The red cup is back at Starbucks, and you know what that means: the holidays are just around the corner.
Finding gifts for everyone on your list can be enough to put even the most seasoned shopaholic in a bad mood.
And if you traditionally use Thanksgiving as your cue to start shopping, we have bad news: there are only 26 shopping days between Thanksgiving and Christmas in 2019.
And Hanukkah starts on December 22 this year.
Hooray! “Tis the season for an extra layer of emotion slathered over everything. It may be your first December without a loved one or the annual reminder of rough times with your ex. Family expectations are high, and your mother-in-law still hasn’t forgiven you for marrying her favorite child.Staying relaxed is easier said than done, but stress is both no fun and a big trigger for hot flashes.
If listening to music calms you, bring your headphones while you shop. Take a break for self-care: get a massage, soak in the tub, or go for a long walk before you start to feel burnout.
We’re hoping this list helps, as well.
Who really wants to wake up at 4 a.m. to beat the Black Friday (November 29) crowds? Cyber Monday (December 2) has become a solid alternative. You’ll get great deals, save gas, and you can do it in your PJs with a cup of (decaf) coffee.
And you don’t need to wait: many retailers already have their Black Friday discounts listed online. For example, Cnet has curated a few ideas from favorite retailers like Walmart and Amazon, and TechRadar has predictions about upcoming Cyber Monday bargains.
Fear not, procrastinators: even if you snooze on the post-Thanksgiving deals, you can take advantage of Free Shipping Day on December 14.
Online shopping makes it easier than ever to cross off everyone on your holiday list without leaving the house.
But when your partner or kids have prying eyes, you want a one-of-a-kind gift that can only be bought in a brick-and-mortar location, or you’re desperate for a new outfit to wear to the office holiday party, you need to put on your big girl pants and get out there.
Whether you’re hitting the mall or the mom-and-pop shops on Main Street on Small Business Saturday (November 30), write out what you want from each store and in which order to visit them to save time, gas, and stress.
Hitting the mall can be a great way to get in your steps. Exercise during menopause is important for bone health, weight management, and to lower your risk of breast cancer. Make shopping work to your advantage!
Take the stairs or walk up the escalator. To really get a workout when shopping during the day, park as far from the entrance as you can, or on the opposite end of the side that you’re planning on visiting.
But”¦
Safety first, always! Law enforcement professionals remind you to park in well-lit areas, keep your hands free and keys and cellphone easily accessible, roll your windows all the way up when parking, store gifts and bags in your trunk, and always lock your car.
Cybersecurity experts remind you to use trusted websites, make sure the site is SSL encrypted (you’ll know because the URL will start with “https’ and you’ll see a locked padlock in the address bar), and other best practices when shopping online.
Who can resist the alluring smell of Cinnabon? When that cinnamon-sugary aroma wafts across the food court, it can be hard to resist, especially when you’re stressed. Unfortunately, sugar, caffeine, and other mall delights can lead to hot flashes and midlife weight gain.
Stash a few snacks filled with fiber, protein, vitamins, and healthy fats in your bag: nuts, apple slices, dried fruit, hardboiled eggs, a cup of yogurt or cottage cheese, string cheese, or single-serve hummus and carrots are all portable and healthy.
You’ll feel better and make better shopping decisions.
Thirst has a funny way of sometimes coming across as hunger, and water is good for your brain, body, and holiday spirit. It’s extra important that you stay hydrated in perimenopause, menopause, and beyond.
You can always count on Santa to let you know what the wee ones want. Teenagers and adults, not so much.
Time to do some sleuthing. Your friends and family members’ “Likes” on Facebook or “Hearts” on Instagram can give you insight into what they would like to find under the tree.
We promise this doesn’t make you a stalker. Well, maybe a little bit, but finding a thoughtful, inspired gift that the recipient will cherish makes it cute, not creepy.
Many of us in midlife find ourselves wanting to get in touch with our roots or explore our family tree. DNA tests have become a popular gift in recent years, and the most popular services offer deals around the holidays.
These tests can provide amazing genealogic and health insights but may be problematic as unsolicited gifts.
Perhaps your sister is trying to shed a few post-menopausal pounds, or your best friend is getting hit hard by hot flashes. Maybe makeup and nail polish are easy stocking stuffers for your daughter or niece.
We’ve written about how makeup, nail polish, and other cosmetics can be a bummer for breasts. Pick products that are free of parabens, phthalates, phenols, and other potential toxins.
Use this as an opportunity to help your friends swap out bad for better, such as alternatives to plastic (which may be full of cancer-causing chemicals). [A few ideas for reusable gifts]
And browse our gift ideas for women in midlife and menopause or our menopause wish list; from float sessions to cooking classes to smart vibrators (oh my), we’ve got you (and your sister, and your girlfriends) covered.
What do you get for the person who has everything? Sometimes the answer is nothing”nothing besides memories and experiences.
Sure, you can’t give everyone on your list a vacation or spa day, but there are plenty of experiential options for all budgets, for kids, and for the entire family.
You could also give cold, hard cash, but what’s better than getting $5? Giving $5 to charity. Research shows that the pleasure of receiving money fades, while philanthropic contributions leave a warm and lasting glow. Charity Navigator can help you find reputable non-profits and causes that will resonate with your friends and loved ones’ areas of interest.
And you can’t go wrong with a homemade gift from the heart–even if you aren’t crafty enough to upcycle an apron, you can have a lot of fun putting together a DIY bubble bath set.
You can score seasonal cheer at a deeply discounted rate after Christmas… while you buy yourself what you really wanted from Santa. If you have the space, stock up on holiday decor and evergreen gifts to save your future self some of the stress you’ve just vanquished.
While there is some truth behind the idea of retail therapy, don’t shop if you know you aren’t in the right headspace for it. The holidays can be hard, and your mental and physical health needs to come first.
While you’re at it, feel empowered to skip the office holiday party. Unless you found that perfect outfit on your shopping adventures.
