Body changes after mid-thirties

Ness

New Member
Well, I recently turned 40, and true to all too many predictions, "perimenopause" seems to be in full swing. I'm working out like crazy, being pretty darn good with my diet, and feeling more than a little frustrated with these midlife physical changes. PMS lasts....like 17 days (of sheer hell); my body really wants to gain weight; I cry at the dogfood commercial...really; my hair looks like hay; my sleeping is erratic; I forget things I used to know as well as my own name.

Please tell me I'm not the only one.

What helps?
 
Ness, sympathy and suggestions!

I got through "peri" with only a few symptoms (hot flashes, insomnia) and was deluded into thinking that "wasn't so bad." However, at 53, I have come to the conclusion that hormone replacement therapy is in the best interest of my heart, my bones, and my general well-being. I am taking a prescribed dosage of an estrogen/progestin combo. I have also been taking a thyroid medicine (Levoxyl) for many years, and I think it's time to up the dosage.I share your discouragement in the realm of weight management through diet and exercise. I am VERY conscientious in both, but the fat that has settled into my butt and thighs over the past 20 years simply doesn't seem to respond to my efforts. I have an appt. with my doc in a couple weeks, with blood test in hand.Meanwhile, I'm happy to say that I'm in better physical shape--muscles, heart, endurance, everything--than ever before in my life! It's only that one little weight thing that bothers me, and I guess it shouldn't.Please see your health care provider, read everything you can find (sorry I can't provide URLs just at the moment), and make a decision about HRT. Modern medicine for women who are likely to live past 100 can be a good thing!
 
May I ask?

Bk, thanks for the info. It helps me not to feel all alone out there. May I ask how long you've been on the estrogen/prog. combo? Did you begin before menopause? What were the side effects?

Thank you so much.
 
My doctor says...

...that soy products have been shown to reduce the symptoms of perimenopause as well as the 'real thing.' He said to try to incorporate through diet rather than supplements (let's hear it for tofu
happy.gif
!). I am 45 and not sure that I have entered this phase, but I have a package of tofu staring at me from by refrigerator...one of these days.

I have also heard that any kind of mental health activities can help symptoms (taking time for yourself, reading, walks/dinners/fun times with friends). Some studies have shown that women from other cultures who have a lot of family/social support do not report significant menapausal symptoms. Something to think about...

Hope these thoughts help.

Joanna
 
More info

I only started the HRT last fall--about September. I really was resistant to the idea! I have experienced no side effects. In fact, I have experienced nothing at all--so I just have to assume that the medication is doing what it's supposed to. I will be consulting closely with my doc to adjust the dosage as indicated by blood tests--probably yearly, when I have my regular check-up.

It would be a good idea for you to get a bone density test at this time, too, as a benchmark. These are often available at health fairs or clinics at low cost. They are called PIXI tests--a very simple, low-dose x-ray of the heel bone. A regular mammogram (at least yearly) is a good thing to start now also.

A physician lecturing at my workplace said that low-dose birth control pills can be effective at reducing perimenopause symptoms. And the addition of soy to the diet, as another poster mentioned, has been shown to help, although I have not done this myself.

You are quite welcome to e-mail me with any questions, if I can be of help. However, continuing to post here might be useful to others as well, and I don't mind.

I believe that exercise--cardio and strength--is the most beneficial activity of all, both physically and mentally. When you're flying through StepJam, or bench pressing 40 lbs, you forget you're not 24 anymore. And when you're done, you FEEL 24 again! So I strongly advise taking time for this.

No, you're far from alone. And I do encourage you to find your way to some relief!
 
Outsmarting the midlife fat cell

Joanna, Bk:

I did go out and get the new book, now out in paperback, entitled Outsmarting the Midlife Fat cell. The information in that book is most consistent with your advice. One point made by the nutritionist-author of the book is that midlife women "eat far too much," thinking that fat-free foods permit them an increase in quantity. She suggests limiting meal intake to "no more than a handful of food."

Well, ladies. That handful thing just isn't getting it for me. I'm ravenous--- particularly after these tough workouts. Have you managed to curtail your eating? Are you still hungry? What about the effect upon your weight?

On the positive side, the book itself does detail the important effect of estrogen/fat cells on the midlife transition. Interestingly, women with lower bodyfat, often achieved via intense exercise, have a harder time with menopausal symptoms. The logic here is that estrogen is produced by fat cells: more fat cells=more estrogen=aleviation of menopausal symptoms. Interesting, huh? The theory is that menopausal fatigue is the body's way of slowing us down, permitting our fat cells to do their natural job: fight to produce estrogen as our ovarian function declines.

Joanna, yes, I've read about soy---and natural estrogenic foods. Try draining that tofu and freezing it, before you prepare it (marinate it in a ginger soy sauce and grill or bake it.) For some bizaare reason, freezing tofu changes the texture, making it more like chicken.

I tried Evening Primrose and Black Cohosh---and I swear, I felt pregnant from the effects. (Maybe I really am crazy.)

I'll schedule the medical tests you mentioned, Bk. Thank you so much. At the very least, it helps to vent my anxiety.
 
