“It is best to let your vagina clean itself. The vagina
cleans itself naturally by making mucous. The mucous
washes away blood, semen, and vaginal discharge”.1

Umbrella

What may the Vaginal and Vulval Hygiene Umbrella include?

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

  • Genital Care/Health/Hygiene
  • Vaginal Care/Health/Hygiene
  • Vulval Care/Health/Hygiene

Self-Cleaning

Is the vagina self-cleaning?

In Douching: What Is the Best Way To Clean My Vagina? the Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov elaborate on:

“It is best to let your vagina clean itself. The vagina cleans itself naturally by making mucous. The mucous washes away blood, semen, and vaginal discharge”.2

Douching

What is douching?

DotS the definition of douching may vary. In Feminine Odor Problems? What Every Woman Needs To Know the (United States) Cleveland Clinic’s definition is:

“The term, douche, which means “to wash” or “to shower” in French, refers to cleansing the vagina using a solution of water mixed with another fluid — often vinegar, baking soda or some sort of perfume”.3

In Douching: What Is Douching? Womenshealth.gov’s definition is:

“The word “douche” means to wash or soak. Douching is washing or cleaning out the inside of the vagina with water or other mixtures of fluids. Most douches are sold in stores as prepackaged mixes of water and vinegar, baking soda, or iodine. The mixtures usually come in a bottle or bag. You squirt the douche upward through a tube or nozzle into your vagina. The water mixture then comes back out through your vagina”.4

Bath/Shower

Is douching different from washing the outside of your vagina during a bath or shower?

In Douching: What Is Douching? Womenshealth.gov’s explain:

“Douching is different from washing the outside of your vagina during a bath or shower. Rinsing the outside of your vagina with warm water will not harm your vagina. But, douching can lead to many different health problems”.5

Why Not

Why should women not douche?

In Douching: Why Should Women Not Douche? the Womenshealth.gov elaborate on:

“Most doctors recommend that women do not douche. Douching can change the necessary balance of vaginal flora (bacteria that live in the vagina) and natural acidity in a healthy vagina.

A healthy vagina has good and harmful bacteria. The balance of bacteria helps maintain an acidic environment. The acidic environment protects the vagina from infections or irritation.

Douching can cause an overgrowth of harmful bacteria. This can lead to a yeast infection or bacterial vaginosis. If you already have a vaginal infection, douching can push the bacteria causing the infection up into the uterus, fallopian tubes, and ovaries. This can lead to pelvic inflammatory disease, a serious health problem.

Douching is also linked to other health problems”.6

Keeping Clean

How may women keep their vagina clean?

In Essential Information: Caring for Your Skin Down There – Cleansing the (Australian) Caredownthere elaborate on:

Vaginal and Vulval Hygiene“Just in case you have been wondering if your vulval problem is happening because you aren’t washing enough….you don’t have a hygiene problem. Using soap, particularly if this is done frequently, will in fact make your skin more sensitive. It is best to avoid soap, particularly perfumed liquid soaps, abrasive washes and wet wipes. A soap substitute, available from your chemist, or simply soaking in a bath with a couple of handfuls of ordinary salt thrown in is the best way to clean vulval skin”.7

Postmenopause Odour

Postmenopause or after menopause, may vaginal smell change?

In Vulva and Vagina: What’s Normal? Smell [+ Image] the (Australian) Jean Hailes for Women’s Health (JH) elaborate on:

“After menopause, the smell may be different to when you were having periods because the bacteria in your vagina changes at this time”.8

In Feminine Odor Problems? What Every Woman Needs To Know the Cleveland Clinic explain:

“Lack of estrogen can be the cause if you’re past menopause and are experiencing vaginal odor. Your doctor will be able to give you an accurate diagnosis and discuss treatment options”.9

Health Care Provider

What if I am worried about what is going on down there?

If you are worried about what is going on down there, it may be in your best interest to choose to talk to your health care provider about this. The JH note:

“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”.10

In Vagina: What’s Typical, What’s Not – What Are Signs or Symptoms of Vaginal Problems? the (United States) 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”.11

Health Topics A-Z

Where may I find Health Topics A-Z related to the Vaginal and Vulval Hygiene?

In Health Topics A-Z you may find:

Links

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Sources

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Sources

  1. Douching: What Is the Best Way To Clean My Vagina? Page Last Updated: 29 December 2022. Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov https://www.womenshealth.gov/a-z-topics/douching Accessed: 04 April 2024
  2. Douching: What Is the Best Way To Clean My Vagina? Page Last Updated: 29 December 2022. Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov https://www.womenshealth.gov/a-z-topics/douching Accessed: 04 April 2024
  3. Feminine Odor Problems? What Every Woman Needs To Know. 10 June 2021. Cleveland Clinic https://health.clevelandclinic.org/feminine-odor-problems-what-you-should-know-about-douching/ Accessed: 04 April 2024
  4. Douching: What Is Douching? Page Last Updated: 29 December 2022. Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov https://www.womenshealth.gov/a-z-topics/douching Accessed: 04 April 2024
  5. Douching: What Is Douching? Page Last Updated: 29 December 2022. Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov https://www.womenshealth.gov/a-z-topics/douching Accessed: 04 April 2024
  6. Douching: Why Should Women Not Douche? Page Last Updated: 29 December 2022. Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov https://www.womenshealth.gov/a-z-topics/douching Accessed: 04 April 2024
  7. Essential Information: Caring for Your Skin Down There – Cleansing. Caredownthere https://www.caredownthere.com.au/_pages/information_care.html Accessed: 04 April 2024
  8. Vulva and Vagina: What’s Normal? Smell. Last Updated: 07 December 2023 | Last Reviewed: 26 April 2023. https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulva-and-vagina#whats-normal Accessed: 04 April 2024
  9. Feminine Odor Problems? What Every Woman Needs To Know. 10 June 2021. Cleveland Clinic https://health.clevelandclinic.org/feminine-odor-problems-what-you-should-know-about-douching/ Accessed: 04 April 2024
  10. Vulva and Vagina: What’s Normal? Smell. Last Updated: 07 December 2023 | Last Reviewed: 26 April 2023. https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulva-and-vagina#whats-normal Accessed: 04 April 2024
  11. 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: 04 April 2024
Topic Last Updated: 04 April 2024 – Topic Last Reviewed: 04 April 2024

“There are several women’s health conditions that are
associated with anxiety, for example, endometriosis,
polycystic ovary syndrome and menopause”.1

Umbrella
What may the Menopause Anxiety Umbrella include?

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

  • Anxiety
  • Menopause
  • Menopause Anxiety

Anxiety

What is anxiety?

DotS the definition of anxiety may vary. In Anxiety the (Australian) Jean Hailes for Women’s Health’s (JH) definition is:

“Anxiety is a common condition. It’s a normal human reaction to stressful situations. Anxiety can make you feel nervous, worried, panicky and fearful.

here are several women’s health conditions that are associated with anxiety, for example, endometriosis, polycystic ovary syndrome and menopause”.2

Perimenopause

Is there an association between perimenopause and anxiety?

In Menopause and Mental Health the Australasian Menopause Society note:

“While not a problem for everyone transitioning through menopause, the risk of mood changes and symptoms of depression and anxiety are higher during perimenopause, even in women without a history of major depression”.3

Anxiety Triggers

What are some anxiety triggers?

