What happens to women emotionally after menopause

Menopausal symptoms / menopausal symptoms

Many women experience menopause without any complaints in a good mood, productive, active and mentally at the top. But there are typical climacteric complaints and complaints in the time after that, which can appear in different forms and more intensely and are explained below.

Hot flashes and sweats (vasomotor discomfort)

The hot flashes are usually announced by light head pressure and discomfort, the so-called rising heat. After that, a heat wave spreads over the face, neck and upper body in a very short time. The face turns red and a sweat follows. Many women feel relieved by this outbreak of sweat, while others have the feeling of heat accumulation. Sometimes a sweat can be followed by a chill. Typically the phenomenon lasts from half a minute to several minutes. It can only go unnoticed a few times a week, but it can also occur much more frequently. Hot flashes with or without a sweat often manifest themselves at night and can thus shorten the deep sleep time. In some women, this can disrupt the sleep-wake cycle.

Up to 85% of women going through menopause report hot flashes - 55% even before the onset of menstrual disorders that herald the onset of perimenopause. Later these symptoms gradually subside, but never in some women. The average duration of the hot flash period is approximately 5.2 years. The causes of hot flashes are not yet fully understood. One theory suggests changes in the thermoregulatory system related to fluctuations in estrogen production (1).

Tissue atrophy of the mucous membrane with vaginal dryness, pain during sex and incontinence problems

Due to the lack of estrogen, the mucous membrane of the vagina, urethra and bladder - but also of the mouth and eyes is no longer built up as high. This can make the vagina feel drier than it did before the menopause and is more vulnerable. Itching or burning may occur more often. This dryness can make itself felt during sexual intercourse. There are many over-the-counter lubricants that can solve the problem in the situation.

The vaginal flora can get out of balance due to the altered structure of the skin. Often there are disturbances in the pH value in the vagina due to a lack of protective lactic acid bacteria, which then makes the vagina more susceptible to bacterial infections.

Since the structure of the skin of the vagina is also a cushion for the urethra, if the skin is thinner, bladder weakness (incontinence) can occur because the closing mechanisms of the urethra and bladder are impaired. The pelvic floor muscles can sag with age due to age. This can lead to inflammation of the urinary tract as well as increased urination or urinary incontinence.

Hormone-containing vaginal cream or vaginal tablets can compensate for the hormone deficiency in the genital area. The skin is built up stronger and better supplied with blood, making it more elastic, moist and more stable. Talk to your gynecologist about these complaints, who can then prescribe these prescription drugs.

Intermenstrual bleeding

One consequence of the low estrogen production in old age is the shrinking of the uterus and thus often the fibroids as well. The uterine lining is less built up, is thinner and the walls of the blood vessels are more unstable. Sometimes this is noticeable through light intermenstrual bleeding, which should always be clarified by your gynecologist.

Fatigue and trouble sleeping

Decreasing estrogen activity during menopause shortens the deep sleep phase to four hours. At this time of the day, around three to four in the morning, many women wake up partly through sweats and cannot go back to sleep. Usually after the time of the deep sleep phase comes the approx. Two-hour dream phase with a shallower sleep depth.

Problems falling asleep, however, are not caused by hormones. You just take too many worries and thoughts into bed that prevent you from falling asleep. A shortened sleep can affect the concentration and performance of the next day.


Other ailments associated with menopause: