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    Understanding Hormonal Changes During Menopause

    Written by Skin Renewal Medical Advisory Board
    Welcome to Skin Renewal's comprehensive guide on menopause and hormonal health. Menopause, typically occurring between the ages of 40 and 45, marks a significant transition in a woman's life as key hormones like estrogen and progesterone decline. This natural phase, often referred to as 'the change of life', can bring about a variety of symptoms ranging from hot flushes to mood swings and beyond. However, it's not just about managing symptoms; it's about understanding and optimising hormonal balance for overall well-being. In this guide, we delve into common hormone imbalances during menopause, the importance of optimising hormone levels, and the lesser-known phenomenon of andropause in men.
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    The Impact of Menopause on Hormones

    Menopause marks a significant phase in a woman's life, characterised by substantial hormonal changes that affect overall health and wellness. At Skin Renewal, we recognise the complexity of these changes and the diverse experiences of women undergoing menopause.

    We encounter numerous patients going through this phase, and time and again, we emphasise the foundational pillars of health, especially when it comes to peri-menopause and menopause. These pillars include crucial aspects such as sleep, stress management, estrogen and liver detoxification, insulin management, gut repair, inflammation, and the Omega 3:6 ratio.

    These foundational elements play a pivotal role in balancing hormones and addressing hormonal dysregulation commonly seen in conditions like PCOS, endometriosis and peri-menopause. By focusing on these pillars, we aim to influence various physiological processes in the body, ultimately empowering women to navigate this life stage with grace and vitality.

    However, it's essential to acknowledge that every woman's journey through peri-menopause and menopause is unique and personalised support and guidance are paramount. At Skin Renewal, our doctor-led approach and health coaches are dedicated to providing comprehensive care tailored to each individual's needs, ensuring that every woman feels supported, empowered, and equipped to embrace this transformative phase of life.

    Key Hormonal Shifts in Menopause

    Physiological Effects of Hormonal Changes

    Strategies to Manage Hormonal Changes

    Andropause: Menopause in Men

    While menopause is commonly associated with women, men also experience a similar hormonal transition known as andropause. Andropause typically occurs in men aged 50 and above and is characterised by a gradual decline in testosterone levels. Symptoms of andropause may include fatigue, decreased libido, mood changes, and erectile dysfunction. Just like menopause, andropause can significantly impact a man's physical and emotional well-being. Seeking medical guidance and support is key to managing symptoms and optimising hormone levels during this phase.

    Although Hormone Replacement Therapy (HRT) services are no longer available at Skin Renewal, our commitment to supporting you through your journey remains unwavering. Whether you're considering Bio-Identical Hormone Replacement Therapy (BIHRT) or exploring alternative treatments, we're dedicated to connecting you with the resources needed to navigate this transformative phase smoothly. Don't hesitate to reach out; we're here to guide you to trusted providers who can offer the assistance you require.

    Understanding the hormonal shifts during menopause and their impacts can help women approach this stage with more awareness and preparedness. By focusing on foundational health pillars and leveraging both traditional and innovative medical approaches, women can manage menopausal symptoms and maintain a high quality of life. At Skin Renewal SA, we are committed to supporting you through personalized care tailored to your unique health needs.

    frequently asked
    questions

    What are the issues that concern women the most?

    It's undeniable that women face a myriad of challenges as they navigate different stages of life, and these concerns often revolve around hormonal changes that impact both physical and emotional well-being.

    One significant issue that many women grapple with is skin dryness and thinning, particularly during menopause. As estrogen levels decline, the skin loses its plumpness and hydration, leading to the emergence of wrinkles, fine lines, and increased pore visibility. The integrity of the skin is crucial when addressing anti-ageing signs during menopause. Maintaining skin integrity through proper hydration, moisturisation, and protection from sun exposure is vital in managing the visible signs of ageing during menopause. Additionally, the loss of collagen and skin integrity further exacerbates these changes, contributing to sagging skin and decreased facial volume.

    Beyond skin concerns, menopausal symptoms like hot flashes, night sweats and vaginal dryness can significantly impact daily life and intimate relationships. These experiences can leave women feeling uncomfortable and disconnected from their bodies, but it's essential to remember that seeking support and understanding is a vital part of the journey.

