Homeopathy treatment for Menopause
Menopause means permanent cessation of menstruation at the end of reproductive life due to loss of ovarian follicular activity. It is the point of time when Last and final menstruation occurs.
The clinical diagnosis is confirmed following stoppage of menstruation (amenorrhea) for twelve consecutive months without any other pathology. As such, a woman declare to have attained menopause only retrospectively. Premenopausal refers to the period prior to menopause, post menopause to the period after menopause and perimenopause to the period around menopause (40–55 years), Climacteric is the period of time during which a woman passes from the reproductive to the nonreproductive stage. This phase covers 5–10 years on either side of menopause. Perimenopause is the part of the climacteric when the menstrual cycle is likely to be irregular. Post menopause is the phase of life that comes after the menopause.
Age of Menopause
Age at which menopause occurs genetically predetermine. The age of menopause is not relate to age of menarche or age at last pregnancy. It is also not relate to number of pregnancies, lactation, use of oral pill, socioeconomic condition, race, height or weight. Thinner women have early menopause. However, cigarette smoking and severe malnutrition may cause early menopause. The age of menopause ranges between 45–55 years, average being 50 years.
Clinical Importance
Due to increased life expectancy, especially in affluent society, about one-third of life span will be spent during the period of estrogen deprivation stage with long-term symptomatic and metabolic complications.
Endocrinology of Climacteric and Menopause
Hypothalamopituitary Gonadal Axis
Few years prior to menopause, along with depletion of the ovarian follicles, the follicles become resistant to pituitary gonadotropins. As a result, effective folliculogenesis impaire with diminished estradiol production.
This decreases the negative feedback effect on hypothalamus-pituitary axis resulting in increase in FSH. The increase in FSH also due to diminish inhibin. Inhibin, a peptide, secrete by the granulosa cells of the ovarian follicle. The increase of LH occurs subsequently. Disturbed folliculogenesis during this period may result in anovulation, oligo-ovulation, premature corpus luteum or corpus luteal insufficiency. The sustained level of estrogens may even cause endometrial hyperplasia and clinical manifestation of menstrual abnormalities prior to menopause. The mean cycle length is significantly shorter. This is due to shortening of the follicular phase of the cycle. Luteal phase length remaining constant. Ultimately, no more follicles are available and even some exist, they are resistant to gonadotropins. Estradiol production drops down to the optimal level of 20 pg/mL → no endometrial growth → absence of menstruation.
Androgens:
After menopause, the stromal cells of the ovary continue to produce androgens because of increase in LH. The main androgens are androstenedione and testosterone. Though the secretion of androgens from postmenopausal ovary are more, their peripheral levels reduce due to conversion of androgens to estrone in adipose tissue. However, the cumulative effect is a decrease in estrogenic: androgen ratio. This Results in increased facial hair growth and change in voice. As the higher weight patient converts more androgens into estrone, they are less likely to develop symptoms of osteogeny deficiency and osteoporosis. But they are Vulnerable to endometrial hyperplasia and endometrial carcinoma
Causes of Menopause
Menopause is the natural biological process marking the end of a woman’s menstrual cycles, typically occurring between the ages of 45 and 55. It is defined as the cessation of menstruation for 12 consecutive months and is associated with a decline in ovarian function and a decrease in the production of reproductive hormones, primarily estrogen and progesterone. There are several causes for menopause, and it can occur naturally or as a result of specific medical interventions. Here are the main causes of menopause:
1. Natural Menopause (Age-Related)
Description: The most common cause of menopause is the natural decline of ovarian function with age. As women age, the number of eggs in the ovaries decreases, and the ovaries produce less estrogen and progesterone.
Onset: Typically occurs between the ages of 45 and 55, with the average age being around 51 in most women.
Process: Gradual decline in hormone production, leading to the eventual cessation of menstrual periods. This transition phase is called perimenopause, and it can last for several years before menopause is reached.
2. Premature Menopause
Description: Premature menopause occurs when a woman experiences menopause before the age of 40. It is often caused by medical conditions or treatments that affect the ovaries.
Causes:
Genetics: Family history of early menopause or certain genetic conditions can increase the likelihood of premature menopause.
