“Bleeding from your vagina after menopause is not normal.
If you have any bleeding, spotting or staining
after you reach menopause, talk to your doctor”.1

Umbrella
What may the Vaginal Bleeding and Abnormal Vaginal Bleeding Umbrella include?

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

  • Abnormal Bleeding
  • Abnormal Uterine Bleeding (AUB)
  • Abnormal Vaginal Bleeding (AVB)
  • Bleeding After Menopause
  • Dysfunctional Uterine Bleeding
  • Spotting
  • Postmenopausal Bleeding
  • Uterine Bleeding
  • Vaginal Bleeding

Definition

What is abnormal vaginal bleeding (AVB)?

Dots the definition of AVB may vary. In Vaginal Bleeding: Basics – Definition the (United States) Mayo Clinic’s definition is:

“Unusual vaginal bleeding is any vaginal blood that is different from your period. This might include small amounts of blood, also called spotting, between your periods. You might notice this on toilet tissue when you wipe. Or it could include a very heavy period. You know you have a very heavy period if blood is soaking through one or more tampons or pads every hour for more than four hours”.2

When

When is vaginal bleeding considered AVB or abnormal uterine bleeding (AUB)?

In FAQs: Abnormal Uterine Bleeding – When Is Bleeding Abnormal? the American College of Obstetricians and Gynecologists (ACOG) explain:

Vaginal Bleeding and Abnormal Vaginal Bleeding“Bleeding in any of the following situations is considered abnormal uterine bleeding:

  • Bleeding or spotting between periods
  • Bleeding or spotting after sex
  • Heavy bleeding during your period
    • Bleeding that soaks through one or more tampons or pads every hour
    • Bleeding that lasts more than 7 days
  • Menstrual cycles that are longer than 35 days or shorter than 21 days
  • “Irregular” periods in which cycle length varies by more than 7–9 days
  • Not having a period for 3 to 6 months
  • Bleeding after menopause”.3

Postmenopausal Vaginal Bleeding

Is postmenopausal vaginal bleeding normal?

No. In What Is Menopause? Perimenopause, Menopause and Postmenopause: Vaginal and Vulval Health – Postmenopausal Bleeding the (Australian) Jean Hailes for Women’s Health explain:


“Bleeding from your vagina after menopause is not normal. If you have any bleeding, spotting or staining after you reach menopause, talk to your doctor”.4

Health Care Provider

What if I think I have AVB?

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

In Vagina: What’s Normal, What’s Not – What Are Signs or Symptoms of Vaginal Problems? the Mayo Clinic explain:

“Consult your health care provider if you notice:

  • A change in the color, odor or amount of vaginal discharge
  • Vaginal redness or itching
  • Vaginal bleeding between periods, after sex or after menopause
  • A mass or bulge in the vagina
  • Pain during intercourse”.5

In Postmenopausal Bleeding the NHS advise:

“See A GP If:

You have postmenopausal bleeding, even if:

  • It’s only happened once
  • There’s only a small amount of blood, spotting, or pink or brown discharge
  • You do not have any other symptoms
  • You’re not sure if it’s blood

Postmenopausal bleeding is not usually serious, but can be a sign of cancer. Cancer is easier to treat if it’s found early”.6

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 Topics A-Z

Where may I find Health Topics A-Z related to the Vaginal Bleeding and Abnormal Vaginal Bleeding?

In Health Topics A-Z you may find:

Links

Where may I find Links related to Vaginal Bleeding and Abnormal Vaginal Bleeding?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources at:

Sources

  1. What Is Menopause? Perimenopause, Menopause and Postmenopause: Vaginal and Vulval Health – Postmenopausal Bleeding. 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/health-after-menopause Accessed: 07 April 2024
  2. Vaginal Bleeding: Basics – Definition. 02 May 2023. Mayo Clinic https://www.mayoclinic.org/symptoms/vaginal-bleeding/basics/definition/SYM-20050756 Accessed: 07 April 2024
  3. FAQs: Abnormal Uterine Bleeding – When Is Bleeding Abnormal? Last Updated: December 2021. Last Reviewed: April 2023. American College of Obstetricians and Gynecologists https://www.acog.org/patient-resources/faqs/gynecologic-problems/abnormal-uterine-bleeding Accessed: 07 April 2024
  4. What Is Menopause? Perimenopause, Menopause and Postmenopause: Vaginal and Vulval Health – Postmenopausal Bleeding. 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/health-after-menopause Accessed: 07 April 2024
  5. Vagina: What’s Typical, What’s Not – What Are Signs or Symptoms of Vaginal Problems? 06 December 2022. Mayo Clinic https://www.mayoclinic.org/healthy-lifestyle/womens-health/in-depth/vagina/art-20046562 Accessed: 07 April 2024
  6. Postmenopausal Bleeding. Page Last Reviewed: 22 May 2023. NHS https://www.nhs.uk/conditions/post-menopausal-bleeding/ Accessed: 07 April 2024
Topic Last Updated: 07 April 2024 – Topic Last Reviewed: 07 April 2024

You may find the name of and information about
your Country’s menopause society
in the International Menopause Society’s…Meno Martha

Umbrella
What may the Menopause Societies Umbrella include?

