Archive for the ‘Echo cardiogram’ Tag

The 34 Symptoms of Menopause – what they are and how to treat them   30 comments

MaryO’Note: Links are removed from this list


There’s been a list of the “34 signs of menopause” circulating for years. The list originated with Judy Bayliss’ wonderful newsgroup, The Menopaus Listserv (That’s Menopaus without the “e” at the end).

I’ve taken the liberty of adding my own Notes to the original list. You’ll find hundreds of articles pertaining to menopause symptoms, treatments and menopause / midlife-related health and emotional issues including articles on midlife relationships, weight and fitness issues, intimacy, psychological problems associated with menopause in Power Surge’s, “Educate Your Body” extensive library.

I suggest you begin with the comprehensive article explaining what menopause is: in “An Introduction To Menopause: Signs, Symptoms and Treatments”

You’ll find remedies for most of these symptoms on the Recommendations page.

Here is the list of: “The 34 Signs of Menopause:”

1. Hot flashes, flushes, night sweats and/or cold flashes, clammy feeling (related to increased activity in the autonomic / sympathetic nervous system). Without becoming too, technical, messages are sent to the hypothalmus because of declining estrogen production via neurons which result in vasodilation — widening of the lumen of blood vessels (lumen being the cavity of a tubular organ, i.e., the lumen of a blood vessel,) which, in turn, causes flushing or hot flashes. Tips for treating/minimizing (and even avoiding) hot flashes: Power Surge’s Menopause Survival Tips. Also, read the Power Surges (hot flashes) Forum

2. Bouts of rapid heartbeat (related to increased activity in the autonomic / sympathetic nervous system)

Note: Along with rapid heartbeat (palpitations), women can experience skipped heartbeats, irregular heartbeats. These are generally normal vasomotor responses experienced during menopause – usually due to fluctuating hormone levels. However, if these problems continue, it’s always a good idea to be checked by your health care practitioner. An echocardiogram is a common procedure to tell the doctor what he needs to know about your heart. If your health care practitioner doesn’t suggest it, ASK FOR IT! Read the Palpitations, Heart Issues, Hypertension Forum

3. Irritability. Note: Along with irritability, a host of “anger” problems can develop during menopause. Just as a perimenopausal woman can find herself suddenly crying for no apparent reason or provocation, so can she find herself reacting to given situations in an angrier manner than she normally does. This anger can sometimes feel like “rage.”

Again, this is hormone-induced, but for some women, the anger can become inappropriate and a woman can feel like she’s out of control. There’s nothing wrong with seeking counselling to discuss these issues with a mental health professional. This is a challenging time of life and some objective outside help can be tremendously useful in helping a woman cope with all the emotions she’s feeling. Remember, menopause isn’t simply physical changes, but emotional and spiritual changes as well. There’s an excellent forum on the Power Surge Message Board that deals with the issues of Anger / Mood Swings / Rage.

4. Mood swings, sudden tears. Note: Mood swings can include anything from mood shifts (happy one moment, depressed the next) to sudden bouts of crying when nothing overt has occurred to cause the crying. Mood swings can and have been misdiagnosed as bipolar disorder because one can feel such extremes of emotions due to hormone imbalance. Anxiety, depression, panic attacks and even feelings of agoraphobia aren’t uncommon during menopause. The panic attacks often can develop with the onset of hot flashes. For some women, hot flashes can be severe and quite frightening.

5. Trouble sleeping through the night (with or without night sweats). Note: This can develop into insomnia or just waking at 2 in the morning for an hour. Relaxation and breathing exercises can be useful at this time — many women may log onto the Power Surge message boards and are surprised to find so many other women there in the middle of the night. More help on the Insomnia, Sleep Disorders Forum

6. Irregular periods: shorter, lighter or heavier periods, flooding, and phantom periods. Note: A phantom period is when you experience all the symptoms you’re accustomed to having before you menstruate — but… no period comes. This is a common experience during perimenopause before a woman’s period actually stops.

7. Loss of libido (sex drive). Note: Not every woman loses her libido entirely during perimenopause, although some may temporarily. Many women simply have a decreased interest in sex – often it’s simply because they generally don’t feel well and sex is the last thing on their mind! Also, bear in mind that there are many medications that can affect one’s libido, including the anti-depressants some women take to cope with the depression and anxiety associated with menopause to anti-hypertensives.

8. Dry vagina (results in painful intercourse) Note: Click here for an excellent article about vaginal dryness, sexuality and midlife relationships. Recommended: Sexual Issues/Libido Forum

9. Crashing fatigue. Note: I’ve never been able to determine if the “fatigue” associated with perimenopause is a symptom in and of itself, or if it’s a side effect of the cumulative symptoms and general exhaustion (from them) many women experience. Take all the symptoms and “dump” them on one person — is it any wonder perimenopausal women are so fatigued? If you can, try to find time to grab a nap.