Autoimmune disorders: Conditions like rheumatoid arthritis or lupus can lead to autoimmune responses that attack the ovaries.
Chromosomal abnormalities: Conditions like Turner syndrome, where a woman has only one X chromosome, can result in premature ovarian failure.
Unknown causes: Sometimes premature menopause occurs without a known reason.
3. Surgical Menopause
Description: This type of menopause occurs when a woman undergoes surgery that removes the ovaries, causing an immediate and permanent cessation of hormone production.
Causes:
Oophorectomy: Surgical removal of one or both ovaries (often due to conditions like ovarian cysts, tumors, or cancer).
Hysterectomy: The removal of the uterus, which may or may not include the removal of the ovaries. If the ovaries are removed, menopause occurs immediately, even if the woman is younger than the typical age for menopause.
4. Chemotherapy and Radiation Therapy
Description: Certain cancer treatments, including chemotherapy and radiation, can affect the ovaries and cause menopause.
How it works: These treatments can damage or destroy ovarian tissue, leading to a decrease in hormone production and the cessation of menstruation. The extent of the effect depends on the type and dose of the treatment, as well as the woman’s age at the time of treatment.
Temporary or Permanent: In some cases, the effects are temporary, and ovarian function may return after treatment ends. In other cases, it can lead to permanent menopause, especially if high doses of chemotherapy or radiation are used.
5. Primary Ovarian Insufficiency (POI)
Description: POI, also known as premature ovarian failure, is a condition in which a woman’s ovaries stop functioning before the age of 40. This leads to early menopause-like symptoms, including irregular or absent periods.
Causes:
Genetic disorders: Such as Fragile X syndrome, which can affect ovarian function.
Autoimmune conditions: Where the immune system attacks the ovaries.
Infections: Certain viral infections, such as mumps, can lead to ovarian damage.
Other medical conditions: Diseases such as thyroid disorders or metabolic problems may contribute to POI.
6. Lifestyle Factors
Description: Certain lifestyle factors and environmental exposures may influence the timing of menopause, although they are less direct causes.
Factors that may influence menopause:
Smoking: Women who smoke tend to experience menopause earlier than nonsmokers, likely due to the effects of smoking on ovarian function and hormone production.
Body mass: Women who are overweight or obese may experience menopause later, while women with lower body weight may experience it earlier.
Diet and nutrition: Malnutrition or poor diet can affect hormone levels and reproductive health, potentially influencing the timing of menopause.
Physical activity: Excessive physical stress or activity, such as in athletes, can sometimes lead to earlier menopause.
7. Endometriosis and Other Conditions
Description: Certain medical conditions can affect ovarian function, potentially leading to earlier menopause.
Examples:
Endometriosis: A condition where tissue similar to the lining of the uterus grows outside the uterus, potentially damaging the ovaries and affecting hormone production.
Polycystic Ovary Syndrome (PCOS): Although not directly causing menopause, PCOS can result in irregular menstrual cycles and may affect the timing of menopause.
8. Hormonal Imbalances
Description: Hormonal imbalances, whether due to thyroid disorders, adrenal disorders, or other hormonal issues, can affect the timing and experience of menopause.
Causes:
Hypothyroidism or hyperthyroidism: Imbalances in thyroid hormones can disrupt the menstrual cycle and affect the onset of menopause.
Pituitary disorders: The pituitary gland produces hormones that control the ovaries, and any issues with this gland can influence ovarian function.
Types of Menopause
Menopause is the natural biological process that marks the end of a woman’s reproductive years. It is typically diagnosed after 12 consecutive months without a period. However, there are different stages or types of menopause that women can experience, depending on the cause and timing of the process.
Here are the types of menopause:
1. Natural Menopause
Definition:
This is the most common form of menopause and occurs gradually as a part of the normal aging process. It typically happens between the ages of 45 and 55, when a woman’s ovaries stop producing eggs and the production of estrogen and progesterone decreases.
Key Features:
Occurs as a natural part of aging.
Can last several years, including the transition phase (perimenopause).
The average age of onset is 51 in many women.
2. Early Menopause
Definition:
Early menopause occurs when a woman experiences menopause before the age of 40. This can be due to various factors such as genetic conditions, autoimmune disorders, or environmental factors.
