{"id":1835,"date":"2015-01-26T05:51:44","date_gmt":"2015-01-26T05:51:44","guid":{"rendered":"http:\/\/petersphotogallery.com\/vanea\/?page_id=1835"},"modified":"2016-03-11T05:29:44","modified_gmt":"2016-03-11T05:29:44","slug":"menopause","status":"publish","type":"page","link":"http:\/\/petersphotogallery.com\/vanea\/menopause\/","title":{"rendered":"menopause"},"content":{"rendered":"<p><a href=\"http:\/\/petersphotogallery.com\/vanea\/images\/2015\/01\/after-menopause-02.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-1838\" src=\"http:\/\/petersphotogallery.com\/vanea\/images\/2015\/01\/after-menopause-02-300x195.jpg\" alt=\"after-menopause-02\" width=\"300\" height=\"195\" srcset=\"http:\/\/petersphotogallery.com\/vanea\/images\/2015\/01\/after-menopause-02-300x195.jpg 300w, http:\/\/petersphotogallery.com\/vanea\/images\/2015\/01\/after-menopause-02.jpg 768w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><strong>What is menopause<\/strong><br \/>\nNatural menopause occurs when the ovaries stop producing oestrogen, and finish releasing eggs that may be fertilised by sperm to result in pregnancy. The change in hormone levels means the uterus (womb) no longer prepares itself for pregnancy each month, which is why periods no longer occur.<br \/>\nMenopause is something that is going to affect all women once they reach the age of around 50 and, not surprisingly, it will affect their partners as well.The first thing to say about menopause \u2013 and this is extremely important \u2013 is that it is not a disease or an illness or something you can catch.<br \/>\nMenopause is a part of life. For most it is a release from the monthly grind of dealing with periods. It is different for every woman.<br \/>\nSometimes the transitional time is really physically and emotionally difficult and for others it is an easy transition. There have been many books, blogs, research papers about this vast subject and its affect on women&#8230;I hope I can answer some of the questions you may be asking about your experience and why you should seek my help with your pelvic and general fitness health.<br \/>\nFirstly let&#8217;s look at some of the <a title=\"womens tests\" href=\"http:\/\/www.ahrq.gov\/patients-consumers\/prevention\/lifestyle\/healthy-women.html\" target=\"_blank\">things you may need to know about <\/a>and a trip to your GP to discuss your symptoms is the first step.<\/p>\n<p><strong>What symptoms might I expect<\/strong><br \/>\n<a title=\"menopause symptoms\" href=\"http:\/\/www.menopausematters.co.uk\/symptoms.php\" target=\"_blank\">Symptoms of menopause <\/a>will begin when a woman&#8217;s oestrogen levels start changing.<\/p>\n<table style=\"height: 340px;\" border=\"1\" width=\"662\" cellspacing=\"1\" cellpadding=\"1\">\n<tbody>\n<tr>\n<td>Physical symptoms<\/td>\n<td>Emotional symptoms<\/td>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li style=\"text-align: left;\">Aches and pains<\/li>\n<li style=\"text-align: left;\">Bloating<\/li>\n<li style=\"text-align: left;\">Crawling or itchy skin<\/li>\n<li style=\"text-align: left;\">Headaches\/migraines<\/li>\n<li style=\"text-align: left;\">Hot flushes<\/li>\n<li style=\"text-align: left;\">Increasing tiredness<\/li>\n<li style=\"text-align: left;\">Night sweats<\/li>\n<li style=\"text-align: left;\">Sore breasts<\/li>\n<li style=\"text-align: left;\">Urinary problems<\/li>\n<li style=\"text-align: left;\">Vaginal dryness<\/li>\n<li style=\"text-align: left;\">Wakefulness<\/li>\n<li style=\"text-align: left;\">Weight gain<\/li>\n<\/ul>\n<\/td>\n<td style=\"text-align: left;\">\n<ul>\n<li>Difficulty concentrating<\/li>\n<li>Difficulty sleeping<\/li>\n<li>Feeling anxious<\/li>\n<li>Feeling irritable<\/li>\n<li>Feeling you are not able to cope as well\u00a0as you