If you’ve mastered the art of stress-free holiday shopping, help a buddy out and share it with us in our community forums!
Does using birth control delay menopause? Does it increase the risk of breast cancer or heart disease in menopausal or perimenopausal women? After many years on the Pill, how will I know it’s safe to go off it?
For answers to our birth-control-and-menopause questions, we turned to Dr. Sherry Ross, award-winning OBGYN and author of the book >She-ology, a look into women’s health beyond the doctor’s office.
Dr. Sherry Ross
“First,” Dr. Sherry told us, “be sure you understand this: until you’ve had no periods for a year, you can still get pregnant.
“Part of the confusion is around definitions: The true definition of “menopause’ is when you don’t have a period for one full year, but many women suffer from disruptive symptoms for a few years leading up to full cessation of periods”that’s called “perimenopause.’ As I said, until you are officially in menopause”meaning no periods for a full year”you can potentially get pregnant, so be sure to use some form of contraception. If you are single and dating while in menopause, you may not have to worry about getting pregnant, but you do have to protect yourself against sexually transmitted infections, so make sure your partner wears a condom.”
So, re: birth control, keep on keeping on until one year with no periods, and re: condoms, always always always outside of committed, monogamous relationships. Check.
” Oral contraceptives and an IUD like Mirenacan mask some of the symptoms of perimenopause and menopause,” Dr. Sherry told us. “That’s one of the benefits. Women on the Pill may have fewer, less-intense hot flashes, more “normal’ periods when other women are all over the menstrual map, and they might have more modulated emotional swings, which can be a huge benefit in their personal and professional lives. That’s why many doctors”myself included”prescribe low-estrogen birth control pills women having a rough menopause and don’t smoke or to make the transition into menopause easier.”
Short answer: No. Here’s why:
“Menopause is a time when your ovaries stop producing estrogen and your female hormone reserves are depleted. Known factors that can affect what age you enter menopause include your genetic predisposition, knowing when your mom went through the change, chromosomal abnormalities such as Turner Syndrome, very thin or obese women, long smoking history, needing chemotherapy or radiation therapy, those with autoimmune diseases and epilepsy.
“It’s clear that short- and long-term stress, such as extreme weight loss and weight gain, can offset your hormones, causing irregular periods. The extent this type of significant stress has on your endocrine system, causing hormone adrenal depletion and possibly affecting menopause, is not as clear.
“There is an association between extreme and long-standing exercising causing weight loss which can offset your hormones and cause early menopause. Excessive exercising creates a hormonal imbalance, causing irregular ovulations. It’s less likely short-term exercising mixed in with months of not exercising could cause a cascade of events leading to an early hormonal depletion.
“So there are some things that can bring on early menopause, but being on the birth control pill does not affect when you begin menopause. The Pill can mask the symptoms of menopause and, as I said, many women depend on it to help ease the transition into menopause.”
“The best way to know if you are in menopause while taking the birth control pill is to check your hormonal levels at the end of the pill-free week. Some women may even notice hot flashes during the pill-free/placebo week since they are not taking estrogen that’s normally in the active pills. Your doctor can conduct a simple blood menopause test that determines if your follicle-stimulating hormone level (FSH) has reached menopausal levels.”
If you need a trusted opinion, determine if medication is right for you, and possible prescription support. Book an appointment with one our Gennev menopause-certified gynecologist doctors here.
“
Says Dr. Sherry: “As long as you’re not a smoker over the age of 35, and you don’t have any contraindications of being on the Pill (high blood pressure, a history of blood clots, liver disease, breast or uterine cancer, strokes or migraine headaches), there are no health risks to taking the Pill during the first couple of years of menopause. The birth control pill stabilizes your hormones and keeps you physically and mentally balanced.”
And, according to Dr. Sherry, there’s even more good news.
Wait. There’s good news? About menopause?
“There’s evidence that taking birth control pills reduces the risk the risk of ovarian and uterine cancers. It may also help with rheumatoid arthritis.”
OK, that’s all terrific, but there have to be drawbacks.
Said Dr. Sherry: “As I said, hormonal birth control is not for women who smoke, particularly if they’re 35 or older. Birth control pills may increase your risk of strokes and blood clots, and that risk is exponentially higher for smokers over 35. Yet another reason to quit!”
We completely agree. Anything else?
“Studies are still being conducted into hormonal birth control and breast cancer. But unless a woman has a history of breast cancer or other factors that make her high risk, she should feel comfortable taking low-dose birth control pills to control perimenopausal or menopausal symptoms,” Dr. Sherry told us.
“The best first step is to have a frank and open discussion with your menopause doctor. And don’t be embarrassed or shy”I can tell you from personal experience that almost nothing shocks a doc! Menopause is a normal, natural process and part of life, though women may experience it differently. Your doctor is here to help you understand what’s happening and alleviate symptoms that are interfering with your quality of life. There are solutions. You can feel better. And that’s the best news of all.”
Sheryl A. Ross, M.D., “Dr. Sherry,” is an award-winning OBGYN, author, entrepreneur and women’s health expert. The Hollywood Reporter named her as one of the best doctors in Los Angeles, Castle Connolly named her as a Top Doctor in the specialty of Obstetrics & Gynecology, and she was selected as a 2017 Southern California Super Doctor. Dr. Sherry continues the conversation of women’s health and wellness in her monthly newsletters and on DrSherry.com.
Dr. Sherry Ross blogs for Huffington Post, Maria Shriver, Greatist, SheKnows, HelloFlo, Today Show, All Things Menopause, and Gurl, and we are thrilled to welcome her to the Gennev community!
The information on the Gennev site is never meant to replace the care of a qualified medical professional. Hormonal shifts throughout menopause can prompt a lot of changes in your body, and simply assuming something is “just menopause” can leave you vulnerable to other possible causes. Always consult with your physician or schedule an appointment with one of Gennev’s telemedicine doctors before beginning any new treatment or therapy.