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

  • Medical Associations
  • Medical Menopause Associations
  • Menopause Federations
  • Menopause Societies
  • Menopause and Andropause Societies
  • Menopause and Climacteric Societies
  • Menopause and Osteoporosis Societies
  • Societies for Menopause and Women’s Health
  • Societies of Menopause

Menopause Societies

Where may I find the name of and information about my Country’s menopause society?

You may find the name of and information about your Country’s menopause society in:

Health Topics A-Z

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

In Health Topics A-Z you may find:

Links

Where may I find Links related to Menopause Societies?

Your Country may have Links similar to:

Topic Last Updated: 07 April 2024 – Topic Last Reviewed: 07 April 2024

“World Menopause Day is held every year on the 18th October. The purpose of the day is to raise awareness of the menopause and the support options available for…”.1

Umbrella
What may the World Menopause Day Umbrella include?

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

  • World Menopause Day
  • World Menopause Month

World Menopause Day

When and what is World Menopause Day (WMD)?

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

“World Menopause Day is held every year on the 18th October. The purpose of the day is to raise awareness of the menopause and the support options available for improving health and wellbeing”.2

World Menopause Month

What is World Menopause Month?

The IMS note:

“Since it is not always possible for local societies to arrange activities for this specific day, the IMS has now designated October as World Menopause Month. Local societies can also collaborate with other organizations working in the field of adult women’s health, such as societies for osteoporosis and breast cancer, to organize joint events. World Menopause Month can also be a call to implement policies that support research and treatment in the area of menopausal health”.3

World Menopause Day 2024

What is the theme for WMD 2024?

The theme for WMD is usually announced by the IMS closer to World Menopause Month which is held in October.

World Menopause Day 2023

What was the theme for WMD 2023?

In World Menopause Day the IMS announced:

“The theme for World Menopause Day 2023 is Cardiovascular Disease”.4

World Menopause Day 2022

What was the theme for WMD 2022?

The theme for WMD 2022 was Cognition and Mood.

World Menopause Day 2021

What was the theme for WMD 2021?

The theme for WMD 2021 was Bone Health.

World Menopause Day 2020

What was the theme for WMD 2020?

The theme for WMD 2020 was Premature Ovarian Insufficiency (POI).

World Menopause Day 2019

What was the theme for WMD 2019?

The theme for WMD 2019 was Testosterone for Women At Midlife.

World Menopause Day 2018

What was the theme for WMD 2018?

The theme for WMD 2018 was Sexual Wellbeing After Menopause.

Health Topics A-Z

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

In Health Topics A-Z you may find:

Links

Where may I find Links related to World Menopause Day?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. World Menopause Day. International Menopause Society https://www.imsociety.org/education/world-menopause-day/ Accessed: 06 April 2024
  2. World Menopause Day. International Menopause Society https://www.imsociety.org/education/world-menopause-day/ Accessed: 06 April 2024
  3. World Menopause Day 2014 – World Menopause Month. International Menopause Society https://www.imsociety.org/education/world-menopause-day/wmd-2014/ Accessed: 06 April 2024
  4. World Menopause Day. International Menopause Society https://www.imsociety.org/education/world-menopause-day/ Accessed: 06 April 2024
Topic Last Updated: 06 April 2024 – Topic Last Reviewed: 06 April 2024

“See a doctor for regular checkups even if you feel healthy.
This is important because some diseases
and health conditions don’t have symptoms at first”.1

Men and Women

Men’s HealthWhat are some differences in men’s and women’s health issues?Men’s Health

In What Is Women’s Health Research? the (United States) Office of Research on Women’s Health note:

“There are striking sex and gender differences in many diseases and conditions, including:

  • Autoimmune diseases
  • Cancer
  • Cardiovascular diseases
  • Depression and brain disorders
  • Diabetes
  • Infectious diseases
  • Obesity
  • Substance abuse disorders”.2

Men’s Health

What are some associations between men and their health?

In Men: Take Charge of Your Health – The Basics: Overview the (United States) MyHealthFinder explain:

“Many men need to pay more attention to their health. Compared to women, men are more likely to:

  • Smoke
  • Drink too much alcohol
  • Make unhealthy or risky choices
  • Put off regular checkups and medical care.

The good news is that you can start taking steps to improve your health today!”3

Men’s Issues

Men’s HealthWhat are some health issues unique to men?

In Men’s Health the (United States) National Center for Complementary and Integrative Health explain:

“Some health issues, such as erectile dysfunction (ED) and prostate problems, are unique to men. As many as 30 million American men have ED, and benign prostatic hyperplasia is the most common prostate problem for men older than age 50.

Other health issues—such as coronary heart disease, lung cancer, HIV infection, and Parkinson’s disease—are more common in men than women”.4

Benign Prostate Enlargement

Where may I find Links related to Benign Prostate Enlargement?

Your Country may have Links similar to:

Health Care Provider

Why is it important for men to see a doctor for regular checkups even if they feel healthy?Men’s Health

In Men: Take Charge of Your Health – The Basics: Overview – How Can I Take Charge of My Health? the (United States) MyHealthFinder elaborate on:

“See a doctor for regular checkups even if you feel healthy. This is important because some diseases and health conditions don’t have symptoms at first. Plus, seeing a doctor will give you a chance to learn more about your health.

Here are some more things you can do to take care of your health:

  • Eat healthy and get active
  • If you drink alcohol, drink only in moderation
  • Quit smoking
  • Know your family’s health history
  • Get screening tests to check for health problems before you have symptoms
  • Make sure you’re up to date on your vaccines (shots)”.5

Health Topics A-Z

Where may I find Health Topics A-Z related to Men’s Health?

In Health Topics A-Z you may find:

International Men’s Day 2023

Where may I find information about International Men’s Day, November 19?

Your Country may have Links similar to:

Men’s Health Month 2023

Where may I find information about Men’s Health Month 2023 in June?

Your Country may have Links similar to:

Men’s Health Week 2023

Where may I find information about Men’s Health Week 2023, June 12-18?

Your Country may have Links similar to:

Link

Where may I find Links related to Men’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. Men: Take Charge of Your Health – The Basics: Overview – How Can I Take Charge of My Health? Content Last Updated: 16 February 2024. MyHealthFinder https://health.gov/myhealthfinder/topics/doctor-visits/regular-checkups/men-take-charge-your-health Accessed: 06 April 2024
  2. What Is Women’s Health Research? Office of Research on Women’s Health https://orwh.od.nih.gov/research/funded-research-and-programs/what-womens-health-research Accessed: 06 April 2024
  3. Men: Take Charge of Your Health – The Basics: Overview. Content Last Updated: 16 February 2024. MyHealthFinder https://health.gov/myhealthfinder/topics/doctor-visits/regular-checkups/men-take-charge-your-health Accessed: 06 April 2024
  4. Men’s Health. Last Updated: June 2019. National Center for Complementary and Integrative Health https://www.nccih.nih.gov/health/mens-health Accessed: 06 April 2024
  5. Men: Take Charge of Your Health – The Basics: Overview – How Can I Take Charge of My Health? Content Last Updated: 16 February 2024. MyHealthFinder https://health.gov/myhealthfinder/topics/doctor-visits/regular-checkups/men-take-charge-your-health Accessed: 06 April 2024
Topic Last Updated: 06 April 2024 – Topic Last Reviewed: 06 April 2024

“Each woman’s vulva is unique in size, shape, colour and appearance. It’s normal for the left and right sides of the vulva to be different in shape and size, especially the…”.1

Umbrella
What may the Vulva Umbrella include?

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

  • Genitals
  • Vulva/Vulval/Vulvar Discomfort/Pain
  • Vulva/Vulval/Vulvar Skin Conditions
  • Vulvovaginal Discomfort/Pain
  • “Down Below/There”
  • “Feminine Pain”
  • “Lady Parts”
  • “Private Parts”
  • “Privates”
  • “Women’s Bits”

Vulva and Vagina

What is the difference between the vulva and the vagina?

In Vulva and Vagina: What Is the Difference Between Your Vulva and Vagina? [+ Image] the JH note:

“Some people think the vulva is the vagina, but they are different. Your vulva is the external part of the female genitals that you can see. Your vagina is inside your body. It extends from your vulva to the start of your uterus. It’s where your period flows down from the uterus, where you can have sexual intercourse (or other types of penetration) and where babies pass through during childbirth”.2

Vulva

What are parts of the vulva?

In Vulva and Vagina: What Is the Difference Between Your Vulva and Vagina? [+ Image] the JH explain:

“Your vulva includes:

  • the area covered with pubic hair (mons pubis)
  • the outer lips, which are covered with pubic hair (labia majora)
  • the inner lips, which are not covered with pubic hair (labia minora)
  • the clitoris and its hood
  • the area around your vaginal and urinary openings (vestibule)
  • the urinary opening (where wee comes out)
  • the vaginal opening
  • the area of skin between your vagina and anus (perineum)”.3

Different Differences

Are vulva one-size-fits-all?

Vulva are different. In Vulva and Vagina: What’s Normal? Appearance the JH elaborate on:


Vulva“Each woman’s vulva is unique in size, shape, colour and appearance. It’s normal for the left and right sides of the vulva to be different in shape and size, especially the labia minora. Many images you see online are heavily edited to make the vulva look symmetrical and childlike”.4

In What’s Normal: What Is Normal Vulval & Vaginal Anatomy? the (Australian) Caredownthere.com.au elaborate on:

“The vulva area is one of the most variable parts of the body, with more normal variations than noses! The range of “normal appearances” is so wide that even your family doctor may not be sure about whether you are normal “down there”. So there have always been some women who worry about how their vulvas look. To make matters worse, the internet has allowed the fashionistas who make us feel abnormal about our weight and breast size, to also make us feel abnormal about our vulvas. Is nothing sacred?

If everything is working well down there, then it must be normal! So try not to worry about your vulval size or shape: if it works for you, who cares what anyone else thinks?”5

Vulval Problems

Can vulval problems be skin problems?

In Essential Information: Some Facts About the Vulva – Where Do Vulval Problems Belong Medically? [+ Image] Caredownthere.com explain:

“The vulva is part of the skin and most of the things that go wrong there are skin conditions that happen on other parts of the skin. This includes common skin problems like dermatitis, psoriasis and allergic reactions. Some of the skin conditions that involve the vulva are not common on other parts of the skin, and this includes a condition called lichen sclerosus”.6

Female Genital Mutilation

What is female genital mutilation (FGM)?

In International Day of Zero Tolerance for Female Genital Mutilation, 6 February: Ending Female Genital Mutilation By 2030 the United Nations’ definition is:

“Female genital mutilation (FGM) comprises all procedures that involve altering or injuring the female genitalia for non-medical reasons and is recognized internationally as a violation of the human rights, the health and the integrity of girls and women”.7

In Female Genital Mutilation (FGM): Overview the (United Kingdom) NHS explain:

“Female genital mutilation (FGM) is a procedure where the female genitals are deliberately cut, injured or changed, but there’s no medical reason for this to be done.

It’s also known as female circumcision or cutting, and by other terms, such as Sunna, gudniin, halalays, tahur, megrez and khitan, among others”.8

How common is FGM?

In Female Genital Mutilation: How Prevalent Is FGM? UNICEF note:

“While the exact number of girls and women to have undergone FGM worldwide remains unknown, at least 230 million girls and women from 31 countries across three continents have been subjected to the practice”.9

In Female Genital Mutilation: Who Is At Risk?, dated 05 February 2024, the World Health Organization also note:

“FGM is mostly carried out on young girls between infancy and adolescence, and occasionally on adult women. According to available data from 30 countries where FGM is practiced in the western, eastern, and north-eastern regions of Africa, and some countries in the Middle East and Asia, more than 200 million girls and women alive today have been subjected to the practice with more than 3 million girls estimated to be at risk of FGM annually. FGM is therefore of global concern”.10

Mirror, Mirror

How can women detect any changes in the appearance of their vulva?

The JH explain:

“It’s a good idea to see what your vulva looks like. You can use a mirror to see what is normal for you. This will make it easier to detect any changes in appearance, for example, changes in colour or skin. The Labia Library is a great online resource that shows a range of ‘normal’ photos of labia”.11

Labia Library

What is the Labia Library about?

In the Labia Library the (Australian) Women’s Health Victoria elaborate on:

“The Labia Library is about showing you that, just like any other part of the body, labia come in all shapes and sizes. They’re also really important in sex and they keep your vagina healthy.

Women’s Health Victoria has developed the Labia Library to bust a few common myths about how normal labia look. There’s also a photo gallery that shows you just how unique everyone’s labia are”.12

Vulval Clinics

What are specialist vulval clinics?

DotC (Depending on the Country) there may be specialist vulval clinics with gynecologists, dermatologists, physiotherapists and other staff specializing in vulval conditions. These clinics may be called:

Vulval Clinics

  • Genito-Urinary Medicine Clinics
  • Multidisciplinary Vulva/Vulval/Vulvar Clinics
  • Vulva/Vulval/Vulvar Clinics
  • Vulvovaginal Clinics

Health Care Provider

What if I am worried about something down there?

If you are worried about something – anything – down there, it may be in your best interest to choose to talk to your health care provider about this. The JH explain:

“If you are worried about the smell, or have symptoms such as itching, burning, irritation, soreness, painful sex or pain when you wee, see your doctor”.13

Health Topics A-Z

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

In Health Topics A-Z you may find:

Links

Where may I find Links related to Vulva?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Vulva and Vagina: What’s Normal? Appearance. Last Updated: 07 December 2023 | Last Reviewed: 26 April 2023. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulva-and-vagina Accessed: 05 April 2024
  2. Vulva and Vagina: What Is the Difference Between Your Vulva and Vagina? Last Updated: 07 December 2023 | Last Reviewed: 26 April 2023. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulva-and-vagina Accessed: 05 April 2024
  3. Vulva and Vagina: What Is the Difference Between Your Vulva and Vagina? Last Updated: 07 December 2023 | Last Reviewed: 26 April 2023. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulva-and-vagina Accessed: 05 April 2024
  4. Vulva and Vagina: What’s Normal? Appearance. Last Updated: 07 December 2023 | Last Reviewed: 26 April 2023. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulva-and-vagina Accessed: 05 April 2024
  5. What’s Normal: What Is Normal Vulval & Vaginal Anatomy? Caredownthere.com.au https://www.caredownthere.com.au/_pages/normal.html Accessed: 05 April 2024
  6. Essential Information: Some Facts About the Vulva – Where Do Vulval Problems Belong Medically? Caredownthere.com.au https://www.caredownthere.com.au/_pages/information_vulva.html Accessed: 05 April 2024
  7. International Day of Zero Tolerance for Female Genital Mutilation, 6 February: Ending Female Genital Mutilation By 2030. United Nations. https://www.un.org/en/observances/female-genital-mutilation-day Accessed: 05 April 2024
  8. Female Genital Mutilation (FGM) Overview. Page Last Reviewed: 27 September 2022. NHS https://www.nhs.uk/conditions/female-genital-mutilation-fgm/ Accessed: 05 April 2024
  9. Female Genital Mutilation: How Prevalent Is FGM? UNICEF https://www.unicef.org/protection/female-genital-mutilation Accessed: 05 April 2024
  10. Female Genital Mutilation: Who Is At Risk? Updated: 05 February 2024. World Health Organization https://www.who.int/en/news-room/fact-sheets/detail/female-genital-mutilation Accessed: 05 April 2024
  11. Vulva and Vagina: What’s Normal? Appearance. Last Updated: 07 December 2023 | Last Reviewed: 26 April 2023. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulva-and-vagina Accessed: 05 April 2024
  12. Labia Library. Women’s Health Victoria http://www.labialibrary.org.au/ Accessed: 05 April 2024
  13. Vulva and Vagina: What’s Normal? Smell. Last Updated: 07 December 2023 | Last Reviewed: 26 April 2023. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulva-and-vagina Accessed: 05 April 2024
Topic Last Updated: 05 April 2024 – Topic Last Reviewed: 05 April 2024

“Safer sex is not just about protection from
unplanned pregnancies and sexually transmitted infections
(STIs). It’s also about making sure everyone involved…”.1

Umbrella
What may the Safer Sex Umbrella include?

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

  • Safe Sex
  • Safer Sex

Definition

What is safer sex?

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

“Safer sex is not just about protection from unplanned pregnancies and sexually transmitted infections (STIs). It’s also about making sure everyone involved feels safe and respected”.2

Tell or Not

Can you tell if a sexual partner has an STI?

No. In Safer Sex and Sexually Transmitted Infections (STIs): How To Have Safer Sex the JH explain:

“Practising safer sex can reduce your risk of getting an STI. Anyone can catch an STI. You can’t tell if a sexual partner has an STI. A strong and healthy person may still be infected. Some people may not even know they have an STI”.3

Oral Sex

Is oral sex, safer sex?

According to the JH:

“Note that oral sex doesn’t reduce the risk of getting an STI. Common STIs such as herpes, gonorrhoea and chlamydia can all be transmitted through unprotected oral sex”.4

Period

Is sex during your period, safer sex?

No. The JH explain:

“Some infections, such as HIV and hepatitis, are present in menstrual blood. If you have unprotected sex during your period and your partner has broken skin (an abrasion), the infection can be transmitted to your partner. If you have an infection, it’s best to use a condom or dam when having sex during your period”.5

Guidelines

What are safer sex guidelines for women?

In Safe Sex Rules Still Apply: Safer Sex Guidelines for Women of All Ages the North American Menopause Society’s (NAMS) include:

  • “Choose a partner carefully
  • Discuss sexual histories with your partner, and don’t let embarrassment compromise your health
  • Always insist that a male partner use a latex condom for genital, oral, and anal sex unless you are in a long-term, mutually monogamous relationship. Never use petroleum-based products like Vaseline or baby oil to lubricate condoms because they can cause condoms to break
  • Don’t let a male partner’s erection difficulties keep him from using a condom. Dream up some erotic or stimulating methods for putting on the condom to keep his erection going. If all else fails, get a female condom
  • Have an annual physical exam, including a Pap test and lab tests to identify STIs if you are at any risk
  • If you are exposed to an STI or have received a confirmed diagnosis, urge any partners to be tested and treated
  • Consider having both you and your partner checked for STIs before starting a sexual relationship”.6

Condoms

Is the use of condoms safer sex?

In Safer Sex and Sexually Transmitted Infections (STIs): How To Have Safer Sex – Condoms and Other Barrier Methods the JH elaborate on:

“The safest way to have sex is to use condoms (external or internal) or dental dams and water-based lubricant (lube).

It’s important to use a new condom or dam during sex if you change partners or change from vaginal to anal or oral sex. You should also use a new condom if you share sex toys.

Note, condoms or dams won’t protect against STIs if part of the body with infection is unprotected and there’s skin-to-skin contact. Also, some STIs such as herpes, genital warts and pubic lice may still be spread even if a condom is used”.7

Sex Between Women

What additional safer sex precautions may apply specifically to sex between women?

In Safe Sex Rules Still Apply: Safer Sex Guidelines for Women of All Ages the NAMS explain:

“Although lesbians have fewer STIs than heterosexual women, be aware that STIs can be passed from woman to woman. Some additional precautions apply specifically to sex between women:

  • Prevent transfer of any body fluids (including menstrual blood and vaginal fluids) into cuts, scrapes, or other openings
  • During oral or vulva-to-vulva sex, cover your partner’s vaginal area with a dental dam or similar latex barrier to avoid contact with secretions
  • Avoid sharing sex toys. Either clean them in hot, soapy water or use a new condom before switching users.

Keep in mind that oral sex with a partner who has a cold sore or fever blister can transfer the herpes virus to you if your mouth or genitals come into contact with the sore”.8

Older but New Relationship

When starting a new relationship after many years, what may we need to know about safer sex?

In Safer Sex and Sexually Transmitted Infections (STIs): Safer Sex After A Long-Term Relationship the JH note:

Safer Sex“If you’re starting a new relationship after many years, it’s important to discuss safer sex with new partners. To be even safer, you can both have a sexual health check before having sex. If any issues make it hard for you or your partner to use condoms, talk to your doctor”.9

Health Care Provider

What if I would like help with safer sex?