In Managing Anxiety: Practical Places To Start – Identify Your Triggers the JH explain:

“There are often things, known as triggers, that can lead to anxiety. These can be different for everyone. You can also have more than one trigger. You may not always be able to avoid your triggers, but when you recognise them, it can help you to manage your anxiety.

Common triggers include:

  • Caffeine, alcohol or tobacco
  • Stressful or loud environments
  • Tests or interviews
  • Socialising
  • Financial problems
  • Health concerns or medical check-ups
  • Relationship problems
  • Travelling
  • Side effects of some medicines
  • Phobias”.4

Anxiety Management

What is anxiety management?

In Managing Anxiety: Practical Places To Start the JH elaborate on:

Menopause Anxiety“It’s a good idea to try a range of self-help strategies. You might find different strategies work for different situations or symptoms. There is no right or wrong formula, so don’t be afraid to try them all”.5

Anxiety Management Strategies

What are some anxiety management strategies?

In Anxiety Management Strategies the (Australian) Beyond Blue elaborate on:

  1. “Slow breathing…
  2. Progressive muscle relaxation…
  3. Stay in the present moment…
  4. Maintain a healthy lifestyle…
  5. Small acts of bravery…
  6. Challenge your self-talk…
  7. Be kind to yourself
  8. Plan worry time…
  9. Get to know your anxiety…”.6

Online Programs and Apps

Are anxiety online programs and Apps available?

Depending on your Country, anxiety online programs and Apps may be available.

Your health care provider may know of your Country’s recommended anxiety online programs and Apps.

In Managing Anxiety: Online Programs and Apps the JH note:

“If you’re looking for information online, it is best to use websites, apps, and blogs from well-respected sources such as those with government backing or from an organisation with experts who understand anxiety”.7

Health Care Provider

What if I think I have anxiety or an anxiety disorder?

If you think you have anxiety or an anxiety disorder, it may be in your best interest to choose to talk to your health care provider about this. In Looking After Yourself: Emotional Wellbeing – Talk To Your Doctor the JH explain:

“If you are experiencing strong emotions, anxiety or depression, see your doctor”.8

Health Topics A-Z

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

In Health Topics A-Z you may find:

Links

Where may I find Links related to Menopause Anxiety?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Anxiety. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/anxiety Accessed: 03 April 2024
  2. Anxiety. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/anxiety Accessed: 03 April 2024
  3. Menopause and Mental Health. Content Updated February 2023. Australasian Menopause Society https://www.menopause.org.au/health-info/fact-sheets/menopause-and-mental-health Accessed: 03 April 2024
  4. Managing Anxiety: Practical Places To Start – Identify Your Triggers. Last Updated: 04 December 2023 | Last Reviewed: 28 June 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/anxiety/managing-anxiety#practical-places-to-start Accessed: 03 April 2024
  5. Managing Anxiety: Practical Places To Start. Last Updated: 04 December 2023 | Last Reviewed: 28 June 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/anxiety/managing-anxiety#practical-places-to-start Accessed: 03 April 2024
  6. Anxiety Management Strategies. Beyond Blue https://www.beyondblue.org.au/the-facts/anxiety/treatments-for-anxiety/anxiety-management-strategies Accessed: 03 April 2024
  7. Managing Anxiety: Online Programs and Apps. Last Updated: 04 December 2023 | Last Reviewed: 28 June 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/anxiety/managing-anxiety#practical-places-to-start Accessed: 03 April 2024
  8. Looking After Yourself: Emotional Wellbeing – Talk To Your Doctor 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#emotional-wellbeing Accessed: 03 April 2024
Topic Last Updated: 03 April 2024 – Topic Last Reviewed: 03 April 2024

“Endocrine Society is a global community of physicians and scientists dedicated to accelerating scientific breakthroughs and improving patient health and well being”.1

Umbrella
What may the Endocrine Society Umbrella include?

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

  • Endocrine Society
  • Hormone Health Network

Endocrine Society

What is the (United States) Endocrine Society?

In Endocrine Society the Endocrine Society explain:

Endocrine Society“Endocrine Society is a global community of physicians and scientists dedicated to accelerating scientific breakthroughs and improving patient health and well being”.2

Health Care Provider

What if I think I need to see an endocrinologist?

If you think you need to see an endocrinologist, it may be in your best interest to choose to talk to your health care provider about a referral to an endocrinologist.

Health Topics A-Z

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  1. Endocrine Society. Endocrine Society https://www.endocrine.org/ Accessed: 03 April 2024
  2. Endocrine Society. Endocrine Society https://www.endocrine.org/ Accessed: 03 April 2024
Topic Last Updated: 03 April 2024 – Topic Last Reviewed: 03 April 2024

“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”.1

Umbrella
What may the Night Sweats Umbrella include?

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

  • Hot Flashes/Flushes At Night
  • Hot Flashes/Flushes That Occur During Sleeping
  • Night Sweats
  • Nighttime Hot Flashes
  • Vasomotor Symptoms

Definition

What are night sweats?

DotS the definition of night sweats may vary. The North American Menopause Society’s (NAMS) definition is:

“Night sweats are hot flashes at night that interfere with sleep”.2

Vasomotor Symptoms

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”.3

Impact

What can be the impact of night sweats?

In Hot Flashes: Symptoms & Causes – Symptoms the (United States) Mayo Clinic note:

“Nighttime hot flashes (night sweats) may wake you from sleep and can cause long-term sleep disruptions”.4

Irritability

Is there an association between irritability and night sweats?

In Menopause 101: A Primer for the Perimenopausal – Common Body Changes At Menopause: Night Sweats the NAMS elaborate on:

“While it’s a myth that menopause itself makes women irritable, the sleep disturbances that stem from hot flashes and night sweats can certainly make a woman irritable”.5

Preventative Steps

What are some preventative steps to improve sleep quality?

In Night Sweats: Care and Treatment – What Can I Do At Home To Treat Night Sweats? the (United States) Cleveland Clinic suggest:

“Regardless of what’s causing your night sweats, you can take preventative steps to improve your sleep quality. To keep cooler during bedtime:

  • Sip cool water throughout the night.
  • Use pillows and mattress covers that contain cooling gels.
  • Wear loose-fitting, lightweight, cotton or linen pajamas to bed.
  • Exercise daily by walking, swimming, dancing, bicycling, etc.
  • Use lightweight, layered bedding that you can remove as needed at night.
  • Unwind before bedtime using deep breathing, relaxation and meditation techniques.
  • Use a bedroom fan, sleep with your windows open, or crank up the air conditioning.
  • Keep a cold pack under your pillow, then flip your pillow to rest your head on a cool surface.
  • Avoid common night sweat triggers such as alcohol, spicy foods, caffeine and cigarettes or exercising immediately before bed”.6

Treatment

What are some treatments for night sweats?

The NAM’s explain:

“Treatments for night sweats and hot flashes include lifestyle changes, nonprescription remedies, hormone therapy (with estrogen plus progestogen, or estrogen alone for women without a uterus), and nonhormonal prescription drugs”.7

Hormone Therapy

What may hormone therapy (HT) improve?