Key Features:
Occurs earlier than usual, often before age 40.
May result from premature ovarian failure, where the ovaries stop working prematurely.
Can be caused by medical interventions like chemotherapy or radiation therapy.
Causes:
Genetics: Family history can play a significant role.
Autoimmune diseases: Conditions like rheumatoid arthritis or lupus can affect ovarian function.
Lifestyle factors: Smoking, being underweight, or high-stress environments can also contribute.
3. Premature Menopause
Definition:
Premature menopause happens when a woman’s periods stop before the age of 40, often due to underlying health conditions or medical treatments, such as surgery to remove the ovaries.
Key Features:
Occurs before the age of 40.
Can happen naturally or due to medical treatments.
Often associated with low estrogen levels and infertility.
Causes:
Surgical menopause: Removal of ovaries due to cancer or other medical conditions.
Chemotherapy or radiation: Can damage ovarian function and lead to premature menopause.
Genetic or autoimmune factors: In some cases, no clear cause is identified.
4. Surgical Menopause
Definition:
Surgical menopause occurs when a woman undergoes the removal of her ovaries, typically during a hysterectomy (removal of the uterus), which leads to an immediate cessation of menstruation and a rapid drop in hormone levels.
Key Features:
Occurs abruptly after surgery to remove the ovaries (bilateral oophorectomy).
Immediate and permanent cessation of periods.
Can cause more intense menopausal symptoms compared to natural menopause due to the sudden drop in estrogen levels.
Signs and Symptoms of Menopause
Menopause marks the end of a woman’s reproductive years and is characterized by the cessation of menstruation. It typically occurs between the ages of 45 and 55. The transition to menopause can span several years, a phase known as perimenopause, and can come with a wide range of physical, emotional, and psychological symptoms. These symptoms vary in intensity and duration from woman to woman. Below are some of the most common signs and symptoms associated with menopause:
1. Irregular Periods (Perimenopause)
Description: One of the earliest signs of menopause is irregular menstrual cycles. Women may experience changes in the length, flow, or frequency of their periods.
Symptoms:
Periods may become shorter or longer than usual.
Heavy or lighter bleeding than usual.
Skipped periods or more frequent periods.
2. Hot Flashes
Description: Hot flashes are sudden feelings of intense heat, often accompanied by sweating, reddening of the skin, and sometimes chills. They can occur during the day or night (night sweats).
Symptoms:
Sudden onset of heat sensation, especially in the upper body and face.
Sweating, often followed by chills.
Hot flashes may last from a few seconds to several minutes.
3. Night Sweats
Description: Night sweats are hot flashes that occur during sleep, causing excessive sweating that can disrupt sleep.
Symptoms:
Sweating during the night that soaks bed linens.
Waking up feeling overheated or drenched in sweat.
4. Vaginal Dryness
Description: The decrease in estrogen levels during menopause can cause the vaginal tissues to become thinner, drier, and less elastic, leading to vaginal dryness.
Symptoms:
Dryness or irritation in the vaginal area.
Pain or discomfort during sexual intercourse (dyspareunia).
Increased risk of vaginal infections.
5. Sleep Disturbances
Description: Many women experience difficulty sleeping during menopause, often due to night sweats, hot flashes, or anxiety.
Symptoms:
Trouble falling asleep or staying asleep.
Waking up early or feeling unrested despite a full night of sleep.
Night sweats interrupting sleep.
6. Mood Changes
Description: Hormonal fluctuations during menopause can lead to mood swings, irritability, anxiety, and even depression in some women.
Symptoms:
Irritability or sudden mood changes.
Feelings of sadness or depression.
Increased anxiety or stress.
7. Decreased Libido (Sexual Desire)
Description: Reduced estrogen levels can affect sexual desire and enjoyment. Additionally, vaginal dryness and discomfort during sex can contribute to a decreased libido.
Symptoms:
Reduced interest in sexual activity.
Discomfort or pain during sex.
8. Cognitive Changes
Description: Some women experience difficulty with memory or concentration during menopause, often referred to as “brain fog.”
Symptoms:
Forgetfulness or difficulty concentrating.
Trouble with short-term memory.
Mental fatigue or feeling mentally “foggy.”
