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Menopause

Menopause webchat with Dr Rosemary Leonard - 1pm 10 August

(86 Posts)
Carigransnet (GNHQ) Mon 27-Jul-15 11:05:19

The symptoms - including hot flushes, insomnia, hair loss, osteoporosis, mood swings, joint problems, depression, palpitations - can last up to 14 years. And menopause can affect every aspect of life, from relationships to health to work and beyond. Yet many women report that their concerns are ignored or not taken seriously.

High time to find some answers to your worries - whether they are questions about HRT, treatment of symptoms or how to get the help you need from your GP.

We are delighted that Dr Rosemary Leonard will be joining us at 1pm on Monday 10 August to answer your questions - so do add them to the thread.

Menopause is an area of special interest for Dr Rosemary, who practices as a part-time GP partner in South London. Her work as a consultant to national television, radio and newspapers makes her one of the country’s best-known doctors. She is the resident doctor on BBC Breakfast, and also writes a weekly page for the Daily Express and a weekly column in “S” magazine. She is the medical editor and regular feature writer for Woman and Home Magazine, and also writes for Tesco Healthy Living Magazine.

Rosemary was awarded an M.B.E. for her services to healthcare in the New Year’s Honours List, 2004, and is currently writing her next book, due to be published next year.

DrRosemaryLeonard Mon 10-Aug-15 13:22:41

Pittcity

I am almost 53 and believe that I am perimenopausal. My periods are still regular but they are heavier than ever and the PMT has worsened considerably. I keep a diary and the symptoms are the same every 4 weeks. At present I can cope with extra rest, ibuprofen and super plus tampons. Do I need to consult my GP? I am not good at taking medication, even vitamins make me ill so I would prefer to go it alone.
Surely this is just a natural part of life and not an illness.

Many women notice that their periods change in the run up to the menopause. In particular, their cycle shortens, so instead of having a period once every 28 days, it shortens to once every 25 days. However, this situation can go on for many years. The real sign that you're in the change is a hopelessly erratic cycle, missing periods and then having two in a row. At the moment, it doesn't sound as if you are there yet, but your heavy periods could be making you anaemic. You say you are not good at taking medication, but tranexamic acid can reduce period blood flow and only needs to be taken on the heavy days. It may be worth talking to your GP about this.

DrRosemaryLeonard Mon 10-Aug-15 13:18:34

marmitetoast

Hi Dr Rosemary, I am 52 and I have a mirena coil which means I have no periods - so I can’t use their absence/lightening to ascertain whether or not I am menopausal. In the absence of any bleeding what signs should I looks for?

Mirena coils are great because they can help control the menstrual chaos that can occur at around the time of the change. They slowly release progesterone into the womb lining, which thins it dramatically and this often means no periods. But of course the downside to this, as you have discovered, is that you do not necessarily know when you are going through the change. Flushes, sweats and mood swings can be a giveaway, but lots of women don't actually get these. The average age of the menopause is 51 in the UK, so the chances are you are now menopausal. However, before you have the coil removed, I suggest you have a blood test to check your hormone levels, especially your FSH level. If this is above 50 then you're almost certainly safe to have the coil removed.

DrRosemaryLeonard Mon 10-Aug-15 13:15:00

Belleringer

Hi Deny - i found my hair got very thin when I was in my late 50s but a blood test showed my iron reserves were very low. Obviously this won't always be the cause of thinning hair but it might be worth getting checked.

My big problem now is hot flushes - I can control them with a low dose of HRT, but I just cannot wean myself off it. I had to come off cold turkey when I had an op last year and thought that would be the ideal time to give up, but after 6 weeks I was ready to jump off the nearest bridge and went back on in desperation. The relief was indescribable. I'd rather run the small risk of something nasty developing than live my life going from drenching sweats to chilled and nauseous every 15 minutes.

There have, perhaps not surprisingly, been more questions about flushes than anything else. Even now the exact cause of flushes in the menopause is not known, but it's thought that the brain's internal thermostat becomes much more sensitive to minute changes in the outside temperature, or in your own body temperature as a result of stress. Some women never have any flushes and others continue having them for years and years. Another common pattern is to sweat far more during exercise, than before. It's as if the body just can't adapt so well. The best treatment for flushes and sweats is HRT, but though this is no longer thought to be the real baddie it once was, even pro-HRT doctors like me are reluctant to prescribe it once you're past your mid-sixties. The increased risk of breast cancer and stroke just make it medically inadvisable. If you are on HRT, then it is very important to come off it very slowly so your body can adapt to not having oestrogen again.

