Sexual Health

Postmenopause

About

Women in the postmenopausal phase won't have periods for over a year after menopause, although some will still experience symptoms of menopause after postmenopause.

It happens because the ovaries don't produce the hormones that stimulate the uterus to shed its lining anymore, so women in the postmenopausal phase won't get their periods. Due to the decrease in hormone production, they may still experience hot flashes, night sweats, and vaginal dryness.

Perimenopause

Symptoms

  • Weight changes
  • Dry skin
  • Hair loss
  • Vaginal dryness
  • Painful sex
  • Urinary incontinence
  • Difficulty in sleeping at night
Perimenopause PCOS

Treatment

Medication and lifestyle changes can alleviate the symptoms of post-menopause.

Medication:

  • Vaginal creams for vaginal dryness and painful sex
  • Consult your gynaecologist for the proper medication

Lifestyle changes:

  • Exercise, meditate and relax.
  • Your diet should be rich in plant-based sources of oestrogen. For example, legumes, whole-grain cereals, and flaxseed.
  • Reduce caffeine and alcohol consumption. Limit your intake of salt and sugar.
Perimenopause PCOS

Risks

  • Osteoporosis – Decreased levels of oestrogen can result in bone density loss and increase the risk of developing bone fracture and osteoporosis goes up. The bones of the hip, wrist, and spine are where you need to be careful.
  • Cardiovascular Menopause reduces your ability to perform physical activities, leading to high cholesterol and blood pressure, which increase your risk of heart attack and stroke.
  • Vaginal dryness – With menopause, your vaginal tissues become thin and begin to deteriorate, thus leading to vaginal dryness. Vaginal lubricants ease the discomfort or pain caused by dryness.
  • Mental health issues – You could face anxiety, depression, and mood swings due to the decreased levels of hormones. Talking about your issues with a friend or a therapist will help.
  • Urogynaecology issues – These issues occurr in your bladder and pelvis which include urine leakage, bladder infections, vaginal prolapse, etc.
Perimenopause PCOS

Routine Checkups

Even though your menstrual years are over, your gynaec visits need to be on your To-Do list.

Pelvic exams, breast exams, pap smears, and mammograms need to be done. An osteoporosis test, such as a bone density scan, will also help.

Your gynaecologist will determine the frequency of your visits depending on your health condition.

Perimenopause PCOS