By 2030, the world population of menopausal and postmenopausal women is projected to increase to 1.2 billion, with 47 million new entrants each year1. Yet, the topic remains a taboo, with many women undergoing unpleasant yet treatable menopausal symptoms silently due to fear or shame2. The average age of menopause in India is around 46.2 years, as compared to 51 years in western countries3.
This transition significantly affects various aspects of a woman’s life, impacting their health, well-being, and overall quality of life. 33% women feel their social life has taken a back seat due to menopause4.
In addition to common physical symptoms (hot flashes and night sweats), women are also more vulnerable to psychological effects including depression, anxiety, sleep deprivation and fatigue5. Mood disorders pose further challenges – leading to increased feelings of irritability, poor concentration (or ‘brain fog’) and lowered self-esteem, which can affect your ability to cope overall6.
Menopause can be an unsettling time, causing complex feelings due to hormonal fluctuations1,3. However, you may not realize there are ways for you to carry on living healthy, full lives.
So, what steps can you take to navigate the emotional rollercoaster of menopause?
More so, your close family can prove to be a vital support system in many ways – socially and emotionally, including by understanding how your symptoms affect your daily life. They can also help by bridging communication gaps, and even by helping more at home. This could be taking up more chores or supporting your lifestyle changes like joining in your daily exercise routine7.
Breaking the silence at home can also give you the confidence needed to approach your doctor about any discomfort experienced. In addition, there is a whole range of treatments available to address symptoms associated with menopause, so it’s always beneficial to consult your doctor.
"Prior to menopause, hormonal changes for women typically begin in their 40s and last around four years or even up to a decade. This period can overlap with significant mental health effects. During this transition, the incidence of depression doubles, and women are more likely to experience panic attacks. In case of severe effects on one’s daily life, seeking professional help to manage this is advised," said Dr. Meeta Singh, MD- Obstetrics & Gynecology, Patron IMS, Consultant OBGY, Hyderabad.
Common treatment approaches related to mental health include counselling and cognitive behavioural therapy, which can help you manage the anxiety associated with menopause8. This addresses your thoughts, feelings and behaviours, which can also link back to the intensity of your physical symptoms8. To manage stress levels, you can also try relaxation techniques including mindfulness meditation.
Try starting the conversation about how your symptoms are coming in the way of your daily work – you may end up hearing from people with similar experiences and how they managed it. At the same time, adopt steps you think could help, including taking breaks when you can or having a desk fan to alleviate hot flashes.
Building a support system at your workplace may help you manage the symptoms better and take charge of your health as well as your career.
“The menopausal transition can be an extremely challenging time for women. At Abbott, we are committed to transforming lives for the better through our healthcare solutions and by spearheading patient-focused initiatives for holistic care. With independently run menopause centers of care, patient awareness programs and doctor-patient engagement platforms, we intend to drive meaningful conversations so women can be empowered to fully embrace this stage of their life and live it fully,”said Dr. Jejoe Karankumar, Director, Medical Affairs at Abbott.
Such measures – talking to your family and doctor, building support systems in the community and at work, and seeking ways to manage stress – can help you in coping with the rollercoaster emotions and physician changes of menopause, which is a natural process women go through. These steps can help you tide over this wave of change as you embrace the next chapter of your life.
References
1Hill K. The demography of menopause. Maturitas. 1996 Mar;23(2):113-27. doi: 10.1016/0378- 5122(95)00968-x. PMID: 8735350.
2Singh, V., Sivakami, M. (2020). Normality, Freedom, and Distress: Listening to the Menopausal Experiences of Indian Women of Haryana. In: Bobel, C., Winkler, I.T., Fahs, B., Hasson, K.A., Kissling, E.A., Roberts, TA. (eds) The Palgrave Handbook of Critical Menstruation Studies. Palgrave Macmillan, Singapore. https://doi.org/10.1007/978-981-15-0614-7_70
3Ahuja M. Age of menopause and determinants of menopause age: A PAN India survey by IMS. J Midlife Health. 2016;7(3):126–131. doi:10.4103/0976-7800.191012
4British Menopause Society Fact Sheet
5Monteleone P, Mascagni G, Giannini A, Genazzani AR, Simoncini T. Symptoms of menopause— global prevalence, physiology and implications. Nature Reviews Endocrinology. 2018 14(4):199 -215.
7Namazi M, Sadeghi R, Behboodi Moghadam Z. Social Determinants of Health in Menopause: An Integrative Review. Int J Womens Health. 2019;11:637-647. Published 2019 Dec 9. doi:10.2147/IJWH.S228594
8Hunter M, Smith M. Cognitive Behaviour Therapy (CBT) for menopausal symptoms. Information for women. POST REPRODUCTIVE HEALTH. 2017 Jan 1;23(2):77-82.
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