9. Weight Gain and Changes in Body Shape
Description: Hormonal changes, particularly the decrease in estrogen, can lead to changes in fat distribution and a slower metabolism, resulting in weight gain.
Symptoms:
Increased abdominal fat (often referred to as “middle-age spread”).
Difficulty losing weight or changes in body shape.
A decrease in muscle mass and tone.
10. Thinning Hair and Dry Skin
Description: Menopause can lead to changes in skin and hair due to lower estrogen levels.
Symptoms:
Hair thinning or increased hair shedding.
Dry or thinning skin.
Reduced skin elasticity and increased wrinkles.
11. Urinary Changes
Description: The loss of estrogen can affect the urinary tract and pelvic muscles, leading to urinary problems.
Symptoms:
Increased frequency of urination.
Urinary urgency or incontinence (leakage of urine).
Increased risk of urinary tract infections (UTIs).
12. Bone Density Loss
Description: The reduction in estrogen levels also affects bone density, increasing the risk of osteoporosis (weak and brittle bones).
Symptoms:
Increased susceptibility to bone fractures.
Loss of height or curvature of the spine.
Back pain due to spinal changes.
13. Heart Palpitations
Description: Some women experience irregular or strong heartbeats, which may be linked to hormonal changes during menopause.
Symptoms:
A sensation of rapid, irregular heartbeats (palpitations).
Dizziness or shortness of breath during palpitations.
14. Headaches
Description: Hormonal changes during menopause can trigger or worsen headaches in some women.
Symptoms:
Migraines or tension headaches.
Increased frequency of headaches.
15. Joint and Muscle Pain
Description: Some women may experience joint pain, stiffness, or muscle aches as a result of hormonal changes during menopause.
Symptoms:
Stiffness or pain in the joints.
Muscle aches or discomfort.
16. Changes in Breast Tissue
Description: The decrease in estrogen levels can also affect the breast tissue.
Symptoms:
Breasts may feel less firm or tender.
Changes in breast size or shape.
During menopause, proper nutrition plays a crucial role in managing symptoms, maintaining overall health, and reducing the risk of long-term health issues like osteoporosis, heart disease, and weight gain. A balanced diet that includes nutrient-dense foods can help alleviate symptoms like hot flashes, mood swings, and sleep disturbances, as well as support bone and heart health. Here’s a guide to what you should eat during menopause:
1. Foods Rich in Phytoestrogens
Phytoestrogens are plant-based compounds that mimic estrogen in the body and can help balance hormone levels during menopause. These foods may help alleviate symptoms like hot flashes and mood swings.
Soy products: Tofu, tempeh, edamame, soy milk, and miso.
Flaxseeds: Ground flaxseeds are a great source of lignans, a type of phytoestrogen.
Chickpeas, lentils, and beans: These legumes contain phytoestrogens that can help balance estrogen levels.
Sesame seeds: High in lignans and beneficial for hormone balance.
2. Foods High in Calcium and Vitamin D
The decline in estrogen during menopause can lead to a decrease in bone density, increasing the risk of osteoporosis. Calcium and vitamin D are essential for maintaining bone health.
Calcium-rich foods:
Dairy products: Milk, yogurt, and cheese.
Leafy greens: Kale, collard greens, and bok choy.
Fortified plant-based milk: Almond milk, soy milk, or oat milk.
Tofu (calcium-set) and fortified cereals.
Vitamin D-rich foods:
Fatty fish: Salmon, mackerel, and sardines.
Fortified foods: Fortified orange juice, dairy, and cereals.
Egg yolks.
Mushrooms (especially those exposed to sunlight).
Vitamin D helps the body absorb calcium, so they work together to support bone health.
3. Omega-3 Fatty Acids
Omega-3s can help reduce inflammation, support heart health, and improve mood. They may also reduce the frequency and severity of hot flashes.
Fatty fish: Salmon, sardines, mackerel, and tuna.
Chia seeds and flaxseeds: Great plant-based sources of omega-3s.
Walnuts: Another good source of omega-3 fatty acids.
Hemp seeds: Rich in omega-3s and a good addition to smoothies or salads.
4. Fiber-Rich Foods
Fiber helps with digestive health, weight management, and reducing the risk of heart disease. It also helps manage blood sugar levels and can reduce hot flashes.
