Irregular Periods During Perimenopause

One of the first symptoms you may notice during perimenopause is irregular periods.

I was on birth control pills so I did not experience irregular periods. But for those of you not on birth control pills, noticing a change in your period may be an indication you are perimenopausal.

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Interview with Dr. Wendy Klein, leading menopause expert and co-author of The Menopause Makeover

Staness: What is one of the first symptoms of perimenopause?

Dr. Klein: The hallmark of perimenopause, which is the phase prior to menopause, is irregularity. We all grow up thinking that when you enter the change of life and become menopausal, your periods just stop. That is not the case.

What happens is your periods start to become irregular. You can have too many periods, you can have too few, you may skip a period and then get regular again, and you may skip a few periods. You may think, “oh my, I am in menopause,” and suddenly your period comes back again.

Staness: Why does this happen?

Dr. Klein: Prior to menopause your periods are usually very regular. The amount of hormone that you are producing is very regular and predictable. However, as you approach menopause, entering the perimenopausal phase, the ovaries are unpredictable. You will have months when you don’t ovulate, and that causes irregular bleeding.

Staness: How long does period irregularity last?

Dr. Klein: How long that lasts is highly individual. Could be a year, could be two years, could be three years and that is all normal variation. I like to say that the ovaries are stuttering. You don’t always ovulate and your previous hormonal milieu begins to change.

Eventually you will experience fewer periods and finally your periods will stop. You are not officially in menopause until you have skipped 12 consecutive periods.

Staness: How does a woman know her periods are irregular?

Dr. Klein: You may get too many periods. You may get too few. You may skip them. The bleeding may become heavier, or it can become lighter.

Staness: What should a perimenopausal woman with irregular periods do?

Dr. Klein: Well the easiest thing to do is keep track of your periods. Write them down in the your calendar and track them. Keep a record of when you are having your periods and what your symptoms are, so when you visit your clinician you can discuss the changes using actual dates.

If you are troubled by irregular periods, you can discuss the option of low dose birth control pills. This can help with regulation, with excessive flow, and also with contraception.

One of the issues of which you should be aware is that even in perimenopause you can still become pregnant and since your periods are not regular you have an increased risk of unintended pregnancy. Birth control is still necessary as long as you continue to ovulate, even if you are irregular.

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Menopause is a normal and natural part of a woman’s life. Arm yourself with knowledge, build a strong relationship with your clinician and manage your menopause empowered.

Happiness Exercise

Happiness and exercise may seem like an odd combination of words. Shouldn’t we just be happy or not be happy?

During menopause I discovered happiness was going to be an exercise. I had to practice being happy. Being consumed by hourly hot flashes, cranky moods, itchy skin and sleepless from night sweats, being happy was not on my to-do list. It was a full time job just managing these menopause symptoms. Additionally, I had to learn how to eat and exercise differently, and adjust my skin care regime. I was definitely NOT happy about these changes. As I developed the Menopause Makeover 8-step, 12-week plan I had to add “happiness” to the menopause checklist.

According to NationMaster.com, Americans ranked number 13 on the national scale of happiness, and Canada ranked number 17. Iceland, Sweden and Denmark ranked the top three happiest nations. Hmm, what does that say about women in the United States and Canada? Perhaps, we are too busy taking care of our home, family, finances and career. Maybe the new world of instant communication moves too fast? With emails, the inter-net, and cell phones is there any down time?

For the many, happiness is the ultimate goal.

How do you find happiness?

1. Slow down and think about it!
2. Ask yourself what makes me happy, and make a list.
3. Look at your list and ask yourself why are these things missing from my life?
4. Make a commitment to work on the things you can change that have blocked your happiness.
5. Every week take one “happiness item” from your list and set a goal to make it happen.

Before you know it, you the things that make you happy will be happening!

Just like exercise, you must incorporate it into your life daily! You must exercise your happiness muscle!

Finding happiness requires a commitment to change. It isn’t always easy incorporating change into your life, but with practice it will get easier – just like exercise.

Exercise happiness daily!

Will your marriage survive menopause?

Over 60 percent of divorces are initiated by women in their 40s, 50s or 60s — the menopause years — according to a recent survey conducted by AARP Magazine. Why are women running away from marriage?

