Meno Martha’s Look for A Pattern
explains how to look for a pattern with
menopause symptoms of what’s-what-when.

Umbrella
What may the Meno Martha’s Look for A Pattern Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Menopausal/Menopause Changes/Signs/Symptoms
  • Menopause Transition Changes/Signs/Symptoms
  • Menopause-Related Changes/Signs/Symptoms
  • Perimenopausal/Perimenopause Changes/Signs/Symptoms

Menopause

What is menopause?

DotS the definition of menopause may vary. In The 2023 Practitioner’s Toolkit for Managing Menopause: Definitions, published online 01 December 2023, the authors’ definition is:

“Menopause is the permanent cessation of menstruation in a non-hysterectomized woman. As many women may not be naturally menstruating when their menopause transition begins, for example due to hormonal contraception, having had an endometrial ablation or hysterectomy or pre-existing oligo-amenorrhea, a pragmatic definition of menopause is the permanent cessation of ovarian function”.1

Look for A PatternMeno Martha’s Look for A Pattern

What is the best way to predict menopause?

In What Is Menopause? Diagnosing Perimenopause and Menopause the (Australian) Jean Hailes for Women’s Health (JH) explain:

“The best way to predict menopause is to keep track of your symptoms. If your periods are irregular and your symptoms are getting worse, it’s likely you are approaching menopause”.2

Periods Pattern

Is there a menstrual diary to look for a pattern with my periods?

Your Country may have Links similar to:

Meno Martha’s Look for A Pattern

What is Meno Martha’s Look for A Pattern?

Meno Martha’s Look for A Pattern explains how to look for a pattern with menopause symptoms of what’s-what-when.

How can I look for a pattern with my menopause symptoms?Meno Martha’s Look for A Pattern

To Look for A Pattern with menopause symptoms of what’s-what-when, you can ask yourself these questions and any of your own:

Meno Martha’s Look for A Pattern

When do you have X? e.g. When do you have hot flushes/flashes?

  1. Do you have X on a particular day or night of the week? e.g work day or night
  2. Do you have X at a particular time of day or night?
  3. Do you have X when you feel hot?
  4. Do you have X when you feel hungry?
  5. Do you have X when you eat spicy or certain other food?
  6. Do you have X when you drink tea, coffee, cola or other caffeinated drinks?
  7. Do you have X when you drink alcohol?
  8. Do you have X when you smoke?
  9. Do you have X when you do not have a good night’s sleep?
  10. Do you have X when you feel stressed or sick?
  11. Do you have X when you do not exercise regularly?
  12. Do you have X when you do something else in particular?

Meno Martha’s Look for A Flip-Side Pattern

What is Meno Martha’s Look for A Flip-Side Pattern?

Meno Martha’s Look for A Flip-Side Pattern is how to look for a pattern with menopause symptoms of what’s-what-when, you have less menopause symptoms.

Meno Martha’s Look for A PatternHow can I look for a flip-side pattern with my menopause symptoms?

To Look for A Flip-Side Pattern with menopause symptoms of what’s-what-when, you can ask yourself these questions and any of your own:

Meno Martha’s Look for A Flip-Side Pattern

When do you have less X? e.g. When do you have less hot flushes/flashes?

  1. Do you have less X on a particular day or night of the week? e.g. Non-work day or night
  2. Do you have less X at a particular time of day or night?
  3. Do you have less X when you do not feel hot?
  4. Do you have less X when you do not feel hungry?
  5. Do you have less X when you eat less spicy or certain other food?
  6. Do you have less X when you drink less tea, coffee, cola or other caffeinated drinks?
  7. Do you have less X when you drink less alcohol?
  8. Do you have less X when you smoke less?
  9. Do you have less X when you have a good night’s sleep?
  10. Do you have less X when you do not feel stressed or sick?
  11. Do you have less X when you exercise regularly?
  12. Do you have less X when you do nothing in particular?

Hot Flush Triggers

What are hot flush triggers?

In Hot Flashes: What Can Trigger A Hot Flash the (United States) Cleveland Clinic elaborate on:

“A trigger is something that can set off a hot flash. There are actually a lot of things in your normal life that could trigger a hot flash. Triggers of hot flashes can include:

  • Hot weather
  • Heat
  • Smoking
  • Caffeine
  • Alcohol
  • Spicy foods
  • Tight clothing
  • Stress”.3

Symptom Tracker

Is there a symptom tracker?

In Menopause: Related Resources – Download the Menopause Symptom Tracker the (American) Endocrine Society include:

Healthy Lifestyle, Alternative Therapies, HRT

Can a healthy lifestyle, improve menopause symptoms?

On page one 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, the recommendations include:

  • “Women should be advised that implementing or maintaining a healthy lifestyle can improve menopause symptoms. A healthy diet (one low in saturated fat and salt and rich in calcium and vitamin D), stopping smoking, reducing alcohol intake and including regular exercise can be beneficial. Reducing caffeine intake may also improve symptoms.
  • Alternative therapies, including cognitive behavioural therapy, may also improve hot flushes, nights sweats and other menopausal symptoms and can be considered in women who do not wish to take HRT or have contraindications to taking HRT.
  • 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…”.4

What is HRT?

HRT can be an abbreviation for Hormone Replacement Therapy.

Health Care Provider

What if I would like help with my menopause symptoms?

If you would like help with your menopause symptoms, it may be in your best interest to choose to talk to your health care provider about this.

In What Is Menopause? When To See Your Doctor the JH explain:

“Talk to your doctor if you are worried about:

  • Irregular periods
  • Heavy bleeding
  • Bleeding after menopause
  • Increased premenstrual syndrome (PMS) symptoms
  • Menopausal symptoms, such as hot flushes, that interfere with your daily life”.5

In Menopause: Diagnosis & Treatment – Treatment the (United States) Mayo Clinic also encourage us to seek help:

“Before deciding on any form of treatment, talk with your doctor about your options and the risks and benefits involved with each. Review your options yearly, as your needs and treatment options may change”.6

Health Topics A-Z

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Sources

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You may find the Sources quoted at:

Sources

  1. Davis, S. R., Taylor, S., Hemachandra, C., Magraith, K., Ebeling, P. R., Jane, F., and Islam, R. M. The 2023 Practitioner’s Toolkit for Managing Menopause: Definitions. Published Online: 01 December 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 21 April 2024
  2. What Is Menopause? Diagnosing Perimenopause and Menopause. Last Updated: 18 January 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/about-menopause Accessed: 21 April 2024
  3. Hot Flashes: What Can Trigger A Hot Flash? Last Reviewed: 21 March 2022. Cleveland Clinic https://my.clevelandclinic.org/health/articles/15223-menopause-non-hormonal-treatment–relief-for-hot-flashes Accessed: 21 April 2024
  4. Hamoda, H., Mukherjee, A., Morris, E., Baldeweg, S. E., Jayasena, C. N., Briggs, P., Moger, S. 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 2022:3-4 https://journals.sagepub.com/doi/full/10.1177/20533691221104879 Accessed: 21 April 2024
  5. What Is Menopause? When To See Your Doctor. Last Updated: 18 January 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/about-menopause Accessed: 21 April 2024
  6. Menopause: Diagnosis & Treatment – Treatment. 25 May 2023. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/menopause/diagnosis-treatment/drc-20353401 Accessed: 21 April 2024
Topic Last Updated: 21 April 2024 – Topic Last Reviewed: 21 April 2024

“Activities such as yoga, mindfulness, relaxation and
exercise have health benefits but have not been shown
to be meaningful treatments for VMS”.1

Umbrella
What may the Mind and Body Practices Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Acupuncture
  • Alexander Technique
  • Alternative Medicine Practices/Products/Remedies/Therapies/Treatments
  • Ayurveda/Ayurvedic Medicine
  • Chinese Medicine Remedies/Therapies/Treatments
  • Chiropractic
  • Complementary Health Practices/Products/Remedies/Therapies/Treatments
  • Complementary Medicine (CM)
  • Complementary Medicine Practices/Products/Remedies/Therapies/Treatments
  • Complementary and Alternative Medicine (CAM)
  • Complementary and Integrative Health (CIH)
  • Dietary Supplements
  • Energy Medicine
  • Herbal Treatments
  • Homeopathy
  • Hypnosis/Hypnotherapy
  • Imagery
  • Integrative Health Care/Medicine
  • Kinesiology
  • Manipulative and Body Based Therapies
  • Massage/Remedial Massage
  • Meditation
  • Mind and Body Approaches/Practices/Therapies/Treatments
  • Mindfulness
  • Natural Approaches/Practices/Products/Remedies/Therapies/Treatments
  • Naturopathy
  • Non Mainstream Health Care
  • Nutrition/Nutritional/Dietary Approaches
  • Osteopathy
  • Prayer
  • Psychotherapy
  • Qi Gong
  • Reflexology
  • Reiki
  • Relaxation
  • Remedial Therapy
  • Spiritual Healing
  • Supplements
  • Tai Chi
  • Therapeutic Touch
  • Traditional Chinese Medicine (TCM)
  • Traditional Medicine
  • Yoga

Definition

What are mind and body practices?

