The importance of managing menopause

Menopause marks a significant transition in a woman's life, signifying the end of her reproductive years. It typically occurs between the ages of 45 and 55, with the average onset at around 51.

This natural biological process is defined by the cessation of menstrual periods for twelve consecutive months, signaling the end of ovarian function. On hand to provide us with more information regarding menopause is revered consultant obstetrician and gynaecologist, Mrs Anjali Ahluwalia. 

Symptoms and stages

Menopause can be divided into three stages: perimenopause, menopause, and postmenopause. Perimenopause, the transitional phase leading up to menopause, often begins in a woman's 40s and can last several years. During this period, women may experience irregular menstrual cycles, hot flashes, night sweats, mood swings, and sleep disturbances. These symptoms result from fluctuating hormone levels, particularly oestrogen and progesterone.

The menopause stage is reached once a woman has not had a menstrual period for twelve months. Common symptoms during this time include continued hot flashes, vaginal dryness, and decreased libido. Postmenopause follows, during which symptoms may persist but often lessen over time. However, the decline in oestrogen levels can increase the risk of osteoporosis, cardiovascular disease, and urinary incontinence.

Managing menopausal symptoms

There are various approaches to managing the symptoms of menopause. Hormone replacement therapy (HRT) is one option, involving the administration of oestrogen and sometimes progesterone to alleviate symptoms like hot flashes and vaginal dryness. However, HRT is not suitable for everyone and may carry risks, including an increased likelihood of breast cancer and cardiovascular issues.

Non-hormonal treatments are also available, such as lifestyle modifications and alternative therapies. Regular exercise, a balanced diet rich in calcium and vitamin D, and maintaining a healthy weight can help mitigate symptoms and improve overall well-being. Additionally, practices like yoga, acupuncture, and mindfulness meditation have shown promise in managing stress and promoting relaxation.

Long-term health considerations

Beyond symptom management, it is crucial for women to consider long-term health during and after menopause. Bone health becomes a significant concern due to the increased risk of osteoporosis. Weight-bearing exercises, calcium and vitamin D supplements, and medications can help maintain bone density.

Cardiovascular health is another critical aspect, as the decline in oestrogen levels may contribute to a higher risk of heart disease. Regular check-ups, a heart-healthy diet, and avoiding smoking are essential preventive measures.