In a qualitative study co-authored by KKH of perimenopausal and menopausal women aged between 47 and 54 years, the women reported experiencing hot flashes, mood changes, vaginal dryness, insomnia, joint and muscle pains.
“This study also found that these perimenopausal women … were uncertain whether their symptoms were related to menopause or other health problems,” she said. Seventy per cent of participants did not seek treatment for their symptoms, and only 5 per cent sought menopause hormone therapy (MHT).
Adding to this confusion, there are no specific perimenopause and menopause tests. “For women in their late forties and fifties, tests are not required to determine if they are going through this transition,” Assoc Prof Puvanendran added.
The study also found that women felt lost, and lonely, faced a sense of loss for their womanhood, and an awareness of ageing and even death.
HOW TO MANAGE PERIMENOPAUSE SYMPTOMS
Because symptoms vary between women, it can be difficult to pinpoint which treatment to seek. However, when symptoms start affecting daily life, work, and causing irritability, Assoc Prof Rukshini advised: “It is essential to consult a healthcare professional for personalised advice and treatment options, if necessary.”
For hot flashes and night sweats, menopausal hormone therapy (MHT), previously known as hormone replacement therapy (HRT), may be used. Besides oestrogen and progesterone, MHT with testosterone may sometimes be prescribed to help with perimenopause symptoms.
Assoc Prof Rukshini said: “Many seek supplements like black cohosh, a North American traditional herb which helps with hot flashes, but it doesn’t work as well as MHT.”
She added that other methods like acupuncture have been reported to help with discomfort and even night sweats, but clinical trials have been inconclusive.