DotS the definition of mind and body practices may vary. In Mind and Body Practices the (United States) National Center for Complementary and Integrative Health’s (NCCIH) definition is:

“Mind and body practices are a large and diverse group of techniques that are administered or taught to others by a trained practitioner or teacher. Examples include acupuncture, massage therapy, meditation, relaxation techniques, spinal manipulation, and yoga”.2

Vasomotor Symptoms

What mind and body practices “have not been shown to be meaningful treatments for VMS” (Vasomotor Symptoms)?

In The 2023 Practitioner’s Toolkit for Managing Menopause: Management – Non-hormonal Options With Evidence To Support Efficacy, published online 01 December 2023, the authors note:


Mind and Body Practices
“Activities such as yoga, mindfulness, relaxation and exercise have health benefits but have not been shown to be meaningful treatments for VMS”.3

Health Topics A-Z

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Links

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Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Davis, S. R., Taylor, S., Hemachandra, C., Magraith, K., Ebeling, P. R., Jane, F., and Islam, R. M. The 2023 Practitioner’s Toolkit for Managing Menopause: Management – Non-Hormonal Options With Evidence To Support Efficacy. Published Online: 01 December 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 20 April 2024
  2. Davis, S. R., Taylor, S., Hemachandra, C., Magraith, K., Ebeling, P. R., Jane, F., and Islam, R. M. The 2023 Practitioner’s Toolkit for Managing Menopause: Management – Non-Hormonal Options With Evidence To Support Efficacy. Published Online: 01 December 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 20 April 2024
  3. Menopausal Symptoms: In Depth – What the Science Says About Complementary Health  Approaches for Menopausal Symptoms: Mind and Body Practices. Last Updated: May 2017. National Center for Complimentary and Integrative Health https://www.nccih.nih.gov/health/menopausal-symptoms-in-depth Accessed: 20 April 2024
Topic Last Updated: 20 April 2024 – Topic Last Reviewed: 20 April 2024

“While you may have had normal blood pressure most of your life, your chances of developing high blood pressure increase considerably after menopause”.1

Umbrella
What may the High Blood Pressure and Women Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Essential Hypertension
  • High Blood Pressure (HBP)
  • Hypertension
  • Idiopathic Hypertension
  • Primary Hypertension
  • Women

Blood Pressure

What is blood pressure (BP)?

DotS the definition of BP may vary. In High Blood Pressure: High Blood Pressure Symptoms and Causes – What Is Blood Pressure? the (United States) Centers for Disease Control and Prevention’s definition is:

“Blood pressure is the pressure of blood pushing against the walls of your arteries. Arteries carry blood from your heart to other parts of your body.

Your blood pressure normally rises and falls throughout the day”.2

High Blood Pressure

What is high blood pressure (HBP) or hypertension?

DotS the definition of HBP may vary. The American Heart Association’s definition is:

“High blood pressure, also referred to as hypertension, is when your blood pressure, the force of blood flowing through your blood vessels, is consistently too high”.3

Risk

Who is at risk of HBP?

In High Blood Pressure: Causes and Risk Factors – Sex the (United States) National Heart, Lung, and Blood Institute note:

“Men are more likely than women to develop high blood pressure throughout middle age. But in older adults, women are more likely than men to develop high blood pressure”.4

Women

In women, how common is HBP?

In High Blood Pressure and Women the (United States) Go Red for Women explain:

“A common misconception is that high blood pressure (HBP or hypertension) rarely affects women. However, nearly half of all adults with high blood pressure are women. In fact, women that are just 20 pounds or more overweight, have a family history of HBP or have reached menopause are known to increase a woman’s risk”.5

Menopause

Is there an association between menopause and HBP?

In High Blood Pressure and Women: Heart Disease, High Blood Pressure and Menopause Go Red for Women also note:

High Blood Pressure and Women“While you may have had normal blood pressure most of your life, your chances of developing high blood pressure increase considerably after menopause.

Heart disease risk rises for everyone as they age, but for women symptoms can become more evident after the onset of menopause”.6

In Menopause and High Blood Pressure: What’s the Connection? Is There A Connection Between Menopause and High Blood Pressure? the (United States) Mayo Clinic note:

“Blood pressure generally goes up after menopause. Some health care providers think changing hormones related to menopause may cause blood pressure to rise. Others think an increase in body mass index (BMI) during menopause may be to blame.

Changes in hormones during menopause can lead to weight gain. The changes also can make blood pressure more sensitive to salt in the diet. When this happens, blood pressure can go up. Some types of hormone therapy for menopause also may lead to higher blood pressure”.7

Death

Is there an association between women and deaths from HBP?

In High Blood Pressure and Women: Heart Disease, High Blood Pressure and Menopause Go Red for Women also note:

“Women represent almost 52% of deaths from high blood pressure”.8

Control and Prevent

What can help control and prevent HBP?

In Menopause and High Blood Pressure: What’s the Connection? Is There A Connection Between Menopause and High Blood Pressure? the Mayo Clinic encourage women:

“To control your blood pressure both before and after menopause, focus on a healthy lifestyle:

  • Maintain a healthy weight
  • Eat heart-healthy foods. Choose whole grains, fruits and vegetables
  • Limit salt and processed foods
  • Exercise most days of the week
  • Manage stress
  • Limit or avoid alcohol
  • If you smoke, stop

If necessary, your health care team may suggest medicines to help lower blood pressure”.9

DASH Diet

What is the DASH Diet?

In DASH Diet: Healthy Eating To Lower Your Blood Pressure the Mayo Clinic elaborate on:

“DASH stands for Dietary Approaches to Stop Hypertension.

The DASH diet is a healthy-eating plan designed to help prevent or treat high blood pressure, also called hypertension. It also may help lower cholesterol linked to heart disease, called low density lipoprotein (LDL) cholesterol.

High blood pressure and high LDL cholesterol levels are two major risk factors for heart disease and stroke”.10

Health Care Provider

What if I think I have HBP?

If you think you have HBP, it may be in your best interest to choose to talk to your health care provider about this. In High Blood Pressure – Symptoms and Treatment: Symptoms of High Blood Pressure the British Heart Foundation explain:

“Many people with high blood pressure feel fine. But even if you feel fine, you should still have your blood pressure checked regularly. If you’re a healthy adult over 40, it’s recommended that you get it checked at least once every five years. But if you’re at increased risk of high blood pressure, you should have it checked more often, ideally once a year”.11

Health Topics A-Z

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Sources

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Sources

  1. High Blood Pressure and Women: Heart Disease, High Blood Pressure and Menopause. Go Red for Women https://www.goredforwomen.org/en/know-your-risk/high-blood-pressure-and-women Accessed: 20 April 2024
  2. High Blood Pressure: High Blood Pressure Symptoms and Causes – What Is Blood Pressure? Last Reviewed: 18 May 2021. Centers for Disease Control and Prevention https://www.cdc.gov/bloodpressure/about.htm Accessed: 20 April 2024
  3. High Blood Pressure: The Facts About High Blood Pressure. American Heart Association https://www.heart.org/en/health-topics/high-blood-pressure Accessed: 20 April 2024
  4. High Blood Pressure: Causes and Risk Factors – Sex. Last Updated: 24 March 2022. National Heart, Lung, and Blood Institute https://www.nhlbi.nih.gov/health/high-blood-pressure/causes Accessed: 20 April 2024
  5. High Blood Pressure and Women. Go Red for Women https://www.heart.org/en/health-topics/high-blood-pressure/why-high-blood-pressure-is-a-silent-killer/high-blood-pressure-and-women Accessed: 20 April 2024
  6. High Blood Pressure and Women: Heart Disease, High Blood Pressure and Menopause. Go Red for Women https://www.goredforwomen.org/en/know-your-risk/high-blood-pressure-and-women Accessed: 20 April 2024
  7. Menopause and High Blood Pressure: What’s the Connection? Is There A Connection Between Menopause and High Blood Pressure? 11 July 2023. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/expert-answers/menopause-and-high-blood-pressure/faq-20058406 Accessed: 20 April 2024
  8. High Blood Pressure and Women: Heart Disease, High Blood Pressure and Menopause. Go Red for Women https://www.goredforwomen.org/en/know-your-risk/high-blood-pressure-and-women Accessed: 20 April 2024
  9. Menopause and High Blood Pressure: What’s the Connection? Is There A Connection Between Menopause and High Blood Pressure? 11 July 2023. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/expert-answers/menopause-and-high-blood-pressure/faq-20058406 Accessed: 20 April 2024
  10. DASH Diet: Healthy Eating To Lower Your Blood Pressure. 25 May 2023. Mayo Clinic https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/dash-diet/art-20048456 Accessed: 20 April 2024
  11. High Blood Pressure – Symptoms and Treatment: Symptoms of High Blood Pressure. British Heart Foundation https://www.bhf.org.uk/informationsupport/risk-factors/high-blood-pressure/symptoms-and-treatment Accessed: 20 April 2024
Topic Last Updated: 20 April 2024 – Topic Last Reviewed: 20 April 2024

“Perimenopause and menopause should be diagnosed
without laboratory tests in otherwise healthy women aged
over 45 years, on the basis of vasomotor symptoms…”.1

Umbrella
What may the Menopause Diagnosis Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Menopause Confirmation
  • Menopause Diagnosis
  • Menopause Test
  • Perimenopause Diagnosis
  • Perimenopause Test

Predict

Menopause DiagnosisWhat is the best way to predict menopause?