Gout? Isn’t that something men suffer from? Do woman get gout?
It is. And more and more women are getting diagnosed with gout as well.
In the last 20 years, cases of women with gout have more than doubled. According to the Arthritis Foundation, “…Two million women as and 6 million men as in the U.S. have this inflammatory form of arthritis that causes joint swelling and telltale pain at the base of the big toe.”
Gout is, as noted, a form of arthritis. Gout occurs when high levels of uric acid increase in the blood and form needle-shaped urate crystals in the joints or a joint’s surrounding tissue.
How does uric acid get produced?
When your body breaks down purines “ naturally-occurring substances in your body and in some foods “ uric acid is produced. The normal function includes this uric acid being dissolved in the blood, transferring to the kidneys, and then getting eliminated through your urine.
The body could be out of balance and develop gout by producing too much uric acid, or by excreting too little of it in the urine.
A flare-up can swell the joints making it painful to walk or move, and can increase stress and frustration levels, which may then exacerbate other menopause symptoms like insomnia, night sweats, hot flashes, etc. Definitely not the direction to head in if you can possibly avoid it.
Joints may also swell, radiate heat, and flush red in color as well. A gout flare-up may also feel as though a joint is on “on fire,” like a joint-specific, localized hot flash of sorts.
If left untreated, gout pain may worsen and joint damage could ensue. Best to get it checked.
Is gout hereditary? If your family history includes gout, The Mayo Clinic notes you’re more likely to develop this disease.
In men, gout is often described as a sudden, severe attack, usually in the night, with intense pain in one of the joints, commonly the big toe. But this isn’t always the case with women.
In women, it can be a sudden attack, but it may also develop more slowly over time and in multiple joints. Brian F. Mandell, MD, a rheumatologist at the Cleveland Clinic in Ohio and board member of The Gout & Uric Acid Education Society, shares:
“In women, it seems there is a greater prevalence of the initial episode of gout being in multiple joints. It may not always be the typical swollen great toe. In the hands, this is often misdiagnosed as inflammatory osteoarthritis when it may actually be attacks of gout.”
Women frequently experience gout in the ends of their fingers, wrists, knees, and toes and are more prone to gout after menopause.
Ready to focus on your health in midlife and menopause? Work with a Gennev Menopause Health Coach.
Estrogen in premenopausal women and those on estrogen replacement therapy helps to flush the uric acid out of the system, according to the Arthritis Foundation. After menopause, uric acid levels tend to rise.
If a person with a uterus develops gout before going through menopause, it’s usually due to other conditions such as having a history of taking diuretics, high blood pressure, diabetes, kidney disease, and obesity.
When it comes to diet, gout, and overall health, definitely get into your doctor’s office to talk about your health specifically. Especially if you have other health conditions.
Foods to avoid, limit, or moderate regarding gout
Some of the foods recommended to moderate or minimize may have health benefits that outweigh the risk for gout (like the omega 3s in sardines may be more important to brain health than sardines’ risk of gout). Knowing your levels, getting screenings, and having regular conversations about your health with your doctor or nutritionist will be your best way forward.
On alcohol and gout
The topic offoods to avoid in menopause like alcohol comes up regularly in our content since it can spike the intensity and frequency of symptoms such as”¦ hot flashes, headaches or migraines, and mood swings (well, rage, really). It’s especially important to note for those prone to developing or who are actively managing gout.
Researchers out of the Boston University School of Medicine examined data on 2,476 female and 1,951 male participants in the ongoing Framingham Heart Study, which has followed residents of Framingham, Massachusetts, since the late 1940s. Over an average of three decades of follow-up, 304 cases of gout were reported, with one-third of those cases occurring in women.
Further reporting from the Framingham Heart Study shared that:
“Drinking 7 or more ounces of spirits a week — roughly five drinks — doubled the gout risk in men and tripled it in women. Heavy beer drinking was associated with a doubling of risk among men and a sevenfold increase in risk among women.” [emphasis ours]
Foods to include
We recommend weight loss,if you need it, for healthy menopause weight management. “Being overweight increases the risk of developing gout, and losing weight lowers the risk of it. Research suggests that reducing the number of calories and losing weight “ even without a purine-restricted diet “ lower uric acid levels and reduce the number of gout attacks. Losing weight also lessens the overall stress on joints.”
Recommended eats & drinks:
Talk with your doctor, or one of our doctors, and your menopause health coach, about specific concerns about gout, joint pain, and other forms of arthritis. Talk with them sooner rather than later if obesity, high blood pressure, diabetes figures into your current state of health and well being.
Your health, mobility, and well being are worth it.
Join the Gennev Community Forums to weigh in on this topic, ask questions, and understand more about menopause with others on the path.
I’ve been thinking about community a lot lately.
How much do we need it? As women, most all of us thrive on connection.
And when we’re going through life’s transitions, connecting with others going through the same thing kind of makes it more palatable.
Personally, I’ve got my community of women to whom I go to with the most personal of things. I’ve got a very small handful of friends (like 3-5 max) that I share life’s ups and downs. Things about my marriage, my family, even shameful mistakes that I’ve made. I’ve learned that I feel better when I share with others that I trust”¦even if there is no amount of advice that can help me recover”¦quickly.
But how about going through menopause? Is it something that you want to share with others?
For menopause and health topics, I broaden my net. I’m willing to share my experiences with other women of all levels of closeness to me, because women’s health is a “sisterhood” type of topic that creates a common bond, even when a personal relationship doesn’t exist.
Menopause levels the playing field. We’re all going to go through it.
I commonly find that my role with Gennev makes me a safe place for women to share all types of gnarly health symptoms including mood swings, painful sex, vaginal dryness, and the all-too-common insomnia that especially nails women in the workplace.
One woman even went so far to call me “the vagina whisperer.”
I’m struggling to land on what our Gennev community needs to be as we grow beyond the thousands of women we serve today. Is it a support group or health Q&A forum?