One of the things that helped my fatigue, and it’s all chronicled in my personal odyssey to find remedies, is the use of considerable amounts of soy isoflavones and protein, which I found in R Soy. I can’t say that it specifically targetted and relieved the crashing fatigue, but it helped so many other symptoms and gave me a burst of energy, that I feel comfortable in attributing the fatigue relief to R. There are various vitamins, such as those in the “B” family, that can help with fatigue as well. Also, increased amounts of vitamin C. The Recommendations page lists numerous vita-nutrients that can be useful in treating fatigue and other symptoms associated with perimenopause.

10. Anxiety, feeling ill at ease. Note: One of the biggest complaints during menopause. Read the Anxiety/Stress Forum

11. Feelings of dread, apprehension, and doom (includes thoughts of death, picturing one’s own death). Note: It’s possible that this can be a manifestation of depression associated with menopause, or possibly feelings that come from going through daily discomfort through a difficult menopause transition that can last anywhere from 3-12 years.

A woman living under these circumstances can feel totally overwhelmed and frightened by the physical, psychological and spiritual changes. When there seems to be no reprieve from the suffering, for some it can leave them feeling drained wondering when and IF they’ll ever feel well again. It isn’t unusual for women at this time of life to have thoughts about dying. One phase of their life is coming to a close (not soon enough for many). There may be apprehension and fear about moving on to the next phase of life and wondering whether things will get better or worse. Helpful: The Panic Attacks / Disorder / Fear / Apprehension Forum

12. Difficulty concentrating, disorientation, & mental confusion. Note: Forgetfulness during perimenopause is often referred to lightly and humorously as “brain fog” but it’s not always funny. Note: An excellent article, Menopause And The Mind. Also, visit the Memory Loss, Foggy Thinking, Forgetfulness, Verbal Slips Forum

13. Disturbing memory lapses. Note: See #12

14. Incontinence — especially upon sneezing, laughing: urge incontinence (reflects a general loss of smooth muscle tone).

15. Itchy, crawly skin (feeling of ants crawling under the skin, not just dry, itchy skin Note: the feeling of ants crawling on your skin is called “formication”) Visit the Your Skin: Dryness, Itching, Vaginal Dryness, Disorders, Discomfort Forum

16. Aching, sore joints, muscles and tendons. (may include such problems as carpal tunnel syndrome). Note: Osteoarthritis can develop during perimenopause – and those with existing arthritic and/or rheumatic pain may find it’s exacerbated during the menopausal transition. See the Joints Aches and Pains/Arthritis Forum

17. Increased tension in muscles.

18. Breast tenderness. Note: Breast swelling, soreness, pain.

19. Headache change: increase or decrease. Note Many women develop migraine headaches during perimenopause. However, if one doesn’t have a history of migraine headeaches, they’re generally a short-lived experience of perimenopause. Also see the Headaches, Migraine Forum

20. Gastrointestinal distress, indigestion, flatulence, gas pain, nausea. Note: For nausea, try some ginger or, as I use, boiling hot water with a few teaspoons of lemon or lemon juice concentrate in it. Many women also develop acid reflux (Gerd). For some, it can be an uncomfortable feeling of severe burning sensations in the throat. If it persists, see your health care practitioner.

21. Sudden bouts of bloat. Note: Bloating, water retention are common complaints during perimenopause. Also, Acid reflux and heartburn are very common during perimenopause. Treat them as you would if you weren’t going through menopause.

22. Depression (has a quality from other depression, the inability to cope is overwhelming, there is a feeling of a loss of self. Natural hormone therapy, ameliorates the depression dramatically). Note: There are various natural methods of treating depression. Read Power Surge’s Menopause Survival Tips.

Also, many women using progestins or progesterone supplementation experience “depression” as a side effect. Power Surge recommends only naturally compounded, bio-identical hormones. Naturally compounded estrogen and progesterone supplementation doses can be individually adjusted to suit each woman’s needs. So, if a woman is experiencing depression from progesterone, the level of progesterone supplementation can be reduced until the compounding pharmacist comes up with the right blend. The combination of estrogen and progesterone is important in achieving the desired results. Other remedies, such as St. John’s Wort can be very effective in alleviating the depression associated with menopause.

My personal experience was that my perimenopause-related depression was eliminated when I started using R Soy Protein. R is excellent for mood swings, but I was astonished by the impact it had on the hormone-related “lows” I experienced before using it. Also recommended, The Depression Forum

23. Exacerbation of any existing conditions. Note: Often, conditions women had prior to entering perimenopause become
exaggerated (worse) during the menopause transition.

