Menopause myths: Separating fact from fiction

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Menopause myths: Separating fact from fiction
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Many women approach menopause with anxiety about the future. You've probably heard your grandmother, mother, or aunts lament about menopause, aka 'the change,' as a stressful time full of hot flashes, weight gain, and plummeting sex drive.

University of Texas Southwestern Medical CenterAug 6 2024 Many women approach menopause with anxiety about the future. You've probably heard your grandmother, mother, or aunts lament about menopause, aka "the change," as a stressful time full of hot flashes, weight gain, and plummeting sex drive.

The Centers for Disease Control and Prevention reports that the average life expectancy of a woman in the US is 80.2 years. This means you may be post-menopausal for approximately half your lifetime. Menopause refers to the cessation of menstrual periods for at least 12 months. This most commonly occurs between the ages of 45 and 55.

Be wary of med spas and standalone, self-proclaimed hormone clinics. These providers may not have access to safe, personalized medications approved by the U.S. Food and Drug Administration. Based on your own individual health and family history, your health care provider can help you find the formulation and type of hormone therapy that is best for you based on the risks and benefits.

Low estrogen is thought to cause hot flashes by affecting your hypothalamus, the part of your brain that regulates temperature. They can occur spontaneously and may last from a few seconds to several minutes. Sexual desire is a big part of many women's identities and can affect relationships and partnerships. Declining levels of estrogen associated with menopause can cause loss of libido. While hormone replacement therapy can restore some desire, we often see patients who expect that hormone therapy will magically restore their libido, like an on/off switch.

Hormonal changes during menopause and respiratory conditions such as chronic obstructive sleep apnea – in which you stop breathing during sleep and may snore heavily – along with frustrating night sweats, can contribute to insomnia.

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