On page one in Deciding About Hormone Therapy Use: Potential Benefits published July 2022, the NAMS elaborate on:

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”.8

On page two in Deciding About Hormone Therapy Use: Hormone Therapy Options the NAMS also note:

“Each woman must make her own decision about HT with the help of a healthcare professional. If you decide to take HT, the next step is to choose between the many HT options available to find the best dose and route for you. With guidance from your healthcare professional, you can try different forms of HT until you find the type and dose that treats your symptoms with few adverse effects”.9

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

  • “The decision whether to take HRT, the dose and duration of its use should be made on an individualised basis after discussing the benefits and risks with each patient. This should be considered in the context of the overall benefits obtained from using HRT including symptom control and improving quality of life as well as considering the bone and cardiovascular benefits associated with HRT use. Discussions with women should also cover aspects such as when to consider stopping HRT and how this can be done (by gradually reducing the dose of HRT). No arbitrary limits should be set on age or duration of HRT intake”.10

Health Care Provider

What if I would like help with my night sweats?

If you would like help with your night sweats, it may be in your best interest to choose to talk to your health care provider about this. In Menopause: Diagnosis & Treatment – Treatment the (United States) Mayo Clinic encourage us to seek help explaining:

“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”.11

Health Topics A-Z

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Sources

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Sources

  1. 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: 03 April 2024
  2. Menopause 101: A Primer for the Perimenopausal – Common Body Changes At Menopause – Night Sweats. North American Menopause Society https://www.menopause.org/for-women/menopauseflashes/menopause-symptoms-and-treatments/menopause-101-a-primer-for-the-perimenopausal Accessed: 03 April 2024
  3. Glossary: V – Vasomotor Symptoms. North American Menopause Society http://www.menopause.org/for-women/menopause-glossary#V Accessed: 03 April 2024
  4. Hot Flashes: Symptoms & Causes – Symptoms. 12 December 2023. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/hot-flashes/symptoms-causes/syc-20352790 Accessed: 03 April 2024
  5. Menopause 101: A Primer for the Perimenopausal – Common Body Changes at Menopause: Night Sweats. North American Menopause Society https://www.menopause.org/for-women/menopauseflashes/menopause-symptoms-and-treatments/menopause-101-a-primer-for-the-perimenopausal Accessed: 03 April 2024
  6. Night Sweats: Care and Treatment – What Can I Do At Home To Treat Night Sweats? Last Reviewed 06 September 2022. Cleveland Clinic https://my.clevelandclinic.org/health/symptoms/16562-night-sweats Accessed: 03 April 2024
  7. Menopause 101: A Primer for the Perimenopausal – Common Body Changes At Menopause – Night Sweats. North American Menopause Society https://www.menopause.org/for-women/menopauseflashes/menopause-symptoms-and-treatments/menopause-101-a-primer-for-the-perimenopausal Accessed: 03 April 2024
  8. Deciding About Hormone Therapy Use: Potential Benefits. 2022:2. North American Menopause Society https://www.menopause.org/docs/default-source/professional/menonote-deciding-about-ht-2022.pdf Accessed: 03 April 2024
  9. Deciding About Hormone Therapy Use: Hormone Therapy Options. 2022:2. North American Menopause Society https://www.menopause.org/docs/default-source/professional/menonote-deciding-about-ht-2022.pdf Accessed: 03 April 2024
  10. 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: 03 April 2024
  11. Menopause: Diagnosis & Treatment – Treatment. 25 May 2023. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/menopause/diagnosis-treatment/drc-20353401 Accessed: 03 April 2024
Topic Last Updated: 03 April 2024 – Topic Last Reviewed: 03 April 2024

The theme for World Menopause Day is usually announced
by the International Menopause Society closer to
World Menopause Month which is held in October.1

Umbrella

What may the World Menopause Day 2023 Umbrella include?

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

  • Menopause Awareness Day/Month
  • Menopause Day/Month
  • World Menopause Day/Month

World Menopause Day 2024

What is the theme for World Menopause Day (WMD) 2024?

The theme for World Menopause Day is usually announced by the International Menopause Society 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 International Menopause Society (IMS) announced:

“The theme for World Menopause Day 2023 is Cardiovascular Disease”.2
World Menopause Day 2024

World Menopause Day

When is WMD?

In World Menopause Day the IMS explain:

“World Menopause Day is held every year on the 18th of October. The purpose of the day is to raise awareness of the menopause and the support options available for improving health and wellbeing”.3

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”.4

Patient Information Leaflet

World Menopause Day 2024What do the IMS explain in their WMD 2023 Patient Information Leaflet about cardiovascular disease?

On page two in their Patient Information Leaflet – Cardiovascular Disease: What Women Need to Know the IMS explain:

“Breast cancer is often believed to be the number one cause of death and disability in women. In reality, it is cardiovascular disease. The number of cases of cardiovascular disease is high… and continuing to rise.

But by understanding more about the causes and impacts of cardiovascular disease, you can take steps to reduce your risk.

Here’s what every woman needs to know…”.5

Cardiovascular Diseases

What are cardiovascular diseases (CVDs)?

DotS the definition of CVDs may vary. In Cardiovascular Diseases (CVDs): What Are Cardiovascular Diseases? the World Health Organization’s (WHO) definition is:

“Cardiovascular diseases (CVDs) are a group of disorders of the heart and blood vessels and they include:

  • Coronary heart disease – a disease of the blood vessels supplying the heart muscle
  • Cerebrovascular disease – a disease of the blood vessels supplying the brain
  • Peripheral arterial disease – a disease of blood vessels supplying the arms and legs
  • Rheumatic heart disease – damage to the heart muscle and heart valves from rheumatic fever, caused by streptococcal bacteria
  • Congenital heart disease – birth defects that affect the normal development and functioning of the heart caused by malformations of the heart structure from birth; and
  • Deep vein thrombosis and pulmonary embolism – blood clots in the leg veins, which can dislodge and move to the heart and lungs”.6

Health Topics A-Z

Where may I find Health Topics A-Z related to World Menopause Day 2024?

In Health Topics A-Z you may find:

Links

Where may I find Links related to World Menopause Day 2024?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

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Sources

  1. World Menopause Day. International Menopause Society https://www.imsociety.org/education/world-menopause-day/ Accessed: 01 April 2024
  2. World Menopause Day. International Menopause Society https://www.imsociety.org/education/world-menopause-day/ Accessed: 01 April 2024
  3. World Menopause Day 2014. International Menopause Society https://www.imsociety.org/education/world-menopause-day/wmd-2014/ Accessed: 01 April 2024
  4. World Menopause Day. International Menopause Society https://www.imsociety.org/education/world-menopause-day/ Accessed: 01 April 2024
  5. World Menopause Day: Patient Information Leaflet – Cardiovascular Disease: What Women Need to Know. International Menopause Society https://www.imsociety.org/education/world-menopause-day/ Accessed: 01 April 2024
  6. Cardiovascular Diseases (CVDs): What Are Cardiovascular Diseases? 11 June 2021. World Health Organization https://www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds) Accessed: 01 April 2024
Topic Last Updated: 01 April 2024 – Topic Last Reviewed: 01 April 2024

“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”.1

Umbrella
What may the Menopause Healthy Living Umbrella include?

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

  • Menopause Healthy Lifestyle/Living
  • Menopause Lifestyle Management

Menopause Healthy Living

Is there an association between menopause and healthy living?

In Looking After Yourself the (Australian) Jean Hailes for Women’s Health (JH) note:

“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”.2

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:

  • “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”.3

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

“The importance of improving lifestyle factors such as good nutrition, being physically active, cessation of smoking, limiting alcohol and stress management should be highlighted, as healthy behaviors confer benefits to all women”.4

In their Menopause Wellness Hub the (British) Women’s Health Concern (WHC) explain:

“However you choose to manage your menopause symptoms, your lifestyle choices are going to be the cornerstone of any treatment plan you choose.

