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Navigating Menopause

A Comprehensive Guide to Onset, Symptoms, and Wellness

Women go through several stages in life beginning from menarche, the onset of the menstrual cycle to menopause the ceasing of the cycle. While one marks the beginning of reproductive years, the other marks the end of a woman's reproductive phase.

Both are natural biological processes that are associated with several physical and emotional changes. It is therefore important to understand the early signs and symptoms, physical and emotional changes, treatment options, and support for overall wellness of women as it is crucial for women transitioning through this significant life stage.

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Stages of Menopause

The 3 stages of menopause include perimenopause, menopause, and postmenopause

Perimenopause: Perimenopause is the time interval that can range from late 30s to mid 40s, lasting for a few years. During this phase, there is a gradual decline in the functioning of ovaries leading hormonal changes. The ovaries begin to produce fewer eggs and the production of estrogen slows down.

Menopause: Menopause usually occurs in women in their late 40s and early 50s. This is a phase that marks the end of a woman's reproductive years. It is officially diagnosed if a woman has not had her menstrual cycles for 12 consecutive months, which means the ovaries are no longer producing eggs and have completely stopped functioning. It is during this period most women experience symptoms that cause discomfort and fatigue.

Postmenopause: Postmenopause After more than a year without having her menstrual cycle, a woman is deemed postmenopausal, which will continue for the remainder of her life. Most women feel more physically comfortable during this period as the symptoms that characterized the perimenopause and menopausal years begin to fade. However, because estrogen levels are lower during this period, there is an increased risk of developing conditions such as osteoporosis and heart disease. A healthy lifestyle is crucial for women who have entered the postmenopausal period of life in preventing issues related to hormones.

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Early Signs and Symptoms

There are a few indicators that mark the beginning of menopause. Some of the early signs and symptoms include:




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Irregular Periods

A shift in menstrual cycles with irregular periods is one of the initial indicators.

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Hot Flashes and Night Sweats

Sudden waves of heat and sweating, especially at night, are common.

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Sleep Disturbances

Difficulty in sleeping or disrupted sleep is prevalent during menopause

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Mood Changes

Fluctuations in hormones can lead to mood swings, irritability, and increased stress.

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Vaginal Dryness

Declining estrogen levels can cause a decrease in vaginal lubrication, leading to discomfort.

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Physical and Emotional


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  • Bone Health
  • Decrease in estrogen levels can lead to increased risk of bone density loss, making bone health a crucial concern.

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  • Heart Health
  • Changes in cholesterol levels during menopause can cause increased risk of heart diseases.

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  • Weight Gain
  • Many women tend to experience changes in their body due to a change in weight.

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  • Emotional Change
  • Anxiety or depression is what most women experience during their menopausal period.

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  • Cognitive Changes
  • Women also tend to experience memory lapses or difficulty concentrating.

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Treatment & Support

There are several ways to deal with menopause. HRT use has very limited indications and must be prescribed only to carefully selected women who can benefit from it. A holistic approach is therefore crucial to address other dimensions such as nutritional, emotional, and spiritual.

FENS Prana Sakhi by Prameya Health is an initiative to support women in all dimensions to navigate smoothly through this transition. FENS Prana Sakhi provides support and guidance in dealing with health issues, regular screenings, coping with stress, anxiety, depression, and other through various activities included in the program.

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FAQs

01. At what age does menopause start?

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Menopause typically starts in the mid 40s to early 50s.

02. What is perimenopause and how long does it last?

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The transition into menopause is known as perimenopause, can last several years. Once a woman has gone 12 consecutive months without a menstrual period, she is considered to be in menopause.

03. How can I manage mood swings during menopause?

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Managing stress through relaxation techniques, regular exercise, and seeking support from friends, family, and programs such as Prana Sakhi can help manage not only mood swings but other emotional issues too.

04. What impact does menopause have on bone health?

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Since there is a decrease in estrogen levels during menopause, it can lead to bone density loss. Proper nutrition consisting of calcium and vitamin D along with weight-bearing exercises are crucial for bone health.

05. Can menopause affect sexual health?

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Yes, since menopause is associated with vaginal dryness, it can result in decreased libido. Programs such as Prana Sakhi are designed to help women address these issues.

06. What is the role of hormone replacement therapy (HRT) in menopause?

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HRT helps in hormonal imbalance. It might not be suitable for every woman; therefore it is advisable to consult a healthcare professional to discuss the potential benefits and risks.

07. How can I stay healthy during menopause?

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Maintaining a healthy lifestyle, balanced diet, stress management, regular screenings and check-ups to address specific health concerns can ensure overall well-being during menopause.

08. What are the common symptoms of menopause?

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Hot flashes, night sweats, irregular periods, mood swings, vaginal dryness, and sleep disturbances are some of the common symptoms of menopause.

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