A good alternative to HRT is SSRI and SNRI anti-depressants. They seem to stabilise the brain thermostat in some way. When I suggest these drugs I am commonly met with the response "but I'm not depressed", but the thing to remember is that they are being used for another reason. They are not addictive - there's no compulsion to take an extra dose - but like HRT, you need to come off them slowly to avoid dizzy spells and electric shock sensations in your fingers.

DrRosemaryLeonard Mon 10-Aug-15 13:08:19

Deny

I am experiencing Hair loss and have about 4 bald patches. I didn't know that the Menopause could be a cause of this and I am in the Menopause now................
Can anything be done to sort this out?
It is making me lack confidence and is getting me down a lot..........

Thanks
Denise

While we're on the subject of hair, some thinning of scalp hair does happen gradually after the menopause. The reason for this is that testosterone, which is produced by the adrenal glands, becomes the dominant hormone in the absence of oestrogen. This leads to slight male pattern-type balding and also the unwelcome appearance of that fuzz on your upper lip. However, hormones cannot be blamed for bald patches. These are more often due to an auto immune disorder where your own immune system attacks hair follicles. I suggest you see your GP.

DrRosemaryLeonard Mon 10-Aug-15 13:05:43

Judi123

I asked for HRT and was refused I'm 62. Being so so tired all the time I gave up work and am living off savings. Still get the odd hot flush, still tired. My question is as follows; most of my pubic hair has disappeared as has underarm hair, head hair is thin and sparse, is this normal?
I take 50mg thyroxine daily 25mg alternate days, and 10mg of citalopram daily, like the lady ready to jump off a bridge I too feel there is nothing in life but eat, sleep and drag this body around.

Yours is one of many posts about loss of pubic hair after the menopause - oh, how I wish we talked about this more. In the same way that secondary sexual hair grow at the time of puberty, especially armpits and pubic hair, when oestrogen levels fall at the menopause, so secondary sexual hair thins. This happens to all older women, but because we don't talk about it, it always seems to come as a shock. It's just a normal part of ageing. The good side of course, is that you won't need to shave your armpits quite so often and you won't need a trip to the beauty salon to get a Brazilian before your holiday!

Tiredness can have lots of different causes. One of them is an underactive thyroid but it sounds as if your doctor is controlling your replacement dose very well. I see that you are on citalopram, which is an anti-depressant and it may be that your tiredness is linked to your underlying mood. But, that said, it would be worthwhile having blood tests done to check you are not anaemic and also, your vitamin D levels.

CariGransnet (GNHQ) Mon 10-Aug-15 13:00:21

Dr Rosemary is here and ready to answer your questions - so without further ado....

Yofab Mon 10-Aug-15 10:26:50

I'm 64 and went on HRT in my 40s after having my womb removed. In the last two years I have gradually diminished and now stopped all HRT. I now find myself loosing my hair (I am not anaemic as I have had blood tests) but have grown a great deal of facial hair which I find quite distressing. What , if anything, should I do?

cullenskink Mon 10-Aug-15 10:25:15

I am 51 and apart from a lower back problem after an accident I am fit, healthy and active. I have had a mirena coil since October 2014. For the first three months I had continual pain and bleeding and since Christmas no bleeding at all. However for the last few months I have been suffering from period-type pains. Not severe and not constant but often and annoying.

I regularly find myself stopping to do something like drying my hands, taking stock and realising the pain is still there. As I say - it's not severe but it's definitely there. Heat helps.

About three weeks ago I also started getting what I would describe as bad PMT symptoms. Excruciating breast pain (taking my bra off would have me in tears) which lasted about a week. Bloating, fatigue. moodiness, food cravings which have been ongoing on and off. I am definitely not pregnant! So I am wondering - is the pain because of my back (referred?), a bowel issue (sometimes it seems to go deep into my buttocks although this isn;t all the time) or is it, as I assume because of the second list of symptoms, hormonal - in which case is it likely to be down to the coil or the menopause? Apologies for the length of this question but I would be grateful for your opinion.

Forgetful53 Sun 09-Aug-15 22:46:39

Hello I wondered how long surgical menopause with no HRT lasted? Mine is still going strong eight years after having my ovaries out. I don't take anything just put up with it.

