Table of Contents
- Menopause facts
- What is menopause?
- At what age does a woman typically reach menopause?
- What conditions can affect the timing of menopause?
- What are the symptoms of menopause?
- What are the symptoms of menopause? (continued)
- What are the complications and effects of menopause on chronic medical conditions?
- Are hormone levels or other blood tests helpful in detecting menopause?
- What are the treatment options for menopause?
- Hormone therapy for menopause
- Hormone therapy for menopause (continued)
- Other pharmaceutical therapies for menopause
- Alternative medical therapies for menopause
- Alternative medical therapies for menopause (continued)
- Non-pharmaceutical therapies for menopause symptoms
- Lifestyle factors in controlling the symptoms and complications of menopause
Quick GuideMenopause & Perimenopause: Symptoms, Signs
What are the symptoms of menopause? (continued)
Vaginal symptoms occur as a result of the lining tissues of the vagina becoming thinner, drier, and less elastic as estrogen levels fall. Symptoms may include vaginal dryness, itching, or irritation and/or pain with sexual intercourse (dyspareunia). The vaginal changes also lead to an increased risk of vaginal infections.
The lining of the urethra (the transport tube leading from the bladder to discharge urine outside the body) also undergoes changes similar to the tissues of the vagina, and becomes drier, thinner, and less elastic with declining estrogen levels. This can lead to an increased risk of urinary tract infection, feeling the need to urinate more frequently, or leakage of urine (urinary incontinence). The incontinence can result from a strong, sudden urge to urinate or may occur during straining when coughing, laughing, or lifting heavy objects.
Emotional and cognitive symptoms
Women in perimenopause often report a variety of thinking (cognitive) and/or emotional symptoms, including fatigue, memory problems, irritability, and rapid changes in mood. It is difficult to precisely determine exactly which behavioral symptoms are due directly to the hormonal changes of menopause. Research in this area has been difficult for many reasons.
Emotional and cognitive symptoms are so common that it is sometimes difficult in a given woman to know if they are due to menopause. The night sweats that may occur during perimenopause can also contribute to feelings of tiredness and fatigue, which can have an effect on mood and cognitive performance. Finally, many women may be experiencing other life changes during the time of perimenopause or after menopause, such as stressful life events, that may also cause emotional symptoms.
Other physical changes
Many women report some degree of weight gain along with menopause. The distribution of body fat may change, with body fat being deposited more in the waist and abdominal area than in the hips and thighs. Changes in skin texture, including wrinkles, may develop along with worsening of adult acne in those affected by this condition. Since the body continues to produce small levels of the male hormone testosterone, some women may experience some hair growth on the chin, upper lip, chest, or abdomen.
Clarkson, T. "The Role of Soy Isoflavones in Menopausal Health." Medscape. Oct 2010
Rossouw JE; Anderson GL; Prentice RL et al. Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results From the Women's Health Initiative randomized controlled trial. JAMA 2002 Jul 17;288(3):321-33.
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