Whole grains: Brown rice, quinoa, oats, barley, and whole wheat.
Fruits: Apples, pears, berries, and bananas.
Vegetables: Leafy greens (spinach, kale), sweet potatoes, and broccoli.
Legumes: Beans, lentils, and peas.
5. Lean Protein
Protein is essential for maintaining muscle mass, which can decline during menopause. Lean protein sources also help with satiety, which can prevent weight gain.
Lean meats: Chicken, turkey, and lean cuts of beef.
Fish and seafood: Salmon, tuna, and shrimp.
Plant-based proteins: Tofu, tempeh, lentils, beans, quinoa, and chickpeas.
Eggs: A great source of high-quality protein.
6. Antioxidant-Rich Foods
Antioxidants help reduce oxidative stress and inflammation, which can worsen menopause symptoms. They also protect against chronic diseases such as heart disease and cancer.
Berries: Blueberries, strawberries, raspberries, and blackberries.
Dark chocolate: Opt for at least 70% cocoa, which is rich in antioxidants.
Nuts and seeds: Almonds, walnuts, and sunflower seeds.
Green tea: Full of antioxidants and may help with metabolism and weight management.
7. Magnesium-Rich Foods
Magnesium can help improve sleep quality, reduce anxiety, and support bone health. It also helps with muscle relaxation and may reduce the severity of hot flashes.
Leafy greens: Spinach, Swiss chard, and kale.
Nuts and seeds: Almonds, pumpkin seeds, and sunflower seeds.
Whole grains: Brown rice, quinoa, and oats.
Legumes: Beans, lentils, and chickpeas.
8. Hydrating Foods
Staying hydrated is essential during menopause, especially since some women experience dry skin, hot flashes, and night sweats. Foods with high water content can help maintain hydration.
Cucumbers: High in water content and very hydrating.
Watermelon: Also hydrating and rich in vitamins.
Oranges: A good source of vitamin C and hydration.
Celery and tomatoes: Hydrating vegetables that also provide important nutrients.
9. Foods to Support Heart Health
The risk of heart disease increases after menopause due to the decline in estrogen. Eating heart-healthy foods can help lower cholesterol levels and reduce the risk of cardiovascular disease.
Avocados: Rich in healthy fats (monounsaturated fats) that support heart health.
Olive oil: A healthy fat that may reduce inflammation and support cardiovascular health.
Berries: High in antioxidants that help improve heart health.
Whole grains: Oats, quinoa, barley, and brown rice.
10. Herbal Teas and Natural Remedies
Certain herbal teas can help alleviate symptoms of menopause like hot flashes, anxiety, and sleep disturbances.
Chamomile tea: Known for its calming properties and ability to help with sleep.
Peppermint tea: Can help relieve hot flashes and digestive issues.
Ginger tea: Known for its anti-inflammatory properties and ability to help with nausea or digestive discomfort.
Black cohosh: An herbal remedy often used to alleviate hot flashes and other menopause symptoms (consult with a healthcare provider before use).
Diet and Regimen for Menopause
Managing menopause through diet and a balanced regimen can significantly alleviate common symptoms like hot flashes, mood swings, weight gain, sleep disturbances, and bone health issues. The key is to focus on foods that support hormonal balance, cardiovascular health, bone strength, and overall well-being. Here’s a diet and regimen plan that can help you navigate menopause more comfortably:
Dietary Recommendations for Menopause
1. Focus on Phytoestrogens
Phytoestrogens are plant-based compounds that mimic the action of estrogen in the body. They can help balance hormone levels and reduce symptoms like hot flashes and night sweats.
Soy Products: Tofu, tempeh, edamame, soy milk, and miso.
Flaxseeds: Ground flaxseeds are one of the richest plant sources of phytoestrogens.
Chickpeas, lentils, and beans: These legumes contain compounds that support hormonal balance.
Sesame seeds: High in lignans, another type of phytoestrogen.
Regimen Tip: Incorporate these foods into your meals a few times per week, such as adding soy milk to smoothies, sprinkling flaxseeds on your oatmeal, or adding beans to salads and stews.
