Welcome to the
Menopause refers to a single episode in a woman's life, her "last" period and the end of female reproduction . Menopause is confirmed when a woman has gone one full year without having a period. The day after that one-year mark, she's now postmenopausal yet people refer to it as menopause. Typically, this occurs around age 52 but the age range runs 40–60, with many who experience it earlier or later.
Although perimenopause is defined as the time before "the change," its starting point isn't so definitive. It's a nebulous concept and you enter into it gradually and come out of it gradually. So, there is no easy, identifying place of how or when it starts. It can last for 8-10 years
Perimenopause is a result of a woman's aging ovaries, specifically when the coordinated patterns of the hormones estrogen and progesterone begin to vary, throwing the delicate system out of balance. It may take a while to detect symptoms, with a period still evident (although possibly shorter in duration, not as regular for instance), and then you may start to notice other small changes or not until you suddenly do...
Perimenopause can start when a woman is in her 30s or 40s, but the 40s are more common. It typically lasts 6–10 years and the experience varies considerably for many.
Perimenopause is marked by a drop in estrogen which is the main female hormone produced by the ovaries. The estrogen levels can also go up and down more sporadically than they do in a typical 28-day cycle. This can cause irregular periods and other symptoms.
During the final stages of perimenopause, your body will produce less and less estrogen. Despite the sharp drop in estrogen, it’s still possible to get pregnant. Perimenopause can last for as little as a few months and as long as 4 years
.
Menopause officially kicks in when the ovaries produce so little estrogen that eggs are no longer released. This also causes your period to stop
.
Your doctor will diagnose menopause once you haven’t had a period for a full year.
You may enter menopause earlier than normal
if you:
have a family history of early menopause
are a smoker
have had a hysterectomy or oophorectomy
have undergone cancer treatments.
Can you tell by a blood test if I am in perimenopause?
Most people can tell by the symptoms that they've started menopause. If you have worries about irregular periods or hot flashes, talk with your healthcare professional.
Tests most often aren't needed to diagnose menopause. But sometimes, your healthcare professional may suggest blood tests to check your levels of:
Follicle-stimulating hormone (FSH) and estrogen (estradiol).
FSHgoes up and estrogen goes down during menopause. Because hormones go up and down during perimenopause, it can be hard to tell from these tests whether you're in menopause.
Thyroid-stimulating hormone (TSH). Overactive thyroid, called hyperthyroidism, can cause symptoms like those of menopause.
You can get home tests to check FSH levels in your urine without a prescription. The tests show whether you have higher FSH levels. This might mean that you're in perimenopause or menopause, But FSH levels rise and fall during your menstrual cycle. So home FSH tests can't really tell you whether you're in menopause.
When hormone levels begin to decline in the lead-up to menopause, every system that has hormone receptors registers the change, including your brain. Ongoing fluctuation in hormone levels during this time can cause a range of symptoms, which may vary greatly between women and even change over time. Symptoms can range from mild to severe, and while some women may not experience many symptoms, others may experience a variety of issues that can significantly impact their quality of life. Even minor symptoms can have a major effect, especially if they persist over time. The long-term effects of menopause include an increased risk of osteoporosis and cardiovascular disease. If you are experiencing symptoms, it is important to discuss them with your GP or gynaecologist to explore appropriate management strategies.
As estrogen levels drop, you might start experiencing symptoms of menopause. Some of these can occur while you’re still at the perimenopause stage.
night sweats
hot flashes
depression
anxiety
irritability and mood swings
insomnia
fatigue
dry skin
vaginal dryness
frequent urination
Perimenopause and menopause can also increase cholesterol levels. This is one reason why women in postmenopause are at an even higher risk for heart disease.
Continue to have your cholesterol levels measured at least once a year.
You don’t necessarily have to call your doctor to obtain a perimenopause or menopause diagnosis but you should see your your doctor if the symptoms of either perimenopause or menopause become severe enough to interfere with your daily life.
For a checklist on what to ask and discuss with your doctor, refer to our website at "What to discuss with your GP"
For details on Treatment options to ease your symptoms refer to our website "Treatment options"
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
Hot Flushes
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Night Sweats
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Sleep Disorders
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Mood Swings
Irritability
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Vaginal changes
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Low Libido
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Fatigue
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Weight Gain
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Muscle Tension
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Memory Loss
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Breast Pain & Tenderness
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Bloating
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Lack of Concentration
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skin issues
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Irregular Periods
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Hormonal Headaches
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Heart Palpitations
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Hair Loss
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Osteoporosis
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Panic Disorder
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Dizziness/faint
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Digestive Problems
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Burning Tongue
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Increased Allergies
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Sleep Disorders
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anxiety/depression
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Sleep Disorders
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digestive issues
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tinnitus
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dry, itchy eyes, ears, skin
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loss of confidence/self esteem
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quickly angered/rage
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Don't worry, Pause, we can help!
Your step by step guide to the PAUSE!
We hear you, we understand, we are here to support you.
Financial, Legal and Safety wellness
ARE THEY GASLIGHTING, LOVE BOMBING OR HOOVERING?
