Very little research has been conducted about endometriosis after menopause. Do not suffer in silence. Talk to your health care provider about your endometriosis symptoms during perimenopause, menopause and postmenopause.

Endometriosis

What is endometriosis?

In Facts About Endometriosis the World Endometriosis Society’s definition is:

“Endometriosis is a condition in which tissue similar to the lining inside the uterus (called “the endometrium”), is found outside the uterus, where it induces a chronic inflammatory reaction that may result in scar tissue. It is primarily found on the pelvic peritoneum, on the ovaries, in the recto-vaginal septum, on the bladder, and bowel”.

Endometriosis After Menopause Research

How much research has been conducted about endometriosis after menopause?

In Menopause and Endometriosis, published 26 September 2024, the authors elaborate on:

“The shift in paradigm from the belief that endometriosis exclusively affects women of reproductive age has brought attention to its manifestation in postmenopausal patients. Despite this emerging awareness, there remains a dearth of information in the literature regarding postmenopausal endometriosis, with uncertainties surrounding its prevalence, clinical significance, optimal management strategies, and prognosis”.

Endometriosis After Menopause

Does endometriosis go away after menopause?

In Endometriosis Toolkit: A Patient Empowerment Guide the (United States) Society for Women’s Health Research note in Endometriosis and Menopause:

“5% of endometriosis patients are postmenopausal”.

Endometriosis After Menopause

Health Care ProviderEndometriosis After Menopause

What if I think I am having symptoms of endometriosis after menopause?

In Endometriosis: Does Endometriosis Go Away After Menopause? the Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov note:

“For some women, the painful symptoms of endometriosis improve after menopause. As the body stops making the hormone estrogen, the growths shrink slowly. However, some women who take menopausal hormone therapy may still have symptoms of endometriosis.

If you are having symptoms of endometriosis after menopause, talk to your doctor about treatment options”.

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Last Updated: 30 September 2024 – Last Revised: 30 September 2024

World Heart Day 2024 is 29 September! Menopausal? Have you asked your health care provider about your risk for heart disease?

World Heart Day 2024

What is World Heart Day on 29 September 2024?

In About World Heart Day: Our Goal Is To Stop the World’s Biggest Killer the World Heart Federation (WHF) elaborate on:

Meno Martha, Menopause and Your Heart “Cardiovascular disease (CVD) is the world’s number one killer. Combined, conditions affecting the heart or blood vessels – such as heart attack, stroke and heart failure – kill more than 20.5 million every year. The majority of these deaths happen in low- and middle-income countries.

We want to bring this number down – way down. And there’s hope: 80% of premature deaths from CVD are preventable. By making small changes to our lifestyle – what we eat and drink, how much we exercise, and how we manage stress – we can better manage our heart health and beat CVD”.

Cardiovascular Disease

What is CVD?

Depending on the Source the definition of CVD may vary. In What Is Cardiovascular Disease? the WHF definition is:

“Cardiovascular disease (CVD) is a class of diseases that affect the heart or blood vessels (veins and arteries). It can be caused by a combination of socio-economic, behavioural, and environmental risk factors, including high blood pressure, unhealthy diet, high cholesterol, diabetes, air pollution, obesity, tobacco use, kidney disease, physical inactivity, harmful use of alcohol and stress. Family history, ethnic background, sex, and age can also affect a person’s risk of cardiovascular disease”.

Women

Is CVD the leading cause of death in women?

Yes. In Women & CVD the WHF note:

Meno Martha, Menopause and Your Heart“Cardiovascular disease is responsible for 35% of deaths in women each year – more than all cancers combined. It can affect women of any age. Yet, CVD in women continues to be seriously understudied, under-recognised, under-diagnosed and under-treated. This is primarily the result of various misconceptions, including the widespread view that cardiovascular disease affects men more than it does women”.

Menopause

Is there an association between heart disease and menopause?

In What Is Menopause? The Menopause Transition: Heart Health the (Australian) Jean Hailes for Women’s Health (JH) elaborate on:

“Before menopause, women have a lower risk of heart disease than men. However, as women age and their oestrogen levels fall, their risk of cardiovascular disease increases. Heart disease is one of the leading cause of death for Australian women. Heart disease also claims three times as many lives as breast cancer.

After menopause, risk factors for heart disease increase. These include:

  • Meno Martha, Menopause and Your HeartHigh blood pressure
  • An increase in total cholesterol
  • An increase in LDL (‘bad’ cholesterol)
  • A decrease in HDL (‘good’ cholesterol)
  • An increase in blood fats, such as triglycerides.

You can reduce the risk of heart disease by having a healthy lifestyle”.

Heart Health

What can women do to lower their chances of getting heart disease?

In Lower Your Risk for the Number 1 Killer of Women: What You Can Do for Heart Health the (United States) Centers for Disease Control and Prevention explain:

“To lower your chances of getting heart disease, it’s important to:

  • Manage your stress levels
  • Know your blood pressure
  • Check for diabetes
  • Know your cholesterol status
  • Quit smoking
  • Be physically active
  • Choose healthy foods and drinks
  • Limit how much alcohol you drink”.

Healthcare Provider

What numbers do we all need to know?

In Know Your Numbers They Could Just Save Your Life, the (United States) Go Red for Women elaborate on:

“You can’t manage what you don’t measure, which is why knowing your risk is critical to preventing cardiovascular disease. And knowing your risk starts with knowing your numbers.

Talk to your healthcare provider today to learn about your Blood Pressure, Cholesterol, Blood Sugar and BMI (Body Mass Index). Your heart depends on it”.

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Last Updated: 29 September 2024 – Last Revised: 29 September 2024

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”.

Meno Martha, PMS and PerimenopausePerimenopause 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

Meno Martha, PMS and PerimenopauseMay 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”.

Meno Martha, PMS and PerimenopauseMenstrual Diary Format

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