Navigating Menopause: A Comprehensive Guide to Symptoms, Treatments, and Hormone Replacement Therapy (HRT)

Dr Jane Johnston
Dr Jane Johnston
December 10, 2024
5 min read

Menopause is a natural phase in every woman's life, but it can bring with it a host of physical and emotional changes that vary greatly between individuals. Understanding the signs and symptoms, as well as the treatments available, is crucial for navigating this life stage with confidence and ease.

Profile Aesthetic is based in Aberdeen’s West End and serving women throughout Scotland.  We offer a personally tailored approach to women’s health. This guide will walk you through the most common concerns around menopause and provide insight into the treatments we offer, that can help improve the quality of your life.

What is Menopause?

Menopause is officially defined as the point when a woman has gone 12 consecutive months without a menstrual period, marking the end of her reproductive years. Typically, this transition occurs between the ages of 40 and 55, with the average age being around 51. However, some women may experience menopause earlier, due to factors like premature ovarian failure (a condition where the ovaries stop functioning before age 40) or surgically induced menopause (such as after a hysterectomy or oophorectomy, where the ovaries are removed or damaged). The transition into menopause can bring various symptoms, including hot flashes, mood changes, and irregular periods. Common early signs include changes in the menstrual cycle—periods may become irregular, heavier, lighter, or vary in length.

What are the Common Menopause Symptoms?

Many women associate menopause with hot flushes and night sweats, but there’s much more to it than that. Here’s a quick rundown of the most common symptoms:

  • Hot flushes and night sweats
  • Sleep disturbances
  • Mood swings or anxiety
  • Joint pain
  • Loss of confidence
  • Reduced libido
  • Cognitive changes, such as difficulty concentrating

While these symptoms may seem overwhelming, they can be managed with the right support and treatments. At Profile Aesthetic, we offer consultations to help you understand your specific symptoms and explore options that work best for you.

Does Menopause Happen Earlier Than Expected?

Although the average age for menopause in the UK is 51, many women in the UK and across Scotland start experiencing symptoms in their early 40s. This phase is known as peri-menopause, and it’s important to note that some women may go through premature menopause, which can be triggered by medical conditions, surgery, or cancer treatments. If you notice hormonal changes or unusual symptoms, don’t hesitate to seek medical advice—age should never be a barrier to getting the care you need.

How Long Do Menopause Symptoms Last?

For many women, the transition from peri-menopause to post-menopause can last anywhere from five to seven years, though it’s not uncommon for symptoms to persist longer. Each woman’s experience is unique, and the duration of symptoms can vary based on genetics, lifestyle, and other factors.

Can I Still Get Pregnant During Menopause?

It’s a common concern for many women approaching menopause. If you experience menopause before the age of 50, it is advisable to use contraception for at least two years. For women over 50, contraceptive protection is typically recommended for one year. Every woman’s reproductive health is different, so it’s essential to consult with a specialist to get personalised advice.

Menopause and Libido: What to Expect

The hormonal changes of menopause can have a significant impact on libido and sexual function. Lower levels of oestrogen and testosterone, combined with symptoms like sleep disruption, can affect sexual desire. Although there is currently no testosterone replacement therapy (TRT) licensed specifically for women in the UK, doctors can prescribe testosterone in doses suitable for women, which can improve libido and sexual response when monitored appropriately.

Hormone Replacement Therapy (HRT): A Game-Changer

For many woman, Hormone Replacement Therapy (HRT) remains one of the most effective treatments for managing menopause symptoms. Advances in HRT mean that the products available today are much safer than in the past, with fewer side effects. Transdermal options, such as gels, patches, and sprays, are now preferred over oral medications as they avoid liver metabolism, reducing potential risks.

At Profile Aesthetic, we focus on using bio-identical hormones, which closely resemble the body’s natural hormones. These provide a more natural approach to balancing oestrogen and progesterone levels, helping to reduce symptoms and improve overall well-being.

Beyond Symptoms: The Long-Term Benefits of HRT

Aside from easing menopausal symptoms, HRT has several long-term health benefits. For women in Scotland, especially younger women who go through early menopause, HRT can:

  • Protect against osteoporosis by improving bone density, which reduces the risk of fractures.
  • Enhance cardiac health by mimicking the protective effects of oestrogen on the heart.

This makes it vital to find the right HRT regime, tailored to your unique needs and medical history. At Profile Aesthetic, we offer bespoke HRT plans designed to suit your lifestyle and health goals and monitor closely to adjust accordingly.

How Long Can I Take HRT?

Contrary to past beliefs, there is no longer a strict time limit for using HRT. Both the British Menopause Society and International Menopause Society now advocate for an individualised approach, allowing women to continue HRT for as long as it benefits them. Many women choose to remain on HRT longer due to its safety profile and the increasing demands of modern life.

Lifestyle Adjustments for an Easier Transition

Maintaining a healthy lifestyle can significantly impact your menopause experience. Regular exercise, a balanced diet, limited alcohol intake, and avoiding smoking can help ease the transition. However, lifestyle changes alone may not be enough for everyone. That’s why it’s essential to explore all available options, from lifestyle modifications to medical treatments like HRT.

In Conclusion, menopause can be a challenging period, but it doesn’t have to define your life. With modern treatments like HRT, lifestyle adjustments, and professional support from specialists like those at Profile Aesthetic, women throughout Scotland can navigate this transition with greater ease and confidence. Whether you're just beginning to experience symptoms or have been dealing with them for years, we're here to help you find a solution that works for your unique needs.

If you’re ready to take control of your menopause journey, contact Profile Aesthetic today for a consultation with our women’s health specialist.

By Profile Aesthetic Woman’s Health Specialist, Dr Jane Johnston (MBChB, MRCGP, BMS Certified Specialist)

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