Hormone Replacement Therapy (HRT), Cognitive Behavioural Therapy (CBT) and other complementary and alternative treatments can all be very helpful, but the transition to menopause is a good time to review your lifestyle. Not only can this help manage menopausal symptoms in the short term, it can lay the foundations for good health through perimenopause, menopause, and the years to come”.5

Symptom Management

What is some general advice for symptom management?

In The 2023 Practitioner’s Toolkit for Managing Menopause: Management – Considerations for All Women At Menopause: General Advice for Symptom Management the authors explain:

  • “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
  • Exercise, yoga and relaxation methods have not been found to be effective for VMS, but these activities may improve sleep and general well-being.”.6

What is VMS?

VMS can be an abbreviation for Vasomotor symptoms e.g. Hot flushes and night sweats.

Menopause Healthy Living Tips

What are some menopause healthy living tips?

On page three in The Menopause: What Can Be Done? Lifestyle Factors the WHC elaborate on:

Menopause

“A healthy lifestyle can minimize the effects of the menopause, helping to keep the heart and bones strong. Many women feel that this is a good time to review the way they treat their body. Here are some tips to consider:

  • Chew over your diet…
  • Keep on your feet…
  • Stop smoking…
  • Drink within reason…
  • Make use of health screening services…
  • Stay calm and positive…”.7

Health Care Provider

What if I would like help with healthy living?

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

The WHC also note:

“Some women breeze through a problem-free menopause, but most experience some symptoms ranging from mild to severe. If you feel that you are struggling, advice and support is widely available. The important thing is to be aware of any changes and to consult your GP for advice. Whatever the symptoms, help is available in a range of ways.

Above all, bear in mind that your health is your responsibility and that you are in charge. This is a time when your body deserves some tender loving care”.8

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 Menopause Healthy Living?

In Health Topics A-Z you may find:

Links

Where may I find Links related to Menopause Healthy Living?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. 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: 01 April 2024
  2. 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: 01 April 2024
  3. 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: 01 April 2024
  4. 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. Published Online: 30 October 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 01 April 2024
  5. Menopause Wellness Hub. Women’s Health Concern https://www.womens-health-concern.org/help-and-advice/menopause-wellness-hub/ Accessed: 01 April 2024
  6. 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: 01 April 2024
  7. The Menopause: What Can Be Done? Lifestyle Factors. Publication Date: November 2022:3. Women’s Health Concern https://www.womens-health-concern.org/help-and-advice/factsheets/menopause/ Accessed: 01 April 2024
  8. The Menopause: Conclusions. Publication Date: November 2022:4. Women’s Health Concern https://www.womens-health-concern.org/help-and-advice/factsheets/menopause/ Accessed: 01 April 2024
Topic Last Updated: 01 April 2024 – Topic Last Reviewed: 01 April 2024

“Premenstrual syndrome (PMS) refers to the range of
physical and emotional symptoms many women
experience in the lead-up to a period”.1

Umbrella
What may the Premenstrual Syndrome Umbrella include?

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

  • Premenstrual Dysphoric Disorder (PMDD)
  • Premenstrual Mood Changes
  • Premenstrual Syndrome (PMS)
  • Premenstrual Tension (PMT)

Premenstrual Changes

What are premenstrual changes?

DotS the definition of premenstrual changes may vary. The (United States Massachusetts General Hospital) MGH Center for Women’s Mental Health explain:

“Many women in their reproductive years experience transient physical and emotional changes around the time of their period. In fact, at least 90% of women with regular menstrual cycles report unpleasant physical or psychological symptoms premenstrually. For the majority of women, these symptoms are mild and tolerable. However, for a certain group of women, these symptoms can be disabling and may cause significant disruption in their lives”.2

Premenstrual Syndrome

What is premenstrual syndrome (PMS)?

DotS the definition of PMS may vary. The MGH Center for Women’s Mental Health’s definition is:

“Premenstrual Syndrome, commonly referred to as PMS, is a broad term that typically refers to a general pattern of physical, emotional and behavioral symptoms occurring 1-2 weeks before and remitting with the onset of menses”.3

The (Australian) Jean Hailes for Women’s Health’s (JH) definition is:

“Premenstrual syndrome (PMS) refers to the range of physical and emotional symptoms many women experience in the lead-up to a period”.4

The (United States) Medline Plus’s definition is:

“Premenstrual syndrome, or PMS, is a group of physical and emotional symptoms that start one to two weeks before your period. Most women have at least some symptoms of PMS, and the symptoms go away after their periods start. The symptoms may range from mild to severe”.5

PMS Symptoms

What are some PMS symptoms?

In Premenstrual Syndrome (PMS): Symptoms & Causes – Symptoms the (United States) Mayo Clinic reassure:

“The list of potential signs and symptoms for premenstrual syndrome is long, but most women only experience a few of these problems”.6

In Premenstrual Syndrome (PMS): What Are the Symptoms of PMS? the JH also note:

“Symptoms of PMS vary in intensity from woman to woman and can vary from one cycle to the next”.7

PMS Psychological Symptoms

What are PMS psychological/emotional symptoms?

In Premenstrual Syndrome (PMS): What Are the Symptoms of PMS? the JH elaborate on:

“Emotional Symptoms:

  • Irritability
  • Anxiety
  • Nervous tension
  • Lower coping ability
  • Difficulty concentrating
  • Wanting to be alone
  • Lower libido
  • Reduced interest in work and social life
  • Mood swings
  • Depression
  • Aggression
  • Sadness”.8

In PMDD/PMS: Premenstrual Syndrome (PMS) the MGH Center for Women’s Mental Health elaborate on:

“Psychological Symptoms:

  • Anger
  • Anxiety
  • Depression
  • Irritability
  • Sense of feeling overwhelmed
  • Sensitivity to rejection
  • Social withdrawal”.9

PMS Physical Symptoms

What are PMS physical symptoms?

In Premenstrual Syndrome (PMS): What Are the Symptoms of PMS? the JH elaborate on:

“Physical Symptoms:

  • Fluid retention (swollen fingers or ankles)
  • Bloating around the abdomen
  • Breast swelling and tenderness
  • Skin problems such as acne
  • Headaches and/or migraines
  • Poor coordination or clumsiness
  • Tiredness, lethargy, insomnia
  • Increase in weight
  • Constipation and/or diarrhea
  • Food cravings
  • Aches and pains”.10

In PMDD/PMS: Premenstrual Syndrome (PMS) the MGH Center for Women’s Mental Health elaborate on:

“Physical Symptoms:

  • Abdominal bloating
  • Appetite disturbance (usually increased)
  • Breast tenderness
  • Headaches
  • Lethargy or fatigue
  • Muscle aches and/or joint pain
  • Sleep disturbance (usually hypersomnia)
  • Swelling of extremities”.11

PMS Behavioural Symptoms

What are PMS behavioural symptoms?

In PMDD/PMS: Premenstrual Syndrome (PMS) the MGH Center for Women’s Mental Health elaborate on:

Behavioural Symptoms:

  • “Fatigue
  • Forgetfulness
  • Poor concentration”.12

PMS Common or Not

How common is PMS?

The MGH Center for Women’s Mental Health note:

“PMS is common, affecting from 30-80% of women of reproductive age, though clinically significant PMS symptoms have been reported in 3-8% of patients”.13

Premenstrual Dysphoric Disorder

What is premenstrual dysphoric disorder (PMDD)?

