“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
“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
“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
“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 Pattern
Can it be helpful to record period dates and symptoms?
“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
“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?
Where may I find Links related to Periods and Heavy Bleeding?
Your Country may have Links similar to:
Links
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
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
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DotS the definition of bioidentical hormones may vary. On page one in Menopausal Hormone Therapy the European Menopause and Andropause Society’s definition is:
“‘Bioidentical hormones’ is a term used to describe plant-derived preparations (like approved MHT drugs) modified to be structurally identical to human hormones such as estradiol and progesterone”.2
“The term bioidentical hormone therapy began as a marketing term for custom-compounded hormones. But it is taken to mean hormones that have the same chemical and molecular structure as hormones that are produced in the body”.3
“The term bioidentical hormone therapy (similar to endogenous) can be misleading because there are both government-approved and compounded bioidentical hormone therapies. Government approved (in the United States, FDA-approved) bioidentical hormones include estradiol, estrone, and MP, which are regulated and monitored for purity and efficacy. These are dispensed with package inserts containing extensive product information (based on RCTs) and may include black-box warnings for AEs. In contrast, compounded bioidentical hormone therapies are prepared by a compounding pharmacist using a provider’s prescription. These therapies may combine multiple hormones (estradiol, estrone, estriol, DHEA, testosterone, progesterone) and use untested, unapproved combinations or formulations or are administered in nonstandard or untested routes such as subdermal implants, pellets, or troches”.4
cBHRT
What is cBHRT (Compounded Bioidentical Hormone Replacement Therapy)?
“cBHRT: Compounded Bioidentical Hormone Replacement Therapy: Precise duplicates of human hormones which are produced by specialist pharmacies and do not follow the same MHRA regulatory pathway as conventional rBHRT”.5
rBHRT
What is rBHRT (Regulated Bioidentical Hormone Replacement Therapy)?
“rBHRT: Regulated Bioidentical Hormone Replacement Therapy: Precise duplicates of human hormones developed in a conventional way by the pharmaceutical industry and authorised by the regulators such as the MHRA in the UK”.6
“Drug compounding is often regarded as the process of combining, mixing, or altering ingredients to create a medication tailored to the needs of an individual patient. Compounding includes the combining of two or more drugs”.7
Approved or Not
Are compounded bioidentical hormones approved by individual Country Drug Regulatory bodies for example the FDA?
“Compounded drugs are not FDA-approved. This means that FDA does not verify the safety or effectiveness of compounded drugs. Consumers and health professionals rely on the drug approval process for verification of safety, effectiveness, and quality. Compounded drugs also lack an FDA finding of manufacturing quality before such drugs are marketed”.8
“The term “natural” means the hormones in the product come from plant or animal sources. They’re not made in a lab. But many of these products still need to be commercially processed to become bioidentical”.9
“Some doctors prescribe pharmacy-compounded hormones, which are also known as ‘bioidentical’ hormones. These are mixtures of different hormones made up in compounding pharmacies. The hormones are promoted as ‘natural’ and ‘exactly like our own’, which is not true.
Pharmacy-compounded preparations can contain oestrogens, progesterone and sometimes other hormones such as testosterone. The preparations are made into capsules, creams, gels, drops (applied to the tongue), lozenges or troches (soft square-shaped tablets) that are sucked inside the cheek.
All hormone therapies are manufactured synthetically. Hormones are only natural when they are in the human body”.10
“Many healthcare providers who use bioidentical hormones claim they are safer than traditional hormone therapy treatments. But there have been no large research studies of bioidentical hormones to show evidence of this”.11
“There is a dearth of safety and efficacy data with little or no high-quality pharmacokinetic data to provide evidence of safety and efficacy of compounded bioidentical hormone therapy and insufficient evidence to support overall clinical use of compounded bioidentical hormone therapy for treatment of menopause symptoms. Compounded bioidentical hormone therapy presents safety concerns, such as minimal government regulation and monitoring, overdosing and underdosing, presence of impurities and lack of sterility, lack of scientific efficacy and safety data, and lack of a label outlining risks”.12
Hormone Testing or Not
Is serum, saliva or urine hormone testing necessary to prescribe bioidentical hormones?
“Compounded bioidentical hormone therapy has been prescribed or dosed on the basis of serum, salivary, or urine hormone testing; however, the use of such testing to guide hormone therapy dosing is considered unreliable because of differences in hormone pharmacokinetics and absorption, diurnal variation, and interindividual and intraindividual variability”.13
Recommended or Not
Do menopause societies and other organizations, recommend the use of bioidentical hormones?
