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There is no treatment to 'fix' menopause obviously but there are various ways to treat the symptoms of menopause, again often depending on the severity of the symptoms. Lifestyle changes outlined on this website including strategies such as exercise, nutrition, stress reduction techniques, sleep help strategies often help many menopause symptoms but, subject to obtaining your own independent medical advice, the following prescription and over-the-counter (OTC) treatments may available for perimenopause and menopause.
Menopause treatments aim to ease symptoms and prevent or manage ongoing conditions that may happen with aging. Any treatment will depend on the person, their family history and medical background, the medication they are already having, their mental health, the severity of their symptoms and their own independent doctor's advice.
Below however are some of the more common treatments used to ease symptoms:
Hormone therapy.
Estrogen therapy works best for easing menopausal hot flashes. It also eases other menopause symptoms and slows bone loss.
Your healthcare professional may suggest estrogen in the lowest dose and for the time needed to relieve your symptoms. It's best used by people who are younger than 60 and within 10 years of the onset of menopause. If you still have your uterus, you'll need progestin with estrogen. Estrogen also helps prevent bone loss. Long-term use of hormone therapy may have some heart disease and breast cancer risks. But starting hormones around the time of menopause has shown benefits for some people. Talk with your healthcare professional about whether hormone therapy may be safe for you.
Vaginal estrogen.
To relieve vaginal dryness, you can apply estrogen to the vagina using a vaginal cream, tablet or ring. This treatment gives you a small amount of estrogen, which the vaginal tissues take in. It can help ease vaginal dryness, pain with intercourse and some urinary symptoms.
Medications to help prevent bone thinning osteoporosis.
Your healthcare professional might suggest medicine to prevent or treat osteoporosis. Several medicines can help reduce bone loss and risk of fractures. Your healthcare professional also might prescribe vitamin D supplements to help strengthen bones.
Oral contraceptives
Heavy or irregular periods and hot flashes may benefit from this medicine that evens out hormonal fluctuations.
Menopausal hormonal therapy
: (Formerly known as HRT) Like oral contraceptives, this is a low dose of hormones to supplement estrogen levels. It helps with hot flashes, night sweats, insomnia, emotional issues and vaginal dryness.
Low-dose antidepressants
Selective serotonin reuptake inhibitors (SSRIs) like Prozac may relieve hot flashes, mood swings and irritability by modifying the brain signals.
Counselling, Menopause Coaches, Psychologist
Brain fog, anxiety, depression, dependence on alcohol, sleep issues - cognitive behaviour and other talking therapy with a qualified psychologist
Lifestyle changes
A healthier diet with less animal fat and processed sugar, exercise, relaxation techniques such as meditation, yoga, and a consistent sleep schedule may relieve some of the symptoms, including weight gain, irritability and insomnia.
Vaginal lubricants
For vaginal irritations, use water-based vaginal lubricants or prescription vaginal creams
Allied health services and holistic integrative therapy
Acupuncture, naturopathy, breathwork, nutritionists, psychologists, counsellors, hypnosis, dermatologist, pelvic floor exercise support, yoga, thi chai mindfulness techniques and massages.
Talk with other people
Reach out and be open about it with others in your life and stay connected socially with people. Don't forget this affects 50% of the population and we can openly chat about our labours, pregnancy, periods etc!
Various supplements may be of help but there is unfortunately little evidence to prove:
Ginseng
St Johns Wart
Melatonin
Your step by step guide to the PAUSE!
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Financial, Legal and Safety wellness
How I lost my Mojo at home and work thanks to Perimenopause!
I was 45 years old and suddenly felt like I had been hit be a tidal wave.
I felt burnt out, sleep deprived, self-conscious and unable to perform as well as I used to at work.
I had surges of hot flushes which periodically drenched me, was a lot more irritable and impatient with fellow staff and clients, had a frozen shoulder and aching knee, had some brain fog, especially with peoples names, and general exhaustion. There were days when I just wanted to walk out of the office and never return. I could barely cope at home with the kids and my husband, let alone deal with co-workers.
I can recall being performance managed for my comments in a workplace meeting which in hindsight were too outspoken, but I just seemed to lose the ability to hold back my opinions which I had once reserved.
Ironically, despite knowing quite a lot at the time about menopause, I still considered myself too young, I only had a 7 year old child, still had consistently heavy periods and there was nothing that made me initially think it was perimenopause. I actually thought I had a very, very long winded case of the flu.
As incredible as it seems, with 50% of the population going through it, most women still don’t know the basic facts about perimenopause and menopause, making it difficult to identify hormonal changes as a potential cause for not feeling well. In turn they are often not seeking the support and treatment options which could really provide them with significant symptomatic relief.
Our mothers were often also uneducated on the topic and/or quiet about it, there was no education at school and most of the medical fraternity have been poorly educated themselves about how to identify, treat and support. My own doctor wrote it off as anxiety caused by life challenges at the time, and prescribed me anti-depressants and melatonin for sleep.
Like me, many of my menopausal workmates, have felt neglected, overlooked, embarrassed and frustrated and opted to simply leave work, retire early, reduce their work hours, not apply for promotional opportunities, merely because they were feeling overwhelmed and insecure as a result of their physical and psychological menopausal symptoms.
As recently highlighted by the Senate inquiry into Menopause, workplaces need to better accommodate women who experience symptoms of menopause and perimenopause.
“All employers have a responsibility to address stigma around menopause in their workplaces. Implementing organisation wide menopause policies, promoting internal awareness for employees and managers about these issues and sharing menopause-specific workplace resources can all help to address menopause stigma.”
We are often in the prime of our careers when perimenopause symptoms strike, with an enormous amount to still offer an organisation. It is an inevitable time in our lives but it can be challenging and we need workplace support to help us get access to information about the symptoms, treatment options and lifestyle changes we may need to continue to be as productive, confident and empowered.
Better psychosocial risk assessments which include support for menopausal employees, menopause awareness training at work, workplace policies and procedures, flexible working arrangements are all steps in the right direction but it is still uncommon to find this level of support in many organisations.
At Corporate Wellness Solutions we look deeper at what amounts to a psychosocial hazard rather than just what the Code guides us on. That is why I decided to add menopause to our psychosocial wellness solutions programs.
We can provide you with all the perimenopause and menopause information and education from the experts, policy templates, conversation guides and prompts to initiate menopause conversations with managers and employees (from both perspectives), symptom trackers, checklist for businesses to compare how menopause friendly their workplace is and a wellness support program tailored to your employee needs.
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