In keeping with our on-going theme of keeping women informed about women’s health, this week Dr.Suzy Hall “Defines Menopause” We’ve all heard about it. The dreaded Menopause, it will turn you into a “crazy lady”! , “men- all- pause”, “You’ll NEVER be the same again. But are these old wives tales? Or is there some truth in them? Below, Dr Suzy Hall, defines menopause for us.
Define Menopause, Please!
glad you asked. There seems to be some confusion about the term, and
how it’s used to define our reproductive state of being. First off,
menopause is the permanent cessation of our reproductive hormones, and
therefore, the end of our menstrual cycling. The average age of
menopause is approximately 51yo in the United States, though some women
may end earlier, and some later. For most women it’s not so much the
ending of the periods that’s bothersome, but the symptoms that may go
along with this “change.” Most women experience hot flashes during this
time, and many women experience noticeable changes in their menstrual
period in the few years before the periods actually stop. These changes
in their menstrual flow could be anything from…light/spotty or missed
periods…to super heavy bleeding…and darn near any pattern in between!
We can’t attribute all of the changes in our menstrual flow to “the
change” though. You should definitely see your doctor for spotting and
bleeding between your monthly period, for very heavy flow (with clots),
for symptoms of fatigue or lightheadedness with your period, or missed
periods that you may not have reviewed with your doctor yet. You may
need a work up to look for other causes, such as fibroid’s, polyps, or
cancers. As well, if you think you’re menopausal (by definition… one
year without periods with the onset of hot flashes) and even light
spotting or menstrual-like bleeding returns, contact your provider for
The hallmark of menopause is the cessation of the
menstrual period and the onset of hot flashes. This may be a gradual
“change” that happens over a few months to a few years, defined as the
‘peri-menopause’. Some women notice emotional symptoms as well, like
irritability and mood swing…Or maybe she just doesn’t feel like herself.
Many patients ask me if depression is part of “the change “. We do
know that depression is more common in women in this age bracket, but
less likely, caused by the menopausal change. I try to get patients to
prioritize their symptoms. If hot flashes, night sweats and interrupted
sleep (with some noticeable, but more minor mood shifts) are her story,
I’d more likely attribute these symptoms to peri/menopausal changes.
If her main complaint is major depressed mood, lack of
energy/motivation, more serious crying episodes ( and ‘oh-by-the-way’,
I’m having hot flashes) I’d have her consider further evaluation for
depression as first priority, and offer options for menopausal symptoms