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Menopause is an important time in a woman’s life. Her body is going through changes that can affect her social life, her feelings about herself, and her functioning at work. In the past, menopause was often surrounded by misconceptions and myths. Now, it is recognized that menopause is a natural step in the process of aging. Contrary to the old-fashioned view that life is all downhill after menopause, many women today find that the years after menopause offer new discoveries and fresh challenges. Today, medical advances have resulted in a wide range of health care choices that can enhance quality of life during menopause and the decades afterward. It is vital for women to know that menopause itself carries no serious health risks. However, the chance for heart disease and osteoporosis (thinning of the bone) rises after menopause. Understanding menopause and the range of treatment options can help women make the best health decisions. Remember, menopause is a perfectly natural occurrence.

Menopause is the medical term for the end of a woman’s menstrual periods. It is a natural part of aging, and occurs when the ovaries stop making hormones called estrogens. This causes estrogen levels to drop, and leads to the end of monthly menstual periods. This usually happens between the ages of 45 and 60, but it can happen earlier. Menopause can also occur when the ovaries are surgically removed or stop functioning for any other reason. Low estrogen levels are linked to some uncomfortable symptoms in many women. The most common and easy to recognize symptom is hot flashes ÷ sudden intense waves of heat and sweating. Some women find that these hot flashes disrupt their sleep, and others report mood changes. Other symptoms may include irregular periods, vaginal or urinary tract infections, urinary incontinence (leakage of urine or inability to control urine flow), and inflammation of the vagina. Because of the changes in the urinary tract and vagina, some women may have discomfort or pain during sexual intercourse. Many women also notice changes in their skin, digestive tract, and hair during menopause. In the long term, some women experience problems linked to the low levels of estrogen found after menopause. These may include osteoporosis and increased risk for heart disease

About 75% of women report some troublesome symptoms during menopause, but the severity and frequency of symptoms varies from woman to woman. The most common symptoms are hot flashes and vaginal atrophy (this is, the tissue of the vagina becomes thinner, drier, and more delicate, and begins to shrink).

Irregular bleeding :

The period of time leading up to menopause is often characterized by irregular periods. In fact, changes such as shorter or longer periods, heavier or lighter menstrual bleeding, and varying lengths of time between periods may be a sign that menopause is near.

Bleeding occurs more often than 21 days or Your period lasts longer than 8 days or is very heavy or Your period occurs after 6 months or more without a period or Hot flashes. Factors that may be linked to hot flashes are – Hot/ humid weather, Confining spaces, Drinks or food with caffeine or alcohol, Spicy foods.

Hot flashes are the classic sign of menopause, as well as the most common reason for seeking treatment. A hot flash produces a sudden sensation of warmth or even intense heat that spreads over various parts of the body, especially the chest, face, and head. Flushing and sweating usually occur as well, followed by a chill. Some women feel their heart beating very fast or hard and feel anxious. These flashes last anywhere from a few seconds to several minutes. How often they occur varies from woman to woman. Women who have had a hysterectomy are more likely to have hot flashes. Many women experience most of their hot flashes in the first 2 years after menopause, and find that the hot flashes gradually lessen. However, some women have hot flashes for several years before menopause, and some have them for 10, 20, or even 40 years or longer after menopause. Hot flashes can affect a woman’s social life and work. Also, hot flashes that occur during the night can disrupt sleep. In fact, some women report that their bed sheets become dampened or even soaked with sweat when they have a hot flash during the night.

Vaginal thinning :

Estrogen plays a key role in maintaining the function of a woman’s vagina and surrounding tissues, uterus, urinary bladder, and urethra (the organ through which urine is passed from the bladder). After menopause, all of these organs may weaken or shrink. When these changes occur in the bladder and urethra, they can lead to the involuntary leakage of urine, infection, or painful urination. A thinning of the tissue lining the vagina may lead to pain during intercourse. Vaginal dryness can also occur, as may itching or irritation. Although few women experience serious problems with vaginal dryness and thinning right after menopause, both dryness and thinning continue to occur over time. Some doctors estimate that at least half of all women older than 60 years have some degree of vaginal dryness. Regular sexual intercourse can help to keep the vagina moist and toned.

Links between mood, menopause, and sexual function :

The brain also responds to estrogen. In fact, estrogen is now thought to be important in memory and the healthy functioning of nerve cells in the brain. Some studies have shown that estrogen replacement therapy can preserve brain activity and even improve memory. Depression may also be more likely in the years right before menopause. However, it is unclear whether depression is linked to low levels of estrogen or to the many changes women face during their 40s and 50s (such as career or marriage pressures, or care of children or aging parents).

Factors that increase the risk for osteoporosis After Menopause:

Osteoporosis is the medical term for thinning of the bones. Thin bones become weaker and break easily, with the bones of the spine, wrists, and hips most prone to fracture. Although bones naturally weaken with age in both men and women starting at about age 40, women lose bone more rapidly after menopause.Make sure that you get enough calcium in your diet can help strengthen your bones. Calcium is naturally found in many foods, including dairy products, and may also be added to a food (for instance, some orange juices now have calcium added). Calcium tablets are another good way to add to calcium to your diet. The goal should be to reach a total daily intake of 1000 milligrams per day before menopause or 1500 milligrams per day after menopause. Regular weight-bearing exercise, like walking, may also help prevent osteoporosis.