Thanks

busybee6969 Sun 09-Aug-15 21:53:00

aged 42 I used to flood every period, I was fed up and weak , I had womb microwaved, then I have a 2 day dribble regularly every month its great, now aged 48 , more hair on face seem to sweat a lot it can pour off me on face, head and neck, am I getting near menopause,my little periods are still regular as clock wise though

GrammaYvonne Thu 06-Aug-15 14:42:44

I started with a Mirena coil to control bleeding, but that didn't stop the onset of the flushes, clumsiness, mood swings, irritability and general lack of concentration. That was at 45. Some I put down to stress of a divorce, but after 5 years getting worse got onto HRT via Systen patches, and everything improved markedly. However Doc would not let me remain on them beyond 4 years and switched to Liviol for a year before phasing that out too. I'm better than I was 6 years ago, and no bleed, but gained weight, much less energy and still need to wear cotton, no high necklines, layers than can be taken off in a hurry. Like Gardenmoma, there's a shot of adrenaline just before the flush, enough to wake me up, and some nausea. I've tried modifying diet (Eat to Beat the Menopause - but Noni I will try cutting dairy), more exercise, reduced my hours at work to part time, on 10mg Citalopram to even out the mood swings, but I'd be very happy to go back onto HRT, even given the risks.
One comforting thing is that at the same age (when I was only in my 20s), I thought my mother was "a bit thick", seemed to be one topic behind in the conversation and a few other odd things, and I was surprised later on, when in her 60's, at what an intelligent woman she had become. In hindsight, she was just where I am now.

hildajenniJ Thu 06-Aug-15 14:39:04

My periods finished when I was 53, exactly forty years after my first one at 13. I am now 63 and have been having hot flushes, night sweats and joint pain for ten years. Recently, I have noticed that the symptoms mentioned above are becoming intermittent. I can now go for a few days without them. Do you think that I am nearing the end of the menopause? I sincerely hope so!

Falconbird Thu 06-Aug-15 13:22:21

I reached the menopause at 54 and was very happy. smile

However along with the freedom came hair thinning. At the time I was having a lot of cap highlights and some people say this caused my hair to thin. My mum also had thinning hair after reaching the menopause - so was my thin hair, hereditary, due to hair treatments or a combination of all three, or was it just due to lack of oestrogen. My guess is it is hereditary lack of oestrogen but I'd like to know for sure. Thanks.

mummsymags Thu 06-Aug-15 12:33:43

This is why GN is such a great site....we suffer in silence and isolation until we discover we are not alone!
My sympathies to everyone who is suffering to a greater or lesser degree and I do hope Dr Leonard can shed some light on how these symptoms can be better managed - by us and by the medical profession.
I no longer suffer menopause symptoms but even all these years later it chills my blood to recall how debilitating they were and how, sometimes, I felt that life was hardly worth living in that state.
These days I feel positive and glad to be alive, despite having cancer for the third time, so make no mistake - these are not just women's moans!

Sadiesnan Tue 04-Aug-15 21:12:54

I can't take HRT as I have Factor V Leiden and have also had a Granulosa Cell Tumour removed. Is there anything else that can help with joint pain and insomnia?

Badenkate Sat 01-Aug-15 12:08:59

Reading through these messages, I do feel for all of you. But perhaps, just to even the balance and not frighten the ( you know what) out of those who may be just heading into the menopause, let me tell you my experience.
I started the menopause around 50 after having several years of increasingly heavy periods - you know the sort, when you get the super plus tampons and you still daren't go far from a toilet for 2 days. Then I started to miss months and they were lighter. I had some hot flushes, but mine were more like the sort you get if you're very embarrassed with a bit of sweat. The dr persuaded me to try HRT tablets, but when I had a break after 6 months (and another period) I said "blow this" and haven't taken any since. My 'symptoms' were minor hot flushes which carried on very infrequently for about 10 years, freedom (oh how I rejoiced) from periods, disappearance of tbe sinus headaches which came at least every month, my hair (which lost none of its thickness) went from dead straight to a gentle wave, no sign of brittle bones - life is GREAT.

greatmum Fri 31-Jul-15 21:35:18

It is comforting that I am not alone suffering, its not all in my head! Or make belief! I was in my 30s when I first had a hot flush, I woke up absolutely drenched in sweat , my whole body was running with water -the bed under and sheets around me were soaked too!
I was so frightened! As I was so wet and it was winter - very cold, I didn't want to get out for fear of catching a chill!
I tried waking my hubby , but he just muttered yes and turned over! I laid there in the wet for hours , this happened irregularly over 7 yrs but still thinking I was dying of some slow killer!
Eventually I went to Dr , because now I was losing my mind and memory as well as frequent flushes! He gave me veg: hrt! And it seemed just the next day things were better!
I have been on them ever since , though the type was changed twice, and apart from accidents and short spells when I didn't take them! They have been a life saver ! But my hair is recently thinning and I have a shaky hand also cravings for buttery and sweet things, thinking I might be on verge of diabetes?
I am trying hard to contain these two cravings.
My problem on seeing Dr. Is my deafness !