“Bioidentical hormones are made from plant sources and are described as being similar or identical to human hormones.
Some people claim that these hormones are a “natural” and safer alternative to standard HRT medicines.
However, bioidentical hormones are not recommended because:
They’re not regulated and it’s not clear how safe they are – there’s no good evidence to suggest they’re safer than standard HRT
It’s not known how effective they are in reducing menopause symptoms
The balance of hormones used in bioidentical preparations is usually based on the hormone levels in your saliva, but there’s no evidence that these levels are related to your symptoms”.14
“The use of compounded bioidentical hormone replacement therapies is not recommended given the issues related to their purity, potency and safety. The potential benefits of bioidentical hormone therapy can be achieved using conventionally licensed products available through NHS prescribing without having to resort to compounded varieties from specialist pharmacies”.18
“Body identical hormones are different. Because they have been regulated, tested and thoroughly researched, they can be prescribed to treat menopause symptoms”.19
Government Approved
Are government approved bioidentical hormones available?
“If you prefer to treat your bothersome menopause symptoms with hormones that are chemically identical to those you produced naturally before menopause, ask your healthcare provider to prescribe estradiol and progesterone products that are scientifically tested and government approved. Estradiol is available as an oral tablet, skin patch, topical gel, topical spray, and vaginal ring. Low doses of estradiol used in the vagina (to treat vaginal dryness and painful intercourse but not hot flashes) are available as a vaginal tablet, cream, and ring. Progesterone is available as an oral capsule (see table below for product names)”.20
“Some FDA-approved products come from plants. Examples include Estrace, Alora and other products that contain estrogens, and Prometrium, a natural progesterone”.21
“Note: in Australia, doctors can prescribe conventional menopause hormone therapies (MHT) that are identical to those hormones made in your body. These products have been thoroughly tested for safety and effectiveness”.22
Health Care Provider
What if I choose to use bioidentical hormones?
If you choose to use bioidentical hormones it may be in your best interest to also choose to tell your health care providers you are doing this. The JH caution:
“It’s important to have a face-to-face meeting with your health practitioner to discuss the risks and benefits of different treatments for menopause”.23
Health Topics A-Z
Where may I find Health Topics A-Z related to Bioidentical Hormones?
Where may I find Links related to Bioidentical Hormones?
Your Country may have Links similar to:
Links
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
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: 16 April 2024
Hormone Replacement Therapy (HRT): Alternatives To Hormone Replacement Therapy (HRT) – Herbal Remedies and Complementary Medicines for Menopause Symptoms: Bioidentical or “Natural” Hormones. Last Reviewed: 07 February 2023. NHS https://thebms.org.uk/publications/consensus-statements/bioidentical-hrt/ Accessed: 16 April 2024
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 – Considerations for All Women At Menopause: Menopausal Hormone Therapy. Published Online: 30 October 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 16 April 2024
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: 16 April 2024
Hormone Replacement Therapy (HRT): Alternatives To Hormone Replacement Therapy (HRT) – Herbal Remedies and Complementary Medicines for Menopause Symptoms: Bioidentical or “Natural” Hormones. Last Reviewed: 07 February 2023. NHS https://thebms.org.uk/publications/consensus-statements/bioidentical-hrt/ Accessed: 16 April 2024
“You will need different health checks throughout your life, depending on your age, risk factors, medical background and family history.
It’s recommended you have certain checks, regardless of your age. For example:
Have a skin check every year
Have an eye test every two years, or as needed
Have a hearing test if you notice any hearing loss
Have a dental check and clean every year (some dentists recommend every six months)”.2
Health Care Provider
What if I would like to find out what health checkups I require?
If you would like to find out what health checkups you require, 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 Women’s Health Checkups Checklist?
Where may I find Links related to Women’s Health Checkups Checklist?
Your Country may have Links similar to:
Links
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
“Health and vitality are important at any age. After 50, though, you may think more about how to promote good health as you get older. Whether you’re concerned about weight gain, sex drive or chronic diseases, a big part of healthy aging is maintaining a healthy lifestyle. Eating reasonable amounts of a variety of nutritious foods and getting physical activity every day can go a long way toward staying healthy as you age”.2
Postmenopause
Is there an association between postmenopause and aging?