In What Is Menopause? Diagnosing Perimenopause and Menopause the (Australian) Jean Hailes for Women’s Health (JH) explain:

“The best way to predict menopause is to keep track of your symptoms. If your periods are irregular and your symptoms are getting worse, it’s likely you are approaching menopause”.2

Blood Tests

Can blood tests diagnose menopause?

In What Is Menopause? Diagnosing Perimenopause and Menopause: Blood Tests the JH explain:

“Blood tests to measure hormone levels won’t tell you if you are perimenopausal or when your final period is going to happen, because hormone levels vary widely at this time”.3

Follicle Stimulating Hormone Test

What is the blood test to measure follicle stimulating hormone (FSH)?

In the NICE Guideline Menopause Diagnosis and Management – Information for the Public: Diagnosing Menopause the (British) National Institute for Health and Care Excellence (NICE) explain:

“The blood test measures a hormone called FSH (follicle stimulating hormone). FSH is found in higher levels in menopause”.4

Follicle Stimulating Hormone Test Reliability

How reliable is a single FSH test to diagnosed perimenopause or menopause?

In What Is Menopause? How Is Menopause Diagnosed? the Australasian Menopause Society (AMS) note:

“Measurement of FSH to diagnose perimenopause or menopause is not usually indicated. A single hormone test, such as a measurement of elevated follicle-stimulating hormone (FSH) is not a reliable indicator of the perimenopause, as women’s hormone levels may fluctuate from day to day”.5

Follicle Stimulating Hormone Test Validity

What can compromise the validity of FSH tests?

In the NICE Guideline Menopause Diagnosis and Management – Information for the Public: Diagnosing Menopause the NICE note:

“You should not be offered this test if you are taking a contraceptive containing oestrogen and progestogen or high dose progestogen because the contraceptive changes your natural FSH levels”.6

In Diagnosing Menopause: Symptom Assessment and Diagnosis At Perimenopause and Menopause the AMS also note:

“It is especially unhelpful to do hormone blood tests while women are on MHT/OCP – symptoms, not blood levels, guide therapy”.7

What is MHT?

MHT can be an abbreviation for Menopausal Hormone Therapy (HRT), otherwise known as Hormone Replacement Therapy (HRT) or Hormone Therapy (HT).

What is OCP?

OCP can be an abbreviation for Oral Contraceptive Pill, otherwise known as “The Pill” or birth control pills.

Over-the-Counter FSH Test

What may over-the-counter FSH tests check?

In Menopause:  Menopause Diagnosis & Treatment – Treatment the (United States) Mayo Clinic elaborate on:

“Over-the-counter home tests to check FSH levels in your urine are available. The tests could tell you whether you have elevated FSH levels and might be in perimenopause or menopause. But, since FSH levels rise and fall during the course of your menstrual cycle, home FSH tests can’t really tell you whether or not you’re definitely in a stage of menopause”.8

Diagnosis

How are perimenopause and menopause diagnosed?

In What Is Menopause? Diagnosing Perimenopause and Menopause the JH explain:

“You can ask your doctor to check if you are perimenopausal or have reached menopause. If you are at the expected age, have experienced some symptoms and have irregular periods, it’s likely you are perimenopausal. If you haven’t had a period for 12 months, you have probably reached menopause”.9

On page one in Diagnostic Tests for Menopause the European Menopause and Andropause Society note:

“Perimenopause and menopause should be diagnosed without laboratory tests in otherwise healthy women aged over 45 years, on the basis of vasomotor symptoms, irregular periods and amenorrhea”.10

In Diagnosing Menopause: Key Points the AMS explain:


Menopause Diagnosis

  • “Perimenopause is usually diagnosed clinically on the basis of new onset vasomotor or other symptoms and a change in the pattern of menstrual bleeding. Menopause is diagnosed 12 months after the final menstrual period”.11

What are vasomotor symptoms?

DotS the definition of vasomotor symptoms may vary. The NAM’s definition is:

Vasomotor symptoms. Also known as hot flashes and night sweats, common symptoms during perimenopause and early postmenopause”.12

In Diagnosing Menopause: Symptom Assessment and Diagnosis At Perimenopause and Menopause the AMS elaborate on:

“Many women come to the consultation expecting a blood test to diagnose menopause, and it is important to explain to them why we use the symptom score rather than a blood test in establishing a diagnosis. It is important to explain to women that the blood tests of FSH/oestradiol can fluctuate on a daily basis and therefore are not useful or necessary”.13

Symptom Score

What is the Symptom Score used by the AMS?

In Diagnosing Menopause: Symptom Score Sheet the AMS include a Symptom Score (Modified Greene Scale) and explain:

“The woman judges the severity of her own symptoms and records the score – 1 for mild, 2 for moderate, 3 for severe and 0 if she does not have that particular symptom. A score of 15 or over usually indicates oestrogen deficiency that is intrusive enough to require treatment, but this is only a guide. Women are very variable in their tolerance of discomfort, often tolerating quite severe symptoms before they will even consider taking MHT”.14

Early Menopause and POI

When may FSH assessment be indicated?

On page four in the European Menopause and Andropause Society Consensus Statement Menopause, Wellbeing and Health: A Care Pathway From the European Menopause and Andropause Society: 3. Investigations and Assessment of Ovarian Reserve 3.1 Endocrine Investigations 3.1.1 Follicle-Stimulating Hormone, published 12 May 2022, Lambrinoudaki et al. note:

“Measurement of serum concentrations of follicle-stimulating hormone (FSH) is not required for formal confirmation of menopausal stage for women over the age of 45. FSH assessment is indicated in women aged 40–45 years who report a change in their menstrual cycle and menopausal symptoms. Women aged <40 years in whom menopause is suspected should be assessed to explore possible POI”.15

What is POI?

POI in this context, is an abbreviation for Premature Ovarian Insufficiency.

In What Is Menopause? How Is Menopause Diagnosed? the AMS note:

“Measurement of FSH to diagnose perimenopause or menopause is not usually indicated. A single hormone test, such as a measurement of elevated follicle-stimulating hormone (FSH) is not a reliable indicator of the perimenopause, as women’s hormone levels may fluctuate from day to day. However, investigations may be required in certain cases including: (i) if the woman has had a hysterectomy; (ii) concern that symptoms may be due to illness (e.g., thyroid disorder rather than 8natural ageing); or (iii) if woman is under 45 years of age”.16

In the NICE Guideline Menopause Diagnosis and Management – Information for the Public: Diagnosing Menopause the NICE explain:

“You may be offered a blood test but only if:

  • You are between 40 and 45 and have menopausal symptoms, including changes in your menstrual cycle (how often you have periods)
  • You are under 40 and your GP suspects you are in menopause”.17

Who is a GP?

DotS and/or DotC (Depending on the Country) a GP may be a qualified and registered general practitioner, a medical practitioner, a medical doctor or a doctor.

Health Care Provider

What if I would like to find out if I am perimenopausal or not?

If you would like to find out if you are perimenopausal or not, it may be in your best interest to choose to talk to your health care provider about this. Together you can clarify your symptoms, discuss your options and if required, agree on who may be the most appropriate health care provider to help you.

In the NICE Guideline Menopause Diagnosis and Management – Information for the Public: Diagnosing Menopause the NICE elaborate on:

“If menopausal symptoms are affecting your day to day life you should see your GP. Your GP should be able to tell if you are in perimenopause or menopause based on your age, symptoms and how often you have periods, so you are unlikely to need tests. If you are taking any hormonal treatments (for example, to treat heavy periods) it can be more difficult to know when you have reached menopause”.18

In What Is Menopause? When To See Your Doctor the JH also note:

“Talk to your doctor if you are worried about:

  • Irregular periods
  • Heavy bleeding
  • Bleeding after menopause
  • Increased premenstrual syndrome (PMS) symptoms
  • Menopausal symptoms, such as hot flushes, that interfere with your daily life”.19

Health Topics A-Z

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Sources

Where may I find the Sources quoted?

