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Self-help with hormone changes

fanHot flushes, possibly with night sweats. Many women find them embarrassing, but they do tend to be more obvious to the sufferer than to the on-looker. Sheila Kitzinger tried watching herself in the mirror, and decided she liked the rosy glow! Unfortunately hot flushes tend to be worse when you are under other kinds of stress.

Self-help measures include dressing in layers, avoiding anything tight round the neck, wearing cotton and other natural fibres, considering layers of blankets rather than a duvet. Also watch to see what triggers them for you – possibilities include caffeine, alcohol, spicy food, smoking. It might be worth cutting down on any offending substances – only you will know.
womb with spiral/question mark.  Learn more at a workshop.
Heavy and/or unpredictable bleeding – some women bleed more heavily and frequently near menopause, others bleed less heavily and less frequently. Others find their regular cycle stops for a few months and then starts again. Self-help here means never being without sanitary pads or tampons handy!

Fertility declines, but it does not stop with your last menstrual period, even if you could know at the time which this was! It is important to continue with contraception for at least a year after the last menstrual period (check with your doctor for the latest advice).

Drying skin, in various places, as a result of reduced oestrogen production (and ageing). Self-help measures include reviewing skin care – more or different moisturisers or E45, higher factor sun screen - and lubricating jelly from the chemist for vaginal dryness if this is a problem.

Emotional instability and exhaustion, from a combination of coping with the rest of your life and hormonal change. See You and your feelings.

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Books on midlife and menopause by Liz Perkins are available now:

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