used to<\/li>\n<li>Forgetfulness<\/li>\n<li>Increasing PMS (premenstrual syndrome)<\/li>\n<li>Lack of concention<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-1881\" src=\"http:\/\/petersphotogallery.com\/vanea\/images\/2015\/01\/20121110_214819000_iOS.jpg.a-241x300.jpg\" alt=\"20121110_214819000_iOS.jpg.a\" width=\"214\" height=\"266\" \/><\/p>\n<p><a title=\"oestrogen and mood\" href=\"http:\/\/jeanhailes.org.au\/contents\/documents\/Resources\/Medical__health_articles\/Medical_Observer\/2014\/Oestrogen_and_mood_MO_7Nov14.pdf\" target=\"_blank\">Mood swings<\/a><br \/>\n<a title=\"memory and menopause\" href=\"http:\/\/jeanhailes.org.au\/contents\/documents\/Resources\/Medical__health_articles\/Jean_Hailes_Magazine\/2014\/Memory_Jean_Hailes_Magazine_2014_vol1-3.pdf\" target=\"_blank\">Memory fogginess<\/a><br \/>\n<a title=\"sex and menopause\" href=\"http:\/\/jeanhailes.org.au\/health-a-z\/menopause\/sex\" target=\"_blank\">Problems with sex<\/a><br \/>\n<a title=\"sex and menopause\" href=\"http:\/\/jeanhailes.org.au\/health-a-z\/menopause\/sex\" target=\"_blank\"> Vaginal dryness<\/a><br \/>\n<a title=\"sex and menopause\" href=\"http:\/\/jeanhailes.org.au\/health-a-z\/menopause\/sex\" target=\"_blank\"> Low libido<\/a><br \/>\nWorsening PMS<br \/>\nIrregular periods<br \/>\nDepression, sadness or anxiety<br \/>\nSudden or frequent urinating<br \/>\nHigher risk for bone loss and fractures<br \/>\nHigher risk of heart disease<br \/>\nThe symptoms of menopause occur due to the changing hormones the woman experiences. As the hormone levels begin to stabilize, and oestrogen levels stay consistently low, many symptoms will decrease, and many will disappear altogether. Some, such as a higher risk of heart disease or bone loss, remain a constant through middle age and beyond, as a woman&#8217;s body adjusts to her new hormone levels. Understanding these symptoms will help you choose the right treatment options as you navigate the changes menopause brings.<\/p>\n<p><a title=\"sex and the menpause\" href=\"http:\/\/www.evidentlycochrane.net\/no-sex-please-menopausal\/\" target=\"_blank\">Sex and the menpoause<\/a><\/p>\n<p><strong>What treatments are available<\/strong><br \/>\nThe Jean Hailes Foundation website has a great <a title=\"menopause webinars\" href=\"http:\/\/jeanhailes.org.au\/health-a-z\/menopause\" target=\"_blank\">selection of webinars<\/a> on menopause<br \/>\n<a title=\"australian menopause society\" href=\"https:\/\/www.menopause.org.au\/for-women\/information-sheets\" target=\"_blank\">The Australian menopause Society<\/a>\u00a0has an amazing amount of information sheets freely available<\/p>\n<p>Medical treatments include:<\/p>\n<ul>\n<ul>\n<li><a title=\"HRT\" href=\"https:\/\/www.menopause.org.au\/for-women\/information-sheets\/426-ams-guide-to-equivalent-hrt-doses\" target=\"_blank\">hormone replacement therapy (HRT)<\/a>\u00a0 \u00a0 \u00a0\u00a0<a title=\"combined HRT\" href=\"https:\/\/www.menopause.org.au\/for-women\/information-sheets\/23-menopause-combined-hormone-replacement-therapy\" target=\"_blank\">combined HRT<\/a>\u00a0 \u00a0 \u00a0 \u00a0\u00a0<a title=\"testosterone\" href=\"https:\/\/www.menopause.org.au\/for-women\/information-sheets\/36-low-libido-and-testosterone-therapy\" target=\"_blank\">Testosterone<\/a><\/li>\n<li><a title=\"Tibolone HRT\" href=\"https:\/\/www.menopause.org.au\/images\/stories\/infosheets\/docs\/Tibolone_For_Post-Menopausal_Women.pdf\" target=\"_blank\">tibolone (similar to HRT)<\/a><\/li>\n<li>clonidine<img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-1883\" src=\"http:\/\/petersphotogallery.com\/vanea\/images\/2015\/01\/20121110_214453000_iOS.jpg\" alt=\"20121110_214453000_iOS\" width=\"207\" height=\"211\" srcset=\"http:\/\/petersphotogallery.com\/vanea\/images\/2015\/01\/20121110_214453000_iOS.jpg 