You may find the Sources at:

Sources

  1. Diagnostic Tests for Menopause. 2022:1. European Menopause and Andropause Society https://emas-online.org/wp-content/uploads/2022/05/Diagnostic-tests-for-menopause.pdf Accessed: 19 April 2024
  2. What Is Menopause? Diagnosing Perimenopause and Menopause. Last Updated: 18 January 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/menopause/about-menopause/ Accessed: 19 April 2024
  3. What Is Menopause? Diagnosing Perimenopause and Menopause: Blood Tests. Last Updated: 18 January 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/menopause/about-menopause/ Accessed: 19 April 2024
  4. Menopause: Diagnosis and Management – Information for the Public: Diagnosing Menopause. NICE Guidelines [NG23]. Published Date: November 2015. Last Updated: 05 December 2019. National Institute for Health and Care Excellence https://www.nice.org.uk/guidance/ng23/ifp/chapter/Diagnosing-menopause Accessed: 19 April 2024
  5. What Is Menopause? How Is Menopause Diagnosed? Content Created May 2022. Australasian Menopause Society https://www.menopause.org.au/hp/information-sheets/185-what-is-menopause Accessed: 19 April 2024
  6. Menopause: Diagnosis and Management – Information for the Public: Diagnosing Menopause. NICE Guidelines [NG23]. Published Date: November 2015. Last Updated: 05 December 2019. National Institute for Health and Care Excellence https://www.nice.org.uk/guidance/ng23/ifp/chapter/Diagnosing-menopause Accessed: 19 April 2024
  7. Diagnosing Menopause: Symptom Assessment and Diagnosis At Perimenopause and Menopause. Content Created May 2022. Australasian Menopause Society https://www.menopause.org.au/hp/gp-hp-resources/300-diagnosing-menopause Accessed:
  8. Menopause – Diagnosis & Treatment: Diagnosis. 25 May 2023. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/menopause/diagnosis-treatment/drc-20353401 Accessed: 19 April 2024
  9. What Is Menopause? Diagnosing Perimenopause and Menopause. Last Updated: 18 January 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/menopause/about-menopause/ Accessed: 19 April 2024
  10. Diagnostic Tests for Menopause. 2022:1. European Menopause and Andropause Society https://emas-online.org/wp-content/uploads/2022/05/Diagnostic-tests-for-menopause.pdf Accessed: 19 April 2024
  11. Diagnosing Menopause: Key Points. Content Created May 2022. Australasian Menopause Society https://www.menopause.org.au/hp/gp-hp-resources/300-diagnosing-menopause Accessed: 16 November 2023
  12. Glossary: V – Vasomotor Symptoms. North American Menopause Society http://www.menopause.org/for-women/menopause-glossary#V Accessed: 16 November 2023
  13. Diagnosing Menopause: Symptom Assessment and Diagnosis At Perimenopause and Menopause. Content Created May 2022. Australasian Menopause Society https://www.menopause.org.au/hp/gp-hp-resources/300-diagnosing-menopause Accessed: 16 November 2023
  14. Diagnosing Menopause: Symptom Score Sheet. Content Created May 2022. Australasian Menopause Society https://www.menopause.org.au/hp/gp-hp-resources/300-diagnosing-menopause Accessed: 19 April 2024
  15. Lambrinoudaki I., Armeni E., Goulis D., Bretz S, Ceausu I, Durmusoglu F, Erkkola R. Fistonic I, Gambacciani M., Geukes M., Hamoda H., Hartley C., Lindén Hirschberg A., Meczekalski B., Mendoza N., Mueck A., Smetnik A., Stute P., van Trotsenburg M., Rees M. Menopause, Wellbeing and Health: A Care Pathway From the European Menopause and Andropause Society: 3. Investigations and Assessment of Ovarian Reserve 3.1 Endocrine Investigations 3.1.1 Follicle-Stimulating Hormone. Published: 12 May 2022:4. https://www.maturitas.org/article/S0378-5122(22)00090-1/fulltext Accessed: 19 April 2024
  16. What Is Menopause? How Is Menopause Diagnosed? Content Created May 2022. Australasian Menopause Society https://www.menopause.org.au/hp/gp-hp-resources/300-diagnosing-menopause Accessed: 19 April 2024
  17. Menopause: Diagnosis and Management – Information for the Public: Diagnosing Menopause. NICE Guidelines [NG23]. Published Date: November 2015. Last Updated: 05 December 2019. National Institute for Health and Care Excellence https://www.nice.org.uk/guidance/ng23/ifp/chapter/Diagnosing-menopause Accessed: 19 April 2024
  18. Menopause: Diagnosis and Management – Information for the Public: Diagnosing Menopause. NICE Guidelines [NG23]. Published Date: November 2015. Last Updated: 05 December 2019. National Institute for Health and Care Excellence https://www.nice.org.uk/guidance/ng23/ifp/chapter/Diagnosing-menopause Accessed: 19 April 2024
  19. What Is Menopause? When To See Your Doctor. Content Created May 2022. Australasian Menopause Society https://www.menopause.org.au/hp/gp-hp-resources/300-diagnosing-menopause Accessed: 19 April 2024
Topic Last Updated: 19 April 2024 – Topic Last Reviewed: 19 April 2024

Hot flushes? “The most common time of onset
is between six and eight in the morning,
and between six to ten at night”.1

Look for A Pattern

How may I Look for A Pattern with my menopause symptoms?

Your Country may have a Link similar to the (American) Endocrine Society’s Symptom Tracker in
Menopause Map: Downloadable Resources – My Personal Path Print Tools.

Periods Pattern

How may I Look for A Pattern with my menstrual periods?

Your Country may have Links similar to:

Hot Flushes Pattern

What is the most common time of onset with hot flushes/flashes?

In Who Gets Hot Flashes and When? the (United States) Breastcancer.org elaborate on:

“The most common time of onset is between six and eight in the morning, and between six to ten at night”.2

Health Care Provider

What if I would like help to look for a pattern with my menopause symptoms?

If you would like help to look for a pattern with your menopause symptoms, it may be in your best interest to choose to talk to your health care provider about the record of your symptoms you have kept.

Menopause Symptoms Pattern

Health Topics A-Z

Where may I find Health Topics A-Z related to Menopause Symptoms Pattern?

In Health Topics A-Z you may find:

Links

Where may I find Links related to Menopause Symptoms Pattern?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Who Gets Hot Flashes and When? Last Updated: 01 February 2022. Breastcancer.org https://www.breastcancer.org/tips/menopausal/treat/hot-flashes/who Accessed: 19 April 2024
  2. Who Gets Hot Flashes and When? Last Updated: 01 February 2022. Breastcancer.org https://www.breastcancer.org/tips/menopausal/treat/hot-flashes/who Accessed: 19 April 2024
Topic Last Updated: 19 April 2024 – Topic Last Reviewed: 19 April 2024

“Genitourinary syndrome of menopause is caused by
a decrease in estrogen production. Less estrogen
makes your vaginal tissues thinner, drier, less elastic…”.1

Umbrella
What may the Genitourinary Syndrome of Menopause Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Atrophic Vaginitis
  • Genital Atrophy
  • Genitourinary/Genito-Urinary Syndrome of Menopause (GSM)
  • Menopause Vaginal Dryness
  • Urogenital Problems
  • Vaginal Atrophy
  • Vaginal Dryness
  • Vaginal Symptoms
  • Vulvovaginal Atrophy (VVA)

Definition

What is the genitourinary syndrome of menopause (GSM)?

DotS the definition of GSM may vary. On page one in Vaginal Dryness the North American Menopause Society (NAMS) elaborate on:

“The genitourinary syndrome of menopause (GSM) includes bothersome vaginal, vulvar (lips of the vagina), and urinary symptoms that can affect quality of life, sexual satisfaction, and even your relationship with your partner”.2

In Mayo Clinic Q and A: Treatment for Vaginal Dryness for Menopausal Women the (United States) Mayo Clinic elaborate on:

“Vaginal dryness is common in women who are approaching menopause and those who have gone through menopause. Other related symptoms include vaginal and vulvar irritation; burning or itching; discomfort or pain with sexual activity; and urinary symptoms, such as more frequent or urgent urination, urge leak, and urinary tract infections. Together, these symptoms are referred to as “genitourinary syndrome of menopause,” or GSM. These symptoms occur in roughly half of menopausal women and are even more common in women with breast cancer”.3

Common or Not

How common is GSM in postmenopausal women?

In Symptoms of Menopause: Bladder, Vaginal and Vulval Problems the (Australian) Jean Hailes for Women’s Health (JH) explain:

“As you move into perimenopause and menopause, low oestrogen levels can change your vulval, vaginal and bladder tissues. These changes may affect up to half of postmenopausal women”.4

Symptoms

What may be symptoms of GSM?

In Vaginal Atrophy: Symptoms & Causes – Symptoms the Mayo Clinic explain:

“Genitourinary syndrome of menopause (GSM) signs and symptoms may include:

  • Vaginal dryness
  • Vaginal burning
  • Vaginal discharge
  • Genital itching
  • Burning with urination
  • Urgency with urination
  • Frequent urination
  • Recurrent urinary tract infections
  • Urinary incontinence
  • Light bleeding after intercourse
  • Discomfort with intercourse
  • Decreased vaginal lubrication during sexual activity
  • Shortening and tightening of the vaginal canal”.5

Cause

What causes GSM?

