September 2024

September 6, 2024

Meno Martha, PMS and Perimenopause

During perimenopause our premenstrual syndrome (PMS) and premenstrual mood disorder (PMDD) symptoms may get worse.

PMS

What is PMS?

Depending on the Source (DotS), the definition of PMS may vary. In Premenstrual Syndrome the (United States) Medline Plus’s definition is:

“Premenstrual syndrome, or PMS, is a group of physical and emotional symptoms that start one to two weeks before your period. Most women have at least some symptoms of PMS, and the symptoms go away after their periods start. The symptoms may range from mild to severe”.

Perimenopause PMS

During perimenopause may our PMS symptoms get worse?

In Premenstrual Syndrome (PMS): Does PMS Change With Age? the Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov explain:

“Yes. PMS symptoms may get worse as you reach your late 30s or 40s and approach menopause and are in the transition to menopause, called perimenopause.

This is especially true for women whose moods are sensitive to changing hormone levels during the menstrual cycle. In the years leading up to menopause, your hormone levels also go up and down in an unpredictable way as your body slowly transitions to menopause. You may get the same mood changes, or they may get worse.

PMS stops after menopause when you no longer get a period”.

Perimenopause PMDD

During perimenopause may our PMDD symptoms get worse?

In Premenstrual Disorders & Menopause: Perimenopause & Natural Menopause – How May Being Perimenopausal Affect My PMDD/PME? the International Association for Premenstrual Disorder’s (IAPMD) elaborate on:

“PMDD cycling does go away after you are fully menopausal; however, during the years before and during the menopause transition (perimenopause), things can get rough for a while since those with PMDD are sensitive to hormone changes, and hormone flux increases EVEN MORE during perimenopause. Estrogen and progesterone production becomes very erratic and unstable before it declines at menopause”.

PMDD

What is PMDD?

DotS the definition of PMDD may vary. In Learn: PMDD the IAPMD’s definition is:

“Premenstrual Dysphoric Disorder (PMDD) is a cyclical, hormone-based mood disorder with symptoms arising during the premenstrual, or luteal phase of the menstrual cycle and subsiding within a few days of menstruation. It affects an estimated 5.5% of women and AFAB individuals of reproductive age. While PMDD is directly connected to the menstrual cycle, it is not a hormone imbalance. PMDD is a severe negative reaction in the brain to the natural rise and fall of estrogen and progesterone. It is a suspected cellular disorder in the brain. Symptoms can worsen over time and or around reproductive events such as menarche (the first menstrual cycle), pregnancy, birth, miscarriage, and perimenopause”.

Menstrual Diary

May keeping a menstrual diary help?

In Menstrual Diary the (United Kingdom) National Association for Premenstrual Syndrome explain:

“A completed menstrual chart is the first step towards understanding your own menstrual health. Download the menstrual diary.

Our chart helps you to record accurately your menstrual cycle, to note related symptoms as they occur, to define when you are symptom-free, to plot your days of menstruation and to note the duration of your cycle”.

In Tracking Your Cycle & Symptoms the IAPMD note:

“PMDD cannot be diagnosed via blood, hormone, or saliva test. These tests can, however, rule out any underlying disorders including hormone imbalance or thyroid issues. The only way to currently test for PMDD is by tracking symptoms for a span of two more menstrual cycles”.

In Premenstrual Syndrome – Self-Care: Keep A Diary of Symptoms the (United States) MedlinePlus explain:

“Keeping a calendar or diary of your symptoms can help you identify the symptoms that are causing you the most trouble. Writing down your symptoms on a calendar can help you understand possible triggers for your symptoms. It can also help your health care provider choose an approach that is most helpful for you. In your diary or calendar, be sure to record:

The type of symptoms you are having
How severe your symptoms are
How long your symptoms last
Whether your symptoms respond to a treatment you tried
At what point during your cycle your symptoms occur

You may need to try different things to treat PMS. Some things you try may work, and others may not. Keeping track of your symptoms may help you find the treatments that work best for you”.