Do you find comfort in sharing/listening in a closed Facebook group, like the one Gennev hosts called Midlife & Menopause Solutions?
Or would you rather browse a general menopause FAQ forum to seek out questions and answers from health practitioners and like-minded women?
And is a menopause community something you want to bring your friends into, or something that you want to do anonymously?
I want to hear what you want your community to be. Is it simply a place to connect with like-minded women? Or a place to get answers and solutions for feeling better in your body?
Email me at jill@gennev.com
Have a great weekend!
JIll
Do your jeans irritate you right at the waistband, and not because of the fit? Do you stand at the sink and feel pain or irritation when you lean against the counter?
It could be the scar from that C-section or appendectomy that’s giving you trouble, even if the surgery is years or decades in the past.
Internal and external scars, even long-since healed, can cause sensitivity, pain, and reduced mobility. Knowing the proper way to manage scar tissue can help you reduce or resolve those issues, on any scar, anywhere on your body. Practicing scar massage on new incisions (once healed) can help avoid problem years in the future.
To learn more about “restricted scars” and how to handle them, Gennev turned once again to our fabulous physical therapists, Brianna Droessler-Aschliman PT, DPT, CMTPT and Meagan Peeters-Gebler PT, DPT, CSCS, CMTPT.
First, it’s important to know a scar is more than just a line on your skin, says Meagan. Our bodies are made of numerous layers, and there may have been several incisions to get to whatever tissue or structure or organ the surgeon was trying to fix. So the “problem” scar may actually lie deep inside.
Second, it helps to understand how scar tissue is formed. “Think of a mud puddle,” Meagan says. “To cover it up, you throw a bunch of straw on it. It covers the hole, but the pieces of straw land every which way and end up lying in different directions. That’s how scars form.”
Plus, says Bri, the cells that form a scar matrix are often tougher and more fibrous. This makes the scar tissue less flexible than the tissue around it.
“Scars can even pull on surrounding skin and tissue and form adhesions,” says Bri. The pain, burning sensation, or restricted movement happens when you try to pull or twist against that adhesion.
Scar massage helps by realigning existing scar tissue so the fibers are neatly organized and running parallel and perpendicular to one another, making the matrix of scar tissue much more flexible and elastic. Second, massage helps break up adhesions, freeing up restricted muscles, organs, and fascia for greater range of motion. Finally, massage can help establish a framework so any new tissue that’s created becomes part of this organized pattern. No more jumbled straw!
Restricted scar pain can go undiagnosed for years, since people often don’t associate new pain with an old wound. A doctor or physical therapist will likely be able to feel the restricted scar by pushing on the painful area with their fingertips.
A healthy, well-healed scar should feel and move like the skin around it, according to our PTs. “I shouldn’t feel a barrier, no raised ridge, no wad of tissue or puckering. If I pull it one direction or another, it should move easily, without causing pain,” says Meagan. “If it doesn’t, a restricted scar is where I’ll start.”
“Most people aren’t told about the importance of scar massage,” Bri adds, “so we see this problem pretty often. But it’s really avoidable. People can be taught to start massaging their own scars as carefully as as soon as the incision is healed to keep adhesions from forming in the first place.”
Hang on, before you go diving in: if this is a new incision, is it fully healed? As Meagan says, be sure it’s fully closed, with no draining, oozing or crusting, and no risk of eruption. If you’re not sure, consult with your doc.
Begin by desensitizing the area. Nerves may be flaring and angry from the surgery or injury; you want to calm them so the area can tolerate scar massage a little further down the road. Start the desensitization by rubbing the area lightly with a very smooth, silky fabric. Do that for a few days, then increase the sensory input by moving to cotton, then denim, then wool. Once it can tolerate that level of irritation, you can move on to massage.
According to Bri, most folks are ready for scar massage about 6 weeks after surgery. You’ll want to consult with a physical therapist to learn to do this right. Happily, once you’ve mastered the art of scar massage, you can carry on on your own.
The trick is to find areas of resistance, according to our PTs. When you find one, gently press and hold. You can continue doing this until you feel it start to release. Bri suggests finding a good topical cream to make massage easier and promote healing (oddly, a combination at frankincense and emu oil seems particularly effective, she says).
Fortunately, even very old scars respond to manipulation and massage. And no scars are “off bounds.” Had an episiotomy? Go for it.
We wanted to talk about this topic now, in recognition of breast cancer awareness month and the far too many women and men who wear the scars of mastectomies and biopsies.
“Scar massage is really useful for mastectomy and post-radiation healing,” Meagan says. “With mastectomy, women can have challenges with breathing, with rib-cage mobility, arm motion, even just reaching overhead. Plus superficial nerves can get entrapped in scar tissue, and that can cause lots of pain and problems. Knowing how to do scar massage can help avoid a lot of issues later on.”
For many of us, just looking at a scar is difficult, much less touching or massaging it.
This is where working with a PT can really help. “Often we’re the first to touch a new scar, even before the patient,” says Bri. “They want to know that it’s OK to touch it, that they won’t open it or cause themselves more pain. We can show them how to touch it, when it’s OK; we tell them, this is what it’s supposed to feel like, this is what you can expect, this is how it should move. Once they know all that, it’s easier to be open to the massage and to taking over their healing themselves.”
“It makes sense that it’s hard,” says Meagan. “We associate that mark on our body with a traumatic event. Even if it happened during the happy birth of a child, scars change our body and how we view it. But think of it a different way: a scar is proof that your body is healing, and that’s good. When you can’t bring yourself to touch your scar, it’s like you’re an open circuit, and all that good energy is being lost. Once you can touch it, you complete the circuit, allowing the energy to flow through your body. That’s what healing is.”
Have you practiced scar massage, and did it work for you? Tell us EVERYTHING. Share with the community in the comments below, or fill us in on Gennev’s Facebook page or Midlife & Menopause Solutions, Gennev’s closed Facebook group.