Hashmi have developed many authentic and effective ayurvedic medicines which regulates strength within the bones and, if deficit, revitalates the bones

Heart disease :

The rate of heart disease rises considerably in women after menopause. Because many people think of heart disease as a “man’s problem,” it may be surprising to know that heart disease is the leading cause of death among women.

You are in Risk Zone for heart disease if you are diagnosed for:

• Being overweight (obesity)
• High blood pressure
• Diabetes
• Cigarette smoking
• High levels of “bad” cholesterol
• A low level of activity (sedentary lifestyle)

Will these symptoms last for the rest of my life?

For most women, the symptoms of menopause last for a relatively short time. However, a woman’s level of estrogen naturally remains low after menopause. This can affect many parts of the body, including the sexual and urinary organs, the heart, and the bones. So in that sense, the changes of menopause will be lifelong. But eating right, exercising, and making other positive lifestyle changes can help a woman feel great and live a long, healthy life after menopause.

Is a change in sexual desire normal after menopause?
Many women say that their sexual desire lessens during the time of menopause. In many cases, the cause is physical. For instance, because lower estrogen levels sometimes cause physical changes in a woman’s sexual organs, having sex may become uncomfortable or painful so it is important to find out whether there is a physical cause for lack of desire. For some women, taking hormones called androgens can help restore sexual desire. Some women find that sexual desire changes because of how they feel about themselves during menopause. Counseling and support groups can help women learn strategies for coping with the physical and emotional changes that occur during menopause.

What can be done to relieve pain during sex?

Intercourse may be painful when there is not enough moisture in the vagina or when the tissue lining the vagina becomes fragile because of lower estrogen levels in the body. Several methods are available to relieve pain during intercourse. It may sound surprising, but frequent sexual activity is one of the most effective remedies for vaginal dryness. Other remedies include taking a warm bath before intercourse or using lubricants. Short-acting, water-based lubricants, such as K-Y Jelly, supply moisture and are used immediately before intercourse. These products are readily available in grocery stores and pharmacies, usually at a low cost.

Long-acting vaginal moisturizers are also available, and can provide extended relief. Vaginal creams containing estrogen are very helpful in relieving the symptoms of menopause, including vaginal dryness.

However, the best and long lasting relief is using ayurvedic vagina soothers and moisturisers since they do not come along with any side effect tag.

Since I began menopause, I’ve had an embarrassing problem – urine leaks when I laugh or cough. What can be done to prevent this?

Some women have problems with bladder control after menopause begins. This happens because the muscles that surround the bladder and hold the urine inside become weaker when estrogen levels are low. Fortunately, simple exercises – known as Kegel exercises – can strengthen these muscles. To perform a Kegel, contract the pelvic muscles as if trying to tighten or close the vaginal opening. Hold the contraction for a count of three and then relax. Wait a couple of seconds and repeat. Fast Kegels (squeezing and relaxing muscles as quickly as possible) can also help. Performing several Kegels a day (try for a total of 50 per day) can markedly improve bladder control – and may even enhance sexual pleasure! Taking estrogen can also help maintain the tone or strength of pelvic muscles. There are many very good ayurvedic medical remedies are now available which are widely used worldwide now by women after menopause.

Even though my eating habits have not changed, I’ve gained weight recently. Is that linked to menopause?

It may be the body’s metabolism changes during and after menopause. Everyone’s metabolism begins to slow during the early to mid-30s. This change occurs slowly, so it may take a while for the impact of eating habits to affect weight. It is important to make a sensible, nutritious diet and healthy behaviors, such as getting enough exercise, a goal for life.

I seem to be very forgetful lately and I’m worried. What’s happening?

Many menopausal women have problems with short-term memory – like forgetting the location of car keys or eyeglasses, skipping appointments they didn’t remember, or losing the end of a thought when speaking or writing. These may be due to a busy lifestyle and/or stress at home or work. Notably, several medical studies have shown distinct differences in memory in women who have active ovaries producing estrogen or are taking estrogen replacement therapy compared to women with low levels of estrogen due to menopause.

How will menopause affect my daily activities and lifestyle?

That all depends on you. Menopause is a natural part of life, not a disease or a health crisis. However, menopause may occur when many other changes are happening in your. For instance, your children may be marrying or leaving home, your parents may be ill or dying, or you may be wondering what you’ll do when you retire from work. That’s why it is probably more helpful to think of how your daily activities and lifestyle will affect menopause. For instance, making sure that you exercise and eat right can make a real difference in how you feel and can even help prevent some of the long-term effects that are linked to estrogen deficiency (like heart disease or osteoporosis). Physical changes do occur with menopause and with aging. But the changes that happen during this period can be minimized by healthy living and a sense of purpose in life.

Immediately after Menopause, you should ensure :

Reducing salt intake
Increasing exercise and activity
Avoiding caffeine and chocolate
Taking vitamin B6 or B complex

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