Menopause Symptoms

• Hot flashes: Hot flashes are the most common symptom of menopause. According to some studies, hot flashes occur in as many as 75% of perimenopausal women. Hot flash symptoms vary among women. Commonly, the hot flash may begin with a feeling of nausea or a headache, followed by a wave of heat, flushed skin, and palpitations (feeling a strong heartbeat). Hot flashes often increase skin temperature and pulse, and they often cause insomnia, or sleeplessness.

• Urinary incontinence and burning on urination

• Vaginal changes: Because estrogen affects the vaginal lining, perimenopausal women may also have pain during intercourse and may note a change in vaginal discharge.

• Breast changes: Menopause may cause changes in the shape of the breasts.

• Thinning of the skin

• Bone loss: Rapid bone loss is common during the perimenopausal years. Most women reach their peak bone density when aged 25-30 years. After that, bone loss averages 0.13% per year. During perimenopause, bone loss accelerates to about a 3% loss per year. Later, it drops off to about a 2% loss per year. No pain is usually associated with bone loss. However, bone loss can cause osteoporosis, a condition that increases the risk of bone fractures. These fractures can be intensely painful and can interfere with daily life. They also can increase the risk of death.

• Cholesterol: Cholesterol profiles also change significantly at the time of menopause. Total cholesterol and LDL (bad) cholesterol increase. Increased LDL cholesterol is associated with an increased risk of heart disease.

• Heart disease risk increases after menopause, although it is unclear exactly how much is due to aging and how much is caused by the hormonal changes that occur at the time of menopause. Women who undergo premature menopause or have their ovaries removed surgically at an early age are at an increased risk of heart disease.
  
  
• Weight gain: A 3-year study of healthy women nearing menopause found an average gain of 5 pounds during the 3 years. Hormonal changes and aging are both possible factors in this weight gain.