Menstrual Diary Format

Where may I find a menstrual diary format to record symptoms?

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Diary

Health Care Provider

What if I would like help with PMS or PMDD or PME?

In Premenstrual Syndrome (PMS): Living With – When Should I See My Healthcare Provider? the (United States) Cleveland Clinic explain:

“See your provider if you’re unable to get relief from your PMS symptoms. To get the most out of your visit, come to your appointment prepared to discuss your symptoms and your period in detail. Track your period and symptom history on a calendar, planner or app. Be prepared to share information about your period start and stop dates and your symptoms (including how mild or severe) for at least two consecutive periods”.

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New or Updated

Last Updated: 06 September 2024 – Last Revised: 06 September 2024

September 6, 2024/by Meno Martha

September 1, 2024

What’s Hot

Menopause News 2024 What’s Hot

Menopause News 2024 What’s Hot showcases some evidence-based menopause news by menopause societies and international sources.

Menopause News September 2024

What is some Menopause News September 2024 What’s Hot?

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Menopause News September 2024 What’s Hot

Menopause News August 2024

What is some Menopause News August 2024?

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Menopause News August 2024 What’s Hot

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Last Updated: 16 September 2024 – Last Revised: 01 September 2024

September 1, 2024/by Meno Martha

September 1, 2024

What’s Hot

Menopause Videos 2024 What’s Hot

Menopause Videos 2024 What’s Hot showcases some evidence-based menopause videos by menopause societies and other international sources.

European Menopause and Andropause Society

Links

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EMAS Webinars

EMAS On-Demand Webinars [European Menopause and Andropause Society] [Multiply Languages]: Benefits of Oral Combined MHT for Estrogen Deficiency Symptoms Treatment (EN)

International Menopause Society

Videos & Podcasts

Videos & Podcasts: Videos

Webinars

Menopause Society
[formerly The North American Menopause Society]

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Consumer Video and Podcast Series

Consumer Video and Podcast Series: 2024 Consumer Videos and Podcasts – Preparing for Your Menopause Healthcare Visit

Health Care Provider

What if I would like to find out what information in menopause videos 2024 is applicable to me?

If you would like to find out what information in menopause videos 2024 is applicable to you, it may be in your best interest to choose to talk to your health care provider about this.

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Last Updated: 05 September 2024 – Last Revised: 01 September 2024

September 1, 2024/by Meno Martha

September 1, 2024

What’s Hot

World Menopause Day 2024 What’s Hot

World Menopause Day

When is World Menopause Day (WMD) held?

In World Menopause Day the International Menopause Society (IMS) explain:

“World Menopause Day is held every year on the 18th of October. The purpose of the day is to raise awareness of the menopause and the support options available for improving health and wellbeing”.

World Menopause Day 2024

What is the theme for WMD 2024?

In World Menopause Day the IMS announced:

“The theme for World Menopause Day 2024 is Menopause Hormone Therapy”.

2024 Theme

What do the IMS explain about the 2024 WMD theme?

In World Menopause Day the IMS explain:

“The 2024 IMS White paper, and theme of World Menopause Day, aims to report on the current controversies regarding prescribing of menopause hormone therapy (MHT).

It will examine controversial topics within each one of these categories such as

Who should use MHT?…
What should be used?…
When should MHT be started?…
Why is MHT important?
Where can MHT be accessed?…

The overall aim of this White paper will be to provide a well-balanced blueprint for both Healthcare Professionals and the public for managing the menopause with MHT, where appropriate to do so”.

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New or Updated

Last Updated: 15 September 2024 – Last Revised: 01 September 2024

September 1, 2024/by Meno Martha

September 1, 2024

Snapshot

Complementary and Integrative Health and Menopause Snapshot

Complementary and Integrative Health and Menopause Snapshot can be a place to start if you are searching for evidence-based information about complementary and integrative health and menopause.

Menopause Symptoms

What is known about the use of complementary and integrative health to help ease the symptoms of menopause?

