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Causes and How to Ease the Pain

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Perimenopause is the pre-menopausal phase, the time that marks 12 months since the last menstrual cycle or period. Perimenopause can take about two to eight years before you enter menopause. Perimenopause, which typically affects people with a uterus and ovaries in their 40s, is caused by a gradual, natural decrease in the level of the hormone estrogen.

When this decrease in estrogen occurs, your menstrual cycle begins to change. You can have either unusually light or heavy periods. You may have a period every two or three weeks, or you may not have it for months. At some point your period will stop altogether.

Physical changes can also occur as your body adapts to different hormone levels. Common signs and symptoms of menopause include:

  • Hot flashes and / or night sweats
  • sleep disorders
  • Vaginal dryness
  • Mood swings
  • Problems focusing

Cramps often occur during menstruation. These cramps can get worse during menopause and go beyond menopause. This article discusses the causes of these cramps, available treatments, and when to see a doctor.

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Perimenopause and convulsions

Most research suggests that perimenopause can worsen general abdominal pain, including discomfort around the ovaries, during menstruation.

The glands in the lining of the uterus release hormones called prostaglandins. You make more prostaglandins when your estrogen levels are high – which often happens during perimenopause when your hormones rise irregularly. Simply put, the higher your prostaglandin levels, the worse your cramps will be.

Ovarian cysts

Ovarian cysts can also be a cause of abdominal pain during perimenopause. These are fluid-filled sacs that form on the ovaries but usually don’t cause problems.

If a cyst is large or ruptured, it can cause:

  • Abdominal pain on the side of the cyst
  • A feeling of fullness in the stomach
  • Flatulence

Could cramping be a sign of a cyst?

A cyst rarely causes convulsions. When a cyst bursts, it can cause sudden, severe pain.

Although most cysts are harmless, symptoms can indicate that you have a larger cyst. Make an appointment with your GP or gynecologist if you suspect you have ovarian cysts.

When to see a doctor

Your risk of ovarian cancer increases as you get older. Ovarian cancer is rare in people under 40 years of age. Half of all ovarian cancers occur in people with a uterus and ovaries aged 63 and over.

Symptoms of ovarian cancer are:

  • Bloated feeling
  • A swollen belly
  • Abdominal or pelvic discomfort
  • Quick feeling of fullness when eating or loss of appetite
  • You need to urinate more often or more urgently than usual
  • Pain during sex
  • Fatigue
  • Weight loss
  • constipation

Many non-cancerous conditions can cause these symptoms as well. So try not to worry too much when you have something on the list. However, if you’re experiencing symptoms, it’s a good idea to see your doctor for an exam to rule out cancer.

Treatment of perimenopausal convulsions

Home remedies and lifestyle

Eating a balanced diet can help with cramps.

Research has found that diets high in red meat, processed foods, candies, dairy products, and refined grains are linked to higher levels of estrogen. These eating patterns have also been linked to an increased risk of breast cancer and obesity.

Try to eat healthier and focus on the following foods:

  • Full grain: brown rice, whole grain bread, oatmeal
  • Vegetables: Broccoli, spinach, carrots, sweet potatoes, Swiss chard, Brussels sprouts
  • Legumes: Beans, peas, lentils
  • Fruit: Apples, mangoes, berries, oranges

You should also try:

  • Avoid caffeine and alcohol.
  • Take a warm bath or place a heating pad on your lower abdomen or back to relieve the pain from severe cramps.
  • Incorporate physical activity into your day as exercise improves blood circulation and reduces cramps.

Over-the-Counter (OTC) therapies

If home remedies don’t relieve your cramps, try an over-the-counter pain reliever. These include:

More powerful medications, such as mefenamic acid (Ponstel), are available by prescription to treat more severe pain.

Birth control pills for cramps

Taking birth control pills can also help control period pain. In people in perimenopause, oral contraceptives can be used to improve various symptoms, including menstrual irregularities, heavy menstrual bleeding, and menstrual pain.

Menopause and cramps

You may think that when your period stops, the cramps will go away too. Unfortunately, cramps can still occur after menopause and can sometimes be a sign of an underlying disease such as uterine fibroids, endometriosis, digestive problems, or cancer.