“That never happened. Have you taken your meds?”
“You’re crazy. That’s not what happened.”
“I only told you that you were fat because you I would hate you to let yourself go.”
“I never told you that.”
“You’re too sensitive. I was only joking.”
Are you often thinking your mind is playing tricks on you? Are you starting to question your own sanity or losing your memory? If any of the above statements sound familiar, you are likely the victim of gaslighting. It’s an emotional abuse tactic that can leave you unsure about yourself, others, and life in general. If you don’t address it, you can have long-lasting effects, emotionally and physically. Counselling can help you understand what you are experiencing, help you set boundaries and reach a decision about the relationship which feels right for you.
What is gaslighting?
Gaslighting is an actual, intentional, and serious form of emotional, psychological abuse. It is a psychological manipulation tactic someone uses to control and manipulate a victim by making them doubt their memories, perception of reality and judgments.
It can occur in romantic, platonic and family relationships – or even at work.
Often victims of gaslighting are not even aware that this is happening to them because it has been happening for so long, in a slow, covert fashion.
How Does It Begin?
A relationship with a gas lighter may seem to start out quite well. They may praise you, the victim, on a first date and very quickly confide in you. This is where the manipulation begins since, disclosure, before any real intimacy has been established, results in trust being quickly established. This tactic is known as ‘love bombing’. Once you become fully engaged with the gas lighter, you become vulnerable and then the next phase of manipulation often begins.
COMMON GASLIGHTING TECHNIQUES
Do you recognise any of the following most common gaslighting techniques?
They blatantly lie to you with a straight face. The abuser blatantly and habitually lies to change your reality. Even when you know they are lying, they can convince you otherwise, which in turn makes you start second-guessing yourself. If you call them a liar they turn around and call you a liar or insist they lied for a good reason for example to protect your feelings or theirs.
They attack things important to you. They might criticize your job, make snide comments about you, your family or friends. These remarks are meant to make you feel insecure and inadequate.
They deny their bad behaviour – their lying, hurting your feelings, or doing anything wrong. They insist that you misunderstood them, that you’re remembering things incorrectly, or that you’re making things up to hurt them.
Their actions don’t match their words. They may insist they support you, but always criticise your choices.
They will target your insecurities to make you feel weak about yourself.
They spread rumours and speak poorly about you online or in face to face conversations. They will often portray themselves as the victims to others.
They can’t stand criticism themselves and will take it as a personal attack, no matter how respectfully you complain about their behaviour.
They project on you – for example the abuser is cheating. Instead of admitting to the affair, they’ll accuse you of being unfaithful. You end up having to defend yourself rather than seeing what they’ve been doing to you.
They manipulate your relationships, whether through isolation or through groupthink type behaviours. They will tell you that your family members don’t really love you and claim that they are liars. They may even try to convince everyone around you that you seem emotionally unstable or “crazy.”
They can confuse you with sudden kindness to distract you from their bad behaviour. One minute, they may cut you down and the next, they praise you.
They wear you down until you just give up – you stop arguing or defending yourself since you feel so defeated.
SIGNS YOU ARE A VICTIM OF GASLIGHTING
- You constantly second guess yourself.
- You wonder if you are just overly sensitive or too hormonal.
- You create excuses for the gas lighters behaviour and their actions.
- You stop trusting your own judgement and recollection of events, beliefs, and perspectives.
- You start to wonder if you are losing your memory, regularly confused, or going ‘crazy.’
WHAT IS ”HOOVERING”?
When you try to leave the gas lighting relationship, they may use the ‘hoovering’ tactic which involves excessive praise, expressions of love, showers of compliments and fervent promises of the ways in which they will make positive changes in the relationship. Unfortunately, it does not take long for old habits and behavioural patterns to resurface, once you commit to staying. Their goal is to always keep you locked in to their control.
WHAT CAN YOU DO TO STOP BEING A VICTIM?
If you identify with any of the signs, here are some tips to take back control of your life and your reality:
· You need to stand firm and not let their denials cloud your thinking and actions.
· Remember you are not responsible for someone else’s behaviour. It is not your fault.
· Trust your own judgment and believe in yourself.
· Acknowledge the feelings you are having are real.
· Remind yourself that you deserve to be respected and supported by the people in your life.
· If someone displays a pattern of behaviour, trust the pattern over anything that person says.
· Don’t back down if you believe your criticism is fair, even if the gas lighter won’t change.
· Set clear boundaries to protect yourself and expect them to be respected,
· Document what is occurring so you can help track the reality.
· Ask someone independent, with whom you are close and who you trust, if they think you are being manipulated by the abuser.
· Realise you will never win an argument with this person or get any apology.
· Limit contact with the gas lighter. Consider ending or pulling back from the relationship if you want to, especially if the gas lighter refuses to change their behaviour.
If, despite attempts to move towards a healthier relationship, you still feel blocked in implementing these strategies, then please reach out to our trained team of psychologists and counsellors who can help you plan and strategise to move forward positively. Furthermore, if you feel unsafe because of someone’s controlling behaviour, seek assistance from the police or call 000 if it is an emergency.
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