Menopausal Symptoms in Older Women: What to Know - Obstetrics and Gynecology

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Menopausal symptoms


Hello, Director Chen.
My mother is 72 years old and has been feeling unwell lately, very weak, sensitive to heat, and sweating a lot.
I would like to ask if these symptoms could be due to menopause? Also, at her age, is it still possible for her to experience menopausal symptoms? Additionally, what foods can she supplement to alleviate these discomforts? Should I take her to a gynecologist for an examination? What tests should be done? Thank you for your assistance with these questions!

Xian Yun, 30~39 year old female. Ask Date: 2008/07/07

Dr. Chen Changfu reply Obstetrics and Gynecology


Your mother is 72 years old and has been in poor health, feeling weak, sensitive to heat, and experiencing excessive sweating.
Please start with an internal medicine consultation to rule out cardiovascular diseases, as well as liver and kidney disorders.
While menopausal symptoms can cause discomfort, neglecting the symptoms of internal organ diseases could pose serious risks to her health and life.

Reply Date: 2008/07/07

More Info


Understanding menopausal symptoms in older women is crucial, especially for those who are experiencing significant changes in their health as they age. Your mother, at 72 years old, may indeed be experiencing symptoms that are related to menopause, although it is important to clarify that menopause typically occurs in women between the ages of 45 and 55. After menopause, women enter a postmenopausal phase where they may still experience some symptoms due to hormonal fluctuations, but these symptoms can also be attributed to other health issues that may arise with aging.

The symptoms you describe—feeling weak, being sensitive to heat, and excessive sweating—can be associated with menopause, particularly hot flashes and night sweats. However, at her age, it is also essential to consider other potential causes for these symptoms. Conditions such as hyperthyroidism, infections, or even certain medications can lead to similar experiences. Therefore, it is advisable to consult with a healthcare provider to rule out any underlying conditions.

In terms of dietary recommendations, there are several foods and supplements that may help alleviate menopausal symptoms. Since your mother is experiencing heat sensitivity and sweating, incorporating foods that have cooling properties may be beneficial. Here are some suggestions:
1. Soy Products: Foods like tofu, tempeh, and soy milk contain phytoestrogens, which can mimic estrogen in the body and may help reduce hot flashes.

2. Flaxseeds: These are also rich in phytoestrogens and can be easily added to smoothies, cereals, or baked goods.

3. Fruits and Vegetables: A diet rich in fruits and vegetables can provide essential vitamins and minerals. Foods high in water content, such as cucumbers, watermelon, and leafy greens, can help with hydration and may provide a cooling effect.

4. Whole Grains: Foods like oats, brown rice, and quinoa can help maintain stable blood sugar levels, which may help with energy levels and mood stability.

5. Healthy Fats: Incorporating sources of omega-3 fatty acids, such as walnuts, chia seeds, and flaxseed oil, can support overall health and may help with mood regulation.

6. Hydration: Encourage her to drink plenty of water throughout the day to stay hydrated, especially if she is sweating more than usual.

In addition to dietary changes, lifestyle modifications can also play a significant role in managing menopausal symptoms. Regular physical activity, such as walking, swimming, or yoga, can improve overall well-being and help reduce feelings of fatigue. Stress management techniques, such as mindfulness, meditation, or deep-breathing exercises, can also be beneficial.

Regarding medical evaluations, it would be prudent to take your mother to a healthcare provider, such as a gynecologist or a primary care physician, for a thorough examination. They may recommend blood tests to check hormone levels, thyroid function, and other relevant health markers. A complete blood count (CBC), metabolic panel, and hormone level tests can provide valuable insights into her health status.

In summary, while your mother's symptoms may be related to menopause, it is essential to consider other potential health issues that could be contributing to her discomfort. A comprehensive evaluation by a healthcare professional will help determine the best course of action, including dietary and lifestyle modifications, to improve her quality of life.

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