15 Body Signs No One Tells You Will Come Before Menopause
Why you suddenly have bruises on your body and hair on your chin.
Pesky hormonal fluctuations can cause cyclical breast tenderness (ranging from bothersome to unbearable) even when Aunt Flo isn’t due for a visit. What’s more, since perimenopause causes irregular cycles, it’s nearly impossible to know when your breasts are going to begin throbbing, according to the National Cancer Institute. Your breasts may also feel “more lumpy” than they did before, notes Ellen Dolgen, Menopause Mondays blogger and author of the free eBook, The Girlfriend’s Guide to Surviving and Thriving During Perimenopause and Menopause.
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Perimenopause causes some women to become a bit clumsy—and those minor bumps can quickly turn into big bruises. This is because fluctuating hormones can make skin thinner, making you bruise easier.
Strangely, excessive tearing is a sign that your eyes are desperately trying to make up for a lack of moisture. And you can thank plummeting hormones for those “Cheech and Chong”–style eyes, Dolgen says. Hormones affect the ocular tissues and the composition of tears your eyes produce, resulting in excessively dry eyes and changes in vision (going from near-sighted to far-sighted, for example).
Don’t be surprised if your tweezers become your new best friend, Dolgen says. For a lucky 15 per cent of women, “super human” hair on your chin, upper lip, or cheeks is an all-too-common symptom of perimenopause, according to the North American Menopause Society. And, perhaps what’s worse, the hair on your head may become thin, dry, or brittle.
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The sudden speeding-up or irregularity of your heart rate is a not often talked about, yet common symptom of perimenopause. Studies show that epinephrine and norepinephrine, the neurotransmitters that regulate heart rate and blood pressure, tend to fluctuate in menopausal women, according to David Portman, MD, a gynecologist and director of the Columbus Center for Women’s Health Research in Ohio.
Urinary urgency or leakage
Pee a little when you do jumping jacks or leak when you cough or sneeze? Gotta hurry up and go right now? It’s likely due to stress urinary incontinence (SUI) or urge urinary incontinence (UUI)—both common during “the change.” Lower estrogen levels cause the lining of the urethra to thin, says JoAnn V. Pinkerton, MD, executive director of the North American Menopause Society (NAMS). And weakened pelvic floor muscles, often a result of a vaginal childbirth, are also to blame.
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Less estrogen equals acne and dry and thinning skin for many women in entering menopause, which Dr. Pinkerton likens to “reverse puberty.” It’s also common to experience flare-ups or new cases of allergies and eczema during this time, adds Dolgen, whose swears by coconut oil for softer skin and smaller pores.
Of course, the excessive sweating that accompanies night sweats and hot flashes can create an unpleasant odour. But there’s another explanation for this condition, too: A drop in estrogen levels tricks your hypothalamus gland into thinking you’re overheated, signalling your body to sweat more.
Migraines may start for the first time, or worsen, when you start going through menopause because of new hormonal fluctuations, says Dr. Pinkerton. The good news, however, is that hormonal migraines usually stop or vastly improve after menopause, when levels are consistently low. In fact, only five per cent of women suffer migraines after age 60, according to the Migraine Research Foundation.
Sex-stifling vaginal dryness was one of the most difficult symptoms for Dolgen. “Your vagina takes a trip to the desert and takes your eyes and skin along with it,” she says. Lower estrogen levels cause thinner, drier and less-elastic vaginal tissue and decrease blood flow to the area. The result: vaginal dryness, itching, and painful sex.
Sure you’ve heard about hot flashes, but you may not know that they can be different for every woman. Some even experience them for decades, starting in perimenopause. Caused by a drop in estrogen levels, which affects the gland that regulates body temperature, hot flashes can happen during the day or at night—or both. They can be mild, lasting seconds, or severe and stick around for a half hour or longer.
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Whether you call it meno-pot, meno-pudge, or middle-age spread, extra fat in the abdominal region is a reality for many women in perimenopause. “A woman’s weight throughout her menopausal journey is impacted by five factors: hormones, diet, exercise, stress, and genetics,” Dolgen explains. And you can also lose muscle mass—0.6 per cent per year or more if you’re not physically active and don’t get enough protein, Dr. Pinkerton adds.
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Is your period shorter and lighter one month and heavy with cramping the next? This is part of perimenopause, explains Pinkerton. In addition to being a nuisance, irregular periods also up your pregnancy risk. “The second highest unintended pregnancy time for women is during your 40s,” Dr. Pinkerton says. “And pregnancy remains a risk until you haven’t had a period for a year.”
The less estrogen your ovaries produce, the more bone loss may accelerate. This can put you at a greater risk for osteoporosis, or bone thinning, which increases your risk of fracture. “You can lose up to 20 per cent of your bones during the first five years of menopause,” Dr. Pinkerton says.
Hormonal changes—along with premenopausal symptoms like mood swings and sleep problems—may make you more forgetful and less focused. Stress also plays a role. “It’s hard to relax, especially when you’re going through the trials of perimenopause,” Dolgen says, “but it’s important for your mind and body to decompress.”