About "Outsmarting the fat cell..."

I might pick up this book at the library one of these days, but already I'm skeptical. "A handful of food"? How much is that? I think it's a good idea for anyone trying to manage their weight to keep a food journal--absolute honesty!!--for several weeks, and keep a book of food counts (calories, fat grams, maybe carbo grams) at hand at all times until they know it by heart.

However, I'm sure that women are designed differently, that bodies metabolize food differently, and one size (eating plan) does not fit all. If it did, I'd weigh 80 lbs. But I don't. I weigh a consistent (for three years), hard-won 140. Believe me, I work at this! But I do not starve. That is a lousy way to live.

Find out what the maintenance calories are for the weight you want to achieve, and subtract 200. If you use up an additional 200 cals a day in exercise, you should lose weight. I don't--but I'm working on my chemistry right now (think I need a boost in my thyroid dosage).

Maybe the reason I got through peri with so little difficulty was that I was 50 lbs. overweight. I don't recommend it!

Well, it's Valentine's Day. Have some chocolate. It's good for your endorphins.
 
Chocolate!!!!!

hey, Bk. I started eating chocolate a couple of days ago...in order to PREPARE myself for Valentine's day. Practice, you know. :)

I would recommend the Outsmarting book. It really made sense to me, and the logic behind the handful of food is that we "should be eating at least six times a day." A metabolism thing, I reckon.

Well, I'm due for my 2:00pm dose of M&M's.
 
soy, chocolate, and (peri) menopause

A good source for soy foods is (dixiediner.com). They have lots of basics like soy-based meat substitutes, soy milks, mixes, and a cereal called "nutlettes" made from soy and corn that is recommended as a great source of isoflavones (those plant "hormones") The latest catalog I received from them mentioned that new studies have shown that chocolate can be helpful in relieving menopause symptoms. Dixie Diner has now come out with a "treat" combining soy nuggets and chocolat.
 
Get Your Hormones Tested!!!

I know I sound like a broken record, but having my hormones tested showed the doctor I was not crazy. I went for 4 weeks of tests to see how all of my hormones were reacting throughout a full cycle. I was showing all of the signs of perimenopause even at the age of 14.

The tests showed I have extremely high levels of estrogen and non-existent levels of progesterone. I have been on high dosages of sublingual progesterone (natural) for about 18 months and my levels of hormones are finally starting to go into "normal" ranges.

One side effect of high estrogen levels and low levels of progesterone is the carrying of fat around the lower abdomen and upper thighs no matter how much one exercises. I am happy to report that the band of fat is slowly disappearing. Unfortunately, that fat contain a lot of estrogen so it is extremely slow.

Soy is a phytoestrogen, so it replaces the estrogens receptors with the soy chemicals and therefore reduces the effect of too much estrogen.
 
dixie diner

Kathyrn,

Thanks mostly to your mention of Dixie Diner, I recently ordered from them. Yum! I ordered some of the "soy rocks" and they were really good. And I like the orange chicken-NOT! rice salad, too.

Don't feel like cooking tonight, so I may have to break open another package of something from them.

Karen N
 
so Jean, can we talk??

Hi Jean! Just gotta respond here, I also have very low progesterone levels. How old are you? I am 36 and already having hot flashes. I spent most of my 20s in a fruitless quest to get pregnant, finally found out that the FIRST half of my cycle works fine, I ovulate, then my ovaries think they're done and quit (instead of producing progesterone like they should). My progesterone is not probably as low as yours (mine is usually around 2.4, normal is 16 to 20). I do not take supplementary progesterone unless I am in the first trimester of pregnancy or trying to get pregnant. I am wondering now if I would benefit from taking it all the time? I will have to ask my doc. Of course, when I took progesterone to get pregnant or support pregnancy it was in suppository form. Ick! Sublingual sounds OK though! -susan p
 
Progesterone suppositories

Susan, I used those also when I was trying to get pregnant and in my first trimester - they were so gross!! I also had the progesterone injections - I think the progesterone was in sesame oil or something - all I know is I thought I smelled like peanuts all the time!!
Erica
 
LOL!

Guess what I get to supervise a bunch of pharmacy students make tomorrow? Yep. The infamous progesterone suppository.

Now those are something I hope I never have to use.

Karen N
 
Nat. progesterone and skin breakouts

When I was on progesterone suppositories, my skin broke out in big boils. It was awful. My skin also broke out with birth control pills, but not as bad. Do you know of any reasons for this?
 
Susan, I'm Talking

Dear Susan:

I am now 39 and have 2 boys, ages 3 and 8. I lost about 7 pregnancies in between the two boys. I would get pregnant then 3 weeks later would lose the baby. I sometimes ovulate, sometimes don't. Anovulatory cycles produce heavy bleeding.

Now that I take progesterone 14 days in the latter half of the cycle I have reasonable periods and the symptoms of premenopause disappear. Sublingual tablets work the best for me opposed to cream. Didn't try the suppositories, but I understand that is the route when trying to maintain a pregnancy. My life has dramatically improved since taking prog. No migraines, less bleeding and much happier than before. As well, my skin has cleared dramatically. Take care Susan.
 
