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Writer's pictureIsmat Khoja

Menopause 101: What You Need to Know and How to Stay Healthy Post Menopause

Women go through many changes throughout their lives. They experience the onset of menstrual cycles (periods), which bring various changes to their bodies, pregnancy with its own set of changes, and later on, menopause. This constant adjustment to physical changes is a significant part of a woman's life journey.

Menopause marks the complete stoppage of menstrual cycles and the end of a woman's reproductive years. It typically occurs between the ages of 40 and 55 and can be natural or induced by surgery, chemotherapy, or radiation therapy. Menopause is usually diagnosed after a woman has missed her period for 12 consecutive months.


Many people are unaware of what to expect during menopause until they're experiencing it. For instance, symptoms can begin up to a decade before menopause actually starts. The menopause process revolves around hormones.


The body starts to produce less estrogen, and the ovaries gradually reduce their egg supply. However, this change doesn't happen overnight and is part of a gradual process.


Menopause Illustration


Types of Menopause

  • Perimenopause: The early stages of menopause, known as perimenopause, can last for years—sometimes even a decade. During this time, you might start experiencing menopause-like symptoms such as irregular periods and hot flashes. Perimenopause is the transition period before menopause when a woman's periods eventually stop. This phase can last anywhere from 2 to 8 years and involves several natural changes: > Menstrual cycle changes: Periods become shorter, more irregular, and less frequent. > Hormonal changes: Levels of estrogen and progesterone fluctuate, and the body overall produces less estrogen and other hormones. > Fertility changes: The body becomes less fertile. Perimenopause is a natural part of the transition into menopause, marking significant hormonal shifts and changes in the menstrual cycle and fertility.

  • Menopause: You’ve entered menopause when you haven’t had a menstrual period for a full year, without any other medical conditions or medications affecting your period. At this stage, your ovaries have stopped producing most of their estrogen and no longer release eggs. Menopause, which usually happens around age 50, marks the end of your menstrual cycles and reproductive years. Women are born with all their eggs, stored in their ovaries, which also produce the hormones estrogen and progesterone that control periods and ovulation. Menopause occurs when the ovaries stop releasing eggs and menstruation stops. This is a normal part of aging after age 40, but some women can experience early menopause due to surgery, like a hysterectomy, or treatments like chemotherapy. If it happens before age 40, it's called premature menopause.

  • Postmenopause: After menopause, your symptoms often start to slow down and might even disappear, though you may still have occasional hot flashes. This stage is called postmenopause and lasts for the rest of your life. During postmenopause, you are at a higher risk for health conditions like osteoporosis and heart disease.


Symptoms of Menopause


All these symptoms happen because the hormone estrogen stops being produced by the ovaries during menopause. Estrogen is a powerful hormone that mainly takes care of the female reproductive system and sexual health, as well as the brain, heart, blood vessels, skin, and hair. It also helps prevent heart disease, stroke, and some cancers in women. After menopause, when estrogen levels drop, women become more vulnerable to these conditions. Estrogen also helps bones absorb calcium, so when it decreases, bones can become weak and more likely to fracture.


Maintaining Health Post Menopause

These tips will help you stay healthy after menopause:


> Don't smoke: Smoking is a major risk factor for heart disease.

> Exercise regularly: Even moderate exercise, like walking for half an hour three times a week, is beneficial.

> Maintain a healthy weight: Follow a balanced, low-sugar diet.

> Control high blood pressure: Use medication or make lifestyle changes to reduce your risk of heart disease.

> Reduce stress: Use relaxation methods or exercise regularly.


Research shows that a healthy lifestyle with a balanced diet and regular exercise helps manage the effects of menopause. Here’s why you should exercise:


> Heart health: Exercise regulates your cardiovascular system, keeps blood pressure in check, reduces bad cholesterol (LDL), increases good cholesterol (HDL), and manages triglyceride levels.

> Weight management: It helps create a calorie deficit and maintain body weight.

> Bone health: Activities like running, jogging, and walking help maintain bone mass and prevent osteoporosis.

> Stress reduction: Exercise reduces stress levels and improves your mood.

> Hot flashes: It can help regulate hot flashes to some extent.


The simplest and most effective way to manage post-menopausal symptoms is through exercise.


Effective Exercises for Post Menopausal Health

Weight-Bearing, Low-Impact Exercises

> Walking: Whether on a treadmill or outside.

> Elliptical Machines: Great for a full-body workout.

> Stair Step Machines: Effective for building strength.

> Low-Impact Aerobics and Zumba: Fun and effective ways to stay active.


These exercises help build bones and are ideal for women who can't do high-impact activities.


Weight or Strength Training

> Lifting Weights: Using dumbbells or barbells.

> Elastic Bands or Weight Machines: Effective for resistance training.

> Functional Movements: Activities like standing up from a chair or lifting your own body weight.


Non-Weight Bearing, Non-Impact Activities

> Cycling and Swimming: Excellent for cardio and joint health.

> Stretching and Flexibility Exercises: Important for overall fitness but don't build bones alone.


Non-Impact Exercises

> Balance and Posture Exercises: Such as Tai Chi, which helps with stability and overall wellness.


Additional Tips

> Warm-Up: Always warm up before exercising to reduce the risk of injury and post-exercise pain.

> Aerobic Activity: Aim for 2 hours and 30 minutes of moderate aerobic activity each week.

> Stress Management: Deep breathing, yoga, and stretching exercises can help manage stress and menopause-related symptoms.


Incorporating these exercises into your routine can help you stay fit and healthy after menopause. Before incorporating any of the exercises or lifestyle changes mentioned above into your routine, it is important to consult a medical professional to ensure they are appropriate for your individual health needs. For personalized guidance and support, you can also book a consultation with me. Click here to schedule your appointment.

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