If you would like help with safer sex, it may be in your best interest to choose to talk to your health care provider about this. The NAMS reassure:

“If your provider asks about your sex life or sexual function, don’t miss the opportunity to be frank and look for help. More important, if your provider doesn’t ask specifically about your sexual function, don’t be afraid to bring up a distressing sexual problem yourself when you’re asked, “How are you feeling?” Most providers today are comfortable addressing such a problem; if your provider is not, consider looking for another.

There is absolutely no need to suffer (or let your relationship suffer) in silence”.10 

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Where may I find Links related to Safer Sex?

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Sources

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  1. Safer Sex and Sexually Transmitted Infections (STIs): Safer Sex. Last Updated: 26 March 2024 | Last Reviewed: 12 December 2023. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/sex-sexual-health/safer-sex-stis/ Accessed: 05 April 2024
  2. Safer Sex and Sexually Transmitted Infections (STIs): Safer Sex. Last Updated: 26 March 2024 | Last Reviewed: 12 December 2023. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/sex-sexual-health/safer-sex-stis/ Accessed: 05 April 2024
  3. Safer Sex and Sexually Transmitted Infections (STIs): How To Have Safer Sex. Last Updated: 26 March 2024 | Last Reviewed: 12 December 2023. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/sex-sexual-health/safer-sex-stis/ Accessed: 05 April 2024
  4. Safer Sex and Sexually Transmitted Infections (STIs): How To Have Safer Sex. Last Updated: 26 March 2024 | Last Reviewed: 12 December 2023. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/sex-sexual-health/safer-sex-stis/ Accessed: 05 April 2024
  5. Safer Sex and Sexually Transmitted Infections (STIs): How To Have Safer Sex – Sex During Your Period. Last Updated: 26 March 2024 | Last Reviewed: 12 December 2023. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/sex-sexual-health/safer-sex-stis/ Accessed: 05 April 2024
  6. Safe Sex Rules Still Apply: Safer Sex Guidelines for Women of All Ages. North American Menopause Society https://www.menopause.org/for-women/sexual-health-menopause-online/reminders-and-resources/safe-sex-rules-still-apply Accessed: 05 April 2024
  7. Safer Sex and Sexually Transmitted Infections (STIs): How To Have Safer Sex – Condoms and Other Barrier Methods. Last Updated: 26 March 2024 | Last Reviewed: 12 December 2023. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/sex-sexual-health/safer-sex-stis/ Accessed: 05 April 2024
  8. Safe Sex Rules Still Apply: Safer Sex Guidelines for Women of All Ages. North American Menopause Society https://www.menopause.org/for-women/sexual-health-menopause-online/reminders-and-resources/safe-sex-rules-still-apply Accessed: 05 April 2024
  9. Safer Sex and Sexually Transmitted Infections (STIs): Safer Sex After A Long-Term Relationship. Last Updated: 26 March 2024 | Last Reviewed: 12 December 2023. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/sex-sexual-health/safer-sex-stis/ Accessed: 05 April 2024
  10. Talking To Your Health Care Provider About Your Problem. North America Menopause Society https://www.menopause.org/for-women/sexual-health-menopause-online/effective-treatments-for-sexual-problems/talking-to-your-healthcare-provider-about-your-problem Accessed: 05 April 2024
Topic Last Updated: 05 April 2024 – Topic Last Reviewed: 05 April 2024

“Overweight and obesity, and smoking are risk factors
for VMS. Weight reduction may result in reduced VMS in
overweight women, and smoking cessation should…”.1

Umbrella
What may the Hormone Therapy and Smoking Umbrella include?

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

  • Estrogen Therapy (ET)
  • Estrogen Plus Progestogen Therapy (EPT)
  • Hormone Replacement Therapy (HRT)
  • Hormone Therapy (HT)
  • Menopausal Hormone Therapy (MHT)
  • Smoking

Smoking

Hormone Therapy and SmokingWhat are smokers encouraged to do?

In The 2023 Practitioner’s Toolkit for Managing Menopause: Management – Considerations for All Women At Menopause: General Advice for Symptom Management, published online 30 October 2023, the authors note:

“Overweight and obesity, and smoking are risk factors for VMS. Weight reduction may result in reduced VMS in overweight women, and smoking cessation should be encouraged”.2

What is VMS?

VMS can be an abbreviation for Vasomotor Symptoms.

Quit Smoking Guide

Where may I find a quit smoking guide?

Your Country may have a quit smoking guide similar to the (United States) Smokefreewomen’s Quit Smoking, the (United Kingdom) NHS’s Quit Smoking or Australia’s Quit website.

Quit Smoking Apps

Where may I find a quit smoking app?

Your Country may have a quit smoking app similar to the Smokefreewomen’s Smokefree Apps and the NHS Quit Smoking app.

Health Care Provider

If I am a smoker and choose to use HT, what are my risks?

If you are a smoker and choose to use HT, it may be in your best interest to also choose to talk to your health care provider about this.