I wasn’t even married when I slammed into menopause months before my wedding day at the age of 47. Despite being completely in love, I almost ran away and my fiance almost married bridezella!

Experts say the number one reason for divorce is lack of communication. My response from the ladies corner, “When everything you know to be normal is being kidnapped by changing hormones, communication may be last on the list. Throw in lifestyle changes, health and aging issues, and you are left in a small evaporating puddle of low self-esteem feeling hopeless.”

Many men blame lack of sex as the leading reason for midlife divorce. But is it? AARP poled 1,682 adults ages 45 and older on the importance of sex. Two-thirds of men (66 percent) and about half of women (48 percent) agreed that a satisfying sex life was important to their quality of life. That is only an 18 percent difference. So is it lack of sex, or a breakdown in communication chasing the women away?

Navigating a course in uncharted territory can test any relationship emotionally and sexually. It can also bring a couple closer — it did for me.

Purchasing midlife marriage insurance can help combat the unforeseen hazards during the menopause transition. How do you qualify for this love insurance? The first step is to understand how menopause can affect your love life.

Ladies first.

Menopause is a life transition that can affect you physically and emotionally. Your body is experiencing fluctuating hormones that can cause hot flashes, night sweats, itchy skin, migraine headaches, breast tenderness, vaginal dryness and irregular periods. Eighty percent of women will experience uncomfortable symptoms, and the majority struggle with midlife weight gain.

Many women feel unattractive going through so many uninvited changes. Some suffer from exhaustion, depression and moodiness leaving them feeling isolated and confused.

During menopause a woman’s brain also goes through changes. Dr. Louann Brizendine (author of The Female Brain) says, “The mommy brain unplugs. Menopause means the end of the hormones that have boosted communication circuits, emotion circuits, the drive to tend and care, and the urge to avoid conflict at all costs.”
There are additional factors on top of fluctuating hormones that may contribute to a lack of communication and interest in sex.

Dr. Wendy Klein, co-author of The Menopause Makeover and leading menopause expert, informed me, “If a woman is taking medications, such as antidepressants, mood stabilizers, contraceptive drugs, antihistamines, sedatives, antihypertensives and/or medications for blood pressure, this can also decrease sexual desire.”

Midlife stresses brought on by career change, the loss of a loved one, empty nest syndrome or caring for elderly parents can contribute to a declining libido.

Throw in aging issues and the last thing on a menopausal woman’s mind is communicating. This woman is in self-survival mode, and may be in no mood to connect or make whoopi.

If she is in an unsupported relationship while managing this collection of changes, leaving the marriage may appear like her only salvation.

Gentlemen — your turn.

How many factors listed above is your partner experiencing? It is no surprise why men are afraid of menopause. His woman is changing in front of his eyes.

Women are not alone suffering from changes. Men also have midlife challenges, both physically and emotionally. Declining testosterone can affect libido, moods and sexual performance. Generally a man’s hormones change gradually compared to the woman’s experience during menopause, so it may not be obvious to the man that he too is changing. Some of these unwelcomed changes may include midlife stress, as well as health and aging issues. If both partners are experiencing change, the relationship may be on an emotional roller coaster.

Approximately 47 percent of women experience sexual difficulties with a decrease of sexual desire being the most common, according to the National Health and Social Survey and the Global Study of Sexual Attitudes and Behaviors.

It is no surprise that most men associate menopause with having less sex. But, it does not have to be this way. The man can actually help save a shaky midlife marriage with some handy tools to power charge the relationship. Women who have a supportive partner often have a smoother transition through menopause. When she is happy, he is happy.

Acquiring midlife marriage insurance takes action to make a difference.

Midlife Marriage Insurance For Him
1. Listen to her; don’t criticize or try to fix her.
2. Go with the flow; be prepared for mood swings.
3. Be compassionate, and validate her experience (that means agree with her, don’t try to fix her).
4. Be romantic. Bring her flowers for no reason. Make her dinner. Give her a massage. Make it about HER.
5. Cuddle more. Tell her you love her and that she is beautiful. You may just get lucky. If not, do not take it personally.
6. If YOU are not in the mood, keep her company shopping, she will love the company
7. Support healthy eating and exercise choices. Join her for a walk or go on a hunting expedition at the grocery store to find new healthy foods.
8. Don’t ignore her menopause symptoms. Talk about it. Ask her what she needs to feel better.
9. Offer support if she needs to visit her healthcare provider to discuss menopause symptoms, a low libido or depression.
10. If numbers one through nine fail – disappear for a while. She may be seriously cranky and need space to focus on herself.

