Women ages 45 to 55, but some may start earlier, others later
Doctors define menopause as the point when a woman has gone 12 months without a monthly
menstrual period The process is a result of a progressive decline in levels of the hormone estrogen
The beginning of this time of change is referred to as perimenopause, while the period after
menopause is called postmenopause Although menopause used to be viewed as the beginning of old
age, a majority of women today in developed countries can expect to live more than a third of their
lives after menopause It is a biological process, not a medical illness
During menopause, fluctuations in estrogen levels can cause symptoms like hot flashes, night
sweats, insomnia, vaginal dryness, difficulty concentrating, and weight gain Some women experience
few or no symptoms of menopause, while others experience severe symptoms that cause them extreme
discomfort
Menopause can also affect a woman’s risk of developing certain diseases Before menopause, a
woman’s hormones protect her from developing heart disease, but with the onset of menopause that
protection is lost By about 55 years of age, women die of heart disease at approximately the same
rate as men In addition, the gradual loss of bone mass that most women experience from the age of 30
onward is drastically accelerated at menopause This bone thinning, or osteoporosis, increases the
risk of fractures, which can lead to disability and pain
QUICK TIP:
Eat ground flaxseed a day
Grind 1 to 2 Tbsp (15 to 30 mL) seeds and add to cereal, yogurt, or oatmeal Flaxseed contains
omega-3 fatty acids that support heart health and provide lignans
To treat milder symptoms, and to avoid development of chronic disease, women are encouraged to
adopt a healthy lifestyle and to try other approaches, which can include dietary change, exercise, and
herbal remedies
Nutrition Connection
A healthy diet can help ease the symptoms of menopause and reduce the risk of chronic disease Here
are some helpful dietary strategies:
Eat foods known to reduce menopausal symptoms Follow a diet high in whole grains, fruits,
and vegetables, and low in saturated fats It will provide you with plenty of fiber, vitamins, minerals,
and bioflavonoids—all important for long-term health and to help minimize menopausal symptoms
High-fiber foods such as flaxseed also contain lignans, a phytoestrogen that helps reduce hot flashes
Watch out for trigger foods There are foods that can worsen symptoms like hot flashes,
insomnia, and mood swings Some common culprits are coffee, tea, chocolate, colas, alcohol, and
spicy foods
Include soy foods Studies have shown that soy foods can help ease hot flashes Soy foods contain
a type of phytoestrogen called isoflavones, which have a weak estrogenic effect in the body Soy
foods include tofu, soybeans, soy beverages, soy nuts, and soy protein While soy foods are safe
enough, the safety and efficacy of isoflavone supplements have not been demonstrated
Vitamin E may help For some women, vitamin E, found in nuts, seeds, vegetable oils, green leafy
vegetables, like spinach and fortified and enriched cereals, helps tame mild hot flashes Talk to your
doctor about supplements; more than 400 mg daily is not recommended
Beyond the Diet
Some lifestyle adjustments can help you deal more easily with menopause Here are some
recommendations:
Exercise regularly Regular exercise may help minimize mood swings and hot flashes At least 30
minutes of exercise four to five times a week is recommended
Learn relaxation techniques Deep breathing, guided imagery, and yoga can all help relieve
menopausal symptoms
Consider herbs or medication Although there have not been large clinical studies to establish
efficacy for herbal remedies, you can try some of the more popular ones: black cohosh, which has
been shown to help decrease depression, irritability, and insomnia; chasteberry, which helps manage
fluid retention, hot flashes, and anxiety; and St John’s wort, which may help manage mild to moderate
depression Medications may also offer relief from symptoms