Fibroids

Uterine fibroids are common benign growths that can appear in the wall of the uterus or in the uterus.

Fibroids usually stop growing or shrinking after a person goes through menopause. However, some people may experience symptoms of uterine fibroids, such as cramps or a feeling of pressure in the pelvis, even after they miss a period.

Other symptoms are:

  • Enlargement of the lower abdomen
  • Frequent urination
  • Pain during sex
  • Lower back pain

Hormone therapy and uterine fibroids

The use of hormone therapy after menopause is associated with a higher risk of a fibroid diagnosis, as reported in a peer-reviewed article from 2017 of most previous studies. The risk of surgically confirmed fibroids increased six-fold in people taking estrogens or combined estrogen-progestogen therapy compared to non-users.

Endometriosis

Endometriosis is a condition in which the tissue that lines the uterus begins to grow in other parts of the body. Most commonly, endometriosis is found on:

  • Ovaries
  • Fallopian tubes
  • Tissue that holds the uterus in place
  • The outer surface of the uterus

Other sites for growths can include the vagina, cervix, vulva, intestines, bladder, or rectum.

Endometriosis is more common in people under the age of 45 than in the elderly. Although rare, symptoms can occur after menopause.

Symptoms of endometriosis can include:

  • Pelvic pain and cramps
  • Lower back pain
  • Pain during or after sex
  • Pain when urinating or when having a bowel movement

Hormone therapy for menopausal symptoms can make endometriosis pain worse.

Gastrointestinal problems

A variety of digestive disorders can occur during menopause, including:

  • Excessive gas
  • Flatulence
  • Eructation
  • nausea
  • a stomach ache

These symptoms can be caused by irritable bowel syndrome (IBS) or another gastrointestinal disorder that can cause cramps in the lower abdomen

A systematic review of fluctuating hormone levels and gastrointestinal (GI) symptoms in people with uterus with and without IBS found that there was an increase in gastrointestinal symptoms, including abdominal pain, during menopause.

Treat postmenopausal cramps

Treatment for postmenopausal cramping depends on the underlying cause. Some possible treatment options can include:

Fibroids: If you experience pain caused by fibroids, pain relievers are usually recommended first.

There are drugs that help shrink fibroids. If these prove ineffective, surgery such as a myomectomy or hysterectomy may be recommended.

Endometriosis: Endometriosis has no cure and can be difficult to treat. Treatment aims to relieve symptoms so that the condition does not interfere with your daily life.

  • Medication: Pain medication may be prescribed to relieve the discomfort.
  • Surgery: Surgery is usually reserved for severe symptoms if hormones do not provide relief. During the operation, the surgeon can locate the sites of your endometriosis and remove the endometrial patches.

Irritable Bowel Syndrome: Treatment for IBS can include diet and lifestyle changes, mind-body therapies (including psychotherapy, meditation, and acupuncture), and medication. Often times, a combination of treatments will provide the greatest relief. There is still a lot that is not understood about IBS, so it may take some experimentation with different therapies to get positive results.

When to see a doctor

Occasionally, endometrial cancer can cause abdominal cramps. Your risk of endometrial cancer increases into your 50th year of life and beyond. Cramps alone are not a reason to assume you have cancer. People with a uterus who have cancer usually have symptoms other than the cramps, such as:

  • Vaginal bleeding, especially if your last period was more than a year ago
  • Flatulence
  • Fatigue
  • Inexplicable weight loss
  • Changes in bowel or bladder habits
  • Filled up quickly

Postmenopausal bleeding

If you have postmenopausal bleeding, contact your doctor as soon as possible.

frequently asked Questions

What causes postmenopausal cramps?

Menstrual cramps are common, but post-menopausal cramps are more uncommon. It can often be the sign of an underlying medical condition, such as:

  • Uterine fibroids
  • Endometriosis
  • RDS
  • Ovarian or endometrial cancer

How do you get rid of menopausal cramps quickly?

According to the American College of Obstetricians and Gynecologists (ACOG), over-the-counter pain relievers like ibuprofen, naproxen, and aspirin are effective treatments for cramps.