In Menopause: Diagnosis & Treatment – Treatment: Alternative Medicine, published 07 August 2024, the (United States) Mayo Clinic elaborate on:

Complementary and Integrative Health and Menopause Snapshot

“There are many alternative medicines that claim to help ease the symptoms of menopause. But few of them have been proved in studies. Some complementary and alternative treatments that have been or are being studied include:

Plant estrogens, also called Phytoestrogens…
Bioidentical hormones…
Cognitive behavioural therapy…
Black cohosh…
Yoga…
Acupuncture…
Hypnosis…”.

Dietary Supplements

Are dietary supplements effective to help ease the symptoms of menopause?

In Menopause: Diagnosis & Treatment – Treatment: Alternative Medicine the Mayo Clinic also include:

“You may have heard of or tried other dietary supplements, such as red clover, kava, dong quai, DHEA, evening primrose oil and wild yam, a natural progesterone cream. There’s no scientific proof that they work. Some of these products may be harmful”.

Safe or Not

Are herbal therapies safe?

On page one in Complementary & Alternative Therapies: Non Hormonal Treatments for Menopause Symptoms, reviewed November 2023, the (British) Women’s Health Concern note:

“One of the powerful messages coming from the NICE Guideline is that herbal remedies which are not regulated by a medicine authority should not be considered safe for all, as there is much variety in their effectiveness and potency and that there may be significant side effects or interactions. The same warning is given for compounded bioidentical hormone therapy which is also not regulated or subject to the same quality control as conventional HRT”.

Health Care Provider

What if I choose to use complementary and integrative health?

The Mayo Clinic explain

“Talk with your healthcare professional before taking any herbal or dietary supplements for menopause symptoms. The FDA does not oversee herbal products. Some can be harmful or affect other medicines you take, putting your health at risk”.

What is the FDA?

FDA can be an abbreviation for the (United States) Food and Drug Administration.

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New or Updated

Last Updated: 08 August 2024 – Last Revised: 08 August 2024

September 1, 2024/by Meno Martha

September 1, 2024

Snapshot

Early Menopause Snapshot

Early Menopause Snapshot can be a place to start for evidence-based information about early menopause. Are you between 40 and 45 years?

Early Menopause

What is early menopause

In Premature and Early Menopause the (Australian) Jean Hailes for Women’s Health’s (JH) definition of early menopause is:

“Early menopause is when your final period happens between the ages of 40 and 45”.

Premature Menopause

What is premature menopause

In Premature and Early Menopause the JH’s definition of premature menopause is:

“Premature menopause is when your final period happens before the age of 40 years”.

Different Differences

How are early menopause and premature menopause different?

In Early or Premature Menopause: What Is the Difference Between Early and Premature Menopause? the Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov elaborate on:

“Early or premature menopause happens when ovaries stop making hormones and periods stop at a younger age than usual (the average age for menopause in the United States is 52). This can happen naturally or for a medical reason, such as when both ovaries are removed in a hysterectomy.

Early and premature menopause can have the same causes. The only difference is the age at which it happens. Menopause that happens before age 45 is called early menopause. Menopause that happens before age 40 is called premature menopause.

Women who have gone through early or premature menopause cannot get pregnant”.

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New or Updated

Last Updated: 15 April 2024 – Last Revised: 15 April 2024

September 1, 2024/by Meno Martha

September 1, 2024

Snapshot

Hormone Therapy Alternatives Snapshot

Hormone Therapy Alternatives Snapshot can be a place to start if you are searching for information about hormone therapy alternatives.

2023 Nonhormone Therapy Position Statement of The North American Menopause Society

What were the Results in the 2023 Nonhormone Therapy Position Statement of The North American Menopause Society?

On page one in the The 2023 Nonhormone Therapy Position Statement of The North American Menopause Society: Abstract – Results, published May 2023, the results were:

“Results: Evidence-based review of the literature resulted in several nonhormone options for the treatment of vasomotor symptoms.