2. Calcium and Vitamin D for Bone Health
Estrogen decline during menopause increases the risk of osteoporosis (bone density loss), so it’s important to consume calcium and vitamin D-rich foods to maintain strong bones.
Calcium-rich foods:
Dairy products: Milk, yogurt, and cheese.
Leafy greens: Kale, bok choy, collard greens.
Fortified plant-based milks: Almond milk, soy milk, and oat milk.
Tofu (calcium-set) and fortified cereals.
Vitamin D-rich foods:
Fatty fish: Salmon, mackerel, sardines.
Fortified foods: Fortified orange juice, cereals, and dairy.
Eggs and mushrooms (particularly those exposed to sunlight).
Regimen Tip: Aim to get calcium and vitamin D through meals each day, such as having yogurt with berries for breakfast or grilled salmon for dinner.
3. Omega-3 Fatty Acids for Heart Health and Inflammation
Omega-3s are essential for managing inflammation and protecting against heart disease, a risk that increases after menopause.
Fatty fish: Salmon, mackerel, sardines, and tuna.
Plant-based sources: Chia seeds, flaxseeds, walnuts, and hemp seeds.
Regimen Tip: Aim for at least two servings of fatty fish per week, or add chia seeds or flaxseeds to smoothies, yogurt, or salads.
4. Fiber-Rich Foods for Digestive Health and Weight Management
Fiber helps regulate digestion, supports weight management, and may reduce the risk of certain cancers.
Whole grains: Brown rice, quinoa, oats, barley, and whole wheat bread.
Fruits and vegetables: Apples, pears, berries, leafy greens, sweet potatoes, and broccoli.
Legumes: Beans, lentils, peas.
Regimen Tip: Include fiber-rich foods with each meal, like adding vegetables to salads or soups, snacking on fruit, or having a whole grain wrap for lunch.
5. Magnesium for Sleep and Stress Relief
Magnesium can help with sleep disturbances and anxiety, common symptoms during menopause.
Leafy greens: Spinach, Swiss chard, and kale.
Nuts and seeds: Almonds, sunflower seeds, and pumpkin seeds.
Whole grains: Brown rice, quinoa, oats.
Regimen Tip: Add magnesium-rich foods like spinach to salads or smoothies, or have a small handful of nuts as a bedtime snack.
6. Antioxidant-Rich Foods for Skin and General Health
Antioxidants help fight oxidative stress and reduce inflammation, which can improve skin elasticity and overall well-being during menopause.
Berries: Blueberries, strawberries, raspberries, blackberries.
Nuts and seeds: Almonds, walnuts, sunflower seeds.
Green tea: Rich in antioxidants and can support metabolism.
Regimen Tip: Incorporate antioxidant-rich foods into snacks and meals, such as berries with breakfast, or green tea in the afternoon.
Foods to Avoid or Limit
While focusing on nutrient-dense foods, there are certain items that may worsen menopause symptoms and should be limited or avoided:
Caffeine: Excessive caffeine can disrupt sleep and trigger hot flashes.
Alcohol: Can exacerbate hot flashes, night sweats, and sleep issues.
Spicy foods: Can trigger hot flashes for some women.
Processed foods: High-sodium and high-sugar processed foods can contribute to weight gain, bloating, and increased risk of chronic conditions.
Refined sugars: Can lead to blood sugar fluctuations and weight gain.
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What is Menopause?
Menopause means permanent cessation of menstruation at the end of reproductive life due to loss of ovarian follicular activity. It is the point of time when Last and final menstruation occurs.
Homeopathic Medicines used by Homeopathic Doctors in treatment of Menopause?
- Lachesis
- Amyl nitrite
- Sanguinaria
- Caladium
- Aconite
- Veratrum viride
- Cimicifuga
What are the symptoms of Menopause?
- Vasomotor symptoms
- Urogenital atrophy
Osteoporosis and fracture
- Osteopenia
- Cardiovascular disease
- Cerebrovascular disease
- Psychological changes
- Skin and Hair
- Sexual dysfunction
Dementia and cognitive decline
What is the age of Menopause?
The age of menopause ranges between 45–55 years, average being 50 years.
Reference
[1] DC Dutta text book of gynaecology
[2] Therapeutics from Zomeo Ultimate LAN