24. Increase in allergies. Note: Many women who suffer from allergies develop worse allergies during the menopausal years. Many women who’ve never had allergy or respiratory problems may develop them for the first time. Many people don’t realize that histamine levels are affected by hormone levels. Women can develop wheezing, coughing and a host of respiratory problems. This generally disappears as the hormones level out once a woman becomes menopausal.

25. Weight gain. (is often around the waist and thighs, resulting in “the disappearing waistline” and changes in body shape.) A good read, Weight Gain and Fitness Issues

26. Hair loss or thinning, head or whole body, increase in facial hair. Note: There is often a loss of pubic hair during menopause. Many women are more comfortable simply shaving their pubic area instead of having patches of hair.

27. Dizziness, light-headedness, episodes of loss of balance. Note: Although common complaints during menopause, I always recommend anyone suffering from dizziness, dysequilibrium have her blood pressure checked just to be on the safe side. However, women can experience these symptoms during perimenopause without having hypertension.

28. Changes in body odor. Note: I wouldn’t be too concerned about this one. It can happen, but in 13 years of running Power Surge, I’ve heard of relatively few cases of developing body odor during menopause.

29. Electric shock sensation under the skin & in the head (“take the feeling of a rubber band snapping against the skin, multiply it (exponentially, sometimes) radiate it & put it in the layer of tissues between skin & muscle & sometimes a precursor to a hot flash.”) Note: Those buzzing sensations, as though you’ve put your finger into a live electrical socket, can be frightening. They’re all part of the hormones, nerve endings and electrical waves running through our bodies when our hormones are constantly fluctuating. Many women experience this during perimenopause, but it eventually passes.

30. Tingling in the extremities (can also be a symptom of B-12 deficiency, diabetes, or from an alteration in the flexibility of blood vessels n the extremities.)

31. Gum problems, increased bleeding.

32. Burning tongue

33. Osteoporosis (after several years)

34. Brittle fingernails, which peel & break easily.

Some additional signs from Dearest:

  • Internal shaking / tremor-like feelings. Read the Internal Shaking Forum
  • Acne and other skin eruptions
  • Itching wildly and erratic rashes
  • Shoulder pain / joints / arthritis development or flare up in
    preexisting conditions
  • “Heart pain” – a feeling of pain in the area of the
    heart (if persistent, get checked by your health care practitioner)
  • Acid reflux / heartburn / difficulty digesting certain foods

Some of the 34 signs may also be symptoms of one of the following:

  • Hypothyroidism
  • Diabetes
  • Depression with another etiology
  • Other medical conditions (see The Educate Your Body Library)

If you have reason to believe you may have one of these conditions, see your healthcare practitioner for treatment.

Dearest

Note: Remember that although these may be common complaints during menopause, they might also indicate some other health problem. Be sure to consult with your personal health care practitioner before attributing these symptoms to menopause.

By Dearest, Founder of Power Surge   14 comments

alice-avatar“I repeat over and over on the site that any complaints a woman has during menopause should not automatically be attributed to the process of menopause. That’s an important disclaimer. In short, before assuming, not that you are, that any of the things you’ve mentioned in your message are associated with peri or postmenopause, you should be checked by a doctor you respect, trust and admire — one who listens to you and doesn’t just hand you a prescription to resolve your problems.

That having been said, let me tell you that during those “worst” years of perimenopause, I experienced SO MANY strange, inexplicable and, oftentimes, bizarre feelings in my body, I conjured up notions of having a brain tumor, Parkinson’s Disease, Lupus, Fibromyalgia, Chronic Fatigue Syndrome, Menniere’s Disease, a heart condition, paralysis, a potential stroke, glaucoma — have I left anything out? And I say none of this with humor.

Perimenopause is the singularly most uncomfortable time of a woman’s life. I’ve posted many times about the internal shaking. It’s been my nemesis and continues this day to plague me.

I had the facial tremors and buzzing sensations on a daily basis. The feelings were so strange, they almost defy description. No one could see it, but it felt as though I were having a stroke. I’d often experience numbness in my face and on my left side at the same time — a red flag would go up because I thought I was definitely having a coronary situation or stroke. Facial ticks, facial tremors, an electrical buzzing in the back of my neck and various parts of my body drove me to distraction.

The good part about this story is that most of those symptoms DO go away once you’ve been without a period for about a year or two. Those feelings, in the majority of cases, are due to the hormonal fluctuations your body is experiencing. Imagine turning the thermostat in your house up and down a dozen or more times a day. Your house wouldn’t know whether to turn on the heat or air conditioning.

Our bodies become very sensitized during this process. Feelings are frightening — we can walk around for days feeling vertigo/dizziness and/or a ringing in the ears (tinnitus). There were days I had to grab onto a bannister or railing for fear that I was going to fall over. My legs still pose a problem — becoming weak and feeling as if they’re not going to support me any longer. Pain in the feet, calves, shoulders, joints aching and paining often to the point of bringing tears to your eyes.

