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What is Menopause?

Updated: Jul 9

Menopause is often misunderstood, or seen as something to fear or hide rather than a natural part of life. But in reality, it’s a powerful transition that marks a new chapter full of change, growth, with yes, a bit of challenge too. Whether you’re just starting to notice the signs or well into the journey, understanding menopause can help you navigate it with more confidence and grace. 


It can arrive gradually or suddenly, bringing symptoms like hot flashes, mood swings, and a range of other changes that many women aren’t prepared for. But menopause is more than just an ending; it is a significant shift in your body’s functions. 


What Exactly is Menopause?


Menopause is defined as the point when a woman’s menstrual periods have stopped for at least 12 consecutive months, usually occurring between the ages of 45 and 55. However, the changes begin before this stage, during a phase called perimenopause.


During perimenopause, hormone levels, particularly estrogen and progesterone, start to fluctuate unpredictably. This phase can last several years and is often when many common symptoms begin to appear.



The Most Common Symptoms 


  • Hot Flashes and Night Sweats: Sudden feelings of intense heat that can cause sweating and discomfort. These occur because fluctuating estrogen levels affect the body’s temperature regulation system, confusing your brain’s “thermostat.” As a result, blood vessels near the skin’s surface dilate to cool you down, causing that rush of heat and sweating.


  • Mood Swings: Emotional changes that can range from irritability to unexpected tears, often without an obvious cause. Hormone fluctuations during menopause impact neurotransmitters like serotonin and dopamine, which regulate mood and emotional balance. This hormonal rollercoaster can make your feelings feel more intense and less predictable than usual.


  • Sleep Problems: Difficulty falling asleep or staying asleep, even when feeling tired. Lower estrogen and progesterone levels can disrupt your natural sleep cycles and reduce the quality of deep sleep. Additionally, night sweats and anxiety related to hormonal shifts often make it harder to get uninterrupted rest.


  • Brain Fog: Trouble concentrating, forgetfulness, or moments of confusion. Declining estrogen affects the brain regions responsible for memory, attention, and cognitive function. This can slow down mental processing and make multitasking or recalling information more challenging during menopause.


  • Changes in Menstrual Cycles: Periods may become heavier, lighter, longer, or shorter as hormone levels change. During perimenopause, the ovaries produce estrogen and progesterone irregularly, which disrupts the usual menstrual rhythm. This hormonal imbalance causes fluctuations in the thickness of the uterine lining, leading to unpredictable bleeding patterns.


  • Vaginal Dryness and Changes in Libido: Physical changes that affect comfort and sexual desire, which are common and important to acknowledge. Reduced estrogen causes the vaginal tissues to thin and produce less natural lubrication, leading to dryness and discomfort. Hormonal shifts can also influence sexual desire, sometimes decreasing libido or altering the way intimacy feels.


Not everyone experiences all of these symptoms, and the intensity can vary widely. For some women, symptoms are mild and manageable, while for others, they can be more disruptive. All experiences are valid.


Your Body’s Not Breaking - It’s Recalibrating


It might feel like your body is acting unpredictably, but what is really happening is a major adjustment in hormone levels, especially the decrease in estrogen. This shift affects many areas of your health, including your skin, joints, and mental well-being.


Some days may feel unfamiliar, but this is a natural process of your body adapting to new hormone levels.


Understanding these changes is important because it puts you in a better position to take care of yourself and make informed decisions about your health.



What Helps?


  • Physical Activity: Gentle exercises like walking, yoga, or swimming can improve mood, reduce joint pain, and help manage hot flashes. Moving your body also boosts circulation and promotes better sleep, which can be a real game-changer during times of hormonal shifts. Plus, exercise releases endorphins, those feel-good hormones that naturally lift your spirits.


  • Healthy Nutrition: Eating a balanced diet rich in whole foods supports your energy, hormone balance, and bone health. Focusing on nutrient-dense foods not only fuels your body but can also ease some common symptoms like mood swings and fatigue. Including plenty of colourful fruits and vegetables, lean proteins, and healthy fats helps keep everything running smoothly.


  • Good Sleep Habits: Establishing a relaxing bedtime routine, limiting screen time before bed, and keeping your bedroom cool and dark can improve sleep quality. Creating a peaceful environment signals to your brain that it’s time to wind down, helping you fall asleep faster and stay asleep longer. Consistent sleep patterns are key for mental clarity and overall wellbeing.


  • Managing Stress: Techniques such as meditation, journaling, therapy, or simply allowing yourself to say no to extra demands can help reduce stress levels. Finding what works for you is important, whether it’s deep breathing exercises, talking with friends, or taking quiet moments alone. Lowering stress doesn’t just feel good; it supports your body’s ability to balance hormones and heal.


  • Hormone Replacement Therapy (HRT): For some women, HRT can provide significant relief from symptoms like hot flashes, mood swings, and sleep disturbances. It’s a highly individual choice that depends on your health, symptoms, and preferences, so it’s essential to have an open conversation with your healthcare provider. Together, you can weigh the benefits and risks to find the best approach for your wellbeing.


The Emotional Side 


Menopause isn’t just about physical symptoms. It can bring up a wide range of emotions, including sadness, frustration, relief, or even a sense of freedom. Some women feel a loss related to fertility, while others welcome the end of periods and the challenges that come with them. It’s common to experience mixed feelings, sometimes within a short time.


Allow yourself to acknowledge and accept all these emotions. Talking openly with friends, family, or support groups can be very helpful. Hearing others share similar experiences often brings comfort and understanding.


Menopause is not a decline but a transition. It represents a new phase where your body functions differently, and your perspective on life may change as well. This period is an opportunity to focus on your well-being, set new boundaries, and prioritise what matters most to you. While hormone levels shift, so do your insights and self-awareness. This is a time to embrace your health and your choices. 


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