Journey Through Menopause

Information and resources about the journey from peri-menopause to menopause and the physiological and emotional changes a woman can experience during this time. Nurses General Nursing Article

According to the National Institute on Aging, “Menopause is a point in time 12 months after a woman's last period. The years leading up to that point, when women may have changes in their monthly cycles, hot flashes, or other symptoms, are called the menopausal transition, or perimenopause.  The menopausal transition most often begins between ages 45 and 55.” 1

While the old discomforts of speaking about menopause openly have changed, what has not changed is its impact on many women’s physical and emotional daily lives. Back in the day, menopause was often treated as a pathology. Books and journal articles were written about the disturbing changes women go through and menopause was often given a diagnosis identifying it as a related mental or emotional pathology. The famous Phyllis Chesler's book, "Women and Madness"2 is such an example.

Much emphasis was placed upon the physical changes of menopause as just part of what a woman can experience during this time. Medicine didn't have much to offer women who were suffering through this transition. The emotional changes of a woman during menopause were often referred to as “hysteria”, depression or melancholy. This labeling suggests a pathological quality to any woman who experienced those symptoms during menopause and the treatment was usually a popular tranquilizer or sedative.

Some of us do not necessarily welcome the signals of the ending of our reproductive years. For many women, it can impact not only physical body changes but also their sexual drive and experience. Many of us fear this transition because of hormonal shifts that take place and produce unwanted effects such as hot flashes, night sweats, or insomnia.

Other issues like facial hair growth, thinning of hair, weight gain and fatigue can also accompany the hormonal changes that take place during menopause. *While menopause is a natural, inevitable, and even healthy part of our reproductive experience, there are many women who do not have an easy time with it. On the other hand, some women have little to no discomfort at all.

I have taught the subject of reproductive health for many years. Thankfully, the options, treatments, and our ability to have control over the resulting symptoms have changed significantly. Yet, we are not given information about this process that could greatly reduce our concern about the symptoms that happen during this time. Many of us did not necessarily have all the information we needed to make the experience
easier in those years of transition.

As many of us are aware of but don’t necessarily connect with, the physical symptoms that can accompany menopause until they are in the process themselves. Some of the changes that can be difficult to deal with are:

  • Irregular periods
  • lady partsl dryness
  • Hot flashes
  • Chills
  • Night sweats
  • Sleep problems
  • Mood changes
  • Weight gain and slowed metabolism

The National Institute of Whole Health (NIWH), an accredited Whole Health education organization since 1976, has made available a free video course titled Journey through Menopause that is entertaining and informative. This course can give you a different perspective and understanding of menopause. It also provides 4 ANCC-approved contact hours.

The video offers you new insights and tools to make your own Journey through Menopause less challenging and easier to move through. Understanding the 5 Aspects of Whole Health™ * can help an individual reduce or greatly control the symptoms of the menopause process.

The course video addresses the accompanying aging issues women experience as well as common physical and emotional challenges that can accompany them. The course is filled with evidence-based information on the subject, yet is fun and engaging. You can access the course online for free at this address:

https://wholehealtheducation.com/journey-through-menopause-free-ce-webinar/.

If you or any of your friends or relatives are experiencing this “change of life” it may be helpful and greatly appreciated if you share this free information with them as they will come away with a clearer, deeper understanding of what the journey through menopause is all about and what they can do to take more control over the process.


References

1. National Institute on Aging, 2017
2. 5 Aspects of Whole Health™
3. FREE CE – A Whole Health Approach to Experiencing Menopause
4. Women and Madness: Revised and Updated | amazon Book

Specializes in Whole Health and Behavioral Health.

Absolutely! A very necessary conversation ~
Warm regards
Georgianna

Specializes in Geriatrics, Dialysis.

I was one of the women with thankfully few menopausal symptoms. I started menopause with either skipping an occasional period or worse having one every 2 to 3 weeks for a period of several months. As much as I hated that at least I never did have any issues with excessive bleeding or cramping. 

