No Mamas, You’re Not Losing It: Here’s What Menopause Is Actually Like (Minus The Scaries)

Hot flashes, brain fog, mood swings—menopause has long been talked about in hushed tones. While it can feel intimidating, here’s why the big “M” is nowhere near as scary as the stories make it sound.

When you think of menopause, it probably feels like meeting that one relative you’ve only heard about in whispers and hushed warnings. But meeting the big “M” is a lot less dramatic than the rumours suggested, and she’s definitely not as intimidating or taboo as everyone warned! And here’s the good news, menopause isn’t about turning you into a completely different person. It’s a natural transition, and understanding what’s happening can make the whole experience a lot more manageable. Here, Dr Clara Ong, a Consultant Obstetrician & Gynaecology (O&G) Specialist at Parkway MediCentre, shares all about menopause and what to expect:

Understanding what happens during menopause

First things first—What is menopause?
Menopause is officially diagnosed when you have no menstruation for 12 consecutive months above the age of 45. Blood tests can sometimes help with diagnosis. Most women become menopausal naturally between 45 and 55 years old. However, some women become menopausal as a result of other causes such as surgery to remove their ovaries or as a result of chemotherapy. A few women can even experience menopause prematurely before the age of 40.

Menopause can also bring changes that impact your long-term health. As estrogen levels decline, bone strength can decrease, increasing the risk of osteoporosis. That’s where calcium and vitamin D come in, along with weight-bearing activities like walking, jogging, dancing or hiking to keep your bones strong. Heart health deserves extra attention, too, since cardiovascular risks rise after menopause. Regular screenings and check-ups are important to stay on top of your heart health.

What about perimenopause?
The transition to menopause is known as perimenopause. This period can begin 2 to 8 years before menopause. It is characterised by changes in menstruation and symptoms such as hot flushes, mood swings, “brain fog”, joint aches, vaginal dryness and difficulty sleeping. Some women hardly have any symptoms, but others have extremely severe symptoms that disrupt their work and quality of life. It is this second group that should seek medical help.

I think I need help for my symptoms, but I’m scared!
Perimenopausal symptoms can be managed with various methods: lifestyle changes, complementary therapies and medications such as hormone replacement therapy (HRT) and non-hormonal drugs.

HRT is an extremely effective way to control menopausal symptoms. It is safe to use in women who are within 10 years after the onset of menopause or before age 60, who have no risk factors for stroke. There are also non-hormonal drugs available for women who are unwilling or unable to take hormonal medications, such as those with breast cancer.
You should see a gynaecologist to discuss the best options suitable for you.

Anything else I need to watch out for?
Seek professional medical advice if you have the following symptoms: Unexpected bleeding in menopause (more than 12 consecutive months of not having your period) or Abnormal bleeding in the perimenopausal period. For example, prolonged bleeding, irregular unscheduled bleeding.

You can still thrive in menopause!

Menopause isn’t something to worry about, and you definitely don’t have to go through it alone! The right support, and even expert guidance, can make a big difference in understanding your symptoms and navigating this transition with confidence.

Parkway MediCentre – O&G Clinic by Dr Clara Ong, 11 Bidadari Park Drive, The Woodleigh Mall, #02-25/26/27, Singapore 367803, www.parkwaymedicentre.com.sg/