Helping to Understand The 3 Main Hormones in Menopause

dph-team

What’s going on with me??  Something’s off but I just can’t put my finger on it?

Have you been feeling like this lately?  The answer could be that you are either experiencing perimenopause or menopause. Menopause is defined as the time in a woman’s life that marks the end of her menstrual cycle. It’s diagnosed after you’ve gone 12 months without a period. Menopause can happen in your 40s or 50s, but the average age is 51 in North America.  An unprecedented 2.7 million Canadian women -one in six – will reach menopause over the next decade. Today, more women than ever face the many disruptive symptoms that can accompany the transition towards this major life event. 

Symptoms of peri menopause and menopause:

  • Changes in menstrual cycle –  Up to 80% of women are skipping periods regularly by their mid forties
  • Changes in skin
  • Vaginal Lubrication: mucosal membranes
  • Memory/cognition
  • Tissue elasticity
  • Bladder irritation
  • Sleep apnea/ Snoring  – Sleep disruption due to hot flashes is actually the most affected part of a menopausal woman’s life.  And the issues regarding sleep specifically during menopause can lead to other issues, such as obesity, heart disease, cancer, depression, diabetes, and more.
  • Bone production – By age 40, many women have already had changes in their bone density.
  • Hair
  • Blood vessels
  • Pain tolerance

But rather than fearing or dreading this transition, be informed and armed with information that can actually empower you to become more in tune with your body than ever before.  So, to that end, we plan on posting a few articles on menopause to support you through this transition.

The hormones at play during the transition to menopause

The main hormones during menopause are estrogen, progesterone and testosterone. 

During menopause, your hormones are fluctuating almost daily.  Though genetics plays a role in how you go through menopause, they are not the main determining factor.  You actually have great control over your hormones based on lifestyle factors. 

To help you understand the changes you may experience as you transition to menopause, here are some possible symptoms you may experience due to hormones being either high or low.

Some symptoms of Low Estrogen are:

  • hot flashes
  • night sweats
  • Vaginal dryness (thinning or irritation)
  • incontinence, bladder infections
  • mood swings (irritation & depression)
  • mental fuzziness
  • headaches/migraines

Some symptoms of High Estrogen are:

  • bilateral pounding headaches
  • recurrent yeast infections
  • breast swelling and tenderness
  • nausea, vomiting and bloating
  • leg cramps
  • yellow tinged skin
  • heart palpitations

Some symptoms of Low Progesterone are:

Progesterone – Levels fall in peri-menopause, often before changes in estrogen or testosterone

  • premenstrual migraine
  • PMS symptoms
  • Irregular or excessively heavy periods
  • Mood swings and/or anxiety, nervousness, depression
  • Itchy, twitchy legs
  • Heart palpitations
  • Sugar cravings
  • Spotting
  • Weight gain-Hot flashes
  • Mid night waking (not necessarily insomnia)

Some symptoms of High Progesterone are:

  • tender breasts
  • Water retention
  • Drowsy
  • Lightheaded
  • Headache
  • Increased appetite
  • Insomnia

Symptoms of low testosterone are:

  • diminished well being
  • unexplained fatigue
  • Decreased sexual desire
  • Thinning/loss of pubic hair
  • Decrease in muscle mass
  • Decrease in bone density – osteoporosis
  • Depression
  • Achy joints
  • Reduced muscle tone in bladder & pelvis (urinary incontinence)
  • Dulling/brittleness of scalp hair
  • Skin dryness
  • Atrophy of genital tissue

Yes, many of the symptoms are the same for being high or low in each of the hormones which is why it’s important to talk to your doctor, naturopath or other health care provider about getting your hormones levels tested.  This will provide you with critical information about what’s happening in your body as you transition through menopause.

Other factors to consider are your thyroid and vitamin D levels.  Each of those has a list of symptoms related to them being deficient or overactive as well. A great website for further information on hormone health, balancing hormones and resources is https://hormonesbalance.com/

Menopause and balancing hormones

The one constant strategy for dealing with hormone imbalances, regardless of which ones are out of balance, is lifestyle.  The better shape you are in – physically, nutritionally, mentally, metabolically, spiritually and situationally going into menopause, the more balanced the journey.

At Durham Pelvic Health we believe it’s so important to treat the entire patient – mind and body. We assess all aspects of your health to help determine the best plan of care for your unique needs. Please call us today for a free 15 minute phone consult or to book your appointment. It’s time to put yourself first!!

About Us

We pride ourselves on providing a physiotherapist-to-client experience that allows our clients to achieve their individual treatment goals.



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Madelyn Caine
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Durham pelvic health helped me with my peeing issues and a burning sensation related to my pelvic muscles. Lavanya worked with me to help aid and strengthen my muscles. She genuinely wanted to help rather than take my money. I highly recommend
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Swati Arora
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Thanks to Manu, my labor and delivery experience was incredibly smooth. Her expertise in pelvic and prenatal physiotherapy played a crucial role in preparing my body for childbirth. The exercises and techniques she recommended not only helped alleviate discomfort during pregnancy but also contributed to a shorter and less complicated labor. Her compassionate and supportive approach made me feel empowered and confident throughout the process. I am immensely grateful for her guidance and would highly recommend her to any expecting mother seeking personalized care.
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Darren Bailey
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My wife Cheryl has been receiving pelvic health treatment from Lavania, a physiotherapist. She provides great, personable service and makes her feel at ease and provides thorough information so that she understands the treatment. A true professional that has greatly improved her quality of life!
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Dr. Amanda is great with my son. She makes appointments very enjoyable and has given us lots of resources to help us. She has given us the confidence we need to tackle his potty issues. The staff are all very nice and the facilities are clean and organized.
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ANTONIETTA WAUGH
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In December 2023, I had an appointment with a pelvic floor physiotherapist at this location and my experience left me very overwhelmed and discouraged. I decided not to continue with treatment from this professional. Fast forward 4 months and my urinary issues had become so stressful that I decided to come back here but meet with another pelvic floor physiotherapist. I'm so glad I did! Fortunately, Amanda Mallette had an opening for an initial consultation the day I called and I was able to see her then. I felt very comfortable telling her my issues. She also did read up on what the previous physiotherapist had written about me in December. I was also grateful to her that I didn't need to fill in the initial paperwork again which does take a considerable amount of time. Amanda is definitely very knowledgeable in this field. She was able to discern my great stress over my issues and has been reassuring that together a solution will come into play. I feel heard and am encouraged by Amanda that in time I will be able to do things like I did before menopause knocked me off my feet. If you're dealing with a weak pelvic floor and/or urinary issues, I highly recommend that you see Amanda for guidance and support.
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Gift Deezo
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This is a nice place to be with good Physiotherapists. I'm feeling better from the service they offered. Kowndiya Amirthalingam is really a good lady. I recommend you to go to Durham Pelvic Health for Pelvic Physiotherapy.
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Highly recommend to all mamas post partum! Kowndiya has been a great support providing guidance as my symptoms change. I only wish I had found them sooner to help during pregnancy too to help with hip and pelvic pain.
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Amanda has been great , booking process is easy, and its been useful for my prenatal journey dealing with lower back pain.
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Staff are welcoming and very friendly. Appointment bookings were made easy with calendar reminders for appointments.