157w, http:\/\/petersphotogallery.com\/vanea\/images\/2015\/01\/20121110_214453000_iOS-24x24.jpg 24w, http:\/\/petersphotogallery.com\/vanea\/images\/2015\/01\/20121110_214453000_iOS-36x36.jpg 36w, http:\/\/petersphotogallery.com\/vanea\/images\/2015\/01\/20121110_214453000_iOS-48x48.jpg 48w, http:\/\/petersphotogallery.com\/vanea\/images\/2015\/01\/20121110_214453000_iOS-64x64.jpg 64w\" sizes=\"auto, (max-width: 207px) 100vw, 207px\" \/><\/li>\n<li>vaginal lubricants<\/li>\n<li>antidepressants<\/li>\n<li><a title=\"bio identical hormones\" href=\"https:\/\/www.menopause.org.au\/for-women\/information-sheets\/34-bioidentical-hormones-for-menopausal-symptoms\" target=\"_blank\">bio identical hormones<\/a><\/li>\n<li>self help interventions\n<ul>\n<li>exercise<\/li>\n<li>diet<\/li>\n<li>complementary medicines (<a href=\"http:\/\/petersphotogallery.com\/vanea\/images\/2016\/03\/Natural-therapies.pdf\" rel=\"\">Natural therapies<\/a>)\n<ul>\n<li>acupuncture<\/li>\n<li>traditional Chinese medicine<\/li>\n<li>remedial massage<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li><a title=\"calcium supplements in menopause\" href=\"https:\/\/www.menopause.org.au\/for-women\/information-sheets\/822-calcium-supplements-a-patient-guide-2014\" target=\"_blank\">calcium supplements<\/a><\/li>\n<li><a title=\"video on non hormonal medications \" href=\"http:\/\/www.menopause.org.au\/for-women\/videos\/non-hormonal-treatment-options\" target=\"_blank\">non hormonal medicines\u00a0<\/a><\/li>\n<li><a title=\"Cochrane review Report on oestrogens\" href=\"http:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/14651858.CD001405.pub3\/abstract\" target=\"_blank\">Local oestrogen therapy <\/a>\u00a0A Cochrane review report found&#8230;.&#8221; 34 trials including more than 19,000 women of whom over 9000 received oestrogen. The review found that significantly more women who received local (vaginal) oestrogen for incontinence reported that their symptoms improved compared to placebo. (including frequency, urgency and discomfort) There was no evidence about whether the benefits of local oestrogen continue after stopping treatment but this seems unlikely as women would revert to having naturally low oestrogen levels&#8221;<\/li>\n<\/ul>\n<\/ul>\n<p><a title=\"Medications for Menopause\" href=\"http:\/\/www.menopause.org.au\/for-women\/426-ams-guide-to-equivalent-hrt-doses\" target=\"_blank\">Medication information <\/a>\/doses<br \/>\n<strong>Sex after menopause\u00a0<\/strong><br \/>\n<a title=\"sex after menopause\" href=\"http:\/\/www.myvmc.com\/symptoms\/sex-after-menopause\/\" target=\"_blank\">My virtual medical centre <\/a>is a website \u00a0resource for up to date information on medical issues<br \/>\nB<a title=\"body changes after menopause\" href=\"https:\/\/www.menopause.org.au\/for-women\/information-sheets\/33-menopause-and-body-changes\" target=\"_blank\">ody changes after menopause<\/a><\/p>\n<p><strong>What is a Hysterectomy<\/strong><br \/>\nA hysterectomy is a surgical procedure to remove the womb (uterus). You will no longer be able to get pregnant after the operation.<br \/>\nIf you haven&#8217;t already gone through the menopause, you will also no longer have periods, regardless of your age. The menopause is when a woman&#8217;s monthly periods stop, usually at around the age of 52.\u00a0A hysterectomy is a major operation with a long recovery time and is only considered after alternative, less invasive, treatments have been tried.