For non-medical help, try placing a heating pad or heated band-aid or compress on your stomach to relax the muscles of your uterus. Heat can also stimulate blood flow in your abdomen, which can help relieve pain.

When should you make a doctor’s appointment if you have heavy bleeding with cramps after the menopause?

Any vaginal bleeding that begins 12 months or more after your last period is considered abnormal and should be checked by your doctor or gynecologist. This is especially true if the bleeding is accompanied by cramps, gas, and unintended weight loss.

A word from Verywell

If you think you are going through menopause and having cramps, it could mean that you are still getting your period. Cramps can also occur even if you think you are postmenopausal.

Make an appointment with your gynecologist or family doctor if you have cramps that are accompanied by other symptoms such as weight loss and gas. You can worry about cancer, but many non-cancerous conditions can also cause convulsions.

Your doctor may run tests to find out what’s going on and prescribe treatment to relieve your cramps and treat the underlying condition.

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Whole Grains Health

‘ABCs’ of primary and secondary CVD prevention have expanded over the years

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Blumenthal R. Opening session. Presented at: American Society for Preventive Cardiology Congress for the Prevention of Cardiovascular Disease; 23-25 July 2021 (virtual meeting).

Disclosure:
Blumenthal does not report any relevant financial information.

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The ABCs have been providing a roadmap for primary and secondary CVD prevention since 1999, according to a spokesperson for the American Society for Preventive Cardiology on CVD Prevention virtual congress.

Roger S. Blumenthal

Since then, the ABCs have been expanded and adapted to changing guidelines and newer evidence-based care approaches. Cardiology today editor of the Prevention Department Roger S. Blumenthal, MD, FACC, FAHA, Kenneth Jay Pollin Professor of Cardiology and Director of the Ciccarone Center for the Prevention of Cardiovascular Disease at the Johns Hopkins School of Medicine, discussed these changes and more during his talk.

Heart shaped puzzle pieces

Source: Adobe Stock

Blumenthal said the ABC structure originated in the 1999 American Heart Association / American College of Cardiology guidelines for the treatment of stable angina, chaired by Raymond J. Gibbons, MD.

“We have modified the ABC approach to an ABCDE approach over the years,” said Blumenthal. “For this talk we added an ‘F’ for failure or heart failure as seen in the 2019 Primary Prevention Guidelines,” said Blumenthal.

He said that in its current form, a draft of the “ABCDEF” of CVD prevention would read:

A (Assessment and Aspirin) Adults 40 to 75 years of age should be routinely screened for traditional CVD risk factors, and clinicians calculate the 10-year risk for ASCVD using the pooled cohort equations. According to the presentation, low-dose aspirin (75 to 100 mg per day) may be considered in adults who have currently or recently smoked, a family history of atherosclerotic cardiovascular disease, hypercholesterolemia with statin intolerance, subclinical arteriosclerosis (coronary artery calcium Score>.) Have 100) or in patients with a 10-year ASCVD risk of at least 20%.

B (blood pressure) In adults with elevated blood pressure, including those requiring medical therapy, recommended measures include weight loss (if overweight), a healthy diet, sodium reduction, potassium supplementation, increased physical activity, and limited alcohol consumption.

C (Cholesterol and Cigarette Cessation) statin therapy is the first-line approach to primary prevention in patients with elevated LDL, diabetics or patients with a sufficient risk of ASCVD. In addition, nicotine replacement or other pharmacotherapy are recommended to aid in smoking cessation. All adults and adolescents should avoid secondhand smoke.

D (Diabetes / Glucose Management and Diet / Weight) Clinicians should encourage patients to improve their consumption of vegetables, fruits, legumes, nuts, whole grains, and fish to reduce risk factors; Replacing saturated fat with monounsaturated and polyunsaturated fats; reduce dietary cholesterol and sodium; and minimize your intake of processed meats, refined carbohydrates, and sweetened beverages.

E (exercise / education) – Sedentary behavior should be avoided and people should participate in 300 minutes of moderate or 150 minutes of vigorous physical activity per week.