Success depends on going through this transition as a team! Both partners must contribute to have a successful marriage.

Midlife Marriage Insurance For Her
1. Track menopause symptoms and discuss treatment options with your healthcare provider.
2. Make a commitment to a healthy lifestyle. Exercise most days of the week. Eat nutritious meals. Watch portions.
3. Update your beauty regimen.
4. Build a support group.
5. Communicate with your partner. Don’t shut him out – let him know what you need. Understand he may be confused by your changes.
6. If you are not happy in your current relationship, discuss counseling.
7. Be receptive to creative adjustments in lovemaking activities.
8. If your libido is low and/or you are suffering from vaginal dryness, discuss your treatment options with your healthcare practitioner. There are hormone and non-hormone options available.
9. Pamper yourself.
10. Try to stay positive.

Communicate, support each other’s needs, get counseling if needed, add romance, adjust lovemaking activities, and your odds increase that your marriage will survive menopause. Being on the same team will nourish a healthy, loving relationship that can last a lifetime.

Life is constantly changing, and marriage is no different. Have real expectations, and acknowledge that your relationship goes through transitions. This will help you weather difficult times.

Midlife is an opportunity for both men and women. If you are prepared, informed and willing, your marriage can survive menopause. A loving relationship supported with good communication can strengthen your love life at any age.

This menopausal bride made it down the aisle of love. Both my partner and I said “I do” to communication and romance during menopause. We are still happily married five years later and ready to leap over the seven-year itch together.

References
Montenegro, X. The Divorce Experience: A Study of Divorce at Midlife and Beyond. AARP, May 2004.
Brizendine, L. The Female Brain. New York: Broadway Books; 2006.
Jonekos, S. and W. Klein. The Menopause Makeover. Ontario, Canada: Harlequin Enterprises; 2009.

How To Maximize Your Workout

Are you exercising at your target heart rate?

Once you commit to an exercise regime, your secret weapon is utilizing your target heart rate ensuring an effective workout. The target heart rate (THR) is your pulse rate per minute, and it can guide you through safely exercising while maximizing your routine.

What is your target heart rate? Click here.

Wear a heart rate monitor when exercising to track your target heart rate. During cardio sessions your target heart rate range should be between 60% (fitness zone) and 80% (aerobic zone) of your maximum heart rate. Monitoring your target heart rate is a great way to make sure you are pushing yourself hard enough to get the fat burning and cardio results you want.

Set goals using your target heart rate. Pace yourself if you have been inactive. If you are not at 60% of your target heart rate, push a little harder and watch your fitness level improve. Within six months of regular exercise you may be able to exercise at 80% of your maximum heart rate.

Always discuss your exercise choices with your healthcare provider. Click here for more information.

How exfoliation can erase years off your face

In with the new, out with the old

Mirror, mirror on the wall, who’s the fairest of them at? Well lately – NOT ME!

With the list of menopause symptoms getting longer each month, now my make-up is making me look older. The one time in my life that I want to “hide” behind a full face of make-up hoping age won’t find me, just isn’t working any more. The fine lines on my face and neck are just getting deeper, no thanks to the lower levels of estrogen in my body. Applying make-up and light powder just makes the lines just look worse. It has gotten so bad that my husband suggested I not wear make-up at all. This story has a happy ending, and it doesn’t involve going to a plastic surgeon. Theresa, a dear friend and beauty consultant, suggested exfoliation. Once I started a weekly program of exfoliation, I immediately looked years younger.

Every 28 days skin renews itself leaving your skin with a fresh layer of baby cells. As we get older this shedding process, called desquamation, slows down leaving us with fine lines, dry areas and an uneven skin texture. Make-up can really accentuate this dilemma.