Recommended: Cognitive-behavioral therapy, clinical hypnosis, selective serotonin reuptake inhibitors/serotonin-norepinephrine reuptake inhibitors, gabapentin, fezolinetant (Level I); oxybutynin (Levels I-II); weight loss, stellate ganglion block (Levels II-III).

Not recommended: Paced respiration (Level I); supplements/herbal remedies (Levels I-II); cooling techniques, avoiding triggers, exercise, yoga, mindfulness-based intervention, relaxation, suvorexant, soy foods and soy extracts, soy metabolite equol, cannabinoids, acupuncture, calibration of neural oscillations (Level II); chiropractic interventions, clonidine; (Levels I-III); dietary modification and pregabalin (Level III)”.

What do the Levels mean in the 2023 Nonhormone Therapy Position Statement of The North American Menopause Society?

On page one in the The 2023 Nonhormone Therapy Position Statement of The North American Menopause Society: Abstract – Methods the North American Menopause Society (NAMS) elaborate on:

“Methods: The panel assessed the most current and available literature to determine whether to recommend or not recommend use based on these levels of evidence:

Level I, good and consistent scientific evidence
Level II, limited or inconsistent scientific evidence
Level III, consensus and expert opinion”.³

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Fezolinetant (Veozah)

What is Fezolinetant (Veozah)?

In FDA Approves Novel Drug To Treat Moderate To Severe Hot Flashes Caused By Menopause, published 12 May 2023, the (United States) Food and Drug Administration (FDA) elaborate on:

“Today, the U.S. Food and Drug Administration approved Veozah (fezolinetant), an oral medication for the treatment of moderate to severe vasomotor symptoms, or hot flashes, caused by menopause. Veozah is the first neurokinin 3 (NK3) receptor antagonist approved by the FDA to treat moderate to severe hot flashes from menopause. It works by binding to and blocking the activities of the NK3 receptor, which plays a role in the brain’s regulation of body temperature”.

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Video Series-2023: New FDA-Approved Nonhormone Option for the Treatment of Hot Flashes

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New or Updated

Last Updated: 16 October 2023 – Last Revised: 16 October 2023

September 1, 2024/by Meno Martha

September 1, 2024

Snapshot

Hormone Therapy Snapshot

Hormone Therapy Snapshot can be a place to start if you are searching for information about hormone therapy (HT), hormone replacement therapy (HRT) or menopausal hormone therapy (MHT).

Most Effective Treatment

Is hormone therapy (HT) the most effective treatment for vasomotor symptoms or hot flushes/flashes and night sweats?

On page one in Deciding About Hormone Therapy Use: Potential Benefits, published July 2022, the North American Menopause Society explain:

“Hormone therapy is one of the most effective treatments available for bothersome hot flashes and night sweats. If hot flashes and night sweats are disrupting your daily activities and sleep, HT may improve sleep and fatigue, mood, ability to concentrate, and overall quality of life. Treatment of bothersome hot flashes and night sweats is the principal reason women use HT. Hormone therapy also treats vaginal dryness and painful sex associated with menopause. Hormone therapy keeps your bones strong by preserving bone density and decreasing your risk of osteoporosis and fractures. If preserving bone density is your only concern, and you do not have bothersome hot flashes, other treatments may be recommended instead of HT”.

On page two in the Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause first published online 10 June 2022, one of the recommendations is:

“The decision whether to take HRT, the dose and duration of its use should be made on an individualised basis after discussing the benefits and risks with each patient. This should be considered in the context of the overall benefits obtained from using HRT including symptom control and improving quality of life as well as considering the bone and cardiovascular benefits associated with HRT use. Discussions with women should also cover aspects such as when to consider stopping HRT and how this can be done (by gradually reducing the dose of HRT). No arbitrary limits should be set on age or duration of HRT intake”.

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New or Updated

Last Updated: 16 October 2023 – Last Revised: 16 October 2023

September 1, 2024/by Meno Martha

September 1, 2024

Snapshot

Hot Flushes Snapshot

Hot Flushes Snapshot can be a place to start if you are searching for information about menopausal hot flushes or hot flashes. Between 70 – 80% of women experience hot flushes.