In Vaginal Atrophy: Symptoms & Causes – Causes the Mayo Clinic elaborate on:

“Genitourinary syndrome of menopause is caused by a decrease in estrogen production. Less estrogen makes your vaginal tissues thinner, drier, less elastic and more fragile”.6

Treatment

What are some GSM treatments?

On page one and two in Vaginal Dryness: Treatment Options the NAMS elaborate on:

Menopause“There are many effective treatment options for GSM, including over-the-counter and prescription therapies. First-line therapies for less severe symptoms include nonhormone over-the-counter lubricants used as needed for sexual activity and moisturizers used regularly (several times per week) to maintain moisture. Prescription therapies include low-dose vaginal estrogens, vaginal dehydroepiandrosterone inserts, and oral ospemifene. Nonhormone lubricants and moisturizers can be combined for optimal symptom relief and can be used in combination with prescription therapies for more severe symptoms.

  • “Nonhormone Remedies
    • Vaginal Lubricants…
    • Vaginal Moisturizers…
    • Regular Sexual Stimulation…
    • Expanding Your Views of Sexual Pleasure…
    • Vaginal Dilators…
    • Pelvic Floor Exercises…
  • Vaginal Hormone Therapy…
    • An effective and safe treatment, low-dose local estrogen applied directly to the vagina…
    • FDA-approved low-dose vaginal estrogen products…
    • Dehydroepiandrosterone (DHEA; Prasterone)
    • Low-dose vaginal estrogen or DHEA may be options for women with a history breast or uterine cancer…
  • Systemic Estrogen Therapy
  • Other Therapies…
    • Ospemifene
    • Vaginal Laser Therapy…”.7

Painful Intercourse

How may painful intercourse be resolved?

The Mayo Clinic explain:

“… make an appointment to see your doctor if you experience painful intercourse that’s not resolved by using a vaginal moisturizer (K-Y Liquibeads, Replens, Sliquid, others) or water-based lubricant (Astroglide, K-Y Jelly, Sliquid, others)”.8

Vaginal Estrogen

How may vaginal estrogen be used?

In The 2022 Hormone Therapy Position Statement of The North American Menopause Society: Abstract published July 2022, the NAMS note:

“For bothersome genitourinary syndrome of menopause symptoms not relieved with over-the-counter therapies in women without indications for use of systemic hormone therapy, low-dose vaginal estrogen therapy or other therapies (eg, vaginal dehydroepiandrosterone or oral ospemifene) are recommended”.9

Can estrogen be placed directly into the vagina?

On page one in Deciding About Hormone Therapy Use, published July 2022, the NAMS explain:

“If you are bothered only by vaginal dryness, you can use very low doses of estrogen placed directly into the vagina. These low doses generally do not raise blood estrogen levels above postmenopause levels and do not treat hot flashes. You do not need to take a progestogen when using only low doses of estrogen in the vagina. (The MenoNoteVaginal Dryness” covers this topic in detail)”.10

On page three 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:

  • “Low-dose and ultra-low dose vaginal oestrogen preparations can be taken by perimenopausal and menopausal women experiencing genitourinary symptoms and continued for as long as required. All vaginal oestrogen preparations have been shown to be effective in this context and there is no requirement to combine vaginal oestrogens with systemic progestogen treatment for endometrial protection, as low-dose and ultra-low dose vaginal oestrogen preparations do not result in significant systemic absorption or endometrial hyperplasia”.11

Health Care Provider

What if I think I have GSM?

If you think you have GSM, it may be in your best interest to choose to talk to your health care provider about this.

In The 2023 Practitioner’s Toolkit for Managing Menopause – Effectiveness: Local Treatment of Urogenital Atrophy, published online 01 December 2023, the authors note:

“Urogenital symptoms due to estrogen insufficiency are under-recognized and under-treated. These symptoms can be effectively treated with an array of local therapies including intravaginal estrogen preparations or DHEA (prasterone) and intravaginal moisturizers. Concurrent progestogen therapy is not required. Many women require local therapy, in addition to systemic MHT, to relieve urogenital symptoms. It is important patients understand that treatment needs to be ongoing and is not simply a short course of therapy”.12

In Symptoms of Menopause: Bladder, Vaginal and Vulval Problems – Urinary Symptoms the JH explain:

“While symptoms such as hot flushes usually disappear over time, bladder, vaginal and vulval problems can persist and may even get worse. But many effective treatments are available”.13

On page two in Vaginal Dryness the NAMS also note:

“Note: Vaginal and vulvar symptoms not related to menopause include yeast infections, allergic reactions, and certain skin conditions, so consult your healthcare professional if symptoms do not improve with treatment”.14

Health Topics A-Z

Where may I find Health Topics A-Z related to Genitourinary Syndrome of Menopause?

In Health Topics A-Z you may find:

Links

Where may I find Links related to Genitourinary Syndrome of Menopause?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Vaginal Atrophy: Symptoms & Causes – Causes. 17 September 2021. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/vaginal-atrophy/symptoms-causes/syc-20352288 Accessed: 19 April 2024
  2. Vaginal Dryness.  2022: 1. North American Menopause Society https://www.menopause.org/docs/default-source/for-women/mn-vaginal-dryness.pdf Accessed: 19 April 2024
  3. Mayo Clinic Q and A: Treatment for Vaginal Dryness for Menopausal Women. 14 July 2021. Mayo Clinic https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-and-a-treatment-for-vaginal-dryness-for-menopausal-women/ Accessed: 19 April 2024
  4. Symptoms of Menopause: Bladder, Vaginal and Vulval Problems. Last Updated: 28 March 2024. Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-symptoms/ Accessed: 19 April 2024
  5. Vaginal Atrophy: Symptoms & Causes – Symptoms. 17 September 2021. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/vaginal-atrophy/symptoms-causes/syc-20352288 Accessed: 19 April 2024
  6. Vaginal Atrophy: Symptoms & Causes – Causes. 17 September 2021. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/vaginal-atrophy/symptoms-causes/syc-20352288 Accessed: 19 April 2024
  7. Vaginal Dryness: Treatment Options. 2022: 1-2. North American Menopause Society https://www.menopause.org/docs/default-source/for-women/mn-vaginal-dryness.pdf Accessed: 19 April 2024
  8. Vaginal Atrophy: Symptoms & Causes – Symptoms: When To See A Doctor. 17 September 2021. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/vaginal-atrophy/symptoms-causes/syc-20352288 Accessed: 19 April 2024
  9. The 2022 Hormone Therapy Position Statement of The North American Menopause Society: Abstract. Published July 2022. The North American Menopause Society https://journals.lww.com/menopausejournal/Abstract/2022/07000/The_2022_hormone_therapy_position_statement_of_The.4.aspx Accessed: 05 December 2023
  10. Deciding About Hormone Therapy Use. Published July 2022. The North American Menopause Society https://www.menopause.org/docs/default-source/professional/menonote-deciding-about-ht-2022.pdf Accessed: 19 April 2024
  11. Hamoda, H., Mukherjee, A., Morris, E., Baldeweg, S. E., Jayesena, C. N., Briggs, P., Moger, S. 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 https://journals.sagepub.com/doi/full/10.1177/20533691221104879 Accessed: 19 April 2024
  12. Davis, S. R., Taylor, S., Hemachandra, C., Magraith, K., Ebeling, P. R., Jane, F., and Islam, R. M. The 2023 Practitioner’s Toolkit for Managing Menopause: The 2023 Practitioner’s Toolkit for Managing the Menopause Supporting Notes – Effectiveness: Local Treatment of Urogenital Atrophy. Published Online: 30 October 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 19 April 2024
  13. Symptoms of Menopause: Bladder, Vaginal and Vulval Problems – Urinary Symptoms. Last Updated: 28 November 2023. Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-symptoms/ Accessed: 19 April 2024
  14. Vaginal Dryness: Note.  2022: 2. North American Menopause Society https://www.menopause.org/docs/default-source/for-women/mn-vaginal-dryness.pdf Accessed: 19 April 2024
Topic Last Updated: 19 April 2024 – Topic Last Reviewed: 19 April 2024

“It is estimated that menopausal symptoms
affect more than 75% of women,
with over 25% of women describing severe symptoms”.1

Umbrella
What may the Menopause Symptoms Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Climacteric Changes/Signs/Symptoms
  • Menopausal/Menopause Changes/Signs/Symptoms
  • Menopause Transition Changes/Signs/Symptoms
  • Menopause-Related Changes/Signs/Symptoms
  • Perimenopausal/Perimenopause Changes/Signs/Symptoms

Hormones

What are the three main hormones that change as we approach menopause?

In What Is Menopause? Hormones and Menopause the (Australian) Jean Hailes for Women’s Health (JH) note:

“The three main hormones that change as you approach menopause are:

  • Oestrogen
  • Progesterone
  • Testosterone.

