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Menopause and Aging
By Kerry Wagner
Aging
 Midlife is a very          Society views
  broad term                  youth as a
  describing when a           standard of judging
  women is between            a women’s value to
  the ages of 45 and          society
  65
 Aging can be a
  difficult process for
  some people
Negative Affects of Aging
 Age discrimination    Increases
 Loose capacity to      emotional,
  reproduce              physical, and
 Children move out      financial stress
 Death of loved        Balance caring for
  ones (partner,         aging parents and
  child, sibling,        caring for your
  parent)                children
                        More susceptible to
                         illness
Positive Affects of Aging
 Retirement                Gain a new outlook
 More time to do            on life
  things that you love
 Develop new roles
  in the family
  (becoming a
  mother-in-law or
  grandparent)
 Renewed pleasure
  in long term
  relationships
What is Menopause?
 The end of a           Ovaries no longer
  women’s monthly         produce enough
  period                  estrogen to
 Can occur as early      continue
  as 40 or as late as     menstruation
  60 (average age is     Overall decrease of
  51)                     estrogen in the
 A series of             body
  emotional and          No predictable rate
  physical changes        of transition to
  in a women’s body       menopause
What happens during
    menopause?
   Changes in a women’s period
    ◦ Cycles gradually become shorter and lighter until
      they stop all together
   Hot flashes/ night sweats
    ◦ Decreasing estrogen affects bodies temperature
      control mechanism
   Sleep problems
    ◦ Waking up early and not being able to go back to
      sleep
    ◦ Relationship between change in hormones and
      bodies sleep mechanism
What happens during menopause?
   Vaginal Changes
    ◦   Vaginal walls become thinner, more dry, less
        flexible
    ◦   Less vaginal lubrication is produced
    ◦   Vaginal Atrophy- avoidance of sex because of
        discomfort
   Urinary Changes
    ◦   Leak urine accidently
    ◦   Increased urine output at night
    ◦   Urinary Incontinence- inability to control leakage of
        urine
   Changes in sexual desires
    ◦   Less interest in sex because of decreased
        hormones
What happens during
        menopause?
   Change in Memory and Mood
    ◦   Memory gaps or inability to concentrate
    ◦   Menopause does not cause depression but could
        produce mild/negative mood changes
   Abnormal Bleeding
    ◦   Includes excessive bleeding and light bleeding
    ◦   Excessive bleeding could be a sign of a more serious
        problem
Hormones Effect on the Body
   Decrease in bone
    density
   Mood
    swings/negative
    feelings
   Relief of hot flashes
    and insomnia
   Dry eye syndrome-
    decrease production
    of tears for proper
    lubrication
   Effects on body may
    outweigh benefits
Medical Options for Managing
             Menopause
    Hormone Therapy:                 Other Options:
   Use to be                  Selected estrogen
    considered a miracle        receptor modulators-
    drug that promotes          prevent bone loss and
    youthfulness                reduce risk of bone
                                fracture
   Long term benefits         Bisphonates- reduce
    being challenged            bone thinning and risk
   Hormone therapy             of fracture
    increases women’s          Both have fewer risks
    risk of breast cancer       than hormones
    and blood clots
                               But not much
                                information about long
                                term effectiveness and
                                safety
Sexuality and Aging
 Sexual feelings are    Some women
  determined by a         explore
  women’s                 relationships with
  perception of her       other women
  own body rather        Use birth control
  than age                until period stops
 Difficulties having     completely for two
  sexual relations        years
  after a divorce or     Changing attitude
  death of a loved        about
  one                     sex/overcoming
 Lowered sexual          obstacles
  function
Preventative Health
   Stay Active                   Avoid Smoking
    ◦   Prevent loss of bone       ◦ Smoking increases
        and muscle mass              loss of bone density
    ◦   Include aerobic,          Adequate calcium
        weight bearing, and        and vitamin D
        strength training
        workouts
                                   intake
                                   ◦ Help reverse bone
                                     loss and protect
                                     against osteoporosis
                                  Eat well
                                   ◦ Help prevent and
                                     manage chronic
                                     health problems
Social and Political Issue with
Aging
 Ageism- society       Elderly women are
  separates people       twice as likely to
  by age, this           be living in poverty
  separation creates     compared to
  age discrimination     elderly men
 Ageism causes         Gap in healthcare
  people to feel         coverage
  ignored,                 ◦   To young for
  marginalized, or             Medicare and not
  invisible                    poor enough for
                               Medicaid
Researching Menopause
 More research is
  needed on basic
  biology of aging
 Not much is known
  about aging needs
  of African American
  women
 Studies today are
  funded by drug
  company interests
Where to find support?
 Aging can be very        Support groups
  emotionally and           can give women
  physically draining       strength to get
 Support groups are        through difficult
  a great way to            situations
  share experiences
  and concerns
 Social engagement
  can reduce feelings
  of isolation