Want more from Meagan and Bri? Well, of course you do, they’re awesome. Check out if you’re peeing normally and what to do if you’re not. Here are some steps to take to improve your sex life (and how to orgasm better! – like, a lot). And learn why why your sleep is screwy. Discover why you need good sleep and how to get it. And be sure to read Brianna’s article on “Managing Scar Tissue“ for Nature’s Pathways magazine.
When hormone levels change, it seems like your whole body changes, doesn’t it?
This is especially true for women with diabetes who are entering the beginning stages of menopause, perimenopause. True still and again for pre-diabetic women entering the same life transition. Hormones have a whole lot to do with both menopause and diabetes, and it’s baffling at times to navigate new symptoms and identify what they are in your body, in addition to living your busy, awesome life.
In 2015, of the 30.3 million adults who had diabetes, 23.1 million were diagnosed, and the remaining 7.2 million were undiagnosed.
What will serve you through this is your awareness and attention to what is going on in your body.
If a new diagnosis of diabetes coincides with the onset of menopause, you may be navigating some similar symptoms. For instance, you may experience a symptom of foggy thinking both menopausally and diabetically. The element to zoom in on might be to determine if and/or when there is a difference in it being a diabetic symptom vs a menopause symptom. So much is new, and not much is fun.
Still, staying informed and aware of symptoms and changes in your body is where your power lies in making good choices and taking good care of yourself. We do recommend talking with your doctor and getting your blood sugar levels checked, especially if your risk is higher for diabetes.
Whether you’ve been diagnosed with pre-diabetes, diabetes, or menopause (or not), there are a few things you can do to help your overall health until you talk with your doctor or check in with our telemed team (but please, do talk with a doc. Soon). What can you do? Self-care, support, processing, and testing.
Your health journey is a precious and vibrant part of your life (and quality of life). The attention and care you take to feel better will serve you in both the long and short run.
We’d love to hear your experience – both the good and the challenging – around diabetes, pre-diabetes, menopause”¦ life!
Join us in the Community for shared knowledge, wisdom, and support.
What if you could relax more easily, decrease anxiety, symptoms of depression, fall asleep easily, improve the quality of your sleep, even signal increased anti-inflammatory and self-regulatory body responses at will? We can.
And…bonus! It’s free and easy to do.
We almost don’t have to think about it to get the benefits.
While scientific research and verification are still underway, it might be worth attempting to activate the vagus nerve regularly with simple breathing exercises in order to engage the parasympathetic nervous system. This will begin to take us into a “rest and digest” mode, and out of the sympathetic system’s “fight, flight or freeze”.
Chances are good you’re more familiar with your sympathetic nervous system. This system is the one that boosts the body’s heart rate, directs blood flow to key systems and organs, and increases alertness, via rapid hormone release. All of this is in order to prepare the body for the fight, flight, or freeze response in a dangerous or stressful situation.
Feeling wired-but-tired may be an indicator that your sympathetic nervous system is working harder than it needs to, especially if you’ve got that feeling in non-stressful, non-emergency situations. Perhaps you’ve felt it while watching television, or while trying to fall asleep in the comfort and safety of your home. Or maybe you find it challenging to rest or get to a state of relaxation in general.
Dr. Deepak Chopra, notes that “Our society is on sympatheic overdrive.” Meaning, many of us are in a constant or chronic state of high alert. What else does this mean for our bodies to be in an almost constant state of emergency alert?
It increases our risks for high blood pressure, inflammation throughout the body, heart disease, cardiac arrhythmias. Getting out of the sympathetic nervous system and into the parasympathetic system takes little effort, and we’re all halfway there by breathing all the time anyway. With a tiny bit of modification, we may reap the benefits of improved health and wellbeing, reduce our risks for heart disease, symptoms of anxiety, and depression.
Which is the longest nerve in your body, with a path to almost every organ? It’s the 10th cranial nerve in the body and it wanders from above the mid-brain throughout your body, all the way down to your colon: the vagus nerve. Ta-da!
As a part of the parasympathetic nervous system in our bodies, the vagus nerve influences lung, heart, gut, and diaphragm activity, not to mention facial expressions, speaking and swallowing functions. And it’s possible to activate, support, and bring balance into our bodies regularly by engaging and activating the vagus nerve.
Breathing slowly and deeply is the path to engaging the vagus nerve and improving what’s known as vagal tone.
Breathing in and out through your nose, inhaling and exhaling to the count of 4. Spend 2-ish minutes and breathe 10 breaths of inhale and exhale at the count of 4 for each, and see how you feel.
Play with it. Perhaps you can slow your number of inhales and exhales per minute even more by inhaling to a count of 5 and then exhaling to a count of 6 or 8 for another series of 10 breaths.
It provides a balancing effect on your nervous system. When you practice this type of breathing, and other non-invasive methods to activate your vagus nerve, improve your heart rate variability (HRV), so your body can relax faster and easier after a period of stress. This breathing exercise can also help you to relax and fall asleep.
There are medical procedures and devices that have been adopted to stimulate the vagus nerve in order to treat epilepsy and mental health including depression. There was a study done in 2016 for those suffering from rheumatoid arthritis as well.
Ongoing research is currently underway for inflammatory diseases such as Crohn’s, Parkinson’s, Alzheimer’s, as well as rapid cycling bipolar and anxiety disorders.
How to incorporate a new practice that may ease menopause symptoms, and even help to decrease inflammation, reduce the risk of heart disease? Maybe all you need are a few suggestions to prompt you to engage your parasympathetic nervous system during the day? You could begin to breathe slowly and deeply when you:
Where else, and what else, might prompt you to take a more conscious, deeper breath?
Additional ways to engage your vagus nerve and your parasympathetic nervous system:
Coaching and additional support may be of help as you navigate through your menopause transition. Make a simple start by slowing and deepening your breathing. The hardest thing about this suggestion may be remembering to do it.
What did you discover when you tried to engage your parasympathetic nervous system via your vagus nerve? We’d love to hear what you’ve experienced in our Community forums. Join, and share.