“The first 10 years post menopause is an important window for intervention and is where preventative measures can be most effective:
Smoking cessation
Reduction of alcohol consumption
Regular aerobic exercise
Healthy diet
Control of body weight
Participation in mentally stimulating activities
Regular screening for cancer
Consideration of MHT in women younger than age 60, not only to help manage hot flushes and other symptoms of the menopause transition but also potentially, to help prevent CHD
Consideration of specific prevention therapies for other diseases if you are at higher risk because of family history or other personal risk factor
Be sure to discuss your options and prevention strategies with your healthcare professional”.3
Health Care Provider
What if I would like help with healthy aging?
If you would like help with healthy aging, it may be in your best interest to choose to talk to your health care provider about this. Together you can discuss your options and if required, agree on who may be the most appropriate health care provider to help you.
Health Topics A-Z
Where may I find Health Topics A-Z related to Healthy Aging?
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
“There are different types of research studies. Some studies might involve simple tasks like filling in a survey, taking part in a focus group or being ‘observed’ while you complete tasks over time. Other studies, often called ‘clinical trials’, are more involved and require scans, blood tests or taking medicines”.2
Clinical Trials
What are clinical trials?
DotS the definition of clinical trials may vary. In Clinical Trials the (United Kingdom) NHS’s definition is:
“A clinical trial compares the effects of 1 treatment with another. It may involve patients, healthy people, or both”.3
“You can ask your doctor or a patient organisation if they know of any clinical trials that you may be eligible to join.
You can also search for information on a number of websites and register your interest in taking part in research”.6
Health Care Provider
What if I would like to participate in a menopause clinical trial?
If you would like to participate in a menopause clinical trial, it may be in your best interest to choose to talk to your health care provider about this.
Where may I find Links related to Menopause Clinical Trials?
Your Country may have Links similar to:
Links
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
NIH Clinical Research Trials and You: The Basics – What Are Clinical Trials and Why Would I Want To Take Part? This Page Last Reviewed on 03 October 2022. National Institutes of Health https://www.nih.gov/health/clinicaltrials/basics.htm Accessed: 15 April 2024
NIH Clinical Research Trials and You: The Basics – What Are Clinical Trials and Why Would I Want To Take Part? This Page Last Reviewed on 03 October 2022. National Institutes of Health https://www.nih.gov/health/clinicaltrials/basics.htm Accessed: 15 April 2024
“There are so many websites with cancer information that it can be hard to know which ones to trust. Credible sources of cancer and other health information should make it easy for people to learn who is posting the content. They should make clear the original source of the information, along with the expert credentials of the people who prepare or review the online material.
Ask the following questions to decide if health information online is credible:
Who manages this information?…
What are the letters at the end of the web address?…
Who is paying for the project, and what is their purpose?…
What is the original source of the information that they have posted?…
How is information reviewed before it gets posted?…
How current is the information?…
If they are asking for personal information, how will they use that information and how will they protect your privacy?…”.2
Health Care Provider
What if I would like to find out what health information on the Internet is applicable to me?
If you would like to find out what health information on the Internet is applicable to you, it may be in your best interest to choose to talk to your health care provider about this.
“Use your good judgment when gathering health information online. There are websites on nearly every health topic, and many have no rules for overseeing the quality of the information provided. Use the information you find online as one tool to become more informed. Don’t count on any one website and check your sources. Discuss what you find with your doctor before making any changes to your health care”.3
Health Topics A-Z
Where may I find Health Topics A-Z related to Health Information Evaluation on the Internet?
Where may I find Links related to Health Information Evaluation on the Internet?
Your Country may have Links similar to:
Links
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
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“If you would like to find out what health news is applicable
to you, it may be in your best interest to choose
to talk to your health care provider about this”.Meno Martha
Umbrella What may the Health News Umbrella include?
Depending on the Source (DotS) this Umbrella may include:
Health Headlines
Health News
Latest Health News
NIH News
News and Events
Date
What can it be important to be clear about with health news?
It can be important to be clear about the date of all information including the date of health news because this information may have been updated.
Intended Audience
What can it also be important to be clear about with the intended audience of health information?
It can also be important to be clear about the intended audience of all information including the intended audience of health information, because this information may be different for you in your country.
Website Location
Where may I find Health News on a website?
You may find Health News on a website’s home page or the home page may point you in the direction of health news.
Health Care Provider
What if I would like to find out what health news is applicable to me?
If you would like to find out what health news is applicable to you, it my 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 Health News?
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
Vaginismus. “This can happen before or during an attempt
to insert something into the vagina. For example, before
or during sex, when inserting a tampon or sex toy…”.1
Umbrella What may the Vaginismus Umbrella include?
