During menopause, your declining estrogen level produces several effects. While different women may experience different symptoms, here are some of the most common ones:
Hot flashes
By far the most common symptom of menopause, a hot flash is a sudden and brief increase in body temperature. About 75% of all women in menopause experience this symptom1 but the frequency and intensity vary for each woman.
Genitourinary Syndrome of Menopause (GSM)
GSM is a term to describe the changes that affect the vagina, bladder, urethra and pelvic floor tissue that may occur during menopause. As a result of decreased estrogen levels, your pelvic floor muscles may become weaker, and your vaginal walls may become thinner, drier, and less elastic, which can lead to pain during sexual intercourse. Your level of lactobacilli bacteria also decreases, leading to a higher pH-environment, and a higher risk of urinary tract infection, since the bacteria find it easier to attach and thrive.
Other bladder problems
Bladder issues may include frequency-, urgency-, nocturia- and stress incontinence. Try using vaginal estrogen creams, tablets and inserts to relieve some of your GSM symptoms, and be sure to keep your pelvic floor strong with pelvic floor exercises to help prevent future incontinence.
Weight gain
A natural effect of aging is the loss of muscle mass, which impacts your metabolism, and tends to increase fat storage. Along with lowered estrogen, this can contribute to weight gain, especially if obesity is already a problem. Obesity itself is also a risk factor for incontinence, and may lead to both stress incontinence and urge incontinence. Lifestyle, aging, diet, and genetic factors all contribute to your overall weight and health. Keeping physically active and watching your diet can help you maintain both your weight level and your body’s ability to resist incontinence.
Bone density
Declining estrogen production can also impact the calcium in your bones, which can make you more susceptible to hip, spine and other bone fractures, as the bone density decreases. Taking vitamin D supplements, as well as exercising and eating foods with calcium, can help keep your bones healthy.
This may seem like quite a long list of changes to deal with, but keep in mind that the frequency and intensity of symptoms are different for each person. Fortunately, there are things you can do to help relieve menopause symptoms. To start with, make sure your diet includes good food for menopause.