DotS the definition of PMDD may vary. The MGH Center for Women’s Mental Health’s definition is:

“ Premenstrual Dysphoric Disorder (PMDD) is a more severe form of Premenstrual Syndrome characterized by significant premenstrual mood disturbance, often with prominent mood reactivity and irritability. Symptoms of PMDD can emerge 1-2 weeks preceding menses and typically resolve with the onset of menses. This mood disturbance results in marked social or occupational impairment, with its most prominent effects in interpersonal functioning”.14

In Learn: PMDD the International Association For Premenstrual Disorders (IAPMD) definition is:

“Premenstrual Dysphoric Disorder (PMDD) is a cyclical, hormone-based mood disorder with symptoms arising during the premenstrual, or luteal phase of the menstrual cycle and subsiding within a few days of menstruation. It affects an estimated 5.5% of women and AFAB individuals of reproductive age. While PMDD is directly connected to the menstrual cycle, it is not a hormone imbalance. PMDD is a severe negative reaction in the brain to the natural rise and fall of estrogen and progesterone. It is a suspected cellular disorder in the brain. Symptoms can worsen over time and or around reproductive events such as menarche (the first menstrual cycle), pregnancy, birth, miscarriage, and perimenopause”.15

Depression or Not

How is depression different to PMS and PMDD?

The JH explain:

“PMS and PMDD have similar symptoms to depression. However, with PMS and PMDD, the symptoms get better completely as soon as menstruation begins, while those of depression do not.

PMS and PMDD need to be distinguished from underlying depression because the treatments are different”.16

Premenstrual Exacerbation

What is premenstrual exacerbation (PME)?

DotS the definition of PME may vary. In PMDD/PMS: Ruling Out Other Psychiatric Illnesses the MGH Center for Women’s Mental Health explain:

“Mood disorders, such as major depression or bipolar disorder, can worsen during the premenstrual period and thus may mimic PMDD. When this occurs, the term premenstrual exacerbation or PME is used to refer to the mood worsening which occurs during the premenstrual phase. An estimated 40% of women who seek treatment for PMDD actually have a PME of an underlying mood disorder”.17

In Learn: PME the IAPMD’s definition is:

“Premenstrual Exacerbation (PME) refers to the premenstrual exacerbation/worsening of the symptoms of another disorder, such as major depressive disorder or generalized anxiety disorder.

Premenstrual Dysphoric Disorder (PMDD) and Premenstrual Exacerbation (PME) are difficult to distinguish from each other”.18

Cause

What causes PMS?

In Premenstrual Syndrome and Premenstrual Dysphoric Disorder: Diagnosis and Prevention the (United States) Endocrine Society note:

“Doctors are still searching for the exact cause of premenstrual syndrome or PMDD. Hormone levels are the same in women with or without PMS/PMDD. But it is thought that women with PMS/PMDD have a greater response to the fall in hormones that occurs in the days before a period. There may also be changes in neurotransmitters in the brain. Some women have a genetic risk factor for PMDD. Undiagnosed depression or anxiety can also lead to problems”.19

Predictable PatternPremenstrual Syndrome (PMS)

Do PMS symptoms tend to recur in a predictable pattern?

Yes. The Mayo Clinic explain:

“Symptoms tend to recur in a predictable pattern. But the physical and emotional changes you experience with premenstrual syndrome may vary from just slightly noticeable all the way to intense”.20

Look for A PatternPremenstrual Syndrome (PMS)

How may I Look for A Pattern with PMS?

In Tracking Your Cycle & Symptoms the IAPMD explain:

PMDD cannot be diagnosed via blood, hormone, or saliva test. These tests can, however, rule out any underlying disorders including hormone imbalance or thyroid issues. The only way to currently test for PMDD is by tracking symptoms for a span of two more menstrual cycles”.21

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

“A completed menstrual chart is the first step towards understanding your own menstrual health”.22

The JH note:

  • “It can be useful to keep a detailed daily diary of at least two menstrual cycles to see if there is a pattern with your symptoms to help you and your doctor discuss the best treatment options for you”.23

In Premenstrual Syndrome (PMS): What To Expect the (Scottish) NHS Inform also note:

“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”.24

DiaryPremenstrual Syndrome (PMS)

Where may I find a diary to keep a record of any symptoms I have?

Your Country may have Links similar to:

Menopause

Is there an association between menopause and PMS?

In Symptoms of Menopause: Mood and Emotional Health the JH note:

Premenstrual Syndrome (PMS)“Women who have a history of depression or premenstrual syndrome (PMS) may be more likely to develop depression during this time”.25

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

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

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

PMS stops after menopause when you no longer get a period”.26

Health Care Provider

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

If you would like help with PMS, PMDD or PME, it may be in your best interest to choose to talk to your health care provider about this. The JH note:

  • “If symptoms persist and interfere with daily activities, see your doctor or seek referral to a gynaecologist with expertise in PMS”.27

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

“See your provider if you’re unable to get relief from your PMS symptoms. To get the most out of your visit, come to your appointment prepared to discuss your symptoms and your period in detail. Track your period and symptom history on a calendar, planner or app. Be prepared to share information about your period start and stop dates and your symptoms (including how mild or severe) for at least two consecutive periods”.28

In PMS (Premenstrual Syndrome): Treating PMS the (United Kingdom) NHS also note:

“As well as changes to your lifestyle, a GP can recommend treatments including:

  • Hormonal medicine – such as the combined contraceptive pill
  • Cognitive behavioural therapy – a talking therapy
  • Antidepressants
  • Dietary Supplements

If you still get symptoms after trying these treatments, you may be referred to a specialist.

This could be a gynaecologist, psychiatrist or counsellor”.29

Who is a GP?

DotS and 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 Premenstrual Syndrome?

In Health Topics A-Z you may find:

Links

Where may I find Premenstrual Syndrome Links?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Premenstrual Syndrome (PMS). Last Updated: 18 November 2020 | Last Reviewed: 10 July 2018. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/periods/premenstrual-syndrome-pms/ Accessed: 10 August 2023
  2. PMDD/PMS: Premenstrual Mood Changes. MGH Center for Women’s Mental Health https://womensmentalhealth.org/specialty-clinics-2/pms-and-pmdd/ Accessed: 01 April 2024
  3. PMDD/PMS: Premenstrual Syndrome (PMS). MGH Center for Women’s Mental Health https://womensmentalhealth.org/specialty-clinics-2/pms-and-pmdd/ Accessed: 01 April 2024
  4. Premenstrual Syndrome (PMS). Last Updated: 18 November 2020 | Last Reviewed: 10 July 2018. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/periods/premenstrual-syndrome-pms/ Accessed: 10 August 2023
  5. Premenstrual Syndrome: Summary – What Is Premenstrual Syndrome (PMS)? Last Updated: 11 January 2024. Medline Plus https://medlineplus.gov/premenstrualsyndrome.html Accessed: 01 April 2024
  6. Premenstrual Syndrome (PMS): Symptoms & Causes – Symptoms. 25 February 2022. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/premenstrual-syndrome/symptoms-causes/syc-20376780 Accessed: 01 April 2024
  7. Premenstrual Syndrome (PMS): What Are the Symptoms of PMS? Last Updated: 18 November 2020 | Last Reviewed: 10 July 2018. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/periods/premenstrual-syndrome-pms/ Accessed: 10 August 2023
  8. Premenstrual Syndrome (PMS): What Are the Symptoms of PMS? Last Updated: 18 November 2020 | Last Reviewed: 10 July 2018. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/periods/premenstrual-syndrome-pms/ Accessed: 10 August 2023
  9. PMDD/PMS: Premenstrual Syndrome (PMS). MGH Center for Women’s Mental Health https://womensmentalhealth.org/specialty-clinics-2/pms-and-pmdd/ Accessed: 01 April 2024
  10. Premenstrual Syndrome (PMS): What Are the Symptoms of PMS? Last Updated: 18 November 2020 | Last Reviewed: 10 July 2018. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/periods/premenstrual-syndrome-pms/ Accessed: 10 August 2023
  11. PMDD/PMS: Premenstrual Syndrome (PMS). MGH Center for Women’s Mental Health https://womensmentalhealth.org/specialty-clinics-2/pms-and-pmdd/ Accessed: 01 April 2024
  12. PMDD/PMS: Premenstrual Syndrome (PMS). MGH Center for Women’s Mental Health https://womensmentalhealth.org/specialty-clinics-2/pms-and-pmdd/ Accessed: 01 April 2024
  13. PMDD/PMS: Premenstrual Syndrome (PMS). MGH Center for Women’s Mental Health https://womensmentalhealth.org/specialty-clinics-2/pms-and-pmdd/ Accessed: 01 April 2024
  14. PMDD/PMS: Premenstrual Dysphoric Disorder (PMDD). MGH Center for Women’s Mental Health https://womensmentalhealth.org/specialty-clinics-2/pms-and-pmdd/ Accessed: 01 April 2024
  15. Learn: PMDD. International Association For Premenstrual Disorders https://iapmd.org/pam-learn Accessed: 01 April 2024
  16. Premenstrual Syndrome (PMS): How Are PMS & PMDD Different From Depression? Last Updated: 18 November 2020 | Last Reviewed: 10 July 2018. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/periods/premenstrual-syndrome-pms/ Accessed: 10 August 2023
  17. PMDD/PMS: Ruling Out Other Psychiatric Illnesses. MGH Center for Women’s Mental Health https://womensmentalhealth.org/specialty-clinics-2/pms-and-pmdd/ Accessed: 01 April 2024
  18. Learn: PME. International Association For Premenstrual Disorders https://iapmd.org/pam-learn Accessed: 01 April 2024
  19. Premenstrual Syndrome and Premenstrual Dysphoric Disorder: Diagnosis and Prevention: 24 January 2022. Endocrine Society https://www.endocrine.org/patient-engagement/endocrine-library/pms-and-pmdd Accessed: 01 April 2024
  20. Premenstrual Syndrome (PMS): Symptoms & Causes – Overview. 25 February 2022. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/premenstrual-syndrome/symptoms-causes/syc-20376780 Accessed: 01 April 2024
  21. Tracking Your Cycle & Symptoms. International Association for Premenstrual Disorders https://iapmd.org/symptom-tracker Accessed: 01 April 2024
  22. Menstrual Diary. National Association for Premenstrual Syndromes https://www.pms.org.uk/support/menstrual-diary/ Accessed: 01 April 2024
  23. Premenstrual Syndrome (PMS): Management & Treatment of PMS Symptoms – Things To Keep In Mind. Last Updated: 18 November 2020 | Last Reviewed: 17 December 2017. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/periods/premenstrual-syndrome-pms/ Accessed: 10 August 2023
  24. Premenstrual Syndrome (PMS): What To Expect. Last Updated: 28 February 2023. NHS Inform https://www.nhsinform.scot/healthy-living/womens-health/girls-and-young-women-puberty-to-around-25/periods-and-menstrual-health/premenstrual-syndrome-pms Accessed: 01 April 2024
  25. Symptoms of Menopause: Mood and Emotional Health. Last Updated: 28 March 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/menopause/menopause-symptoms Accessed: 01 April 2024
  26. Premenstrual Syndrome (PMS): Does PMS Change With Age? Page Last Updated: 22 February 2021. Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov https://www.womenshealth.gov/menstrual-cycle/premenstrual-syndrome Accessed: 01 April 2024
  27. Premenstrual Syndrome (PMS): Management & Treatment of PMS Symptoms – Things To Keep In Mind. Last Updated: 18 November 2020 | Last Reviewed: 10 July 2018. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/periods/premenstrual-syndrome-pms/ Accessed: 10 August 2023
  28. Premenstrual Syndrome: Living With – When Should I See My Healthcare Provider? Last Reviewed: 12 October 2022. Cleveland Clinic https://my.clevelandclinic.org/health/diseases/24288-pms-premenstrual-syndrome Accessed: 01 April 2024
  29. (PMS) Premenstrual Syndrome: Treating PMS. Page Last Reviewed: 09 June 2021. NHS https://www.nhs.uk/conditions/pre-menstrual-syndrome/ Accessed: 01 April 2024
Topic Last Updated: 14 April 2024 – Topic Last Reviewed: 01 April 2024

“A healthy diet includes the following: Fruit, vegetables, legumes (e.g. lentils and beans), nuts and whole grains (e.g. unprocessed maize, millet, oats, wheat and brown rice)…”.1

Umbrella
What may the Healthy Diet Umbrella include?

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

  • Diet
  • Good Nutrition
  • Healthy Diet
  • Healthy Eating
  • Nutrition

Healthy DietHealthy Diet

What is a healthy diet?

In Healthy Diet: For Adults the World Health Organization explain:

“A healthy diet includes the following:

  • Fruit, vegetables, legumes (e.g. lentils and beans), nuts and whole grains (e.g. unprocessed maize, millet, oats, wheat and brown rice)
  • At least 400 g (i.e. five portions) of fruit and vegetables per day, excluding potatoes, sweet potatoes, cassava and other starchy roots
  • Less than 10% of total energy intake from free sugars, which is equivalent to 50 g (or about 12 level teaspoons) for a person of healthy body weight consuming about 2000 calories per day, but…
  • Less than 30% of total energy intake from fats. Unsaturated fats (found in fish, avocado and nuts, and in sunflower, soybean, canola and olive oils) are preferable to…
  • Less than 5 g of salt (equivalent to about one teaspoon) per day. Salt should be iodized…”.2

Recipes

Where may I find some nutritious recipes?

Your Country may have Links similar to:

Health Care Provider

What if I would like help with healthy eating?

If you would like help with healthy eating, 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.

In Nutrition and Healthy Eating: Basics – Nutrition Basics the (United States) Mayo Clinic elaborate on:

“Want to go beyond the nutrition basics? Talk to your doctor or a dietitian for personalized dietary advice that takes into account your health status, lifestyle, and food preferences”.3

Health Topics A-Z

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

In Health Topics A-Z you may find:

Links

Where may I find Links related to Healthy Diet?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Healthy Diet: For Adults. 29 April 2020. World Health Organization https://www.who.int/en/news-room/fact-sheets/detail/healthy-diet Accessed: 01 April 2024
  2. Healthy Diet: For Adults. 29 April 2020. World Health Organization https://www.who.int/en/news-room/fact-sheets/detail/healthy-diet Accessed: 01 April 2024
  3. Nutrition and Healthy Eating: Basics – Nutrition Basics. 21 November 2023. Mayo Clinic https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/basics/nutrition-basics/hlv-20049477 Accessed: 01 April 2024
Topic Last Updated: 19 April 2024 – Topic Last Reviewed: 01 April 2024

“If you do not have a uterus,
you can take estrogen alone,
without a progestogen”.1

Umbrella
What may the Hormone Therapy and Estrogen Therapy Umbrella include?

