managing menopause

Understanding Women's Health

Managing menopause can be a difficult time for many women, so it's helpful to fully grasp what it involves. This article will delve into understanding perimenopause, the signs, urinary fibrosis (a pathological condition characterized by the excessive formation of fibrous tissue in the urinary tract, leading to scarring and impaired function) and treatments like ORIAHNN, a prescription medication used to manage heavy menstrual bleeding associated with uterine fibroids in premenopausal women.

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Signs of Perimenopause

  • Irregular periods: Menstrual cycles may become irregular, with changes in frequency, duration and flow.
  • Hot flashes: Sudden feelings of intense heat, often accompanied by sweating and flushing.
  • Night sweats: Episodes of sweating during sleep, which can disrupt sleep patterns.
  • Mood swings: Mood fluctuations, irritability, anxiety, or depression may occur.
  • Sleep disturbances: Difficulty falling asleep or staying asleep, leading to fatigue.
  • Vaginal dryness: Reduced vaginal lubrication, leading to discomfort during intercourse.
  • Decreased libido: Reduced interest in sexual activity may occur.
  • Breast tenderness: Increased sensitivity or discomfort in the breasts.
  • Changes in skin and hair: Skin may become drier, and hair may become thinner or brittle.
  • Weight changes: Some women may experience weight gain or changes in body composition.
  • Memory problems: Difficulty concentrating or remembering things may occur, though this is less common and often mild.

Understanding Perimenopause

Perimenopause typically begins several years before menopause, usually in a woman's 40s, but can start earlier for some. During this phase, hormonal fluctuations occur as the ovaries gradually produce less estrogen. Common signs of perimenopause include irregular periods, hot flashes, mood swings, sleep disturbances and vaginal dryness. These symptoms can vary in severity and duration, impacting daily life and overall well-being.

Urinary Fibroids: A Common Concern

Urinary fibroids, also known as uterine fibroids or myomas, are noncancerous growths that develop in or around the uterus. While not directly related to menopause, they can exacerbate symptoms during perimenopause. Symptoms of urinary fibroids include heavy menstrual bleeding, pelvic pain or pressure, frequent urination and difficulty emptying the bladder. These symptoms can intensify menstrual discomfort and contribute to overall discomfort during perimenopause.

Treatment Options

Fortunately, several treatment options are available to manage symptoms associated with perimenopause and urinary fibroids:

  • Medications: Hormonal medications, such as birth control pills or hormone therapy, can help regulate menstrual cycles and alleviate perimenopausal symptoms. Additionally, medications like gonadotropin-releasing hormone (GnRH) agonists may be prescribed to shrink urinary fibroids temporarily.
  • Minimally invasive procedures: Procedures like uterine artery embolization (UAE) or focused ultrasound surgery (FUS) can effectively reduce the size of urinary fibroids, alleviating associated symptoms without the need for surgery.
  • Surgical intervention: In severe cases or when conservative treatments fail, surgical options like myomectomy (removal of fibroids) or hysterectomy (removal of the uterus) may be recommended.
  • ORIAHNN: ORIAHNN is a prescription medication used to treat heavy menstrual bleeding associated with uterine fibroids in premenopausal women. It is a combination of elagolix, a gonadotropin-releasing hormone (GnRH) antagonist, and estradiol/norethindrone acetate, which are forms of estrogen and progestin. ORIAHNN works by reducing the levels of hormones that stimulate the growth of uterine fibroids, thereby decreasing menstrual bleeding and alleviating related symptoms. It is taken orally and is typically prescribed for use in a defined treatment period under the guidance of a healthcare professional.

Dietary Interventions and Nutritional Support

In addition to medical treatments, adopting a healthy diet rich in certain foods and vitamins can help ease symptoms of perimenopause and urinary fibroids:

  • Foods rich in phytoestrogens: Soy products, flaxseeds and legumes contain phytoestrogens, which mimic the effects of estrogen in the body and may help alleviate hormonal imbalances.
  • Calcium-rich foods: Consuming calcium-rich foods like dairy products, leafy greensand fortified cereals can support bone health and reduce the risk of osteoporosis, a common concern during menopause.
  • Vitamin D: Adequate vitamin D intake is essential for calcium absorption and bone health. Sources include fatty fish, fortified foods and sunlight exposure.
  • Magnesium: Magnesium-rich foods like nuts, seeds, whole grains and leafy greens can help alleviate muscle cramps and promote relaxation, addressing common symptoms like sleep disturbances and mood swings.

Women's Health Spotlight

Navigating perimenopause, urinary fibroids and associated symptoms can be challenging, but understanding the underlying processes and available treatment options can empower women to manage these transitions effectively. By exploring medical interventions, adopting a balanced diet and incorporating essential vitamins and minerals into daily nutrition, women can alleviate discomfort and embrace this new phase of life with confidence and vitality. As always, consulting with a healthcare provider is essential to develop a personalized treatment plan tailored to individual needs and preferences.


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