Depending on the Source (DotS) this Umbrella may include:
Genito-Pelvic Pain/Penetration Disorder (GPPPD)
Vaginal Spasm
Vaginal Tightness
Vaginismus
Vaginismus
What is vaginismus?
DotS the definition of vaginismus may vary. The (United States) Hope&Her’s definition is:
“When sex or penetration is painful or uncomfortable without explanation it is frequently due to a condition known as vaginismus. Vaginismus is vaginal tightness causing discomfort, burning, pain, penetration problems or complete inability to have intercourse. It may occur at any age, even after enjoying intercourse previously, and most women suffering with it don’t even realize they have it”.2
The (Australian) Jean Hailes for Women’s Health (JH) definition is:
“Vaginismus is when your pelvic floor muscles involuntarily tighten. These muscles are in the lower third of the vagina. This can happen before or during an attempt to insert something into the vagina. For example, before or during sex, when inserting a tampon or sex toy, or during a vaginal examination”.3
Genito-Pelvic Pain/Penetration Disorder (GPPPD)
What is Genito-Pelvic Pain/Penetration Disorder (GPPPD)?
“Genito-pelvic pain/penetration disorder (GPPPD) refers to significant pain and difficulty with penetrative vaginal sex that lasts for at least six months.
GPPPD is actually an umbrella term for two sexual pain disorders: dyspareunia (painful intercourse) and vaginismus (a situation in which the muscles in the vagina contract to the point that penetration is difficult, and sometimes impossible)”.4
Difficult or impossible penetration, entry pain, uncomfortable insertion of penis
Unconsummated marriage
Ongoing sexual discomfort or pain following childbirth, yeast/urinary infections, STDs, hysterectomy, cancer, surgeries, rape, menopause, or other pelvic issues
Ongoing sexual pain of unknown origin, with no apparent cause
Difficulty inserting tampons or undergoing pelvic/gynecological exams
Spasms in other body muscle groups (legs, lower back, etc.) and/or halted breathing during attempts at intercourse
“When vaginal atrophy goes untreated and a woman continues to have intercourse with pain, the vaginal muscles tend to brace themselves and protect the body by tightening up. Over time, the vaginal tightening may become an automatic reaction that persists (vaginismus), even after the original atrophy condition is resolved.
Fortunately, both conditions are treatable. In fact, vaginal atrophy and vaginismus may need to be addressed simultaneously, as it is difficult to resolve one without managing the other”.8
You find it hard inserting a tampon into your vagina
You struggle with vaginal penetration during sex
You feel burning or stinging pain during sex
These are common signs of vaginismus”.10
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.
“If you experience muscle spasms or pain that makes intercourse uncomfortable or impossible, don’t be embarrassed to talk to your healthcare provider. You don’t have to keep suffering. Many problems, including vaginismus, can cause painful intercourse. Almost all of these problems are treatable. A lot of people see significant improvements in their sex lives and their mental health after vaginismus treatments”.11
Health Topics A-Z
Where may I find Health Topics A-Z related to the Vaginismus?
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
“Many women often experience irritability, tearfulness, anxiety, difficulty concentrating, lack of energy, poor concentration and mood swings as they go through menopause. But, are all of these things caused by menopause?
Mood swings vs. depression: Mood swings related to menopause and depression are two separate things. Menopause does not cause depression nor are there higher rates of depression among menopausal women. However, sleep disorders and hot flushes (flashes) are common, and these can contribute to feeling irritable and moody”.3
Stress
Is there an association between stress and irritability?
“Feeling stress is common during middle age as personal and environmental changes take place. This can have a strong effect on mood in some women. Life circumstances that can impact mental health include:
“The menopause transition is an ideal time to take stock of all aspects of your health and consider lifestyle and other changes so that you can live the healthiest possible lifestyle.
Given the complex and overlapping nature of the physical and mental health changes during the menopause transition, speaking with your doctor is the best place to start”.5
“Psychological therapies and social supports can be beneficial to women with mental health symptoms.
Women should have an individualised assessment with their doctor in order to discuss the most appropriate treatment pathway. Options may include lifestyle changes, psychological therapies and medications such as menopausal hormone therapy (MHT) or antidepressants”.6
Health Topics A-Z
Where may I find Health Topics A-Z related to Menopause Irritability?
Where may I find Links related to Menopause Irritability?
Your Country may have Links similar to:
Links
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
“More than 57% of women experience hot flushes and night sweats during menopause. They generally start in your chest area and spread to your upper chest, neck and face”.1
Umbrella What may the Hot Flushes Umbrella include?