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

  • Estrogen Alone
  • Estrogen Therapy (ET)
  • Estrogen-Alone HRT/MHT
  • Hormone Replacement Therapy (HRT)
  • Hormone Therapy (HT)
  • Menopausal Hormone Therapy (MHT)
  • Oestrogen-Only HRT
  • Oestrogen-Only Therapy/Oestrogen Only Therapy
  • Systemic ET

No UterusHormone Therapy and Estrogen Therapy

Who may choose to use estrogen therapy (ET)?

On page two in Deciding About Hormone Therapy Use: Estrogen Alone or Estrogen Plus Progestogen, published July 2022, the North American Menopause Society (NAMS) note:

“If you do not have a uterus, you can take estrogen alone, without a progestogen”.2

On page one in HRT: Which HRT? Oestrogen Alone, published November 2021, the (British) Women’s Health Concern elaborate on:

“The core ingredient of all forms of HRT is oestrogen. Oestrogen relieves hot flushes and the other menopausal symptoms and maintains bone strength. This is suitable for women who have had a total hysterectomy, where the whole womb including its neck (cervix) has been removed. Oestrogen alone can be taken as a daily tablet, a weekly or twice weekly patch, a daily gel or an implant. Varying doses of oestrogen are available”.3

Formulations and Options

What are some ET formulations and options?

In The 2023 Practitioner’s Toolkit for Managing Menopause: Management – MHT Formulations and Options: Estrogen Therapy, published online 30 October 2023, the authors elaborate on:

“Estrogen can be used systemically as oral conjugated equine estrogen, estradiol valerate, estrone sulfate or micronized estradiol; transdermal estradiol (patches, gels, spray); a vaginal estradiol ring; and implanted estradiol pellets (mostly not regulator-approved). Vaginal pessaries and creams are used to treat urogenital symptoms”.4

Venous Thromboembolic Disease

What is the association between venous thromboembolic disease (VTE) and ET?

In The 2023 Practitioner’s Toolkit for Managing Menopause: Management – Considerations for All Women At Menopause: Menopausal Hormone Therapy the authors include:

  • “Oral estrogen is associated with an increased risk of venous thromboembolic disease (VTE), although the absolute risk is small for women aged <60 years. The risk is lower/not at all with transdermal estradiol, which is preferred for women at increased risk of VTE (i.e. smokers, obese women and diabetic women)”.5

Health Care Provider

If I choose to use ET what are my risks?

Different women who choose to use ET can have different risks. It may therefore be in your best interest to choose to talk to your health care provider about this.

If I choose to use estrogen plus progestogen (EPT) what are my risks?

Different women who choose to use EPT can have different risks. It may therefore be in your best interest to also choose to talk to your health care provider about this.

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

  • “The decision whether to take HRT, the dose and duration of its use should be made on an individualised basis after discussing the benefits and risks with each patient. This should be considered in the context of the overall benefits obtained from using HRT including symptom control and improving quality of life as well as considering the bone and cardiovascular benefits associated with HRT use”.6

On page one in Deciding About Hormone Therapy Use: Estrogen Alone or Estrogen Plus Progestogen, the NAM explain:

“Every woman is different, and you will decide about whether to use HT based on the severity of your symptoms, your personal and family health history, and your own beliefs about menopause treatments. Your healthcare professional will be able to help you with your decision”.7

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  1. Deciding About Hormone Therapy Use: Estrogen Alone or Estrogen Plus Progestogen. 2022:2. North American Menopause Society https://www.menopause.org/docs/default-source/professional/menonote-deciding-about-ht-2022.pdf Accessed: 31 March 2024
  2. Deciding About Hormone Therapy Use: Estrogen Alone or Estrogen Plus Progestogen. 2022:2. North American Menopause Society https://www.menopause.org/docs/default-source/professional/menonote-deciding-about-ht-2022.pdf Accessed: 31 March 2024
  3. HRT: Which HRT? Oestrogen Alone. November 2021: 1. Women’s Health Concern https://www.womens-health-concern.org/wp-content/uploads/2022/12/09-WHC-FACTSHEET-HRT-NOV2022-B.pdf Accessed: 31 March 2024
  4. 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 – MHT Formulations and Options: Estrogen Therapy. Published Online: 30 October 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 31 March 2024
  5. 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: 31 March 2024
  6. 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: 31 March 2024
  7. Deciding About Hormone Therapy Use: Estrogen Alone or Estrogen Plus Progestogen. 2022:1. North American Menopause Society https://www.menopause.org/docs/default-source/professional/menonote-deciding-about-ht-2022.pdf Accessed: 31 March 2024
Topic Last Updated: 31 March 2024 – Topic Last Reviewed: 31 March 2024

“Current evidence suggests that oestrogen alone HRT
is associated with a lower risk of breast cancer
than combined HRT”.1

Umbrella
What may the Hormone Therapy and Breast Cancer Umbrella include?

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

  • Breast Cancer
  • Cancer of the Breast
  • Hormone Replacement Therapy (HRT)
  • Hormone Therapy (HT)
  • Menopausal Hormone Therapy (MHT)

2002

What does the background hormone therapy (HT) and breast cancer include?

In Using HRT (Hormone Replacement Therapy): Hormone Replacement Therapy and Breast Cancer Risk last updated on 07 January 2024, the (United States) Breastcancer.org explain:

“Years ago, before the link between HRT use and breast cancer risk was known, many women took HRT for years to ease menopausal symptoms and prevent bone loss. After 2002, when research linked HRT and breast cancer risk, the number of women taking HRT dropped dramatically.

Newer research that has followed women for a longer amount of time suggests the link between HRT and breast cancer risk is more complex than first thought, and using HRT remains a controversial topic”.2

Contraindication or Not

Is breast cancer a contraindication to the use of HT?

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

  • “Breast cancer is a contraindication to the use of MHT”.3

Risk

What is currently known about breast cancer risk and HT?

In Using HRT (Hormone Replacement Therapy): What Are the Risks of HRT? Breastcancer.org explain:

“Breast cancer risk differs depending on the type of HRT and a woman’s personal history of breast cancer”.4

Breast Cancer Risk

What else is is known about breast cancer risk and HT?

On page two and 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:

“Current evidence suggests that oestrogen alone HRT is associated with a lower risk of breast cancer than combined HRT. Breast cancer risk is duration dependent and may vary with the type of progestogen used. The risk of breast cancer should be considered in the context of the overall benefits and risks associated with HRT intake”.5

In Menopausal Hormone Therapy and Breast Cancer Risk: Summary of Findings, published 2022, the European Menopause and Andropause Society (EMAS) explain:

  • “Estrogen-alone systemic menopausal hormone therapy does not significantly increase and may even reduce breast cancer risk.
  • Low-dose topical estrogen does not increase breast cancer risk.
  • Combined menopausal hormone therapy confers a small increased risk but this decreases after treatment is stopped.
  • Risk differs according to the progestogen used, being higher with medroxyprogesterone acetate, levonorgestrel and norethisterone and lower with dydrogesterone and progesterone.
  • Breast cancer risk has to be put into clinical perspective, with account taken of other risk factors”.6

In Does Hormone Replacement Therapy Increase the Risk of Cancer? Should I Take HRT? Cancer Research UK explain:

“Cancer risk from HRT is small and depends on many different things. This includes the type of HRT used, how long someone takes it for, their age, and general health. The benefits of taking HRT will be different for each person too. Cancer risk is only part of the decision on whether to take HRT. Your doctor can help you make an informed choice on what is right for you”.7

Uterus

Hormone Therapy and Breast CancerIf a woman has a uterus and chooses to use estrogen plus progestogen therapy, what is her breast cancer risk?

