Vaginal dryness
Sex-stifling vaginal dryness was one of the most difficult symptoms for Dolgen. “Your vagina takes a trip to the desert and takes your eyes and skin along with it,” she says. Menopause changes, such as lower oestrogen levels, cause thinner, drier and less-elastic vaginal tissue and decrease blood flow to the area. The result: vaginal dryness, itching and painful sex.
Hot flashes
Sure you’ve heard about hot flashes, but you may not know that they can be different for every woman. Some even experience them for decades, starting in perimenopause. Caused by a drop in oestrogen levels, which affects the gland that regulates body temperature, hot flashes can happen during the day or at night – or both. They can be mild, lasting seconds, or severe and stick around for a half hour or longer.
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Weight shifts
Whether you call it meno-pot, meno-pudge, or middle-age spread, extra fat in the abdominal region is a reality for many women in perimenopause. “A woman’s weight throughout her menopausal journey is impacted by five factors: hormones, diet, exercise, stress and genetics,” Dolgen explains. And you can also lose muscle mass – 0.6 percent per year or more if you’re not physically active and don’t get enough protein, Dr Pinkerton adds.