Exfoliation stimulates new cell growth by removing the cells your body is no longer shedding. It helps your body with the desquamation process by stripping the dead epidermal cells on the outer surface of your skin and exposing a fresher layer of living cells. It takes a few days for a noticeable amount of dead cells to accumulate. It is best to exfoliate once or twice a week. You don’t want to irritate your skin or remove healthy living cells by doing it daily.

Benefits of Exfoliation

• Removes the top layer of dead cells, so the cells turn over at a faster rate revealing softer, smoother skin
• Improves the texture of your skin
• Helps reduce fine lines and wrinkles
• Un-clogs pores
• Makes your skin look healthier, fresher and more radiant
• Gives your skin a good base to absorb moisturizers and other skin products
• Boosts your circulation from the friction

Exfoliation can benefit the skin on your face, around your lips, neck, elbows, knees and feet. Lately I have noticed the skin on my heels starting to crack and the skin on my elbows seems thicker. This dilemma has improved as a result of exfoliating. For those of you who love self-tanning, exfoliation will be your new best friend. It is a great technique to blend around the feet, elbows and knees.

There are three different exfoliating methods.

Manual
Chemical
Enzyme

Manual exfoliation is moved across your skin’s surface using your fingers or buff puff. You are removing the dead cells by scraping off the top surface with physical friction. Many manufacturers use natural products such as seeds, apricot pits, or crushed oyster shells as the ingredient that causing friction. Some products use round beads or poly spheres that can be easier on the skin.

Chemical exfoliates are a topical bio engineered ingredient that can dissolve the glue like substance that holds the dead cells together. Most chemical exfoliates use either Alpha Hydroxy Acids or Beta Hydroxy Acids. This type of exfoliation is applied to the skin then rinsed off. You do not “scrub” to enjoy the benefits. The “chemical” does the work.

Enzymes work by dissolving the dead tissue. The enzymes are molecules that catalyze chemical reactions of other substances. The product is applied then washed off. You do not manually “scrub” your skin. The enzyme does the work for you.
You have three choices: manually scrub off the dead cells, dissolve the glue like substance that holds the dead cells together with chemicals or dissolve the dead tissue with enzymes. They all work equally well. I prefer to exfoliate manually because it feels good to scrub my face.

I was absolutely amazed at the results of such an inexpensive and simple process. Not only is my facial skin benefiting, but my elbows and feet are too. Exfoliation is my new anti-aging weapon.

Are you counting calories or nutritional value?

Counting calories helped me conquer the menopause bulge! Thanks to Dr. David Katz, director and co-founder of the Yale Prevention Research Center who created a nutritional scoring system called NuVal, I was able to watch calories and eat nutritious foods!

Dr. Katz, nutrition columnist to “O” Magazine and medical contributor for ABC News, created NuVal to make your life easier when making food selections. If you ask yourself “what are the healthiest breads, snack bars, cereals, and pastas,” then Dr. Katz has a solution for you.

Should you buy wheat or oatmeal bread? Are pretzels more nutritious than tortilla chips? These are the decisions that NuVal scores can help you make – in seconds – as you’re walking down the supermarket aisle. NuVal is currently in use in more than 525 supermarkets in 18 states. Click here for grocery store locations.

The Nuval Scoring System assigns the healthiness score to various food items on a scale from 1 to 100. The scale uses criteria like vitamins, minerals, antioxidants and healthy omega three fat content in the rating. Also, the system takes into account the sugar and cholesterol content of the food.

The Menopause Makeover supports good nutrition, and the NuVal scoring system can make your life easier when making food choices. Do you know the healthiest breads or salty snacks? You may be surprised. Click here for the scores of your favorite foods.

Recently, The American College of Preventive Medicine (ACPM), a leading organization of some of the country’s top physicians committed to preventing disease and promoting health, has officially endorsed the NuVal Nutritional Scoring System as an easy and effective way to help consumers learn about the foods they buy.

“When we created NuVal, our primary goal was to address the public health crisis related to food choices, including obesity and diabetes, with a simple solution that was accessible to everyone,” Dr. Katz said. “We feel we have created that in NuVal and are delighted to gain the acceptance of an organization that shares our passion for health promotion.”

It is never too late to improve your health with good nutrition.