The change in hormone levels can lead to different menopausal symptoms”.2

Common or Not

How common are menopause symptoms?

In Symptoms of Menopause: What Are the Symptoms of Menopause? the JH explain on:

“About 20% of women have no symptoms at all, while 60% have mild to moderate symptoms. The remaining 20% have severe symptoms that interfere with their daily life”.3

On page one in Optimising the Menopause Transition: 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:

“It is estimated that menopausal symptoms affect more than 75% of women, with over 25% of women describing severe symptoms”.4

First Sign

What is usually the first sign of menopause?

According to the (United Kingdom) NHS:

“The first sign of the perimenopause is usually, but not always, a change in the normal pattern of your periods, for example they become irregular”.5

Physical Symptoms

What are common menopause physical symptoms?

In Menopause: Symptoms – Common Symptoms of Menopause and Perimenopause: Physical Symptoms the NHS explain:

Menopause Symptoms“Common physical symptoms of menopause and perimenopause include:

  • Hot flushes, when you have sudden feelings of hot or cold in your face, neck and chest which can make you dizzy
  • Difficulty sleeping, which may be a result of night sweats and make you feel tired and irritable during the day
  • Palpitations, when your heartbeats suddenly become more noticeable
  • Headaches and migraines that are worse than usual
  • Muscle aches and joint pains
  • Changed body shape and weight gain
  • Skin changes including dry and itchy skin
  • Reduced sex drive
  • Vaginal dryness and pain, itching or discomfort during sex
  • Recurrent urinary tract infections (UTIs)
  • Sensitive teeth, painful gums or other mouth problems”.6

In Symptoms of Menopause: Physical and Emotional Symptoms – Physical Symptoms the JH include:

“Physical symptoms may include:

  • Irregular periods
  • Hot flushes
  • Night sweats
  • Sleep problems
  • Sore breasts
  • Itchy, crawly or dry skin
  • Exhaustion and fatigue
  • Dry vagina
  • Loss of sex drive (low libido)
  • Headaches or migraines
  • More pronounced premenstrual syndrome (PMS)
  • Aches and pains
  • Bloating
  • Urinary problems
  • Weight gain due to a slower metabolism”.7

Psychological Symptoms

What are common menopause psychological symptoms?

In Symptoms of Menopause: Physical and Emotional Symptoms – Psychological and Emotional Symptoms the JH include:

“Psychological and emotional symptoms may include:

  • Feeling irritable or frustrated
  • Feeling anxious
  • Difficulty concentrating
  • Brain fog
  • Forgetfulness
  • Lowered mood
  • Mood swings
  • Feeling you can’t cope as well as you used to”.8

Difference Differences

Are menopause symptoms one-size-fits-all?

No. In Symptoms of Menopause the JH elaborate on:

“Menopause can cause a range of physical and emotional changes, such as hot flushes, vaginal changes and mood swings. Every woman will have a different experience”.9

Duration

How long can menopause symptoms last?

In What Is Menopause? What Is Perimenopause (The Menopausal Transition) the Australasian Menopause Society (AMS) explain:

“Some women can experience menopausal symptoms for 5-10 years before their final menstrual period”.10

The JH note:

“Many women have symptoms for around eight years and one in four women have symptoms into their 60s and 70s”.11

In Menopause: Symptoms – How Long Symptoms Last the NHS note:

“Symptoms can last for months or years, and can change with time.

For example, hot flushes and night sweats may improve, and then you may develop low mood and anxiety.

Some symptoms, such as joint pain and vaginal dryness, can carry on after your periods stop”.12

Factors

What factors impact on menopause symptoms?

The JH explain:

“Menopausal symptoms can be influenced by different things. For example, your stage of life and general health and wellbeing”.13

Conditions

What are the most common conditions that may mimic menopause symptoms?

Yes. In Diagnosing Menopause: If It’s Not Menopause, What Is It? the AMS elaborate on:

“Depression, anaemia and thyroid disorders are the most common conditions that may occur concurrently. Unstable diabetes and hyperthyroidism may cause hot flushes. Medication, such as the SSRI family of anti-depressants, may also cause hot flushes”.14

Lifestyle

Is there an association between lifestyle and menopause symptoms?

Yes. In Looking After Yourself the JH elaborate on:

“During menopause, it’s important to look after yourself. Healthy lifestyle choices will help to improve physical and emotional symptoms at every stage of menopause”.15

On page one in 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 one of the recommendations is:

  • “Women should be advised that implementing or maintaining a healthy lifestyle can improve menopause symptoms. A healthy diet (one low in saturated fat and salt and rich in calcium and vitamin D), stopping smoking, reducing alcohol intake and including regular exercise can be beneficial. Reducing caffeine intake may also improve symptoms”.16

Lifestyle Tips

What are some lifestyle tips which may relieve menopause symptoms?

In Menopause: Diagnosis & Treatment – Lifestyle and Home Remedies the (United States) Mayo Clinic elaborate on:

“Fortunately, many of the signs and symptoms associated with menopause are temporary. Take these steps to help reduce or prevent their effects:

  • Cool hot flashes…
  • Decrease vaginal discomfort…
  • Get enough sleep…
  • Practice relaxation techniques…
  • Strengthen your pelvic floor…
  • Eat a balanced diet…
  • Don’t smoke…
  • Exercise regularly…”.17

Hormone Therapy

How effective is hormone therapy (HT) for the treatment of menopause symptoms?

On page one in Deciding About Hormone Therapy Use: Potential Benefits, published July 2022, the NAMS 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”.18

Health Care Provider

What if I would like help with menopause symptoms?

If you would like help with menopause symptoms, it may be in your best interest to choose to talk to your health care provider about this.

In What Is Menopause? When To See Your Doctor the JH also note:

“Talk to your doctor if you are worried about:

  • Irregular periods
  • Heavy bleeding
  • Bleeding after menopause
  • Increased premenstrual syndrome (PMS) symptoms
  • Menopausal symptoms, such as hot flushes, that interfere with your daily life”.19

In Menopause: Diagnosis & Treatment – Treatment the Mayo Clinic explain:

“Before deciding on any form of treatment, talk with your doctor about your options and the risks and benefits involved with each. Review your options yearly, as your needs and treatment options may change”.20

Health Topics A-Z

Where may I find Health Topics A-Z related to Menopause Symptoms?

In Health Topics A-Z you may find:

Links

Where may I find Links related to Menopause Symptoms?

Your Country may have Links similar to:

Source

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Hamoda, H., Mukherjee, A., Morris, E., Baldeweg, S. E., Jayasena, C. N., Briggs, P., Moger, S. Optimising the Menopause Transition: 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 2022:1 https://journals.sagepub.com/doi/10.1177/20533691221104882 Accessed: 18 April 2024
  2. What Is Menopause? Hormones and Menopause. Last Updated: 18 January 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/about-menopause Accessed: 18 April 2024
  3. Symptoms of Menopause. Last Updated: 28 March 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-symptoms Accessed: 18 April 2024
  4. Hamoda, H., Mukherjee, A., Morris, E., Baldeweg, S. E., Jayasena, C. N., Briggs, P., Moger, S. Optimising the Menopause Transition: 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 2022:1 https://journals.sagepub.com/doi/10.1177/20533691221104882 Accessed: 18 April 2024
  5. Menopause: Symptoms – Common Symptoms of Menopause and Perimenopause: Changes To Your Periods. Page Last Reviewed: 17 May 2022. NHS https://www.nhs.uk/conditions/menopause/symptoms/#changes-to-your-periods Accessed: 18 April 2024
  6. Menopause: Symptoms – Common Symptoms of Menopause and Perimenopause: Physical Symptoms. Page Last Reviewed: 17 May 2022. NHS https://www.nhs.uk/conditions/menopause/symptoms/#changes-to-your-periods Accessed: 18 April 2024
  7. Symptoms of Menopause. Physical and Emotional Symptoms – Physical Symptoms. Last Updated: 28 March 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-symptoms Accessed: 18 April 2024
  8. Symptoms of Menopause. Physical and Emotional Symptoms – Psychological and Emotional Symptoms. Last Updated: 28 March 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-symptoms Accessed: 18 April 2024
  9. Symptoms of Menopause. Last Updated: 28 March 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-symptoms Accessed: 18 April 2024
  10. What Is Menopause? Key Points. Content Created May 2022. Australasian Menopause Society https://www.menopause.org.au/hp/information-sheets/185-what-is-menopause Accessed: 18 April 2024
  11. Menopause Management Options: Menopausal Hormone Therapy (MHT) – How Long Do You Need To Take MHT? Last Updated: 19 December 2023 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-management Accessed: 18 April 2024
  12. Menopause: Symptoms – How Long Symptoms Last. Page Last Reviewed: 17 May 2022. NHS https://www.nhs.uk/conditions/menopause/symptoms/#changes-to-your-periods Accessed: 18 April 2024
  13. Symptoms of Menopause. Last Updated: 28 March 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-symptoms Accessed: 18 April 2024
  14. Diagnosing Menopause: If It’s Not Menopause, What Is It? Content Created May 2022. Australasian Menopause Society https://www.menopause.org.au/hp/gp-hp-resources/300-diagnosing-menopause Accessed: 18 April 2024
  15. Looking After Yourself. Last Updated: 19 January 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/looking-after-yourself Accessed: 18 April 2024
  16. Hamoda, H, Mukherjee, A, Morris, E, Baldeweg, S. E., Jayasena, C. N., Briggs, P, Moger, S. 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 https://journals.sagepub.com/doi/full/10.1177/20533691221104879 Accessed: 18 April 2024
  17. Menopause: Diagnosis & Treatment – Lifestyle and Home Remedies. 25  May 2023. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/menopause/diagnosis-treatment/drc-20353401 Accessed: 18 April 2024
  18. Deciding About Hormone Therapy Use: Potential Benefits. 2022:1. North American Menopause Society https://www.menopause.org/docs/default-source/professional/menonote-deciding-about-ht-2022.pdf Accessed: 18 April 2024
  19. What Is Menopause? When To See Your Doctor. Last Updated: 18 January 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/about-menopause#when-to-see-your-doctor Accessed: 18 April 2024
  20. Menopause: Diagnosis & Treatment – Treatment. 25 May 2023. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/menopause/diagnosis-treatment/drc-20353401 Accessed: 18 April 2024
Topic Last Updated: 18 April 2024 – Topic Last Reviewed: 18 April 2024

