Surviving and Thriving Through the Change: Strategies for Managing Menopause

From hot flashes and heart palpitations to chronic insomnia and brain fog, menopausal symptoms can encroach on your A-game in the office and at home. Below, we’re exploring non-hormonal approaches to supporting symptom relief. Did you know: As many as two-thirds of those who go through the menopausal transition will experience symptoms during the last year or two of perimenopause, when your estrogen level drops as your ovaries produce less and less estrogen. Symptoms can vary widely: hot flashes, night sweats, lower sex drive, fatigue, trouble sleeping, mood swings, vaginal dryness, discomfort during sex, having an urgent need to pee more frequently, and short-term memory problems. Menopausal women are also at higher risk of heart disease, osteoporosis, obesity, and diabetes. The good news? Diet, exercise, managing stress, and some simple practical measures can go a long way toward alleviating symptoms. 
  • Fuel your body with balanced nutrition and avoid trigger foods. Eating a healthy diet with lots of fruit and vegetables can make you feel full, which contributes to preventing weight gain. Fruits and vegetables may also help prevent heart disease and other diseases, which become more prevalent after menopause. Calcium-rich foods help keep your bones strong. In addition to dairy products, green, leafy vegetables like kale, collard greens, and spinach have a good amount of calcium.
It’s important to be aware of foods known to trigger hot flashes and night sweats. Alcohol, caffeine, and foods that are spicy or high in sugar can be triggers for some people, especially if eaten at night. We recommend keeping a food diary, logging everything you eat and the subsequent symptoms. This can help you identify your own triggers, so you can avoid ones that make you feel worse. Drinking plenty of water is important to help reduce the bloating that can happen with hormonal changes and to help you feel full. At least 8 glasses of water a day is a good place to start.
  • Make movement a daily practice. The research on exercise’s ability to lessen menopause symptoms is not definitive. A recent study of 300 women in Poland found that the women who were highly or moderately physically active had lessened menopause symptoms compared with women who didn’t exercise. Many studies have found that regularly being physically active is associated with better overall health and protection against several diseases, including heart disease, and may lessen depression.
  • Maintain a healthy weight. This is a tough one for many women, as perimenopause and post menopause are often associated with weight gain, partly from hormonal changes and partly due to aging and lifestyle changes. One large study found that women who lost 10 pounds or 10 percent of their body weight significantly reduced their vasomotor symptoms (hot flashes and night sweats). Rather than focusing on fast weight loss or fad diets, focus on healthy habits. The Mediterranean diet, low carb diets, and vegan or vegetarian diets show promise for weight loss or preventing weight gain during menopause.
  • Mind your stress levels Reducing stress and increasing your skills for dealing with stress have been shown to improve sleep, which is a huge factor in managing anxiety, depression, and mood changes, as well as the brain fog that sometimes is a menopause symptom. Yoga, meditation, journal writing, massage therapy, and walking outside in nature, even in a city park, can all contribute to managing and reducing stress. Antidepressant medications can be prescribed for anxiety and depression both before and after menopause.
  • Get creative with your lifestyle—starting with a few of our favorite tips.  If you smoke, quitting may help reduce hot flashes as well as improve your overall health. Some solutions to hot flashes are as simple as dressing in layers, so you can add or remove based on your body temperature, and using light, sweat-wicking sheets and bed covers to help you keep from overheating in the night. Some women find it helps to carry a small battery-operated fan or a hand-held fan to cool off when needed.
  • So, when is it over? Menopause is a point in time when you have gone 12 months without a period. If you go 11 months and then have a period, the count starts again. Post menopause, symptoms typically last for four or five years after your last period, but lessen in severity.    
If you find that lifestyle changes aren’t enough to make hot flashes bearable, let’s talk! WIN Nurse Care Advocates are experts in identifying menopause symptoms and can work with you to find a solution best suited for you.

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