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The 35 Symptoms of Menopause
This list of common symptoms that occur during perimenopause and menopause was developed from the real-life experiences of hundreds of women. All symptoms were experienced by numerous women and were either cyclical in nature, or responded to treatments (both traditional and alternative) known to address hormonal imbalances.
1. Hot flashes, flushes, night sweats and/or cold flashes, clammy feeling (see note)
2. Bouts of rapid heart beat
3. Irritability
4. Mood swings, sudden tears
5. Trouble sleeping through the night (with or without night sweats)
6. Irregular periods; shorter, lighter periods; heavier periods, flooding; phantom periods, shorter cycles, longer cycles
7. Loss of libido (see note)
8. Dry vagina (see note)
9. Crashing fatigue
10. Anxiety, feeling ill at ease
11. Feelings of dread, apprehension, doom (see note)
12. Difficulty concentrating, disorientation, mental confusion
13. Disturbing memory lapses
14. Incontinence, especially upon sneezing, laughing; urge incontinence (see note)
15. Itchy, crawly skin (see note)
16. Aching, sore joints, muscles and tendons (see note)
17. Increased tension in muscles
18. Breast tenderness
19. Headache change: increase or decrease
20. Gastrointestinal distress, indigestion, flatulence, gas pain, nausea
21. Sudden bouts of bloat
22. Depression (see note)
23. Exacerbation of existing conditions
24. Increase in allergies
25. Weight gain (see note)
26. Hair loss or thinning, head, pubic, or whole body; increase in facial hair
27. Dizziness, light-headedness, episodes of loss of balance
28. Changes in body odor
29. Electric shock sensation under the skin and in the head (see note)
30. Tingling in the extremities (see note)
31. Gum problems, increased bleeding
32. Burning tongue, burning roof of mouth, bad taste in mouth, change in breath odor
33. Osteoporosis (after several years)
34. Changes in fingernails: softer, crack or break easier
35. Tinnitus: ringing in ears, bells, ‘whooshing,’ buzzing etc. (see note)
NOTES:
- Symptom 1 (flashes) Hot flashes are due to the hypothalamic response to declining ovarian estrogen production. The declining estrogen state induces hypophysiotropic neurons in the arcuate nucleas of the hypothalamus to release gonadotropin-releasing hormone (GnRH) in a pulsatile fashion, which in turn stimulates release of luteinizing hormone (LH). Extremely high pulses of LH occur during the period of declining estrogen production. The LH has vasodilatory effects, which leads to flushing. - Symptom 7 (loss of libido) For some women the loss is so great that they actually find sex repulsive, in much the same way as they felt before puberty. What hormones give, loss of hormones can take away. - Symptom 8 (dry vagina) results in painful intercourse - Symptom 11 (doom thoughts) includes thoughts of death, picturing one’s own death - Symptom 14(incontinence) reflects a general loss of smooth muscle tone - Symptom 15 (itchy, crawly skin) feeling of ants crawling under the skin, not just dry itchy skin - Symptom 16 (aching sore joints) may include such problems as carpal tunnel syndrome - Symptom 22 (depression) different from other depression, the inability to cope is overwhelming. There is a feeling of loss of self. Hormone therapy ameliorates the depression dramatically. - Symptom 25 (weight gain) often around the waist and thighs, resulting in ‘the disappearing waistline’ - Symptom 29 (shock sensation) “the feeling of a rubber band snapping in the layer of tissue between skin and muscle. It is a precursor to a hot flash” - Symptom 30 (tingling in extremities) can also be a symptom of B-12 deficiency, diabetes, alterations in the flexibility of blood vessels, or a depletion of potassium or calcium - Symptom 35* (tinnitus) one of those physical conditions that seems to manifest in some women at the same time as menopause. It can be associated with health conditions such as hypothyroidism and heart disease, and is a known side-effect of many medications, including aspirin (salicylates) and Prozac.SOME OF THE 35 SYMPTOMS MAY ALSO BE SIGNS OF THE FOLLOWING:
- hypothyroidism - diabetes - depression with another etiology - other medical conditionsIf you have reason to believe you may have one of these conditions, please see your doctor for treatment.
Source: ProjectAWARE, a website by women, for women… offering objective and comprehensive health information, especially related to menopause, perimenopause, and postmenopause.
Physical Changes during Menopause:
A woman’s body undergoes a number of changes as she passes through menopause. Women may experience the following changes which may need to be supported with medications and/or dietary supplements as well as lifestyle/dietary adjustments:
• Some body structures may lose muscle tone
• Breast size, shape and firmness change
• Skin wrinkling and loss of skin tone may occur due to a loss of collagen, a key protein that keeps skin firm and young looking
• Body fat may accumulate in areas such as the thighs and hips
• Bone mass and strength may decrease
• Metabolism may slow down, increasing changes of weight gain
• Nervous system changes such as emotional swings, tiredness, insomnia, forgetfulness, headaches, anxiety, irritability, and depression may occur
North American Menopause Society
• The median age for onset of perimenopause is 47.5
• Most women spend one-third to one-half of their life in post menopause
• Spontaneous menopause occurs at the average age of 51.4 years in Western women
• The menopause transition lasts an average of 4 years
• Smoking has been identified as a cause of early menopause
International Menopause Society
• One-half of all women over 50 will at some time have a fracture caused by osteoporosis which can be accelerated by the loss of estrogen during menopause
• Women are up to three times more likely than men to have Alzheimer’s disease, and research suggests menopause may play a significant role due to the loss of estrogen
• Recent surveys have found that more than half of all women don’t know that menopause is associated with an increased risk of heart disease
• Signs & Symptoms of Menopause: Around the ages of 48-52, many changes begin to occur in a woman’s body.
• Unwanted symptoms of hormone imbalances include: Hot flashes, usually presented as flushing of the face, neck, chest and back; insomnia; mild to moderate depression; joint and muscle pain; water retention (edema); heart palpitations; headaches; vaginal dryness; increased sweating and loss of labido.