On page one in Deciding About Hormone Therapy Use: Potential Risks, published June 2022, according to the North American Menopause Society (NAMS):

“Hormone therapy (combined estrogen and progestogen) might slightly increase your risk of breast cancer if used for more than 4 to 5 years”.8

No Uterus

Hormone Therapy and Breast CancerIf a woman does not have a uterus and chooses to use estrogen therapy, what is her breast cancer risk?

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

“Using estrogen alone (for women without a uterus) does not increase breast cancer risk at 7 years but may increase risk if used for a longer time”.9

Risk Comparison

What puts a woman at a higher risk of developing breast cancer than taking HRT?

In Menopausal Hormone Therapy and Breast Cancer Risk: Summary of Findings the EMAS note:

  • “Regular alcohol consumption, obesity and physical inactivity increase the risk of breast cancer by 32–46%, 26–152%, and 7–33% respectively. This is much higher than the risk conferred by menopausal hormone therapy”.10

Breast Cancer Screening

If a woman chooses to use HT, what is important about breast cancer screening?

In Hormone Replacement Therapy (HRT): Risks – Breast Cancer the (United Kingdom) NHS note:

“It’s especially important to attend all your breast screening (mammogram) appointments if you’re taking HRT”.11

Breast Cancer Patients

Is HT recommended for women who have been diagnosed with breast cancer?

In Using HRT (Hormone Replacement Therapy): Hormone Replacement Therapy and Breast Cancer Risk last updated on 07 January 2024, the (United States) Breastcancer.org explain:

“HRT also can increase your risk of the cancer coming back (recurrence) if you’ve been diagnosed with breast cancer in the past. Because of this risk, doctors usually recommend that women with a history of breast cancer should not take types of HRT that affect the entire body (called systemic HRT)”.12

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:

“A history of breast cancer should be considered a contraindication to systemic HRT. The risk of breast cancer recurrence with HRT is higher in women with oestrogen receptor positive cancer, but women with oestrogen receptor negative breast cancer are also considered to have an increased risk of recurrence with HRT. HRT may, in exceptional cases, be offered to women with breast cancer with severe menopausal symptoms if lifestyle modifications and non-hormonal treatment options are not effective. This should be done after discussion with the woman, her menopause specialist and her breast/oncology team”.13

Questions To Ask

What questions can you ask about HT and your breast cancer risk?

In Using HRT (Hormone Replacement Therapy): Steps You Can Take Breastcancer.org explain:

“Menopausal side effects can reduce quality of life for some women. You have to weigh the benefits of HRT against the risks.

If you’re having severe hot flashes or other menopausal side effects and are considering HRT, talk to your doctor about all of your options. Ask how you can relieve your symptoms while minimizing your breast cancer risk. Some questions you may want to ask:

  • What is my personal risk of breast, ovarian, endometrial, and other types of cancer? How will this risk be affected by HRT?
  • What is my personal risk of other conditions that HRT can affect, such as heart disease and stroke?
  • What other options are there — including non-hormonal medicines and complementary therapies — to treat menopausal symptoms and osteoporosis?
  • Would topical HRT be a good option for me?”14

Health Care Provider

If I choose to use HT how can I follow up?

The (United States) Mayo Clinic note:

  • Seek regular follow-up care. See your doctor regularly to ensure that the benefits of hormone therapy continue to outweigh the risks, and for screenings such as mammograms and pelvic exams”.15

Health Topics A-Z

Where may I find Health Topics A-Z related to Hormone Therapy and Breast Cancer?

In Health Topics A-Z you may find:

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Where may I find Links related to Hormone Therapy and Breast Cancer?

Your Country may have Links similar to:

Sources

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. 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 2022:2-3. https://journals.sagepub.com/doi/full/10.1177/20533691221104879 Accessed: 31 March 2024
  2. Using HRT (Hormone Replacement Therapy): Hormone Replacement Therapy and Breast Cancer Risk. Last Updated: 07 January 2024. Breastcancer.org https://www.breastcancer.org/risk/risk-factors/using-hormone-replacement-therapy Accessed: Accessed: 31 March 2024
  3. 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: 31 March 2024
  4. Using HRT (Hormone Replacement Therapy): What Are the Risks of HRT? Last Updated: 07 January 2024. Breastcancer.org https://www.breastcancer.org/risk/risk-factors/using-hormone-replacement-therapy Accessed: Accessed: 31 March 2024
  5. 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 2022:2-3. https://journals.sagepub.com/doi/full/10.1177/20533691221104879 Accessed: 31 March 2024
  6. Menopausal Hormone Therapy and Breast Cancer Risk: Summary of Findings. 2022 European Menopause and Andropause Society https://emas-online.org/wp-content/uploads/2022/05/Menopausal-hormone-therapy-and-breast-cancer-risk.pdf Accessed: 31 March 2024
  7. Does Hormone Replacement Therapy Increase the Risk of Cancer? Should I Take HRT? Last Reviewed: 22 March 2023. Research UK https://www.cancerresearchuk.org/about-cancer/causes-of-cancer/hormones-and-cancer/does-hormone-replacement-therapy-increase-cancer-risk#breast Accessed: 31 March 2024
  8. Deciding About Hormone Therapy Use: Potential Risks. 2022:1. North American Menopause Society https://www.menopause.org/docs/default-source/professional/menonote-deciding-about-ht-2022.pdf Accessed: 31 March 2024
  9. Deciding About Hormone Therapy Use: Potential Risks. 2022:1. North American Menopause Society https://www.menopause.org/docs/default-source/professional/menonote-deciding-about-ht-2022.pdf Accessed: 31 March 2024
  10. Menopausal Hormone Therapy and Breast Cancer Risk: Summary of Findings. 2022 European Menopause and Andropause Society https://emas-online.org/wp-content/uploads/2022/05/Menopausal-hormone-therapy-and-breast-cancer-risk.pdf Accessed: 31 March 2024
  11. Hormone Replacement Therapy (HRT): Risks – Breast Cancer. Page Last Reviewed: 08 February 2023. NHS https://www.nhs.uk/conditions/hormone-replacement-therapy-hrt/risks/#breast-cancer Accessed: 31 March 2024
  12. Using HRT (Hormone Replacement Therapy): Hormone Replacement Therapy and Breast Cancer Risk. Last Updated: 07 January 2024. Breastcancer.org https://www.breastcancer.org/risk/risk-factors/using-hormone-replacement-therapy Accessed: Accessed: 31 March 2024
  13. 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: 31 March 2024
  14. Using HRT (Hormone Replacement Therapy): Steps You Can Take. Last Updated: 07 January 2024. Breastcancer.org https://www.breastcancer.org/risk/risk-factors/using-hormone-replacement-therapy Accessed: Accessed: 31 March 2024
  15. Hormone Therapy: Is It Right for You? Who Can Benefit From Hormone Therapy? If You Take Hormone Therapy, How Can You Reduce Risk? 06 December 2022. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/menopause/in-depth/hormone-therapy/art-20046372 Accessed: 31 March 2024
Topic Last Updated: 31 March 2024 – Topic Last Reviewed: 31 March 2024