“You get about 15 minutes between pimples and wrinkles. Enjoy it.” as my mom
Turns out, mom was wrong. While we all expect wrinkles with aging, menopause acne can occur or recur for the first time since our teens. Sigh.
Whether it’s prom night or project presentation day, pimples can suck your self-confidence, and no one’s got time for that. So, what’s going on and what do we do about it?
I talked with Dr. David Lortscher, MD, board-certified dermatologist, and creator of Curology. While Dr. Lortscher focuses on individually tailored treatments for acne, he shared with us some information on lifestyle choices that can help women in menopause handle changes in their skin.
As estrogen declines in midlife, so do collagen and elastin, meaning your skin may become thinner, drier, and looser than before. Hence, wrinkles. But estrogen decline also takes with it our skin’s ability to ward off acne, sometimes leading to acne during and even after menopause.
According to Dr. Lortscher, “As women transition into menopause, as at puberty, a relative predominance of androgens (male-type hormones that all women have) is responsible for acne breakouts in some. In general, androgens stimulate oil production and can worsen acne, while estrogens counter that effect.”
As with all things menopausal, there are a variety of treatments ranging from lifestyle changes to over-the-counter or prescription medications, to more significant medical interventions. But many women can control breakouts by making simple changes to diet, getting more sleep, and dealing differently with stress.
Looking for prescription menopause acne treatment? A Gennev menopause-certified gynecologist can give you a trusted opinion, determine if medication is right for you, and they can provide prescription support. Book an appointment with a doctor here.
Other remedies are ones you’ve heard before: sleep more. Stress less. Stop smoking. Hydrate. By doing a combination of all of the above, you have a strong chance of reducing or eliminating midlife acne, and you will certainly be doing good things for your overall health. Plus, spearmint tea tastes really nice.
For those whose acne doesn’t yield to lifestyle changes, you may also want to consider adding over-the-counter remedies to your menopause skin-care regimen: look for creams that include benzoyl peroxide (but use sparingly, as this can further dry your skin) or salicylic acid to unclog pores. Or go another step to a personalized treatment plan. Sometimes hormonal acne treatments can be effective, but do not work for everyone and should be carefully evaluated before going that route. Acne after menopause is often treated in this manner, but to varying results.
Thank you to board-certified dermatologist Dr. David Lortscher, MD and creator of Curology.
The information on the Gennev site is never meant to replace the care of a qualified medical professional. Hormonal shifts throughout menopause can prompt a lot of changes in your body, and simply assuming something is “just menopause” can leave you vulnerable to other possible causes. Always consult with your physician or schedule an appointment with one of Gennev’s telemedicine doctors before beginning any new treatment or therapy.
If you haven’t heard of the documentary Dream, Girl, you soon will! Team Gennev, in association with Seattle International Film Festival (SIFF) is bringing Dream, Girl to Seattle for its premiere public screening on Thursday, January 19, followed by a panel discussion/Q&A with local women educators, innovators, and entrepreneurs. We hope you’ll join us for an evening of conversation and inspiration around the challenges entrepreneurial women face and how to overcome them. Learn more about our panel and then purchase your tickets directly from SIFF.
What do you need to start living your dreams? For would-be entrepreneurs, the challenges of starting a business can seem overwhelming. And for women” particularly women of color”the barriers to business ownership can be even greater.
When team Gennev first watched the trailer for the documentary Dream, Girl, we knew we had to bring it to Seattle. The film showcases several female entrepreneurs, exploring their aspirations, challenges, setbacks, and triumphs. For us, it spoke to so many things we’re experiencing as a startup organization: the learning we need, the responsibility we carry, but also the exhilaration, the camaraderie, and the importance of celebrating every success, big and small.
Happily, we had the opportunity to talk with one of the leaders of the Dream, Girl team: co-producer and co-founder Komal Minhas. Film producer, writer, investor, and entrepreneur, Komal started her business, KoMedia, at just 23 years old, so she knows a thing or two about flying by the seat of one’s pants.
Komal joined the team after viewing a Kickstarter campaign launched by creator Erin Bagwell. In her video, Erin spoke openly of quitting her job after having been sexually harassed at her workplace.
“When I saw that Kickstarter campaign,” says Komal, “I knew that I had to stop everything I was doing and come and help her amplify that message and bring it to the world.”
And what is the message that inspired Komal to sign on to Erin’s dream?
It’s right there in the title: Dream, Girl. With everything that that implies: Be hopeful. Take risks. Work hard. Support others in pursuit of their dreams and allow them to support you as you push towards yours.
Dreaming big works, as the film itself demonstrates. Dream, Girl has been screened at the White House, it showed to a sell-out crowd at NYC’s historic Paris Theatre, and last year, Erin and Komal were named to Oprah Winfrey’s SuperSoul100 list.
Like us, audiences have found a lot to love about this buoyant, inspirational, often funny documentary and the utterly charming women it showcases.
“Some of the feedback we get is that people are so happy we have a range of voices and stories that we don’t traditionally get to see on screen and all together,” Komal told us. “People tell us they feel connected to these diverse and amazing women. And we cover a real breadth of topics”from lack of mandated paid parental leave in the US, to sexual harassment in the workplace, to pausing your dreams to build a strong relationship elsewhere, to finding funding for your project, to what it’s like to be a mom in the workplace”there are so many different topic areas that connect for people.”
At every screening they attend, Komal says, there are moments that make all the effort worth it. For example, during a post-screening discussion at a major firm, a young female employee said she felt she was not being seen at the company as much as her male colleagues were. A senior-level exec was also at that screening, and he stood up and made a promise to remedy the situation, take time with her, and figure out steps forward. Witnessing this sort of genuine progress helps keep Team Dream energized and moving forward.
However, Komal says, perhaps their biggest success has been in finding and supporting each other through the journey and in “strategically and thoughtfully” building a community around the film and its message.