F (Heart Failure) The sequential introduction of evidence-based RF therapies, including ACE inhibitors / angiotensin receptor blockers, beta blockers, aldosterone antagonists, angiotensin receptor neprilysin inhibitors, and SGLT2 inhibitors, can reduce both the relative risk of death and the 2-year mortality rate is reduced by patients with HF.

“If you take our guidelines and put them in an ABC approach, we’ll start with pharmacists assessing cardiovascular risk,” said Blumenthal. “We also need to keep in mind that the ultimate decision rests with the patient on how aggressively we are drug management or how long we focus on lifestyle. Of course, the healthcare professional has to present the data in a way that patients can understand. “

References:

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Serena Siddiqui: Shape Your Future Recipe Contest Winner

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AAs part of their mission to educate Oklahomans to make healthy choices, Shape Your Future (shapeyourfutureok.com) partnered with TulsaKids to find a young chef who can create a healthy, delicious recipe using fruits or vegetables. Shape Your Future encourages everyone to fill half their plate with fruits and vegetables at every meal, and 9-year-old Serena Siddiqui’s creation hit the mark. Her salmon tacos recipe is a winning combination of lean protein, whole grains, and colorful vegetables that are delicious, healthy, and visually appealing.

Young people like Serena can point the way to a bright future for Oklahoma. The state ranks 47th nationwide for health and has some of the highest childhood and adult obesity rates in the United States. Shape Your Future aims to change these statistics by educating all Oklahomans about healthy choices. They want families to know that in addition to eating fresh fruits and vegetables and drinking plenty of water, children do 60 minutes of physical activity a day and adults 30 minutes a day. And of course, tobacco-free is always the best choice for a healthy lifestyle.

Serena used her passion for healthy eating to create this year’s winning recipe. Their unique twist on tacos combines omega-3 wrapped salmon with tasty spices and colorful vegetables to make it a dish worthy of family evenings!

TK: How did you come up with your award-winning recipe?

Serena: I thought about healthy options that we eat on a daily basis. I drew pictures of different foods and ingredients that I like: avocados, salmon, sweet potatoes, and lettuce. With the help of my mom, I created a recipe that not only tastes good, but is also healthy and easy to prepare.

TK: What did you learn from this experience?

Serena: I learned that eating healthy can be better than junk food. Almond flour tortillas are healthier than regular tortillas and taste the same!

TK: How did you develop your interest in cooking?

Serena: I watch my mother cook all the time and enjoy helping out in the kitchen. And in my mind I thought that one day I wanted to cook dinner for my family.

TK: What do you like to cook best?

Serena: Homemade pizza with my aunt.

TK: What is your advice to other children who want to cook and eat healthily?

Serena: Don’t eat out a lot. Eat vegetables and fruits at every meal. If you want to try something new, try it at least six or seven times until you have decided whether you like it or not.

TK: What are you and your family doing to eat healthily?

Serena: My mom and I go to the grocery store and she lets my sister and I choose the protein and vegetables we’re going to cook for dinner tonight. Our family doesn’t usually eat dessert – only on special occasions.

TK: What is your favorite place to eat in Tulsa?

Serena: My favorite restaurant in Tulsa is Olive Garden. I love their salad and breadsticks. I also like sushi from Sushi Hana and Sprouts. One of my other favorite restaurants is Amazing Thai.

TK: What hobbies do you have besides cooking?

Serena: I like to draw in my sketchbook. I also love reading and doing science experiments. My favorite experiment is making slime and trying new recipes to make slimes of different consistencies.

TK: What do you want to do in the future?

Serena: When I grow up, I want to be an astronomer because I think space is great and there is no gravity there!

TK: Who inspires you?

Serena: I’ve read biographies about Ellen Ochoa and Harriet Tubman. They inspired me because they were both women who changed the world.

TK: What’s funny about you?

Serena: This year I went to Hawaii for spring break and went surfing with my uncle. I loved it because I like to try new things even when it’s not what I want to do. I ended up enjoying it and can’t wait to do it again!