On page 785 in The 2022 Hormone Therapy Position Statement of The North American Menopause Society: Conclusions published July 2022 and “endorsed by more than 20 well-respected international organizations”, one of the conclusions is:

  • “Risks of hormone therapy differ for women, depending on type, dose, duration of use, route of administration, timing of initiation, and whether a progestogen is needed. Treatment should be individualized using the best available evidence to maximize benefits and minimize risks, with periodic reevaluation”.3

Health Topics A-Z

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In Health Topics A-Z you may find:

Links

Where may I find Links related to Hormone Therapy and Smoking?

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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: Management – Considerations for All Women At Menopause: General Advice for Symptom Management. Published Online: 30 October 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 04 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 – Considerations for All Women At Menopause: General Advice for Symptom Management. Published Online: 30 October 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 04 April 2024
  3. The 2022 Hormone Therapy Position Statement of The North American Menopause Society: Conclusions. 2022: 785. North American Menopause Society https://www.menopause.org/docs/default-source/professional/nams-2022-hormone-therapy-position-statement.pdf Accessed: 01 April 2024
Topic Last Updated: 04 April 2024 – Topic Last Reviewed: 04 April 2024

“The term premenopause
refers to the phase of life
that precedes menopause”. Read more

Menopause In Multiply Languages includes Arabic, Bulgarian, Cantonese, Chinese (Simplified), Dutch, French, Gaelic, German, Hindi, Italian, Japanese, Korean and more…

Umbrella
What may the Menopause In Multiply Languages Umbrella include?

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

  • Menopause In Different/Many/Multiply/Other Languages
  • Menopause Information In Different/Many/Multiply/Other Languages
  • Menopause Multilingual Fact Sheets
  • Menopause Translations

Date

What can it be important to be clear about with menopause in multiply languages information?

It can be important to be clear about the date of all information including the date of menopause in multiply languages information because this information may have been updated.

Health Care Provider

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

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


Menopause In Multiply Languages

Health Topics A-Z

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Topic Last Updated: 04 April 2024 – Topic Last Reviewed: 04 April 2024

“Any side effects usually improve over time,
so it’s a good idea to carry on with your treatment
for at least 3 months if possible”.1

Umbrella
What may the Hormone Therapy Side Effects Umbrella include?

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

  • Estrogen
  • Hormone Replacement Therapy (HRT) Side Effects
  • Hormone Therapy (HT) Side Effects
  • Menopausal Hormone Therapy (MHT) Side Effects
  • Oestrogen
  • Progestin/Progestogen

Side Effects or Not

Can hormone therapy (HT) have side effects?

Yes. In Hormone Replacement Therapy (HRT): Side Effects of Hormone Replacement Therapy (HRT) the (United Kingdom) NHS elaborate on:

“Like any medicine, the hormones used in hormone replacement therapy (HRT) can cause side effects. But it’s common to have no side effects or only mild ones.

Any side effects usually improve over time, so it’s a good idea to carry on with your treatment for at least 3 months if possible.

To help with side effects, a GP might suggest changing your dose, the type of HRT you take or how you take it. For example, switching from tablets to patches”.2

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.

Different Differences

Can the side effects of oestrogen differ from the side effects of progestogen?

Hormone Therapy Side EffectsHormone Therapy Side EffectsYes. In Hormone Replacement Therapy (HRT): Side Effects of Hormone Replacement Therapy (HRT) the NHS include the “Side Effects of Oestrogen” and the “Side Effects of Progestogen”.

In Hormone Replacement Therapy (HRT): Side Effects of Hormone Replacement Therapy (HRT): Side Effects of Oestrogen Tablets, Patches, Gel and Spray the NHS include information about Brand names: Oestrogel, Evorel, Sandrena, Lenzetto, Estradot, Progynova.

Side Effects

What can are HT side effects include?

In Menopause Management Options: Menopausal Hormone Therapy (MHT) – Possible Side Effects of MHT the (Australian) Jean Hailes for Women’s Health (JH) note:

“Everyone responds differently to MHT. Some women may not experience any side effects, while others may have:

  • Nausea
  • Fluid retention
  • Bloating
  • Breast enlargement and discomfort
  • Vaginal bleeding
  • Weight gain.

Most symptoms settle within the first three months”.3

Side Effects of Oestrogen

What can side effects of oestrogen include?

In Hormone Replacement Therapy (HRT): Side Effects of Hormone Replacement Therapy (HRT): Side Effects of Oestrogen the NHS explain

“Side effects of taking oestrogen can include:

  • Headaches
  • Breast pain or tenderness
  • Unexpected vaginal bleeding or spotting
  • Feeling sick (nausea)
  • Mood changes, including low mood or depression
  • Leg cramps
  • Mild rash or itching
  • Diarrhoea
  • Hair loss

They will often go away after a few weeks”.4

Side Effects of Progestogen

What can side effects of progestogen include?

In Hormone Replacement Therapy (HRT): Side Effects of Hormone Replacement Therapy (HRT): Side Effects of Progestogen the NHS explain

“Side effects of taking progestogen can include:

  • Changes in your periods, including spotting or bleeding between periods
  • Headaches
  • Breast pain or tenderness
  • Feeling sick (nausea)
  • Diarrhoea
  • Feeling tired or dizzy
  • Mood changes, including low mood or depression
  • Mild rash or itchy skin
  • Acne

As with side effects of oestrogen, these will usually go away after a few weeks. There are things you can do to help cope with them”.5

Weight Gain

Is there an association between weight gain and HT?

