Although change is often challenging, many women find menopause a time for reflection and inspiration. It is a time to re-evaluate priorities and goals. Approaching menopause with a positive attitude can make all the difference in the world. There is great evidence that positive thinking can make dramatic changes in physical symptoms, reducing hot flashes, insomnia and pain.

Understanding the process of menopause may help women develop a strategy for coping with natural body changes. Natural menopause is officially diagnosed after 12 months without a menstrual period for which there is no other medical cause. Menopause marks the permanent end of menstruation and fertility. It is a normal, natural event associated with reduced functioning of the ovaries, resulting in lower levels of ovarian hormones or estrogen. The average age range of menopause is 48-55. It is also worth noting that the physical signs of menopause may begin years before the final menstrual period. This menopause transition phase is called perimenopause that literally means “around menopause.” It can last six years or more, and ends one year after the final menstrual period. In addition to irregular menstrual periods, some women experience symptoms of hot flashes, difficulty sleeping and vaginal dryness. The physical symptoms that go along with menopause may make some women feel crazy. These physical changes happen at a time of life when women are often going through many other life changes. Children may be leaving home, aging parents may need care, and career plans may include retirement are just a few of life’s scenarios that could simultaneously occur during menopause.
The severity of symptoms and women’s reactions to them vary considerably.

Moving from the physical to the psychological effects of menopause, there is no firm evidence that memory or other cognitive skills decline because of menopause. However, difficulty remembering and concentrating are common complaints during perimenopause and the years right after menopause. More research is needed to determine the causes of these complaints. Remaining physically, socially and mentally active may help prevent memory loss. Women who are concerned about declining cognitive performance are advised to consult with their healthcare provider.

Even though there is a popular public perception that menopause contributes to clinical depression, severe anxiety or erratic behavior there is very little scientific evidence to support this. Some perimenopausal women report symptoms of tearfulness, mood swings, and feeling blue or discouraged that may or may not be related to the gradual decline in hormone levels. Once again, it is important for women to consult with a healthcare provider to help determine the cause of mental health stressors, assess options and prescribe appropriate treatment when needed.

There is also a widely held belief that women in their 40s and 50s gain weight because of menopause. Actually, that is not entirely true. Midlife weight gain appears to be mostly related to aging and lifestyle. In general, fewer calories are needed after midlife because less energy is expended. The bottom line is middle-aged women can avoid weight gain by proper diet and exercise.

Feel free to join the free menopause support group that is being held monthly at the Henry Ford Medical Center- Fairlane (Hubbard and Evergreen) in Dearborn. It is an informative and light-hearted look at the physical, mental and emotional issues surrounding menopause.

For more information and to register, call 1-800-HENRY FORD (800-436-7936).