Definition

What can it be helpful to know about hot flushes/flashes?

In Hot Flashes: Symptoms and Causes – Overview the (United States) Mayo Clinic explain:

“A hot flash is the sudden feeling of warmth in the upper body, which is usually most intense over the face, neck and chest. Your skin might redden, as if you’re blushing. A hot flash can also cause sweating. If you lose too much body heat, you might feel chilled afterward. Night sweats are hot flashes that happen at night, and they may disrupt your sleep”.

Treatment

What are some hot flushes/flashes treatment?

On page one in Deciding About Hormone Therapy Use the North American Menopause Society elaborate on:

“Many women experience hot flashes, vaginal dryness, and other physical changes with menopause. For some women, the symptoms are mild and do not require any treatment. For others, symptoms are moderate or severe and interfere with daily activities. Hot flashes improve with time, but some women have bothersome hot flashes for many years. Menopause symptoms often improve with lifestyle changes and nonprescription remedies, but prescription therapies also are available, if needed. Government-approved treatments for bothersome hot flashes include hormone therapy (HT) containing estrogen, as well as a nonhormone medication (paroxetine)”.

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New or Updated

Last Updated: 21 October 2023 – Last Revised: 21 October 2023

September 1, 2024/by Meno Martha

September 1, 2024

Snapshot

Menopause In Multiply Languages Snapshot

Menopause in multiply languages snapshot includes Arabic, Bulgarian, Cantonese, Chinese (Simplified), Dutch, French, Gaelic, German, Hindi, Italian, Japanese, Korean and more languages.

Health Topics A-Z

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Last Updated: 01 July 2024 – Last Revised: 01 July 2024

September 1, 2024/by Meno Martha

September 2024

PMS

Perimenopause PMDD

PMDD

Menstrual Diary

Menstrual Diary Format

Health Care Provider

Health Topics A-Z

Links

Links

New or Updated

Last Updated: 06 September 2024 – Last Revised: 06 September 2024

Menopause News September 2024

Links

Menopause News August 2024

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Health Topics A-Z

Last Updated: 16 September 2024 – Last Revised: 01 September 2024

European Menopause and Andropause Society

Links

International Menopause Society

Menopause Society [formerly The North American Menopause Society]

Links

Health Care Provider

Health Topics A-Z

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Links

Last Updated: 05 September 2024 – Last Revised: 01 September 2024

World Menopause Day

World Menopause Day 2024

2024 Theme

Health Topics A-Z

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Links

New or Updated

Last Updated: 15 September 2024 – Last Revised: 01 September 2024

Menopause Symptoms

Dietary Supplements

Safe or Not

Health Care Provider

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New or Updated

Last Updated: 08 August 2024 – Last Revised: 08 August 2024

Early Menopause<img loading="lazy" decoding="async" class="wp-image-8337 alignleft" src="https://menomartha.com/wp-content/uploads/2015/06/iStock_57127530_LARGE.jpg" alt="Early Menopause Snapshot" width="233" height="176" />

Premature Menopause<img loading="lazy" decoding="async" class="wp-image-8345 alignright" src="https://menomartha.com/wp-content/uploads/2015/06/iStock_77062815_LARGE.jpg" alt="Early Menopause Snapshot" width="265" height="176" />

Different Differences

Health Topics A-Z

Links

Links

New or Updated

Last Updated: 15 April 2024 – Last Revised: 15 April 2024

2023 Nonhormone Therapy Position Statement of The North American Menopause Society

Fezolinetant (Veozah)

Health Topics A-Z

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Links

New or Updated

Last Updated: 16 October 2023 – Last Revised: 16 October 2023

Most Effective Treatment

Health Topics A-Z

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New or Updated

Last Updated: 16 October 2023 – Last Revised: 16 October 2023

Definition

Treatment

Health Topics A-Z

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New or Updated

Last Updated: 21 October 2023 – Last Revised: 21 October 2023

Health Topics A-Z

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Links

Last Updated: 01 July 2024 – Last Revised: 01 July 2024

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