In Hormone Replacement Therapy (HRT): Side Effects – Weight Gain and HRT the NHS note:

“There’s little evidence that most types of HRT make you put on weight.

You may gain some weight during the menopause and as you get older, but this often happens whether you take HRT or not.

Exercising regularly and eating a healthy diet should help you to lose any unwanted weight”.6

Temporary or Not

Are HT side effects temporary?

In The 2023 Practitioner’s Toolkit for Managing Menopause: Management – Effectiveness: Managing Clinical Side Effects of MHT Therapy, published online 30 October 2023, the authors explain:

“Initiating treatment with low-dose MHT will minimize the likelihood of adverse effects. Common adverse effects of estrogen include nausea (mostly limited to oral therapy) and breast tenderness. Breakthrough bleeding is not unexpected in the first 3 months of continuous-combined estrogen–progestogen therapy, and occasionally heavy bleeding can occur. Progestogen therapy may cause low mood or irritability. When this occurs either the dose needs to be reduced or another progestogen tried. Micronized progesterone may improve sleep and sometimes causes somnolence, and so should be taken at bedtime. Changing from one regimen to another in many cases will alleviate adverse effects.

Potential adverse effects of tibolone include fluid retention, mild weight gain and initial vaginal bleeding or spotting”.7

Health Care Provider

What if I need help with my HT side effects?

If you need help with your HT side effects, it may be in your best interest to choose to talk to your health care provider about this.

In Menopause Management Options: Menopausal Hormone Therapy (MHT): How Long Do You Need To Take MHT? the JH elaborate on:

Hormone Therapy Side effects“It can take around six months to find the right MHT. Once you’ve found an MHT that works for you, it’s important to review it with your doctor each year”.8

In The 2023 Practitioner’s Toolkit for Managing Menopause: Management – Effectiveness: Managing Clinical Side Effects of MHT Therapy the authors elaborate on:

“Optimally, women using systemic MHT should have a medical review at 3 months to assess symptom relief and side effects. This is also an opportunity to discuss any patient concerns and ensure correct use of the prescribed therapy”.9

In Postmenopausal Bleeding: Living With – When Should I Contact My Doctor? the (United States) Cleveland Clinic also note:

“Contact your healthcare provider if you experience any vaginal bleeding:

  • More than a year after your last menstrual period
  • More than a year after starting hormone replacement therapy (HRT)”.10

Health Topics A-Z

Where may I find Health Topics A-Z related to Hormone Therapy Side Effects?

In Health Topics A-Z you may find:

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Where may I find Links related to Hormone Therapy Side Effects?

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You may find the Sources quoted at:

Sources

  1. Hormone Replacement Therapy (HRT): Side Effects of Hormone Replacement Therapy. Page Last Reviewed: 03 January 2023. NHS https://www.nhs.uk/medicines/hormone-replacement-therapy-hrt/side-effects-of-hormone-replacement-therapy-hrt/ Accessed: 04 April 2024
  2. Hormone Replacement Therapy (HRT): Side Effects of Hormone Replacement Therapy. Page Last Reviewed: 03 January 2023. NHS https://www.nhs.uk/medicines/hormone-replacement-therapy-hrt/side-effects-of-hormone-replacement-therapy-hrt/ Accessed: 04 April 2024
  3. Menopause Management Options: Menopausal Hormone Therapy (MHT) – Possible Side Effects of MHT: Break Through Bleeding. 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: 04 April 2024
  4. Hormone Replacement Therapy (HRT): Side Effects of Hormone Replacement Therapy – Side Effects of Oestrogen. Page Last Reviewed: 03 January 2023. NHS https://www.nhs.uk/medicines/hormone-replacement-therapy-hrt/side-effects-of-hormone-replacement-therapy-hrt/ Accessed: 04 April 2024
  5. Hormone Replacement Therapy (HRT): Side Effects of Hormone Replacement Therapy – Side Effects of Progestogen. Page Last Reviewed: 03 January 2023. NHS https://www.nhs.uk/medicines/hormone-replacement-therapy-hrt/side-effects-of-hormone-replacement-therapy-hrt/ Accessed: 04 April 2024
  6. Hormone Replacement Therapy (HRT): Side Effects – Weight Gain and HRT. Page Last Reviewed: 03 January 2023. NHS https://www.nhs.uk/conditions/hormone-replacement-therapy-hrt/side-effects/ Accessed: 04 April 2024
  7. 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 – Effectiveness: Managing Clinical Side Effects of MHT Therapy. First Published Online 30 October 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 04 April 2024
  8. 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: 04 April 2024
  9. 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 – Effectiveness: Managing Clinical Side Effects of MHT Therapy. First Published Online 30 October 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 04 April 2024
  10. Postmenopausal Bleeding: Living With – When Should I Contact My Doctor? Last Reviewed: 26 May 2021. Cleveland Clinic https://my.clevelandclinic.org/health/diseases/21549-postmenopausal-bleeding Accessed: 04 April 2024
Topic Last Updated: 04 April 2024 – Topic Last Reviewed: 04 April 2024