Be Proactive When It Comes to Menopause Symptoms December 13, 2023 Menopause affects all individuals with ovaries and happens naturally or after any surgery when the ovaries are removed. Natural menopause usually occurs around 45 to 55 years old and symptoms last seven to 14 years. Symptoms of menopause are triggered by a significant drop in circulating estrogen levels, which is primarily due to a lack of estrogen production from the ovaries. Primary symptoms include three categories that vary widely by individuals: Vasomotor symptoms – hot flashes and night sweats. Genitourinary syndrome of menopause – genital symptoms such as dryness, burning and irritation; sexual symptoms such as lack of lubrication, discomfort or pain; and urinary symptoms. Body fat distribution changes – weight gain, generally around the midriff and thighs. Menopause symptoms can be managed, so it is important to talk to your health care provider about what might be the best option for you. After a thorough family and personal medical history review, medication may be considered. Generally, the best treatment to help menopause symptoms is hormone therapy, which increases estrogen levels. Increased estrogen levels help reduce menopause symptoms, including the risk of developing osteoporosis (weakening of the bones). “Start menopause hormone therapy early, within 10 years of menopause and before turning 60 years old,” said Paul Daskalos, DO, FACOG, who specializes in gynecology at Samaritan Gynecology & Surgical Associates. “Starting hormones early reduces the potential risk of heart attack, stroke and other vascular disorders.” He added, “It’s important to know that genitourinary syndrome of menopause symptoms most likely will not get better without treatment and will only worsen if not treated.” Vasomotor symptoms can be relieved with non-hormone prescriptions if a hormonal option is not recommended. There are also over-the-counter products, such as black cohosh or increased dietary soy. Symptoms of genitourinary syndrome of menopause can be managed by prescription or non-prescription therapy, which may or may not include hormones. The non-hormonal treatment includes vaginal moisturizers and lubricants, as well as pelvic floor physical therapy and exercises, and regular intercourse. Unfortunately, when it comes to weight gain, hormone therapy does not normally help. Lifestyle and genetics play a large role. Regardless of the treatment course you choose, your provider can support and guide you throughout the process. Paul Daskalos, DO, FACOG, is a gynecologist at Samaritan Gynecology & Surgical Associates and is a certified menopause provider credentialed through the North American Menopause Society. He specializes in helping women manage their individual menopause symptoms. He can be reached at 541-768-4680. When it comes to weight loss making small changes to your habits and SMART goals can help.
