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Women are often so caught up in everyday life that we overlook caring for ourselves. If you have been under-prioritizing your health and are entering menopause, you need to take the time to reflect, reset and pour energy back into your own wellbeing. Dr. Taheera Hassim, obstetrician and gynecologist practicing at Netcare Sunninghill Hospital, explains.

Menopause is a natural phase that needs to be supported by healthy habits, which can only stand to benefit you as you grow older.  

How the body changes during menopause

Menopause signals the end of menstruation and the reproductive years. This normally occurs between the ages of 45 and 55, though it can be experienced by women in their 30s or even in their 60s.

Women who have not had their period for 12 consecutive months are generally considered to be in menopause, which is when the ovaries stop producing the hormones oestrogen and progesterone.

The importance of self-compassion

The effects of changing hormonal levels in the body are not insignificant, and women should be aware of accompanying symptoms, such as ;

  • hot flushes
  • disturbed sleep
  • general fatigue
  • loss of libido
  • Vaginal dryness
  • irritability and mood swings
  • Slow metabolism leading to weight gain
  • thinning hair
  • dry skin
  • loss of breast fullness, among others 

Many women are anxious about this experience, and it is important to approach it with self-compassion and an awareness of your mental health, as it is a big life change.

Time to take these positive steps as you enter menopause

There are also a number of steps you can take and constructive behaviors to introduce into your daily life, if you have not already done so, that will support you through the process and assist in lowering your risk of developing certain conditions after menopause. 

Start with a visit to your doctor

If you think you may be going into menopause, start with a visit to your doctor. A blood test may be taken to check your levels of certain hormones and your doctor may want to talk to you about ruling out the possibility of pregnancy, which can sometimes be mistaken for menopause in later years.

Menopause is a natural change that the body goes through, but there are specific treatments available to relieve severe symptoms and manage any associated conditions, which vary from woman to woman and which require a personalized approach.  

Practice preventative healthcare

From this time of life onwards, it is important for a woman’s health to be carefully monitored, especially for certain conditions that postmenopausal women are at greater risk of developing.

Practice preventative care by regularly going for important health screenings including a bone density test, mammogram and breast ultrasound, pap smear, pelvic exam, colonoscopy, cholesterol and blood sugar screening, and a thyroid test. 

Be aware of associated conditions

Many women mistakenly believe that cardiovascular disease tends to be a male health issue, but this is far from the truth. The risk of heart disease escalates with age, and studies have found that the rate of heart attacks increases for women 10 years after menopause.

It’s believed that the drop in oestrogen production influences the flexibility and health of blood vessels. Eating a balanced diet and maintaining a healthy body weight are two of the most important things a woman can do for herself from a young age. 

This drop in estrogen can also lead to the development of osteoporosis, a condition in which bone density starts to decrease, making bones more brittle and susceptible to injury.

Postmenopausal women are at greater risk of developing osteoporosis than any other group. 

Alcohol during menopause

Alcohol consumption has a negative impact on calcium production, which can heighten this risk and worsen existing osteoporosis.

Smoking and poor diet are other contributing factors. Doing regular weight-bearing exercises can go a long way to maintaining and increasing bone density levels.  

Exercise is important

Simply paying more attention to making healthy choices can help you through the period after menopause. Starting an exercise program, if you are not already in one, and eating healthier food can make a big difference.

A little weight loss can be remarkably effective – a loss of just a few kilos can reduce blood pressure and stabilise metabolic syndrome, which will make you feel much fitter and able to cope.

In addition, all women over 65 should go for a bone density test. Early diagnosis of osteoporosis is treatable with medication that stops the progression of the disease. It can also, in some cases, reverse some of the bone loss that occurred prior to diagnosis.  

What you need to know about sex and menopause

During menopause, sexual function may be impacted due to physical and emotional changes brought on by decreasing estrogen levels. This can include urinary incontinence, more frequent urinary tract infections, thinning vaginal tissue, and decreased lubrication, among others.

You can expect these changes to alter the experience of sex in a number of ways. Keep your doctor informed about this. He or she can advise you on how to bring joy and pleasure back into your sex life.

Strengthening your pelvic floor with kegel exercise is an excellent way to maintain pelvic health as you age. 

The bottom line

It is also very important to talk to your partner about what you are going through. Doing so will help them to better understand and support you during this time – not only in terms of your sexual relationship, but overall. 

By being proactive and preparing yourself physically and mentally for the changes you will experience, menopause can be very manageable. Putting your health first can only benefit you, now and in the long run.

About the author

Dr Taheera Hassim, obstetrician and gynaecologist practising at Netcare Sunninghill Hospital

Dr. Taheera Hassin is an obstetrician and gynecologist at Netcare Sunninghill Hospital. 

As a well-respected women’s health specialist, she is dedicated to providing the best quality health care for women. 

Read more about how to beat weight gain during menopause here

Can Women Burn Fat After Menopause?


Dr. Taheera Hassim

Dr Taheera Hassin is a women's health specialist.  She  practices as a obstetrician and gynaecologist  at Netcare Sunninghill Hospital.  She is a well respected and dedicated professional who aims to provide the best quality health care for women. 

The content in this editorial is for general information only and is not intended to provide medical or other professional advice. For more information on your medical condition and treatment options, speak to your healthcare professional.

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