NuVal takes all the guesswork out of identifying truly more nutritious food. When you are battling the menopause bulge, good nutrition is the ticket to good health.

NuVal is Menopause Makeover approved!

Perimenopausal Depression

Are you suffering from hopelessness, apprehension, and deep sadness for prolonged periods?

If so, you may be suffering from depression. During my menopause transition I felt blue for no reason at all. I could not snap out of it, and my friends and family were mystified.

Most perimenopausal women do not experience major depression, but many have symptoms of feeling depressed, stressed, and anxious.

If you are experiencing menopausal symptoms such as severe hot flashes and lack of sleep from night sweats, it may be causing you to feel depressed. Are you in a depressed mood and feeling sad, or are you suffering from clinical depression resulting from a chemical imbalance in the brain?

I recently teamed up with leading menopause expert and co-author of The Menopause Makeover, Dr. Wendy Klein, to get the latest scientific information on perimenopausal depression.

Perimenopause Depression Interview

Staness: What are the most common signs of depression?

Dr. Klein: The most common signs of depression are feeling sad, feeling worthless and losing interest in the things that normally engage you. Having no “get up and go,” you would rather sit on the couch doing nothing than get up and do something that would normally engage you. Other symptoms include the loss of libido, changes in appetite – too much or too little – feeling very sleepy and tired and fatigued, or having insomnia, not being able to sleep. A common sign of depression is a change in your normal habits.

A more serious symptom of depression is sustained loss of interest in things that you just can’t seem to break out of, which is called dysthymia. Things seem really bleak and you just can’t quite punch your way out of this paper bag of darkness and it lingers. If it lingers or if you have thoughts that are scary, such as wanting to give up or wanting to hurt yourself or even suicidal thoughts, you must talk to your clinician because there are things that can be done to help you.

Staness: What can cause these feelings of depression during menopause?

Dr. Klein: Depression is multi-factorial. There are many factors that can cause an increased risk for depression. If you have depression in your family, a prior history of depression, and even some medications can cause an increased risk of depression. Certain endocrine disorders, such as hypothyroidism, or other illnesses, such as chronic fatigue syndrome, are also associated with depression.

Depression is an illness that can be triggered by the chemicals in your brain. Serotonin regulates your moods. It is the “feel good” hormone. When serotonin levels drop you can experience extreme episodes of depression.

You also want to look at lifestyle stressors – a change in relationship, finances, loss of a loved one, caring for parents – and consider the many modalities of treatment that are available to help you.

You approach depression in menopause the same way that you would approach depression at any other time: you first want to rule out other medical causes, or other medications that might be contributing.

Staness: Many women live with daily stress and then throw in menopause and a few medications, and it is no surprise menopausal women may suffer from depression. What depression treatment options are available?

Dr. Klein: A number of options are available, including psychotherapy, and antidepressants and can assist you if you are suffering from depression.

There are degrees of depression. Mild depression, feeling blue or sad, can be dealt with cognitive therapy, psychotherapy, meditation, yoga, eating healthfully, and exercise. We know that exercise does boost your endorphins and can lift your mood. Also, engaging in new activities may help, such as making yourself take classes, making yourself get out and do things, and enlisting the support of your family and friends.

If you have lingering or worsening symptoms, you may need medication, because we know that depression can be a malfunction of your neurotransmitters, particularly serotonin, which is the feel good neurotransmitter. Medicines can be enormously helpful, although you will want to incorporate lifestyle changes as well.

In short, if someone is experiencing the signs or symptoms of depression, there are number of things you can do. Eating healthfully, exercising regularly, and seeking support from family and friends may help.

Also, you can engage in any activity that gives you a sense of achievement. It may be taking a class, taking up something new such as yoga, or trying the drawing class that you always wanted to take, or volunteering and getting outside yourself. All of these things are very useful.

If you are still feeling very stuck and sad, talk to your clinician so you can get a referral to a good psychotherapist. If you need medication, in the broader context of menopausal symptoms, there is some evidence that hormone therapy can augment treatment and help people who are on anti-depressants feel even better. That is a decision for you and your clinician.
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If you suffer from depression or someone you love is depressed, get support, visit your health care provider and discuss your options for treating depression.

For more information: MenopauseMakeover.com