I stopped menstruating at 52 and was so glad I had essentially zero problems, and then when I thought it was over and I had gone through "the change"  then the hot flashes started! 

No idea why my body decided to wait until I was done with my period for over a year before that started but boy it felt like some kind of mean prank. A ha-ha and you thought you were done with this moment. Holy gates of Hades it's awful!  It sounds kind of funny so I can see why why it's ripe material for comedians. I mean one second I'm fine, then out of the blue it feels like I walked into a furnace going full blast. Complete with breaking out into a sweat and skin flushing in weird patches.  At home I can at least peel off some clothes, I'm guessing they'd probably frown upon that if I tried it at work! 

 Even happens when I am sleeping apparently since I wake up naked and freezing after throwing all my covers off which my dogs then steal!  No clue how long this will go on but I have talked with a few elderly women that have suffered from these hot flashes for years, so I doubt they are going away any time soon. I will never ever again make fun of a woman with hot flashes, it is not funny in any way shape or form!  

I guess I should be somewhat thankful though that the hot flashes have been my only menopausal symptom. 

Specializes in Whole Health and Behavioral Health.

Hello KBRN 2002,

Just when you thought you had escaped the dreaded hot flashes! I am sorry you had a delayed response to "the change" but that does happen.

From my research on the subject what appears to be happening when hot flashes occur is this: - The endocrine system is a group of glands that are interdependently connected to one another and act synergistically with each other, either stimulating or suppressing response.

When we stop ovulating, our body still needs to have steroid precursors so another gland needs to take over to compensate for the missing hormones that were once produced by the menstrual cycle.

That gland is the adrenal gland - the same gland that you get a rush of heat from if you are blushing, become embarrassed or over stressed. It's the same gland that impacts so many functions, including blood pressure, and until our bodies find the new pathway to producing what we need from the reproductive system, these hot flashes are telling us they are trying their best to help regulate our system.

Your adrenal function kicked in a little later than usual but that is basically the process that occurs. There are many alternatives out there for you to try. I have written about my own bio-identical transdermal hormone experience. I don't suggest the oral use as it has a different metabolic pathway than transdermal use.

Sometimes very little of the bio-identical hormones can make a huge different. The herbs never did it for me but everyone is different.

Good luck with your process. If you were an exerciser before menopause, the transition appears to be easier and you can start off slowly exercising and build up with it and that seems to help as well.

Thanks for sharing -
Kind regards,
Georgianna

I am in the same boat as everyone here. The anxiety and depression I've dealt with for decades has worsened, the hot flashes, nausea, weight gain, fatigue, brain fog, the insomnia, irritability, tearfulness, anger/rage issues. My personality has changed, I'm quieter, less outgoing, my voice has changed some too. Never knowing from one day to the next how bad one or more of these symptoms will be makes the transition worse. I feel bad more days than I feel good but am beginning to accept that this is as good as life is going to be from this point forward. I'm trying to deal with it as best I can one day at a time.  

I too have tried various supplements and used the Estradiol patch which did nothing. I read about this product Estrolife https://smnutrition.com/  and have used it for several years. While not perfect, it has definitely helped with the hot flashes. They aren't as intense, as often or as long.

There is also a blog that has some helpful information if anyone is interested. It's https://www.menopausegoddessblog.com/

 

Specializes in Whole Health and Behavioral Health.

Hello Peachpit,
Yes, menopause can truly upend our lives. Happy to hear you found something that has helped to some degree.

From my understanding and experience, Estradiol by it self is not necessarily effective as it does not have the opposing components of progesterone in it. Also many women get too much estrogen from the patch and that can cause problems and does not support stopping the hot flashes.

You would think given that the majority of the population are women, and most of us experience changes with menopause, that there would be lots of research and options about treatments to address the symptoms. Maybe as more women enter the field of medical research we will see more focus on this health transition.

Thanks for sharing Peachpit.
Kind regards,
Georgianna