“Jean Hailes for Women’s Health is a national not-for-profit organisation dedicated to improving women’s knowledge and understanding of complex health issues”.1

Umbrella
What may the Jean Hailes for Women’s Health Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Jean Hailes
  • Jean Hailes Foundation
  • Jean Hailes for Women’s Health

Definition

What is the (Australian) Jean Hailes for Women’s Health (JH)?

In About: Who We Are the JH explain:

“Jean Hailes for Women’s Health is a national not-for-profit organisation dedicated to improving women’s knowledge and understanding of complex health issues”.2

Vision

What is the vision of the JH?

In About: Who We Are – Our Vision the JH explain:

“We believe in physical and emotional health and wellbeing in all its dimensions for all women in Australia throughout their lives”.3

Women’s Health Week 2024

When is the JH Women’s Health Week 2024?

In Women’s Health Week the JH note Women’s Health Week 2024 is from 2 to 6 September 2024.

Health Topics A-Z

Where may I find Health Topics A-Z related to Jean Hailes for Women’s Health?

In Health Topics A-Z you may find:

Links

Where may I find Links related to Jean Hailes for Women’s Health?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. About Us: Who We Are. Jean Hailes for Women’s Health https://jeanhailes.org.au/about/who-we-are Accessed: 17 April 2024
  2. About Us: Who We Are. Jean Hailes for Women’s Health https://jeanhailes.org.au/about/who-we-are Accessed: 17 April 2024
  3. About Us: Who We Are – Our Vision. Jean Hailes for Women’s Health https://jeanhailes.org.au/about/who-we-are Accessed: 17 April 2024
Topic Last Updated: 17 April 2024 – Topic Last Reviewed: 17 April 2024

“Before you consider calcium supplements,
be sure you understand how much calcium you need,
the pros and cons of calcium supplements, and…”.1

Definition

What is calcium?

Depending on the Source (DotS) the definition of calcium may vary. The (United States) Office of Dietary Supplements (ODS) definition is:

“Calcium is a mineral your body needs to build and maintain strong bones and to carry out many important functions. Calcium is the most abundant mineral in the body”.2

Bones

What is the association between bones and calcium?

In Calcium: What Is Calcium and What Does It Do? the ODS explain:

“Almost all calcium in the body is stored in bones and teeth, giving them structure and hardness.

Your body needs calcium for muscles to move and for nerves to carry messages between your brain and every part of your body. Calcium also helps blood vessels move blood throughout your body and helps release hormones that affect many functions in your body. Vitamin D helps your body absorb calcium”.3

In Calcium the International Osteoporosis Foundation (IOF) elaborate on:

“Calcium is a major building-block of bone – the skeleton houses 99% of the body’s calcium stores. The calcium in our bones also acts as a reservoir for maintaining calcium levels in the blood, which is needed for healthy nerves and muscles”.4

Calcium Bank

How do bones act like a calcium bank?

In Calcium & Bone Health: Why Is Calcium Important? Healthy Bones Australia explain:

Calcium“Bones act like a calcium bank. If there is not enough calcium in your diet, the body will take what is needed from your bones for use in other parts of the body. If this happens, your bone density (bone strength) will gradually decline, and you may be at risk of developing osteoporosis”.5

Foods

What foods provide calcium?

In Calcium: What Foods Provide Calcium? the ODS explain:

“Calcium is found in many foods. You can get recommended amounts of calcium by eating a variety of foods, including the following:

  • Milk, yogurt, and cheese are the main food sources of calcium for most people in the United States
  • Canned sardines and salmon with bones contain calcium
  • Certain vegetables, such as kale, broccoli, and Chinese cabbage (bok choi) also contain calcium
  • Calcium is added to some beverages, including many fruit juices and milk substitutes such as soy and almond beverages, as well as some brands of tofu and ready-to-eat cereals. To find out whether these foods have calcium added, check the product labels
  • Most grains (such as breads, pastas, and unfortified cereals) do not have high amounts of calcium. However, because people eat them often, what they contribute adds up”.6

Foods Calcium Content

What is the calcium content of some foods?

Your country’s national Osteoporosis website may have a list of the calcium content of some foods similar to the IOF’s Calcium Content of Common Foods or the (United States) National Osteoporosis Foundation’s Calcium and Vitamin D: A Guide To Calcium-Rich Foods.

Calcium Supplements

Before considering calcium supplements, what may it be important to understand?

In Calcium and Calcium Supplements – Achieving the Right Balance the (United States) Mayo Clinic elaborate on:

“Before you consider calcium supplements, be sure you understand how much calcium you need, the pros and cons of calcium supplements, and which type of supplement to choose”.7

Vitamin D

Is there an association between vitamin D and calcium?

The Mayo Clinic explain:

“To absorb calcium, your body also needs vitamin D. A few foods naturally contain small amounts of vitamin D, such as canned salmon with bones and egg yolks. You can also get vitamin D from fortified foods and sun exposure”.8

Health Care Provider

What if I would like to find out how much calcium and/or vitamin D I need daily?

If you would like to find out how much calcium and/or vitamin D you need daily, it may be in your best interest to choose to talk to your health care provider about this.

Health Topics A-Z

Where may I find Health Topics A-Z related to Calcium?

In Health Topics A-Z you may find:

Links

Where may I find Links related to Calcium?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Calcium and Calcium Supplements – Achieving the Right Balance. 01 November 2022. Mayo Clinic https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/calcium-supplements/art-20047097 Accessed: 17 April 2024
  2. Calcium: What Is Calcium and What Does It Do? Updated: 14 September 2023. Office of Dietary Supplements https://ods.od.nih.gov/factsheets/Calcium-Consumer/ Accessed: 17 April 2024
  3. Calcium: What Is Calcium and What Does It Do? Updated: 14 September 2023. Office of Dietary Supplements https://ods.od.nih.gov/factsheets/Calcium-Consumer/ Accessed: 17 April 2024
  4. Calcium. International Osteoporosis Foundation https://www.osteoporosis.foundation/patients/prevention/calcium Accessed: 17 April 2024
  5. Calcium & Bone Health: Why Is Calcium Important? Healthy Bones Australia https://healthybonesaustralia.org.au/your-bone-health/calcium/ Accessed: 17 April 2024
  6. Calcium: What Foods Provide Calcium? Updated: 14 September 2023. Office of Dietary Supplements https://ods.od.nih.gov/factsheets/Calcium-Consumer/ Accessed: 17 April 2024
  7. Calcium and Calcium Supplements – Achieving the Right Balance. 01 November 2022. Mayo Clinic https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/calcium-supplements/art-20047097 Accessed: 17 April 2024
  8. Calcium and Calcium Supplements – Achieving the Right Balance: Calcium and Diet. 01 November 2022. Mayo Clinic https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/calcium-supplements/art-20047097 Accessed: 17 April 2024
Topic Last Updated: 17 April 2024 – Topic Last Reviewed: 17 April 2024

“A heavy period is when you lose lots of blood each period.
The amount of bleeding can change
at different life stages”.1

Umbrella
What may the Periods and Heavy Bleeding Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Dysfunctional Uterine Bleeding
  • Heavy Bleeding
  • Heavy Menstrual Bleeding
  • Heavy Periods
  • Heavy Uterine Bleeding
  • Menorrhagia

Heavy Menstrual Bleeding

What is heavy menstrual bleeding?

