It's time we talk about perimenopause and menopause | The Excerpt

Perimenopause and menopause are natural stages in a woman's life characterized by hormonal fluctuations, leading to various physical and psychological symptoms. These changes can be challenging, with symptoms like sleep disturbances, mood changes, and increased risk of conditions like osteoporosis, but knowledge and proactive management can help women navigate this transition more effectively. Millennial women are increasingly open about discussing these changes and seeking information and support, leading to a shift in the conversation around menopause.

Peri-Menopause & Menopause Overview

• 00:01:00 Perimenopause, the period leading up to menopause, typically lasts 5-10 years, involving hormonal fluctuations in estrogen and progesterone. Menopause is defined as one year after the last menstrual period and marks the end of reproductive capacity. Postmenopausal women face increased risks for conditions such as osteoporosis, heart disease, and dementia.

Symptoms of Peri-Menopause

• 00:04:08 Common symptoms include sleep disturbances, which can negatively impact mental health. The speaker uses the acronym 'TIES' (Thinking, Identity, Emotion, Sleep) to describe the potential impact on mental health. Sleep is highlighted as crucial for brain health and immune function, and changes in sleep patterns warrant attention.

Treatment Options

• 00:06:42 Hormone Replacement Therapy (HRT) remains a controversial but potentially beneficial treatment option, despite concerns from past studies that have been subsequently challenged. Non-hormonal options, including antidepressants and cognitive behavioral therapy, can also be helpful for mood and sleep issues, particularly in later stages of menopause.

Health Risks & Management

• 00:09:07 Menopause increases the risk of conditions like osteoporosis and fractures, with studies showing that 75% of women experience bone changes. Lifestyle choices play a significant role in managing these risks. Weight-bearing exercise, a balanced diet rich in protein and calcium, and stress management can support bone health and overall well-being.

Millennial Perspective

• 00:10:12 Millennial women are more knowledgeable about menopause due to readily available online resources, which empowers them to take a proactive role in managing their health. This generation is less hesitant to discuss menopause openly and is embracing the opportunity to improve their quality of life during and after the menopausal transition.