<br \/>\nThe most common reasons for having a hysterectomy include:<\/p>\n<ul>\n<ul>\n<ul>\n<li>heavy periods (menorrhagia), which can be caused by fibroids<\/li>\n<li>pelvic pain<\/li>\n<li>endometriosis<\/li>\n<li>unsuccessfully treated pelvic inflammatory disease (PID)<\/li>\n<li>adenomyosis<\/li>\n<li>prolapse of the uterus<\/li>\n<li>cancer of the womb, ovaries or cervix<\/li>\n<li>The main types of hysterectomy are:<\/li>\n<li><strong>total hysterectomy <\/strong>\u2013 the womb and cervix (neck of the womb) are removed;\u00a0this is the most commonly performed operation<\/li>\n<li><strong>subtotal hysterectomy\u00a0<\/strong>\u2013\u00a0the main body of the womb is removed, leaving the cervix in place<\/li>\n<li><strong>total hysterectomy with bilateral salpingo-oophorectomy\u00a0<\/strong>\u2013\u00a0the womb, cervix, fallopian tubes (salpingectomy) and the ovaries (oophorectomy) are removed<\/li>\n<li><strong>radical hysterectomy<\/strong>\u00a0\u2013 the womb and surrounding tissues are removed, including the fallopian tubes, part of the vagina, ovaries, lymph glands and fatty tissue<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p>There are three ways to carry out a hysterectomy:<\/p>\n<ul>\n<ul>\n<ul>\n<li><strong>vaginal hysterectomy<\/strong>\u00a0\u2013\u00a0where the womb is removed through a cut in the top of the vagina<\/li>\n<li><strong>abdominal hysterectomy<\/strong>\u00a0\u2013 where the womb is removed through a cut in the lower abdomen<\/li>\n<li><strong>laparoscopic hysterectomy (keyhole surgery)<\/strong>\u00a0\u2013 where the womb is removed through several small cuts in the abdomen.<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p>See the list of websites below that can give you further information about this complex surgery.<\/p>\n<ul>\n<ul>\n<ul>\n<li><a title=\"what questions to ask about hysterectomy\" href=\"http:\/\/www.pelvichealthsolutions.com\/sites\/default\/files\/pdf\/hysterectomy_ttd.pdf\" target=\"_blank\">http:\/\/www.pelvichealthsolutions.com\/sites\/default\/files\/pdf\/hysterectomy_ttd.pdf<\/a><\/li>\n<li><a title=\"Sex after surgery\" href=\"http:\/\/www.recoversex.com\/about\" target=\"_blank\">Sex after surgery<\/a>&#8230;all sorts of surgery and all sorts of positions. Cindi Mosher certified nurse practitioner has great practical information on different positions for different surgeries!!<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p>This page is a work in progress.. not sure where to start!!<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is menopause Natural menopause occurs when the ovaries stop producing oestrogen, and finish releasing eggs that may be fertilised by sperm to result in pregnancy. The change in hormone levels means the uterus (womb) no longer prepares itself for pregnancy each month, which is why periods no longer occur. Menopause is something that is <a href='http:\/\/petersphotogallery.com\/vanea\/menopause\/' class='excerpt-more'>[&#8230;]<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-1835","page","type-page","status-publish","hentry","post-seq-1","post-parity-odd","meta-position-corners","fix"],"_links":{"self":[{"href":"http:\/\/petersphotogallery.com\/vanea\/wp-json\/wp\/v2\/pages\/1835","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/petersphotogallery.com\/vanea\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/petersphotogallery.com\/vanea\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/petersphotogallery.com\/vanea\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/petersphotogallery.com\/vanea\/wp-json\/wp\/v2\/comments?post=1835"}],"version-history":[{"count":54,"href":"http:\/\/petersphotogallery.com\/vanea\/wp-json\/wp\/v2\/pages\/1835\/revisions"}],"predecessor-version":[{"id":2020,"href":"http:\/\/petersphotogallery.com\/vanea\/wp-json\/wp\/v2\/pages\/1835\/revisions\/2020"}],"wp:attachment":[{"href":"http:\/\/petersphotogallery.com\/vanea\/wp-json\/wp\/v2\/media?parent=1835"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}