DotS the definition of heavy menstrual bleeding may vary. The (Australian) Jean Hailes for Women’s Health’s (JH) definition is:

“A heavy period is when you lose lots of blood each period. The amount of bleeding can change at different life stages. For example, in teenage years or before menopause (your last period). Heavy periods are common in women aged 30 to 50”.2

Menorrhagia

What is menorrhagia?

DotS the definition of menorrhagia may vary. The (United States) Centers for Disease Control’s (CDC) definition is:

Menorrhagia is menstrual bleeding that lasts more than 7 days. It can also be bleeding that is very heavy”.3

The (United States) Mayo Clinic’s definition is:

“Some women have menstrual bleeding that is heavy or lasts for more than a few days. This condition used to be called menorrhagia. Heavy menstrual bleeding is a common concern. But most women don’t have enough blood loss for it to be called heavy menstrual bleeding”.4

Heavy or Not

How heavy is heavy menstrual bleeding?

In Bleeding Disorders In Women: Heavy Menstrual Bleeding the CDC explain:

“How do you know if you have heavy bleeding? If you need to change your tampon or pad after less than 2 hours or you pass clots the size of a quarter or larger, that is heavy bleeding. If you have this type of bleeding, you should see a doctor”.5

In Heavy Periods: How Do You Know If You Have Heavy Periods? the JH note:

“It can be hard to know if your period is too heavy, but there are some common signs. For example:

  • Your bleeding can’t be contained with a pad or tampon
  • You need to change your pad or tampon every two hours or less
  • You need to change your pad overnight
  • You notice blood clots that are bigger than a 50-cent coin
  • Your period lasts more than seven to eight days
  • Your periods stop you from doing things you normally do”.6

Cause

What causes heavy menstrual bleeding?

In Heavy Periods: Causes of Heavy Periods the (United Kingdom) NHS elaborate on:

“It can be normal to have heavy periods.

They can sometimes be heavy at different times, like when you first start your periods, after pregnancy or during menopause.

Sometimes, they can be caused by:

  • Conditions affecting your womb, ovaries or hormones, such as polycystic ovary syndrome, fibroids, endometriosis and pelvic inflammatory disease
  • Some medicines and treatments, including some anticoagulant medicines and chemotherapy medicines
  • Stress and depression

Rarely, heavy periods can be a sign of womb cancer”.7

In Menorrhagia (Heavy Menstrual Bleeding): Symptoms & Causes – Causes the Mayo Clinic elaborate on:

“In some cases, the cause of heavy menstrual bleeding is unknown, but a number of conditions may cause menorrhagia. Common causes include:

  • Hormone imbalance…
  • Dysfunction of the ovaries…
  • Uterine fibroids…
  • Polyps…
  • Adenomyosis…
  • Intrauterine device (IUD)…
  • Pregnancy complications…
  • Cancer…
  • Inherited bleeding disorders…
  • Medications…
  • Other medical conditions…”.8

Common or Not

How common is heavy menstrual bleeding?

According to the JH:

Periods and Heavy Bleeding“About one in four women have heavy periods (heavy menstrual bleeding)”.9

Bleeding Disorder

Is there an association between a bleeding disorder and heavy menstrual bleeding?

In Bleeding Disorders the Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov quote the 2001 data:

“As many as one in 10 women with heavy menstrual periods may have a bleeding disorder”.10

Treatment

What are treatment options for heavy menstrual bleeding?

On page two in Heavy Periods: Treatment the (British) Women’s Health Concern elaborate on:

“Treatment options depend on the type and duration of abnormal bleeding, the presence of specific disease or condition, your age, and desire for further pregnancies. Treatment can be medical or surgical”.11

In Bleeding Disorders In Women: Heavy Menstrual Bleeding: Treatment the CDC elaborate on different types of treatment and note:

“The type of treatment you get will depend on the cause of your bleeding and how serious it is. Your doctor also will look at things such as your age, general health, and medical history; how well you respond to certain medicines, procedures, or therapies; and your wants and needs”.12

Look for A PatternPeriods and Menopause

Can it be helpful to record period dates and symptoms?

In Heavy Periods the (Scottish) NHS Inform explain:

“It can be helpful to keep a note of your period dates and symptoms using a calendar, a diary or an app. You can then discuss this with your doctor who can decide if any tests or treatments might be needed.

If you’re seeing your doctor, there are some useful pieces of information to think about beforehand:

  • The first day of your last period (when it started)
  • How many days your period usually lasts
  • What was the shortest time between your periods (from the first day of one period to the first day of the next)
  • What was the longest time between your periods (from the first day of one period to the first day of the next)
  • How often you need to change your period products on a heavy day
  • If you are over 25, when you had your last smear test”.13

Health Care Provider

What if I have heavy menstrual bleeding?

If you have heavy menstrual bleeding, it may be in your best interest to choose to talk to your health care provider about this. In Heavy Menstrual Bleeding (Menorrhagia): Living With – When Do You Call Your Healthcare Provider If You Suspect Heavy Period Bleeding? the (United States) Cleveland Clinic explain:

“You should call your provider if you’re experiencing the symptoms of heavy menstrual bleeding or anemia, or if your period bleeding has become abnormal. Tracking your periods using a calendar or app can help you identify if your periods are heavier and longer-lasting than usual. Share these notes with your provider.

You should also schedule an appointment if you notice that you’re having to double-up on menstrual products or if you’re skipping activities you enjoy because of heavy bleeding”.14

The Mayo Clinic also note:

“Seek medical help before your next scheduled exam if you experience:

  • Vaginal bleeding so heavy it soaks at least one pad or tampon an hour for more than two hours in a row
  • Bleeding between periods or irregular vaginal bleeding
  • Vaginal bleeding after menopause”.15

Health Topics A-Z

Where may I find Health Topics A-Z related to Periods and Heavy Bleeding?

In Health Topics A-Z you may find:

Links

Where may I find Links related to Periods and Heavy Bleeding?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Heavy Periods. Updated: May 2023. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/resources/heavy-periods Accessed: 17 April 2024
  2. Heavy Periods. Updated: May 2023. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/resources/heavy-periods Accessed: 17 April 2024
  3. Bleeding Disorders In Women: Heavy Menstrual Bleeding. Last Reviewed: 23 June 2023. Centers for Disease Control and Prevention https://www.cdc.gov/ncbddd/blooddisorders/women/menorrhagia.html Accessed: 17 April 2024
  4. Heavy Menstrual Bleeding: Symptoms & Causes – Overview. 30 August 2023. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/menorrhagia/symptoms-causes/syc-20352829 Accessed: 17 April 2024
  5. Bleeding Disorders In Women: Heavy Menstrual Bleeding. Last Reviewed: 23 June 2023. Centers for Disease Control and Prevention https://www.cdc.gov/ncbddd/blooddisorders/women/menorrhagia.html Accessed: 17 April 2024
  6. Heavy Periods: How Do You Know If You Have Heavy Periods? Updated: May 2023. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/resources/heavy-periods Accessed: 17 April 2024
  7. Heavy Periods: Causes of Heavy Periods. Page Last Reviewed: 03 November 2021. NHS https://www.nhs.uk/conditions/heavy-periods/#what-causes-heavy-periods Accessed: 17 April 2024
  8. Heavy Menstrual Bleeding: Symptoms & Causes – Causes. 30 August 2023. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/menorrhagia/symptoms-causes/syc-20352829 Accessed: 17 April 2024
  9. Heavy Periods. Updated: May 2023. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/resources/heavy-periods Accessed: 17 April 2024
  10. Bleeding Disorders. Page Last Updated: February 22, 2021. Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov https://www.womenshealth.gov/a-z-topics/bleeding-disorders Accessed: 17 April 2024
  11. Heavy Bleeding: Treatment. Publication Date: November 2022:2. British Women’s Health Concern https://www.womens-health-concern.org/help-and-advice/factsheets/heavy-periods/ Accessed: 17 April 2024
  12. Bleeding Disorders In Women: Heavy Menstrual Bleeding: Treatment. Last Reviewed: 23 June 2023. Centers for Disease Control and Prevention https://www.cdc.gov/ncbddd/blooddisorders/women/menorrhagia.html Accessed: 17 April 2024
  13. Heavy Periods. Last Updated: 14 March 2023. NHS Inform https://www.nhsinform.scot/healthy-living/womens-health/girls-and-young-women-puberty-to-around-25/periods-and-menstrual-health/heavy-periods/ Accessed: 17 April 2024
  14. Heavy Menstrual Bleeding (Menorrhagia): Living With – When Do You Call Your Healthcare Provider If You Suspect Heavy Period Bleeding? Last Reviewed: 11 November 2021. Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/17734-menorrhagia-heavy-menstrual-bleeding Accessed: 17 April 2024
  15. Heavy Menstrual Bleeding: Symptoms & Causes – Symptoms: When To See A Doctor. 30 August 2023. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/menorrhagia/symptoms-causes/syc-20352829 Accessed: 17 April 2024
Topic Last Updated: 17 April 2024 – Topic Last Reviewed: 17 April 2024