Serena’s salmon tacos

  • 2 avocados
  • 1 large tomato (chopped)
  • 1 lime
  • ¼ onion (chopped)
  • Chopped coriander
  • ½ teaspoon cumin
  • ½ teaspoon garlic powder
  • ½ teaspoon paprika
  • Salt and pepper to taste
  • 1 pound of salmon
  • 2 teaspoons of olive oil
  • 1 lemon
  • Almond flour or whole grain tortillas
  1. Chop the avocados and place in a bowl. Add the chopped tomatoes, coriander and chopped onions. Stir in cumin, garlic powder, paprika, salt and pepper. Squeeze out the lime juice and mix in for more flavor.
  2. Preheat oven to 350 degrees F. Place salmon on foil, add olive oil, lemon juice, salt and pepper. Cook the salmon for about 20 minutes until it flakes with a fork. You can also wrap the tortillas in foil and heat them in the oven.
  3. Take the salmon out of the oven and cut, chop or break into pieces. Put some of the salmon in a tortilla, pour the avocado salad and enjoy!

Aug. 2021 Tulsakid Pin

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Higher Levels of This 1 Thing in the Blood Is Linked to a Longer Life, According to New Research

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Grilled fish with peperonata

Being optimistic about eating these 9 foods (beans, whole grains, and salmon for victory!) And following these 7 secrets have been shown to help improve your chances of living longer, healthier lives.

And now new research is adding one more detail that certainly can’t hurt in our entire longevity landscape. A study published June 16 in the American Journal of Clinical Nutrition found that Higher omega-3 fatty acids in the blood are associated with a 5 year longer life expectancy than their counterparts with low omega-3 levels.

We’ve known for years that omega-3 fats – the heart-healthy kind in salmon, mackerel, sardines, these 8 vegan sources, and more – can reduce the risk of certain cancers, heart disease, and chronic inflammation. And this study builds on the evidence that omega-3s are a boon to our health.

Scientists from the Hospital del Mar Medical Research Institute (IMIM) in Barcelona, ​​the Fatty Acid Research Institute in the United States, and several universities in the United States and Canada spent 11 years studying data from 2,240 people over the age of 65 enrolled in the Framingham Junior Cohort. Their goal was to find out how the level of fatty acids in the blood could be related to mortality. Four types of fatty acids, including omega-3 fatty acids, contribute to longer life expectancy.

“Higher levels of these acids in the blood as a result of the regular intake of oily fish in the diet increases life expectancy by almost five years,” says Aleix Sala-Vila, Ph.D., postdoctoral fellow in Cardiovascular. of the IMIM Risk and Nutrition Research Group and author of the study. For comparison: “A regular smoker will reduce your life expectancy by 4.7 years, just as you would if you have high levels of omega-3 acids in your blood.”

A mere 1% increase in omega-3 fatty acids in the blood is enough to move the needle, confirms Dr. Sala-Vila in a research report by the Institut Hospital del Mar d’Investigacions Mèdiques in Barcelona. The appropriate intake recommended by the National Institutes of Health: 1.1 grams per day for adult women and 1.6 grams per day for adult men. For reference, 1 tablespoon of flaxseed oil is 7.26 grams, 1 ounce of English walnuts is 2.57 grams, 3 ounces of wild Atlantic salmon is 1.57 grams, and 1 tablespoon of canola oil is 1.28 grams.

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Related: Healthy Omega-3 Recipes

While they have yet to test this theory on a larger pool of people outside of the U.S. and with wider economic and racial diversity, Dr. Sala-Vila states that the length and scope of this study mean that “what we found isn’t,” It reinforces the idea that small changes to diet in the right direction can have a much stronger effect than we think, and it’s never too late or too early to make these changes. “

Whole foods are always the best choice over supplements, although the latter can help fill in the gaps if needed. Because oily fish is high in protein and recommends two of the stronger forms of omega-3 (eicosapentaenoic acid, or EPA, and docosahexaenoic acid, DHA; both are easier for the body to use than alpha-linolenic acid), or ALA, found in plant sources) the American Heart Association to eat two 3½-ounce servings of low-mercury, oily fish at least twice a week.

If you think you’re shy, a quick home test like this Omega Quant Omega-3 Index Blood Test Kit (buy: $ 49.95, Amazon) may confirm or deny it. Just use the kit to submit a blood sample and you will be emailed your current omega-3 blood levels within a week or two.

Next up, doing this daily walking exercise can help you live longer.

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