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Blog: MenoPause ~ take time to think about it

  • Get a longer, healthier life when you quit smoking at menopause

    by Margery Gass | Mar 13, 2013
    Two recent reports in the New England Journal of Medicine brought bad news and good news about women and smoking at midlife and beyond. The bad news: women have nearly caught up with men in their risk of dying from smoking. Men and women smokers from midlife to their 70s have a risk of dying that is three times as high as women who never smoked. Long-term smoking cuts your life expectancy by a decade.

    But here’s the good news: quitting before age 40 erases most of the risk of early death. The risk of stroke and heart disease drop quickly after you stop smoking. (The risk of cancers drops more slowly.) Even if you are older than 40, you can still gain back some years. Quitting by age 50 buys back about 6 years, and quitting by age 60 about 4 years of the decade you’d lose if you didn’t quit.

    We know there’s good news about menopause and aging, too, if you quit. You may be able to delay the onset of menopause, since smokers reach menopause earlier, and quitting may also decrease your hot flashes. And if you quit, you will have fewer wrinkles, age spots, and less sagging than your smoking sisters the same age.

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  • Exercise your body to keep your brain fit

    by Margery Gass | Feb 15, 2013
    Midlife women just got another great reason to get physically fit: your brain will probably stay fit, too. Studies have hinted at this for some time. Now, an excellent new study makes a strong case. Researchers at a Texas preventive care practice looked at the treadmill test results in middle age for more than 19,000 of their older patients and also for any diagnosis of dementia in the patients’ Medicare records. They found that people who had higher fitness levels treadmill tests in middle age were less likely to develop dementia later in life. In fact, the men and women with the highest fitness levels were 35% less likely to have dementia than those with the lowest level. We don’t know yet exactly what the link might be between physical and brain fitness, but the study showed that it wasn’t just because the fitter people had fewer strokes. They also had less Alzheimer’s disease and other types of dementia. So let’s get moving! We’ve got a great new reason.
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  • Earlier menopause for women with BRCA mutations

    by Margery Gass | Feb 08, 2013
    Have you been told that you have a mutation in the BRCA gene, which puts women at high risk of breast or ovarian cancer? If so, you may go through menopause earlier than most other women, and much earlier if you are a heavy smoker. Research the University of California, San Francisco, found that carriers of the mutation experience menopause at an average age of 50 instead of 53, which is more typical for US women. Women who had the abnormal gene and smoked more than 20 cigarettes a day began to go through menopause even earlier—at age 46. So if you have this mutation, you may want to think about completing your family earlier than you might otherwise have. Are you not sure whether you have the mutation? Usually, women who have it have a strong family history of breast or ovarian cancer. If you do, you may want to get tested. Some women with these mutations choose surgery, such as hysterectomy or mastectomy to reduce their risk of these cancers. You can learn more about these mutations and about when to consider getting tested from the National Cancer Institute at www.cancer.gov.
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  • Take a walk after dinner

    by Margery Gass | Jan 29, 2013
    If you had high triglycerides at your last cholesterol check, your doctor probably told you to increase your exercise. Triglycerides are the type of blood fat that stores unused calories in your fat cells, and too much contributes to atherosclerosis and heart disease. Exercise is one of the best ways to bring those levels down, but your doctor may not have told you when to do it.

    Now, a little study from Japan tells us that exercising after a meal may be best. On three different days, the 10 participants did one of the following: took brisk walks and did some resistance training before the meal, took brisk walks and did some resistance training after the meal, or just rested after the meal. Compared with just resting, exercising before the meal decreased triglyceride levels by 25%, but exercising after a meal brought down triglyceride levels 72%—nearly three times as much! So make your dessert a walk. Try a walk after lunch or make a date for dinner and a walk.
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  • Q & A: vulvovaginal itching

    by Margery Gass | Jan 10, 2013
    Q: What can I do about vulvovaginal itchiness and hives?

    A: Dryness and irritation of the vulva are commonly related to menopause and can usually be easily treated with estrogen cream. Vulvar itching, on the other hand, has many causes, many of which are unrelated to menopause. A physical examination is needed to determine the cause of vulvar itching. In the meanwhile, be sure to eliminate all soap on the vulva. Just use clean water to bathe. From what we know about hives, it is unlikely that they are caused by the menopause. You should check with a dermatologist about the hives if they are not disappearing.
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  • What causes hot flashes?

    by Margery Gass | Jan 10, 2013
    Researchers have made new discoveries about how hot flashes happen:

    A group of brain cells called KNDy (“candy”) neurons are probably the control switch for hot flashes. KNDy neurons respond to estrogen. When estrogen gets too low, these brain cells make more of a brain chemical (neurotransmitter) that signals the body that it is too hot. The body then releases heat by opening blood vessels to the skin that cause flushing and sweating as a cooling method.

    Hot flash sufferers, take note: these insights will eventually help scientists create new and safer treatments for menopausal hot flashes. And that’s cool news.


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  • Change for good: resolutions for 2013

    by Margery Gass | Dec 27, 2012

    Change your mind and body
    Remember that healthy bodies come in all shapes and sizes with varied packaging. Having a healthy body image starts with positive thinking and continues with healthy lifestyle choices. So start off 2013 with these key healthy habits:

    • Eat right for healthy skin, hair, and bones
    • Exercise regularly to boost your self-esteem, self-image, energy level, and even improve your temperament
    • Get adequate rest — it’s key for daily stress management and long-term health

    Change your future
    We all need to be proactive in taking care of our health. One way to do that is to assess our own risk for common health issues related to aging and menopause. Here are two simple tests that can help make this effort a priority:

    1. A one-minute test to determine osteoporosis risk, created by the International Osteoporosis Foundation.
    2. The American Heart Association has created an online tool to measure cardiovascular disease risk.

    Change your change
    Attitude can have a tremendous impact on your menopause transition and on your resilience to ordinary setbacks, too. For instance, the more negative a woman’s thoughts about hot flashes, the more intense they may seem.

    It has been shown that changing thoughts and attitudes may reduce symptoms. Even in the face of difficult symptoms, women consistently say that changing their outlook helps. Here are some ways to make your menopause experience more positive.



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  • Does grapefruit juice interact with your medication?

    by Margery Gass | Dec 20, 2012
    Do you take hormone therapy, birth control pills, or one of the other 85 medications listed here? If so, you must be careful to avoid too much grapefruit and grapefruit juice because they can cause your body to absorb higher levels of your medication.

    Grapefruit contains natural chemicals that alter how the body processes certain medications, so that you can end up with much higher levels of a drug than intended. For some drugs, higher levels can lead to inadequate breathing and dangerous increases in heart rhythm. You can learn more about how grapefruit affects your medicines from the FDA.

    If you are taking any medications by mouth, check the list to see if you should avoid grapefruit. Be safe!



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MenoPause: the blog!

Posts to our Blog are written by NAMS staff members and Dr. Margery Gass. All posts are reviewed and edited by Dr. Gass. We strive to bring you the most recent and interesting information about various aspect of menopause and midlife health. We accept no advertising for our website. We want you to have accurate, unbiased, evidence-based information. 

Margery L.S. Gass, MD, NCMP
NAMS Executive Director

An internationally recognized leader in the field of menopause, Dr. Gass became Executive Director of The North American Menopause Society in 2010. Dr. Gass has been an investigator on numerous research projects, including serving as a principal investigator for the Women’s Health Initiative, and has published and presented on a wide range of topics related to menopause, including osteoporosis, sexual dysfunction, and hormone therapy.

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