Mamar2 Fri 31-Jul-15 13:10:20

By chance I was speaking to a woman waiting for a hospital appointment. I was fanning myself & she said 'I know exactly how you feel'. I said I doubted it, because seconds before a hot flush I have a feeling in my stomach like going down in a lift where there's no break. A dark feeling comes over me like someone's just told me I'm going to die. The feeling of DOOM is almost unbearable.

I get through it by repeating (in my mind) 'this will pass, this will pass etc' until it does. She beamed....not the response I expected, saying she experiences that too. We were both thrilled to have met someone else who experiences the same thing. It's extremely upsetting & frightening.

Diny Thu 30-Jul-15 08:51:18

Reading all these have made me feel a little better knowing I am not on my own. I started menopause at the age of 47. Had a hysterectomy at 48 and was put on HRT. My GP told me after 10 years (this was dec 2013) that I had to stop with it as I had been on it for a long time. Since then I have had the flushes during the day and even worse at night. I have tried all the herbal remedies to no avail. My hair is very thin and on top of that because of the sweating never looks good. It is awful as so many of you have already said. There is very little understanding for it as it is just the menopause and most of the time people think it is something to joke about.

granjura Wed 29-Jul-15 19:24:47

So many questions - you will be kept busy ;)

What do you think of the comment, oft heard, including on EF, that a doctor (especially a female doctor) is being 'totally unsympathetic' because s/he is reluctant to rpescribe HRT or tries to wean a patient over 60 off HRT? Or are they doing their job properly in many instances. EG, is it sometimes 'being cruel to be kind' or safe? Thanks.

Anzza Tue 28-Jul-15 22:39:29

I've been suffering from hot flushes for six years. I'm 56 and my periods stopped four years ago. HRT was a non starter, they made best friends with my Migraine.. Although the Menopause itself has not worsened the Migraine, I find the explosion of heat and night sweats debilitating.. I have quite severe joint pain, constantly sore vagina ( anybody else have this?)and feel very lethargic. I watch my sugar intake- which helps, and I exercise every day,this also is a feel better factor. I have had all the gynaecological tests- all negative..needless to say,sex for me is purely marriage maintenance .. ...( my poor husband!) I've been diagnosed with lupus, but couldn't these symptoms be purely Menopausal?

cupcake1 Tue 28-Jul-15 16:47:17

I can so relate to you Pumpkin123 (apart from eating the soya beans) I was actually wondering if I was on the road to dementia and although 10 years older than you my sex drive vanished and, like you, I am lucky in having an understanding husband but I feel cheated that just because I am no longer of child bearing age my 'happy' hormones have deserted me. Sex can be painful and all the creams advertised to assist in the 'dryness' leave me more deflated than ever. blush I feel too embarrassed to talk to my GP and just suffer in silence sad

My armpit hair is gone too - think its all being transferred to my chin!

grandmasheila Tue 28-Jul-15 14:35:22

Someone has recommended Mexican Yam to me to relieve symptoms. I have family history of breast cancer so can't (don't want to ) take HRT but are remedies like Mexican Yam just more "natural" and potentially less tested versions of the same hormones?
Cheeky second question is there anything you can do in perimenopause to lessen the symptoms/ effects of menopause?
Many thanks and so glad someone is talking about this!!

Pumpkin123 Tue 28-Jul-15 12:11:38

For those suffering with hot flushes try eating soya beans. I soak them dry them and then roast till crisp. Having 3 or 4 small handfuls a day has greatly reduced my hot flushes. I read somewhere that Asian women who eat a lot of soya don't get hot flushes.

My main symptoms are tiredness, struggling to remember things and feeling more anxious than I used to. Can't believe I ever managed to multitask.

I am 51 and have zero libido. Does that ever come back ?My husband is brilliant and we have a good relationship but I can't imagine ever wanting sex again.is it a case that for some women / couples a sexless marriage is the way forward and other aspects of the relationship become more important?

Also my armpit hair has vanished.

Teetime Tue 28-Jul-15 09:16:51

Just a simple question - how long can I stay on Tibolone please. I have been on it for 10 years well tolerated BP OK. It controls my terrible continous night hot flushes and to an extent mild depression. A trial without I 18 months ago was a nightmare. Thank you.