnostic and many other symptoms are possible.
What causes the menopause?
The menopause is caused by a loss of ovarian follicular function and leads to a change in the balance of the body’s hormones, including a decline in circulating blood oestrogen levels
How long does menopause last?
The duration of menopause varies for each individual. On average, it lasts around four to five years, but some women may experience symptoms for a shorter or longer time.
What can I do to manage hot flashes and night sweats?
Managing hot flashes and night sweats may involve dressing in layers, using a fan, avoiding triggers like alcohol, spicy foods and caffeine, staying hydrated, and discussing medication options with your healthcare provider.
How can I cope with mood swings and emotional changes during menopause?
Regular exercise, stress-reduction techniques (like meditation or yoga), getting enough sleep, and maintaining a healthy lifestyle can help manage mood swings and emotional changes.
What are the long-term effects of menopause on health, such as bone density and heart health?
Menopause can lead to a decline in bone density, increasing the risk of osteoporosis. It can also impact cardiovascular health by affecting cholesterol levels and blood pressure.
What are the potential risks and benefits of hormone replacement therapy (HRT)?
HRT treats menopausal symptoms and improves quality of life. It also minimises the impact of chronic disease such as cardiovascular disease and osteoporosis. There are very few absolute contraindications to HRT but there are some very small associated risks, such as a small increase in the risk of breast cancer in women who have taken HRT for greater than 5 years. However this risk needs to be put in context and is no more than if a woman drinks alcohol or is overweight.
Can menopause cause anxiety or depression?
Hormonal fluctuations during menopause can contribute to mood changes and may lead to anxiety or depression in some women. If you’re experiencing symptoms, consider talking to a mental health professional.
What are the risks of osteoporosis during menopause, and how can I prevent it?
The decline in estrogen during menopause can lead to reduced bone density and an increased risk of osteoporosis. Preventive measures include a calcium-rich diet, vitamin D supplementation, weight-bearing exercises, and discussing bone health with your GP or specialist.
Are there any specific dietary recommendations for managing the menopause?
A balanced diet rich in calcium, vitamin D, and phytoestrogens from sources like soy may benefit menopausal women. Reducing caffeine and alcohol intake can also help manage symptoms.
