Tipperary-based endocrinologist Dr Mary Ryan gives her advice on how to combat menopause symptoms such as weight gain, as well as explaining how to use HRT
Awareness of menopause and all its associated symptoms has improved steadily over the years, but we still have a long way to go, according to top endocrinologist Dr Mary Ryan.
"A staggering 70% believed there was a stigma at work while 81% said they did not feel comfortable discussing menopause with line managers." Alcohol Studies recommend limiting alcohol intake to between three and six drinks per week. Alcohol can cause weight gain thanks to its “empty calories”, it can also adversely affect your sleep and mood, Dr Ryan adds. "These are areas that are going to struggle through hormonal changes in menopause so it is important not to overindulge in alcohol."
"You have to be more responsible about what you eat in perimenopause and menopause because your metabolism has slowed and your pituitary gland is more tired. Eat fresh organic meat, oily fish, vegetables, fruits – particularly berries, nuts, seeds, Greek yoghurt, porridge, extra virgin olive oil, coconut oil and green tea.
"Many come in with peripheral problems like restless legs and broken sleep, and feel they are coping and don’t need or want HRT, we talk about lifestyle changes and natural supplements. Others with more severe symptoms like extreme anxiety, continuous hot flushing, lack of sleep and mood swings want HRT for a while."
"In most cases after they come off it, they won’t have the difficult symptoms that they had previously. You typically won’t be on HRT after the age of 60 as it increases the risk of heart disease at that stage. In the very rare occasion a person needs to go on it at that stage their heart health would be monitored. Every woman’s menopause is different so we have to be careful of that."
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