    How does hormonal decline during menopause contribute to an increased risk of obstructive sleep apnea (OSA) in women, and what are the potential implications for overall health and well-being?

    Insomnia I understand the struggles of navigating menopause firsthand, having delved into extensive research over the past decade to find solutions. The crucial foundation of health to optimize is sleep, and if your partner mentions snoring or you wake up feeling exhausted it's worth investigating further. Personally, I had to confront the problem of obstructive sleep apnea, which was wreaking havoc on my sleep and overall health. Obstructive sleep apnea (OSA) is a significant concern for menopausal women, with research showing its increased prevalence and severity in this demographic. Even with comparable body weight, post-menopausal women face a higher risk of OSA. The impact of OSA on various aspects of life can be substantial. Together, let's navigate this transformative phase with strength and resilience.

    As women go through menopause, they are more likely to suffer from obstructive sleep apnea (OSA) due to hormonal changes. Estrogen and progesterone, which help regulate weight, libido, and airway muscle function, decline during perimenopause and reach their lowest levels in full menopause. This hormonal decline can lead to an increased risk of developing sleep apnea in women. Additionally, anatomical changes in the upper airway after menopause, such as increased weight gain and altered body composition, contribute to a higher prevalence of OSA in postmenopausal women compared to premenopausal females. The combination of hormonal fluctuations and physical changes makes women more susceptible to OSA during and after menopause.

    What about urinary incontinence and low libido?

    During menopause, women may experience urinary incontinence due to various factors related to hormonal changes and physical effects on the pelvic floor muscles and bladder. The decline in estrogen levels during menopause weakens the muscles and tissues in the pelvic area, including those supporting the bladder and urethra, leading to urinary incontinence. Additionally, the loss of estrogen can cause vaginal dryness and thinning, affecting the urinary tract and increasing the risk of urinary tract infections.

    Furthermore, as women age, the bladder becomes less elastic, making it more difficult to stretch and causing an overactive bladder that leads to more frequent urination. Weight gain during menopause can strain the pelvic floor muscles, contributing to stress incontinence, where leakage occurs during activities like coughing or sneezing. Other factors like nerve damage, certain medications, and chronic health conditions can also play a role in the development or worsening of urinary incontinence during menopause.

    Navigating intimate health concerns can be daunting, but rest assured, there are innovative solutions available to empower women on their journey to wellness. Intimate carboxytherapy and our Emsella chair, affectionately known as the "Kegel throne," represent a game- changing approach to addressing these issues. By harnessing the power of advanced technology and non-invasive treatments, we aim to provide women with effective and comfortable solutions for intimate wellness. Whether it's enhancing pelvic floor strength or rejuvenating intimate tissues, these therapies offer hope and confidence to women seeking to reclaim their vitality and well-being. With compassionate care and cutting-edge treatments, we're here to support you every step of the way on your path to intimate health and happiness.

    Is weight gain around the mid-section a common occurrence during menopause?

    Yes, it's worth noting that weight gain around the midsection is a prevalent phenomenon observed during the menopausal transition. This can be attributed to many factors, including hormonal fluctuations, alterations in body composition, and a decline in metabolic rate.

    How is stress incontinence manifested in menopausal women, and what are its primary triggers and contributing factors?

    Yes, menopausal women can experience stress incontinence. Stress incontinence is the most common type of bladder control issue in older women, characterized by urine leakage when pressure is exerted on the bladder during activities like coughing, sneezing, laughing, or lifting heavy objects. This condition is often linked to physical changes resulting from factors such as pregnancy, childbirth, or menopause, where weakened pelvic muscles struggle to hold back urine effectively.

    Frequently asked questions

    What are the issues that concern women the most?

    It's undeniable that women face a myriad of challenges as they navigate different stages of life, and these concerns often revolve around hormonal changes that impact both physical and emotional well-being.

    One significant issue that many women grapple with is skin dryness and thinning, particularly during menopause. As estrogen levels decline, the skin loses its plumpness and hydration, leading to the emergence of wrinkles, fine lines, and increased pore visibility. The integrity of the skin is crucial when addressing anti-ageing signs during menopause. Maintaining skin integrity through proper hydration, moisturisation, and protection from sun exposure is vital in managing the visible signs of ageing during menopause. Additionally, the loss of collagen and skin integrity further exacerbates these changes, contributing to sagging skin and decreased facial volume.