My suggestion to you would be to get yourself a thorough examination by your doctor. Have a blood workup, sugar test, thyroid, hormone levels, total lipid / cholesterol profile. Insist on an Echo cardiogram, not just a cardiogram.

Our bodies are composed of so many different types of hormones — not just estrogen, progesterone and testosterone. Our bodies react to the constant ebb and flow of these hormone levels. Our central nervous system, nerve endings produce electrical impulses. Those electrical impulses are felt differently by every woman. Some women never feel them, while others are fraught with all sorts of strange sensations.

Once you’ve been given a clean bill of health by your doctor, the singularly most important thing you need to do during perimenopause is do relaxation techniques. Learn breathing exercises. Use the paper bag method (I call it “brown bagging it) I have described in many areas of the Web site and on these boards. I’ll provide a link to that at the end of this message.

Feed yourself affirmations every day that this, too, shall pass — that you are not dying — that although you feel as if your body is going to hell in a handbasket and you’re never going to survive this transition, you will. That, most importantly, there is nothing to be afraid of even though it feels at times like someone is holding a gun to your head and ready to pull the trigger.

Oh, Lord, would it were so that they’d find a way for women NOT to have to go through menopause. And, further, I am sick of hearing *some* people say that it’s all in our minds, or it’s our nerves, or if we had better things to do with our time, we wouldn’t think about it. I’ve never stopped being busy during this transition, but that didn’t ease the symptoms.

To those people, I say … until you’ve walked a mile in another person’s shoes, you can’t know what they are going through. Women in menopause aren’t hypochondriacs. I have to be dragged and feeling as if I’m not long for the world before I go to the doctor. Why? Because during perimenopause, I have learned… doctors don’t have answers to most of our questions other than to prescribe tranquilizers or anti-depressants or hormones…. and although some of these medications may help in the short term and to get you over the “hump” of perimenopause, most of them don’t work in the long term — or through the duration of perimenopause and it concerns me that there are no real long-term studies on these SSRI’s (anti-depressants).

If you feel you need to take something to get through this process, absolutely take it. Don’t make a martyr or yourself. However, remember, these medications only temporarily mask the symptoms. Learning ways to relax and cope with the changes you’re undergoing works far better over the long haul than anything else.

I have provided various relaxation and breathing techniques on this, the anxiety and the panic boards that can be tremendously helpful. The one I’d recommend is something I refer to as “brown bagging it.” It’s in various places of the site, but I’ll give you a link to my article after I’ve finished this message.

It has been my experience and I believe that of many other women who’ve passed through Power Surge over the seven years it’s been online that once you are in the throes of perimenopause, for about one or two years — perhaps a third (but not often), you will experience every conceivable symptom on the list of 34+ symptoms (* see below). I went through severe migraines and was *never* a headache person in my life. They lasted about a year or two – on and off, not every day, but they eventually stopped. I went through the facial tremors, buzzing experience as though I’d had my finger in an electrical socket. The migraines and severe palpitations, hot flashes, night sweats, crying and severe mood swings, horrific depression so much so that at times I would put my head on the pillow at night and whisper to God, “Please, if I have to feel this way tomorrow, let me not wake up.”

Those feelings — horrible as they are — don’t generally last for the full transitional period. They usually occur during the worst phase of perimenopause and only last about a year or two. That doesn’t mean you won’t ever experience them again in some milder form, but the severity and frequency will certainly decrease — and hormone therapy isn’t the magical answer. Many women using hormones still experience many of these symptoms.

Just remember that as long as you’ve been given the okay regarding your health by your health care provider, these are symptoms of menopause and, yes, I say symptoms. People have said to me, “Why do you call them symptoms? Menopause isn’t an illness.”

I tell them that I know menopause isn’t technically an illness, but seeing as how I have never felt worse in my life, I will not say that I am well.

I get very passionate about this subject and one of the reasons I’ve kept Power Surge an independent entity is because it allows me the opportunity to express myself without wondering who’s going to pay the bills if I tell the truth about the medical profession and some of the techniques of the pharmaceutical companies.

I will never get rich from Power Surge, but knowing that this community has helped so many women understand what they’re going through without just dumping medical abstracts at them and pushing pills on them has been the most gratifying and “freeing” experience of my life.

Finally, let me add my favorite words — THIS, TOO, SHALL PASS. Believe me, I thought in my heart I would never, ever survive perimenopause, but the internal shaking eases up even though it’s hell while you’re going through it. The palps will stop as well. It just takes time and a LOT of patience!

Be good to your body and it will return the favor in spades.

For the “brown bagging it” reference and many other helpful suggestions, check out the Power Surge Menopause Survival Tips article.

…and the ever useful…

* The 34+ Signs of Menopause

Dearest”

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