Menopause

Menopause is an inevitability for all women and from talking to my patients there can be an extreme variation in the degree of discomfort that you experience as you go through “the change”, which is known as the perimenopause. Some women will hardly notice the menopausal symptoms with only a reduced number of periods to show for it. Others can experience marked menopausal flushing and sweats, which can impact on confidence, sleep and the ability to perform their job. I felt it was important to consider the menopause as a subject for my videos as there is a lot of really good advice and some good medical options to try. I hope that my videos help to signpost you to salvation from your symptoms. The definition of the menopause is not having a menstrual period for over one year, however your other menopausal symptoms can persist for longer than this.


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Can menopause cause anxiety and depression?

It is quite possible that menopause and the menopausal symptoms associated with going through the change can potentially cause anxiety and depression. As mentioned previously insomnia can be a prevalent problem with night sweats being the common cause for this. Chronic sleep deprivation can lower your tolerances to stress, make you anxious and irritable and also affect your ability to concentrate. It is therefore important to consider actively addressing your sleep issues if you notice it becoming a problem. Anxiety problems often come hand in hand with depression. If you are concerned that you may be suffering from depression, check out my video “How do I know if I am depressed” to see if you are suffering from any of the tell tale signs.

Since I went through the menopause sex has become painful. Why is this?

Once you have stopped menstruating and are now post-menopausal, your ovaries no
longer produce the sex hormone oestrogen. Your oestrogen used to play an important
role in maintaining your reproductive organs in readiness for reproduction. This
included the vagina and the oestrogen used to create the mucous secretions, which
will now be absent. This vaginal dryness is likely to be the reason for the painful
intercourse. I have successfully treated my patients for this problem with Hormone
Replacement Therapy. HRT can be taken orally or by topical vaginal preparations.
Oral HRT may be useful if you are suffering other menopausal related problems
but topical HRT can really help symptoms local to the vagina and should solve the
painful sex problem. If HRT is not suitable or you want to avoid hormones there is a
range of lubricants available that might makes things easier for you.

Want to know more?

If there are issues or burning questions that you have surrounding menopause get in
touch by filling out a clinical query on the AskDocJames contact us page or follow
Doc James on Facebook and write on the AskDocJames wall. We are grateful for any
questions that you raise and guarantee that they will be used to help direct our clinical
advice and our menopause videos, although we will not be able to respond to all
questions directly.