Hot Flashes

Hormone replacement therapy can help relieve hot flashes, but many women prefer to try a more natural approach first. Some researchers believe that a diet high in soy products can help prevent hot flashes. Alcohol, spicy foods, hot beverages, tobacco, marijuana, hot baths, and stress are identified as triggers for hot flashes. A well-balanced diet with adequate amounts of B and C vitamins, calcium and magnesium is recommended. As usual, we are advised to avoid caffeine, alcohol and spicy foods. Many women find that regular aerobic exercise can reduce or eliminate hot flashes. Breathing exercises can also be helpful. It may help to wear layered clothing that can be easily adjusted, drink plenty of cold water, take a tepid shower before bedtime, and sleeping a cool room.

Menstrual irregularities

Heavy bleeding is common during perimenopause. It can lead to other problems, such as anemia, and it may be a symptom of other ailments, such as fibroids. If you are experiencing heavy, prolonged periods, you should see your doctor to find out the cause. Sometimes a D & C (dilation and curettage) is used as a treatment for heavy bleeding. In the past, hysterectomy was often used to put an end to the bleeding, and it is still recommended by some doctors. A newer procedure, called endometrial ablation, may be helpful. (Be aware that both hysterectomy and endometrial ablation eliminate the ability to get pregnant.) Non-surgical approaches involve the use of birth control pills or hormone therapy to regulate the menstrual cycle. Women with excessive bleeding are advised to avoid medications that can promote bleeding, such as aspirin, vitamin E (in high doses), and garlic pills. Heat can also increase bleeding, so it’s a good idea to avoid hot baths and heating pads at this time.

Vaginal/Urinary tract

If you are having problems with frequent urination or incontinence, it is important to have a medical examination to determine the cause. Bladder control problems can be caused by a number of different medical conditions, such as bladder or kidney infections, nerve damage, weak muscles, and the side effects of medications. Limiting or eliminating caffeine and alcohol can help with the problem. However, do not reduce your intake of water unless your doctor advises you to do so. Reducing your water consumption can actually make bladder and kidney problems worse. Dehydration can lead to health problems that have serious consequences. Often, learning some simple exercises can strengthen the muscles and retrain the bladder. In some cases, surgery may be recommended. There are also medications that can help with some kinds of bladder control problems.

Vaginal dryness can often be treated fairly simply with lubricants and non-irritating creams or oils. Vaginal creams containing estrogen are also available, and there is now an estrogen ring that can be inserted like a diaphragm. Other forms of hormone therapy may also alleviate this condition.