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True Story: The Pain Of Menopause Musculoskeletal Syndrome

Perimenopause Pain

Pain during menopause is one of the most unrecognised signs of the meno years. But, the good news is it’s now been identified as menopause musculoskeletal syndrome.

Now that’s what we call moving forward because women will be able to get some reasons for their pain, and things like frozen shoulder.

Women in midlife are far more likely to experience chronic pain than men.

Yes, indeedy. Joint pain is often listed as one of the 34 common signs of peri/menopause. But other types of pain can also be symptoms including headaches, frozen shoulder, cramps, breast tenderness, painful sex and fibromyalgia.

This study found women in midlife are more vulnerable to pain but acknowledges it’s not well understood. But hopefully that’s changing with the latest research by Dr Vonda Wright. 

According to Healthline, menopause may bring heightened sensitivity to pain particularly in cases of fibromyalgia – a chronic pain condition. Indeed, fibromyalgia is often diagnosed for the first time in women entering perimenopause or menopause.

First-hand experience

Chronic pain during menopause is debilitating. I can tell you this from first-hand experience as, until very recently, I’ve experienced it for the past five years.

It came on suddenly, was linked to extraordinarily stressful life events (house sale, separation, serious illness), and immediately changed my life as I knew it.

Restrictive

I was unable to get dressed, clean, garden, exercise, have a bath without getting stuck, or get off the loo with ease. And this was frustrating for someone who loves to renovate, exercise regularly and clean the house with ardour. Not to mention a rude shock! But I’m happy to say I can now do all of those things again (except getting in and out of the bath easily). I’m slowly and steadily working on re-building strength.

But when it came on I had no idea my condition was due to perimenopause. Nor, did my doctors have answers. They couldn’t diagnose fibromyalgia. At one point the specialist team suspected rheumatoid arthritis but that turned out to be unfounded. A GP friend who was staying with us and holds a PhD in biochemistry said it was undoubtedly an autoimmune condition.

But heck, now we know it was menopausal musculoskeletal syndrome but menopause wasn’t in my vocabulary back then.

Holistic help

I went on to study holistic nutrition to learn about the link between food and autoimmune disease. I’d noticed the pain was milder when I adhered to eating mostly plants and avoided grains, gluten, dairy, and sugar. Meat is inflammatory too but I’m already a long-standing vegetarian. I wasn’t always perfect (wine and carbs are a weakness!), but I knew I’d feel so much better if I was strict.

There are a lot of studies out there now that show a whole foods diet lessens inflammation. Certainly my case appears to underline the research.

Hemp seed oil is the other thing I’m fairly certain made a difference; extra virgin olive oil (EVOO) also contains compound that scientists suggest are similar to Ibuprofen. So 20-30ml of EVOO a day is recommended. And the hemp seed oil contains the perfect ratio of omega 3 and 6 essential fatty acids and anti-inflammatory GLA (gamma linoleic acid). A couple of months after I introduced these, things improved. A lot.

A new study

If you’re experiencing pain during menopause yourself you may be interested in a recent study looking at 200,000 women. They were aged between 45-64 and researchers found that those with peri/menopausal signs were twice as likely to suffer from chronic pain.

“Changing levels of hormones around menopause have complex interactions with pain modulation and pain sensitivity, which may be associated with vulnerability to either the development or exacerbation of pain conditions,” says JoAnn Pinkerton, MD, Executive Director of the North American Menopause Society (NAMS). “This study suggests that menopause signs may also be related to chronic pain experience.”

Your pain may be hormonal

So any pain you’re experiencing could be due to the hormonal changes going on in your body. Most women don’t connect those dots because they don’t realise there’s a link.

Getting those hormones on an even keel helps with all of those pesky signs: hot flushes, depression, anxiety, insomnia and, of course, the topic of the day – pain.

What’s more, the ingredients in Merry Peri® and Perky Post® are anti-inflammatory and the fenugreek is said to support joint pain and stiffness. 

As for my pain? It was probably a combination of things but I hope it never comes back. I’ll keep taking my Perky Post®, hemp seed oil, EVOO and ditching meat, gluten, dairy and sugar for the most part because this clearly made a difference.

If you’re thinking that sounds difficult, it’s true, it’s not always easy. But I follow the ’80/20 good living’ rule and adhere to it eighty percent of the time and relax the rules the other 20 percent.

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Post-menopause


This is the time when menstruation is well and truly over, the ovaries have stopped producing high levels of sex hormones and for many ladies, perimenopause symptoms subside.

Estrogen has protective qualities and the diminished levels mean organs such as your brain, heart and bones become more vulnerable. It’s also a key lubricant so your lips may become drier, your joints less supple and your vagina might be drier. In addition, your thyroid, digestion, insulin, cortisol and weight may alter.

At this juncture, a woman might experience an increase in the signs of reduced estrogen but she should have a decrease of perimenopause symptoms. That said, some women will experience symptoms like hot flushes for years or even the rest of their lives.

Perimenopause

Peri = ‘near’

Most females begin to experience the symptoms of perimenopause in their mid-forties. Your progesterone levels decline from your mid-30s but it’s generally from around 40 that the rest of your sex hormones begin to follow suit. 

Perimenopause is a different experience for every woman and some women may barely notice it. The first indicators are usually changes to the monthly cycle. This means that for some ladies, this can be accompanied by things like sore breasts, mood swings, weight gain around the belly, and fatigue as time goes on.

For those with symptoms it can be a challenging time physically, mentally and emotionally.

Importantly, perimenopause lasts – on average – four to 10 years. The transition is usually a gradual process and many women enter perimenopause without realising.