Depending on the Source (DotS) this Umbrella may include:
Cold Flashes
Hot Flash
Hot Flashes
Hot Flush (HF)
Hot Flushes
Menopausal/Menopause Hot Flashes/Hot Flushes
Menopause-Related Hot Flashes/Hot Flushes
Vasomotor Symptoms
“Power Surges”
Vasomotor Symptoms
What are vasomotor symptoms (VMS)?
DotS the definition of vasomotor symptoms may vary. The North American Menopause Society’s (NAMS) definition is:
“Vasomotor symptoms. Also known as hot flashes and night sweats, common symptoms during perimenopause and early postmenopause”.2
“More than 57% of women experience hot flushes and night sweats during menopause. They generally start in your chest area and spread to your upper chest, neck and face. They can also spread over your whole body. The flushes may feel like a burning, overheating sensation. You may also have reddening of the skin and different degrees of sweating. When a flush happens at night, it’s called a night sweat”.3
“A hot flash is the sudden feeling of warmth in the upper body, which is usually most intense over the face, neck and chest. Your skin might redden, as if you’re blushing. A hot flash can also cause sweating. If you lose too much body heat, you might feel chilled afterward”.4
“We don’t know exactly what causes hot flushes. Lower oestrogen levels may affect parts of the brain that regulate your body temperature. Many studies suggest that stress and anxiety can influence the frequency and intensity of hot flushes. Some foods or alcohol can also have an impact”.6
Other Causes
Apart from menopause, what are other causes of hot flushes?
“Rarely, hot flashes and nights sweats are caused by something other than menopause. Other potential causes include medication side effects, problems with your thyroid, certain cancers and side effects of cancer treatment”.7
Common or Not
How common are hot flushes?
In the United States, according to the NAMS:
“Hot flashes are reported by as many as 75% of perimenopausal women in the United States”.8
“Findings from large Australian epidemiology studies have revealed that 74% of postmenopausal women aged <55 years have VMS, 28% of postmenopausal women aged <55 years have moderate to severely bothersome VMS, and 42% and 33% of women aged 60–64 years and 65–79 years, respectively, still have VMS”.9
“Hot flashes may impact your daily activities and quality of life. Nighttime hot flashes (night sweats) can wake you from sleep and, over time, can cause long-term sleep disruptions”.10
“Research suggests that women who have hot flashes may have an increased risk of heart disease and greater bone loss than women who do not have hot flashes”.13
Lifestyle Changes
What are some lifestyle changes to improve hot flushes?
“Dress in layers that can be removed at the start of a hot flash
Carry a portable fan to use when a hot flash strikes
Avoid alcohol, spicy foods, and caffeine. These can make menopausal symptoms worse
If you smoke, try to quit, not only for hot flashes, but for your overall health
Try to maintain a healthy weight. Women who are overweight or obese may experience more frequent and severe hot flashes
Explore mind-body practices. Some early-stage research has shown that hypnotherapy and mindfulness meditation could help with management of hot flashes”.14
Treatment Options
What are the two categories of treatment options for hot flushes?
“In general, there are two categories of treatment options for hot flashes: prescription medications and over-the-counter (non-prescription) therapies. Some prescription medications are used as off-label treatments to help reduce hot flashes. Using a product “off label” means that it’s not FDA-approved for the treatment of hot flashes, but is often used because it can be safe and effective as a treatment option”.15
Hormone Therapy
Is hormone therapy one of the most effective treatment for hot flushes?
“The most effective way to relieve the discomfort of hot flashes is to take estrogen, but taking this hormone carries risks. If estrogen is appropriate for you and you start it within 10 years of your last menstrual period or before age 60, the benefits can be greater than the risks.
Medications such as antidepressants and anti-seizure drugs also might help reduce hot flashes, although they’re less effective than hormones”.17
“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”.18
“Discuss the pros and cons of various treatments with your doctor. If hot flashes don’t interfere with your life, you probably don’t need treatment. Hot flashes subside gradually for most women, even without treatment, but it can take several years for them to stop”.20
Health Topics A-Z
Where may I find Health Topics A-Z related to Hot Flushes?
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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: Basic Physiology – Symptoms of the Menopause: Symptom Prevalence. First Published Online: 30 October 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 14 April 2024
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: Basic Physiology – Symptoms of the Menopause: Symptom Prevalence. First Published Online: 30 October 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 14 April 2024
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: Basic Physiology – Symptoms of the Menopause: Symptom Prevalence. First Published Online: 30 October 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 14 April 2024
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: 14 April 2024
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