Wow jean

Isn't it heartbreaking? When I finally found the infertility specialist who managed to help me get pregnant, he told me that my problem was not with conceiving, but with carrying. . . All along for all those years that I thought I was INFERTILE I had actually been conceiving and miscarrying without ever knowing it. . . Talk about an incredibly emotional trip. I can still weep copious tears over it. It makes our sweet little people so very precious, doesn't it?
(three girls, BTW, ages 8, 4 1/2, and 2 1/2).

I will definitely be talking to my doc about progesterone. I think 36 is a little young for me to be doing the hot flashes and migraines thing, don't you? He had suggested putting me on low-dose BCPs and I didn't even consider it really. Now I'm thinking that either the BCPs or progesterone alone might be a very helpful thing! Thanks for the info! -susan p
 
PMS & Perinmenopause

Hi Ness,

Fellow PMS and Perimenapausal sufferer here....
I also read those WaterHouse books, MidLife & Outsmarting... and I have to say she doesn't allow enough food.. I totaled up those calories in those journals that she used as a sample and they totaled to 1200 calories... way too low for active women as ourselves... could you imagine doing MIS or BodyMax and expecting 1200 calories to feed our bodies?

I've been experiencing perimenapause since I turned 35... my symptoms included heavy bleeding, PMS mood swings that lasted for weeks, weight gain, insomnia, trouble concentrating, hot flashes... yada, yada... it's been horrible... but what has helped me in the last year or two was being placed on a low dose birth control pill... it has regulated a lot of the symptoms... I'm not saying that they have totally disappeared -- but eating right and exercise has helped also... I was told by my gyno to try Evening Primrose and St John's Wort for the mood swings... which I plan on doing.... or perhaps see if there is a supplement out there that might attack all these perimenopause symptoms....I've check the net and see they are a few out there that address Menopause and contain Black Cohosh...

Oh, another thing my gyno suggested was to make sure I get at least 400IU of vitamin E.... it helps in the reduction of breast lumpiness and swelling...

I just turned 40 a couple of weeks ago... and I feel a lot better than when I was 35...just have to work at it a bit harder... like I said exercise and eating well helps in the equation...

Lydia L
 
Perimenopause

Hi Perimenopause friends,

I have had lots of perimenopause symptoms for about 3 years, and haven't conquered it yet. I had my tubes tied 5 years ago (at 35) , after being on the pill for quite a few years (before, between and after 2 children). A couple of years later, my periods became extremely heavy and long, and I started having nightsweats and mood swings. I was bloated every month, and felt lousy. My gynecologist did a endometrial biopsy and told me that I have endometrial hyperplasia (an overgrowth of the uterine lining due to TOO MUCH estrogen, unopposed by progesterone). I guess my ovaries are slowing down. She told me that it usually occurs in overweight women, but I am not overweight. I have worked out for years, and am at a normal to low weight for my height.

I have been on 3 brands of lowdose birth control pills, and may have to switch again. I seem to be ok for about 3 cycles (my moodswings and nightsweats are still bad), but then I have breakthrough bleeding for 2 cycles, and she changes my pills. I just started bleeding again on Sunday, after 4 normal cycles with the latest brand (LoOvral). THIS IS MAKING ME NUTS!

By the way, I have found that stopping caffeine reduced the weight gain/bloating.

I wonder if anyone has any experience with this. I assume different estrogen/progesterone combos work differently in different people, but I really want to know if the doctors are guessing when they select brands, or if there is some method to their selection. Each pill has had a different type of progesterone, and a different amount of estrogen.

I guess there are a lot of us out there!

Sandi M.
 
Birth Control Pills

<center><font size="1" color="#ff0000">LAST EDITED ON Feb-16-00 AT 07:28PM (EST)</font></center>

Sandi,

I had to switch brands often... to find one that works... I am now using Loestrin Fe 1.5/30... which seems to be working for now... I haven't experienced night sweats in a while... I've been on this one for about 6 months... and last monthly I noticed that it arrived a day earlier and much heavier than usual... I'm just hoping that it doesn't mean I have to find another pill formulation because this one has been working rather nicely for me. As far as selection, I think doctors are doing a hit and miss type of thing, I know that there is no right or wrong but just have to see what works best for your body. Of course they must take your family history into account, such as heart attacks, cancer and such.

I also have a fibriod that has shrinked in size since using the pill and an enlarged uterus...due to childbirth... what a mess, eh?...I've started to notice that my PMS is getting worse, now-- so I'm going to try some herbal stuff(ST. Johns, Evening Primrose, etc.) and hope that helps if not my gyno said they are other medications that might help PMS>... growing old isn't as much fun as I thought it would be... but I'm just thankful that I'm in the best fitness shape ever-- could stand to lose some body fat... but glad to be able to move and enjoy my workouts. Hope you find a solution to your Perimenopause problems.


Lydia L

Ps. Like you, I've limited my intake of caffiene and my stomach doesn't feel bloated any more...
 

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