    Beyond skin concerns, menopausal symptoms like hot flashes, night sweats and vaginal dryness can significantly impact daily life and intimate relationships. These experiences can leave women feeling uncomfortable and disconnected from their bodies, but it's essential to remember that seeking support and understanding is a vital part of the journey.

    How does hormonal decline during menopause contribute to an increased risk of obstructive sleep apnea (OSA) in women, and what are the potential implications for overall health and well-being?

    Insomnia I understand the struggles of navigating menopause firsthand, having delved into extensive research over the past decade to find solutions. The crucial foundation of health to optimize is sleep, and if your partner mentions snoring or you wake up feeling exhausted it's worth investigating further. Personally, I had to confront the problem of obstructive sleep apnea, which was wreaking havoc on my sleep and overall health. Obstructive sleep apnea (OSA) is a significant concern for menopausal women, with research showing its increased prevalence and severity in this demographic. Even with comparable body weight, post-menopausal women face a higher risk of OSA. The impact of OSA on various aspects of life can be substantial. Together, let's navigate this transformative phase with strength and resilience.

    As women go through menopause, they are more likely to suffer from obstructive sleep apnea (OSA) due to hormonal changes. Estrogen and progesterone, which help regulate weight, libido, and airway muscle function, decline during perimenopause and reach their lowest levels in full menopause. This hormonal decline can lead to an increased risk of developing sleep apnea in women. Additionally, anatomical changes in the upper airway after menopause, such as increased weight gain and altered body composition, contribute to a higher prevalence of OSA in postmenopausal women compared to premenopausal females. The combination of hormonal fluctuations and physical changes makes women more susceptible to OSA during and after menopause.

    What about urinary incontinence and low libido?

    During menopause, women may experience urinary incontinence due to various factors related to hormonal changes and physical effects on the pelvic floor muscles and bladder. The decline in estrogen levels during menopause weakens the muscles and tissues in the pelvic area, including those supporting the bladder and urethra, leading to urinary incontinence. Additionally, the loss of estrogen can cause vaginal dryness and thinning, affecting the urinary tract and increasing the risk of urinary tract infections.

    Furthermore, as women age, the bladder becomes less elastic, making it more difficult to stretch and causing an overactive bladder that leads to more frequent urination. Weight gain during menopause can strain the pelvic floor muscles, contributing to stress incontinence, where leakage occurs during activities like coughing or sneezing. Other factors like nerve damage, certain medications, and chronic health conditions can also play a role in the development or worsening of urinary incontinence during menopause.

    Navigating intimate health concerns can be daunting, but rest assured, there are innovative solutions available to empower women on their journey to wellness. Intimate carboxytherapy and our Emsella chair, affectionately known as the "Kegel throne," represent a game- changing approach to addressing these issues. By harnessing the power of advanced technology and non-invasive treatments, we aim to provide women with effective and comfortable solutions for intimate wellness. Whether it's enhancing pelvic floor strength or rejuvenating intimate tissues, these therapies offer hope and confidence to women seeking to reclaim their vitality and well-being. With compassionate care and cutting-edge treatments, we're here to support you every step of the way on your path to intimate health and happiness.

    Is weight gain around the mid-section a common occurrence during menopause?

    Yes, it's worth noting that weight gain around the midsection is a prevalent phenomenon observed during the menopausal transition. This can be attributed to many factors, including hormonal fluctuations, alterations in body composition, and a decline in metabolic rate.

    How is stress incontinence manifested in menopausal women, and what are its primary triggers and contributing factors?

    Yes, menopausal women can experience stress incontinence. Stress incontinence is the most common type of bladder control issue in older women, characterized by urine leakage when pressure is exerted on the bladder during activities like coughing, sneezing, laughing, or lifting heavy objects. This condition is often linked to physical changes resulting from factors such as pregnancy, childbirth, or menopause, where weakened pelvic muscles struggle to hold back urine effectively.

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