Speaking of building community, the Dream, Girl team have been very intentional in their distribution model, choosing to push the film through community screenings such as Gennev’s first, before pursuing digital channels. Why?
Because, Komal says, “We have been told time and again that our hosts, our audience members love seeing this film in person. You don’t want to see it alone, you want to see it as a collective and you want to talk about it and really get into the topics. We’ll eventually go digital with our film”that’s a future goal of ours so we can get the word out there as much as we can”but we find that right now, community screenings really give our audience the space they need to take it in.”
Komal and Erin do want their message to reach a larger audience, and they had a taste of what that could look like after the US presidential election. Deeply unsettled by the result of the election, the team made the unique”and uniquely generous”decision to allow people to view the film for free over the Internet. In four days, Dream, Girl was viewed more than 12,000 times. Clearly, people really crave the film’s positive, hopeful message.
We asked Komal what companies like Gennev can do to take that positive message forward. Given today’s political climate, she told us, the onus is more and more on corporations to recognize and nurture female talent. “If we can make more inclusive workspaces, and help more people feel safe in the places where they spend the majority of their time, that’s the greatest thing companies can do. Listen, be kind, and be thoughtful about inclusiveness in the workplace.”
We never end a conversation without asking for that One Big Piece of Advice”this time for would-be female entrepreneurs. Her answer? “Take care of your health. As millennial women, we get so caught up in the hustle, needing to achieve, needing to accomplish so much by X date and being on the Forbes 30 Under 30 list”¦. Just take care. We have so much more time than we think we do. Clara in the film didn’t start her business until she was 50 years old. It’s important to prioritize your health above all else: your company needs it, the world needs it, and your employees need you.”
More information is available on our Facebook event page, so take a look, then get your ticket while there’s time!
Would you characterize yourself as a do-it-yourself type of person when it comes to your health and wellness? If you’re like me, you’ve maxed out your free article options on Medium and The New York Times in an attempt to soak in every suggested treatment or women’s story that will help normalize what you’re going through.
Or, are you the type of person who wants to rely on the knowledge and care of a coach, a trainer or a very hands-on doctor? Someone who can walk you through understanding why you’re feeling lousy, then hold your hand through the behavior changes required to get on the other side of it?
I’m a DIYer. I’m super disciplined about what I need to do to adjust a lifestyle behavior for better health, and then I just do it. Some call it Type A. It comes with its pluses and minuses for sure. Sometimes I can be a little impatient and I’m not always coachable”¦not things that I’m proud to admit.
With the way the health coaching industry is booming, I’d guess that there are a lot of women who want an approach to getting healthy where you don’t have to go it alone. You’ve got a coach, a trainer or a concierge doctor who is there for you when you need someone to keep you accountable and who helps with wellness adherence.
A menopause-certified health coach can be helpful. Book 30 minutes for your personal consultation with a health coach.
Or are you a combo?
You start DIY in the early days but flip to a much-needed relationship (coach, trainer, doctor) to give you a plan and see you through it?
While I’m typically a DIY when it comes to perimenopause (at this point!), I took the combo approach to running. For my first marathon, I skillfully ripped out the Less is More training from Runners World. And with every marathon thereafter, I would try another plan.
Then I hit a wall. I was super tired and had been diagnosed with Celiac (for a carb-loading runner, hearing that you could not eat pasta or bread prior to a race 10 years ago was sock in the stomach”¦but then eating pasta and bread was a sock in my stomach, literally).
I knew I had an uphill battle to qualify for the Boston marathon so I enlisted my first running coach. He pushed me to the limits; it was painful, and I dreaded the weekly run I had to do with him, because he’d know if I’d been accountable to the plan.
But I got faster. I got healthier. I hit my goals. And I learned to trust the plan.
There isn’t “a plan” for menopause, but I believe there could be a personalized plan for every woman based on her needs.
How many of you have a plan related to your menopause symptoms or something similar for weight, strength, mental health or even sleep management? And are you working with a coach, a trainer, or a menopause doctor specialist who is keeping you accountable?
I’m intrigued by the idea of taking the idea of a “running plan and/or coach” and applying it to women’s health in menopause.
If it sounds like something you’re already doing or you’ve seen something like it in the glossy world of menopause solutions, send it my way. jill@gennev.com
Casey, age 53, woke up chilled. At 4 am this morning.
Had she actually slept through a hot flash? Miracle of miracles, she could only hope.
Still groggy, she managed to register some gratitude and relief that it wasn’t 1 am, which it had been for the last several weeks. She sighed, turned to her other side, and touched her cheek down to a fresher spot on her pillow. Another sigh.
She counted 6.5 hours of glorious, uninterrupted, deep sleep. “At last,” she thought, “Maybe I’m getting the hang of”¦ wait. What was that?” A warm liquid flood released with her new sleep position. She tentatively touched the mattress behind her back, and the backside of her underwear and sure enough. Evidence”¦ bold, red, and wet was there. “Noooo”¦ no, no, no”¦ I thought I was done with periods.”
It had been 6 months since her last cycle”¦ and there was no mistake that she was having one now.
Not sure where you are in the menopause transition? Take our Menopause Assessment.
If you haven’t experienced skipped (or extra) periods in perimenopause, allow us to assure you, it can be a normal (and annoying) part of the process.
As hormone levels change, menstrual cycles may go from reliable and familiar to whose-period-is-this? Changes may include:
In order to illustrate, let’s do a comparison of what goes on during a regular period and a perimenopausal irregular period.
An egg matures in the ovaries during a period with the help of an increased level of FSH (follicle-stimulating hormone). It’s the follicles that produce estrogen, and the estrogen, in turn, causes the lining of the uterus (the endometrium) to thicken, to prepare to receive a fertilized egg.
Ovulation, the release of the mature egg, creates progesterone. Most eggs aren’t fertilized. What happens next is, the progesterone goes away and the endometrium is sloughed off. This is what we know as a period.
