Senate Inquiry into Menopause: A Closer Look at the Impact of Menopause Symptoms on Women's Health
The Australian Senate referred an inquiry into the Issues related to menopause and perimenopause to the Senate Community Affairs References Committee in November 2023 which is expected to deliver its final report by 17 September 2024.
This inquiry comes as a result of findings from the 2023 National Women’s Health Survey which shed light on a critical aspect of women's health that has often been overlooked or misunderstood. The comprehensive report The impact of symptoms attributed to menopause by Australian women authored by Professor Susan Davis et al., delves into the multifaceted symptoms attributed to menopause and their profound impact on the lives of Australian women. As a clinical nutritionist with a focus on perimenopause and menopause, I am watching the Senate inquiry with interest and hope that any findings will better support and guide women (and those assigned female at birth) through this significant phase of their life.
Understanding Menopause and Its Symptoms
Menopause marks the end of a woman's reproductive years, typically occurring between the ages of 45 and 55, but it can occur earlier as it did in my case at age 39. It is diagnosed after 12 consecutive months without a menstrual period. The transition into menopause, known as perimenopause, can bring about a wide range of symptoms due to fluctuating hormone levels. The Australian inquiry highlights several common symptoms experienced by women during this period, including:
1. Hot Flashes and Night Sweats: Sudden feelings of heat, often accompanied by sweating and flushing, are among the most reported symptoms.
2. Sleep Disturbances: Many women experience insomnia or disrupted sleep patterns, significantly impacting their daily functioning.
3. Mood Changes: Depression, anxiety, and mood swings are prevalent, often exacerbated by hormonal changes and sleep disturbances.
4. Cognitive Decline: Memory issues and difficulties in concentration, commonly referred to as "brain fog," are also noted.
5. Physical Changes: Weight gain, particularly around the abdomen, and changes in skin elasticity are frequent complaints. I also see many clients presenting with Irritable Bowel Syndrome that commenced at this time and there is some emerging research regarding menopause and changes to the microbiome.
The Socioeconomic Impact of Menopause Symptoms
The report underscores the substantial socioeconomic impact of menopause symptoms on women's lives. Many women report decreased productivity at work, leading to potential economic consequences. Additionally, the strain of managing symptoms can affect personal relationships and overall quality of life.
Nutritional Interventions for Menopause Management
As a clinical nutritionist, there are several evidence-based strategies I use in clinic to help alleviate menopause symptoms through dietary interventions:
1. Phytoestrogens: These plant-based compounds, found in foods like soy, flaxseeds, and legumes, can mimic the effects of estrogen in the body and may help reduce hot flashes and night sweats.
2. Omega-3 Fatty Acids: Found in fatty fish, chia seeds, and walnuts, omega-3s have anti-inflammatory properties and can support mood stability and cognitive function.
3. Calcium and Vitamin D: Ensuring adequate intake of these nutrients is crucial for bone health, as the risk of osteoporosis increases post-menopause. Weight training is also strongly recommended for bone health and to prevent sarcopenia (muscle loss).
4. Magnesium: Magnesium can help with sleep disturbances and muscle cramps. It is found in leafy greens, nuts, seeds, and whole grains. Epsom salt baths are also a great way to get additional magnesium into your body as it is absorbed through the skin.
5. Hydration and Balanced Diet: Maintaining hydration and a balanced diet rich in fruits, vegetables and lean proteins supports overall health and can help manage weight.
6. Prebiotics and Probiotics: Changes to the gut microbiome can be manipulated with dietary changes including fibre in the form of prebiotics, as well as targeted probiotics that are specific to each client.
Holistic Approaches to Menopause
Beyond nutrition, incorporating holistic approaches can provide comprehensive support for menopausal women:
1. Regular Exercise: Physical activity can help manage weight, improve mood, and support cardiovascular health. I recommend a variety of exercise such as yoga, walking, swimming, weight-training, however the best kind of exercise is whatever you will enjoy!
2. Stress Management: Techniques such as yoga, meditation, journaling, reading and deep breathing exercises can reduce stress and improve overall well-being.
3. Sleep Hygiene: Establishing a consistent sleep routine and creating a restful environment can mitigate sleep disturbances. Avoid screens for at least 1 hour before bed.
4. Hormone Replacement Therapy (HRT): For some women, HRT may be recommended to alleviate severe symptoms. It is important to discuss this option with your GP to understand the risks and benefits.
Conclusion
The Australian Senate inquiry into menopause highlights the significant impact of menopause symptoms on women's lives and emphasises the need for greater awareness and support. As a clinical nutritionist, understanding these findings allows me to offer targeted nutritional and lifestyle interventions to help women navigate this challenging transition more comfortably.
By addressing menopause holistically, incorporating dietary strategies, and supporting overall health, we can play a crucial role in improving the quality of life for menopausal women.
I will provide further updates once the report is released in September 2024.
Reference
Australian Government Department of Health. (2024). The impact of symptoms attributed to menopause by Australian women. Retrieved from https://www.jeanhailes.org.au/research/womens-health-survey/menopause-in-australian-women.