Latest Medical Research on Menopause: A Nurse Goddess Perspective

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As a nurse, I belong to a continuing education / latest research site called Medscape. It’s nothing short of wonderful. When I think of the sheer poundage of my professional magazines that I subscribed to in the past, it boggles the mind. (And stimulates my guilt reflex when pondering how many trees gave their lives so that I might give better nursing care.)

Now with a couple of keystrokes, I can stuff my few remaining brain cells with the latest nursing and medical knowledge. Amazing. I love love love the internet. But I digress – which happens to me a lot since The Big M.

I’d like to share a few of the latest research findings regarding menopausal women.

Hot Flashes Sufferers Live Longer?
I received a tweet the other day that stated “research shows women that have a large number of hot flashes live longer.” I went to the actual study and found that in truth, it was women that reported night sweats in addition to their hot flashes. They had a 30% lower mortality rate from heart disease than women who didn’t suffer from nocturnal overheating, irrespective of risk factors or HRT (hormone replacement therapy) usage.

Wow. I believe that I will likely live to 210 years of age if this is true. Thank God for wicking sleepwear. (Stay tuned for the debut of our Menopause Marketplace to find great wicking sleepwear vendors.)

Does Depression Affect Menopausal Symptoms?
This study found that women suffering depression reported more menopause symptoms. Conversely, the authors were surprised to find that menopause also seemed to lead to more depression. The first thing I have to say about these results is “Well , DUH!”

The second is that this sounds a little like “Which came first, the chicken or the egg?” Which we could debate forever, but why would we want to?

Most important were the conclusions of the study – that identification and treatment of depression might help with symptoms of menopause as well.

True enough, but at what cost? We are already seeing a number of articles promoting antidepressants to treat menopause, which really is like trying to shoot a fly with an elephant gun. While I am the first to say that menopause symptoms suck, I also believe in the remedy with the least side effects that helps.

I strongly believe in antidepressant drugs when necessary. When depression causes significant disruption of daily life activities or relationships or suicidal thoughts, then pharmaceutical treatment along with professional therapy can be life saving.

But we need to assess a matter of degree with depression. Some mild depression, e.g. feeling sad and blue, weepy, not motivated during menopause affected all of the Goddesses to some degree. When we shared it with one another, it lessened greatly. It was wonderful to find out that it was normal and it was likely temporary.

Two of our goddesses have suffered from depression pre-menopause and have taken antidepressant therapy successfully. The rest of us just felt crappy for awhile.

Risk for Major Depression Increases During and After Menopause

Basically this study found that the risk of major depression doubles during perimenopause and menopause when compared with premenopause. That sounds about right. To put that in perspective, if two of your twenty friends suffered a major depressive episode before any of you went into menopause, then it might be likely that 4 of your friends would suffer a major depressive episode. Leaving 16 feeling blue and “normally” depressed.

I couldn’t find out how the researchers defined major depressive episode. One of the researchers did make this statement, which was billed in the Medscape article as the take-home message for clinicians. “When women come in and are thinking that they have some extra difficulties with life and feel down and blue…take it seriously. It is not just a passing thing.”

Okay, that worries me. Because it describes nearly every menopausal woman I’ve known at some point in her journey. I personally felt down and blue, and was dragging my weary arse through the days during the worst of the Big M. I was also hot, cranky, and sleep deprived which likely made it worse. But it WAS just a passing thing. It was normal. The best treatment I experienced (besides sleep and cooling measures) was support and commiseration from my Menopause Goddess sisters.

While I’m delighted that we are doing some research on The Big M, I have to wonder why we aren’t looking into bioidentical hormones, herbal therapies, and the effects of support groups. Could it be because there is no funding for these types of research?

So ladies, remember the one Latin legal phrase I learned in nursing school “caveat emptor”. Let the buyer beware. You are the buyer of your own health care. Pick and choose. Ask questions – lots of them. Ask about side effects and risk-benefit analysis. And not to be a conspiracy theorist, but ask yourself who might have funded a given research study? Who stood to gain?

Lastly, make sure that you are followed by a physician or nurse practitioner, not led. Most health care professionals I know actually appreciate a patient who is actively involved in her own care. And if they don’t? I’d shop around for a new health care professional/partner.

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7 Responses to Latest Medical Research on Menopause: A Nurse Goddess Perspective

  1. rae February 5, 2010 at 6:29 pm #

    love your blog and agree!

  2. MoonSeazen February 5, 2010 at 9:03 pm #

    As a fellow biomedical scientist, I also agree. But I find it incredible that no one that I know of has heretofore brought any significance out of the massive amount of money spent on studies that do nothing but quote statistics, and never get to the nitty gritty. Which is: If you don’t get enough sleep of good quality, you can’t handle your stress hormones, and you will get depressed. It doesn’t matter why you are not sleeping.
    If you don’t get enough sleep, you are doomed.
    They should figure out how to help us sleep. Period.
    Sleep deprivation kills.

  3. Karen February 5, 2010 at 11:27 pm #

    I’m glad to know that I too should live to be 210—between hotflashes and night sweats (and I’m on estrogen besides!!!! tho it was a surgically induced hysterectomy–probably not my wisest choice–) I loose a few pounds a day in persperation. As far as the depression goes, if it wasn’t for yoga (almost daily) and meditation (DAILY) and some friends, I’d have given up long ago–it’s been 7 plus yrs. now. But I agree totally with your comments. (warm bath, valerian root and eye shades for sleep are a must as well)

  4. Cynthia February 6, 2010 at 1:33 pm #

    I found that running/walking helped me get through the depression. I had never been a fitness junkie, but got into pretty good shape during menopause once I discovered how much better I felt.

    I also want to add a word of caution about the urge that some medical clinicians feel to medicate for depression. As Lynette indicated, there are certainly individuals who may need medication to keep from going off the rails, but Nature gives us some depression at mid-life FOR A REASON. It is part of the mystery of our humanity that we are cognizant of our mortality, and that hits us emotionally at just the time our bodies are changing hormonally. Much wisdom and insight can be harvested by sitting with those feelings, as opposed to numbing ourselves.

  5. Anita February 6, 2010 at 5:10 pm #

    Thanks for all the great info regarding menopause. I always refer your blog to my clients looking for menopause information. Keep up the good work.

  6. Lance Chambers March 1, 2010 at 5:59 am #

    I guess I’m going to live longer as well because I have a large number of hot flashes and it’s true that depressed women have more menopause symptoms because the more depressed they get the worst it becomes. Hormone replacement therapy is one of the best treatment for women to offset their hormone imbalances and to simply feel better but a healthy lifestyle is my best bet. Relaxation techniques or meditation can tremendously help manage stress and will help you sleep better. It is important for women to monitor their cholesterol level during menopause because of their risk of heart disease. And it is a good idea for women to be allowed to take natural hormone therapy like the bioidentical hormone because they are safer and effective. There are natural creams available over the internet but it is recommended to check with your healthcare provider before using it.

  7. Ian April 26, 2010 at 3:50 am #

    As a fellow biomedical scientist, I also agree. But I find it incredible that no one that I know of has heretofore brought any significance out of the massive amount of money spent on studies that do nothing but quote statistics, and never get to the nitty gritty. Which is: If you don’t get enough sleep of good quality, you can’t handle your stress hormones, and you will get depressed. It doesn’t matter why you are not sleeping.
    If you don’t get enough sleep, you are doomed.
    They should figure out how to help us sleep. Period.
    Sleep deprivation kills.

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