During perimenopause periods, there aren’t as many follicles to stimulate, so the body really increases the FSH, resulting in more estrogen being created. More estrogen means the uterine lining becomes even thicker as causing heavier bleeding and perimenopause periods lasting longer. This whole process can take longer, too, resulting in longer gaps between periods.
Yes, indeed it can happen more often than not. In some cycles, the endometrium continues to thicken until it has to be shed as resulting in a very heavy flow.
During a cycle that has a heavier flow than you’re familiar with, it can feel surprising, baffling, even a little scary to see more blood and clots than you are used to.
Bear in mind, you may experience feelings of disappointment, exasperation, weariness, all in addition to increased or intensified cycle symptoms. Be easy on yourself and ramp your self-care if you can. Your body and mind are going through a significant transformation.
This being said, a regular period can release between 2 tablespoons over the course of 4-6 days, or more, for more days or fewer. We’ve also seen reports of regular or normal period bleeding as being 2-3 tablespoons over 3-5 days.
Abnormal bleeding, specifically may look like very heavy bleeding or bleeding that:
In order to really dial into your own health and body, consider a check-in with one of our Telemedicine doctors. This is for assurance, guidance, support, and it will keep your files noted with new data and insights.
No, not hyper-vigilance. Just simple awareness. Here are a few ways to be and stay prepared for an unexpected period:
When was your last period? How many months have you gone without a cycle?
Menstrual cup, tampons, or pads, have something on-hand until you’re sure you’ve gone 12 months without a period. Desk, car, bag, duffel, wherever. And it doesn’t have to be a lot of supplies, just the right one for you to get you through a few hours.
If you’re experiencing multiple perimenopause symptoms, it’ll make more sense and may feel more normal to have irregular periods at this time. Journal about them, keep a record on Post-it notes at your bedside, record them in a notes-application on your mobile device. They may prove useful and paint a bigger picture when you”¦
Let your doctor or professional know what’s going on with you and your body. Support, education, and care will really help you navigate through perimenopause to menopause by making informed choices about your options.
We have no idea when or which one our last period is. There’s no indicator that we’re on the final countdown, tallying 12 full months of no menstrual cycle to achieve and unlock the menopause level.
Best you can do is to be aware, consult your doctor (or speak with one of ours), practice some extra self-care, and know that this could be the last or at least one of the last, periods you’ll go through. You’ll be closer, if not finished. Regardless, transformation is, indeed, happening.
What have you experienced around irregular periods in perimenopause? And”¦ what are your questions about period reoccurrence during perimenopause? Check-in and chat in our Gennev Community Forums.
At Gennev, we’ve been on something of a quest to find the perfect sleepwear and menopause clothing for women who deal with night sweats and daytime hot flashes (or summer heat, for that matter). We’ve tried several, with mixed results. Then we found Cucumber Clothing. We loved the feel, the moisture wicking, and the cool, flattering cuts and styles. Cooling clothing for menopause, if you’ve been there, might strike you as a fantastic idea. We are inclined to agree.
We loved how it helped us get a better night’s sleep and enjoy cooler days.
Cucumber Clothing’s line, like all the products we bring to our Gennev community, helps you feel and be your best self. And the founders, Eileen and Nancy, are women over 40 who understand the realities of this whole perimenopause to menopause transition. They made the clothes they were searching for, so now the rest of us can (finally!) quit searching.
We asked them to share their story with us; we think a lot of what they told us may sound familiar “¦.
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So here’s the thing, some of us are good at sleeping and some of us are not.
Neither group is well defined as in my lifetime I’ve flitted between the two camps. A sound sleeper as a child, an impossible-to-rouse teenager, a late-night owl in my twenties, and a fretting, nocturnal pattern of wakefulness through the next decade with young children.
Roll on a few years and my circadian rhythms have re-set again. Sleep has become a capricious bed mate, undependable, playing to its own rules, and not to be relied on.
Beyond puffy eyes, foggy head and a general sense of weariness, why is this lack of sleep so important, and why do so many women who may once have felt they owned the holy grail of sleep, now feel they have lost, or at the very least, misplaced it? There are a few things to think about here and not all of them are under our control.
We know that as our bodies enter peri-menopause and menopause, our level of hormones begin to fall. One of these, progesterone, helps us sleep, so as the level of progesterone tails off, our ability to have an unbroken, deep sleep does too.
A general fall in hormones can also herald the onset of hot flashes and flushes and the aptly named “sweats.’
Just these two factors can mean a swing from a good night’s sleep to an “I tossed and turned and sweated and didn’t get a wink’ sort of night, followed by a nightmare sort of day.
We need sleep to refresh ourselves, to reorganize our thoughts and memories, to repair our bodies and to rest our cardiovascular system. So necessary, and yet so frustratingly elusive for some of us.
That’s how Cucumber Clothing was born. Travelling home from a holiday with a bunch of like-minded forty plus year old women, our week-long bonding topics covered everything but the kitchen sink, and most definitely included the menopause.
Why, we wondered, were there so few solutions out there? Busy women all, some of us were suffering from the self-same debilitating double whammy of fractured sleep and sweats, which impacted hugely on the jam-packed days.
We decided then and there to create a beautiful and intelligent range of thermo-regulating nightwear and clothing. One that allowed you to look great and feel great wearing it and that quickly moved any moisture (sweat!) away from the body at speed. One that meant that if you woke up in the night feeling sweaty or even drenched, within a few minutes you would feel dry again. We couldn’t stop you from getting hot, but we could help you get back to sleep comfortably and quickly.
Cucumber Clothing was launched in September 2017 and, since then, our original range of six simple and elegant jersey pieces in two colors has expanded to include a summer collection in a silk-like fabric (that works just as hard) in three new colours.
We’ve broadened the range to include leisurewear pieces that work for the gym (our drawstring trousers are great for Pilates or yoga), to the poolside (throw our ruffle dress over your swimsuit), to work (our v-neck t-shirt looks perfect under a summer jacket with tailored trousers on a hot day). They work for any time you are going to get hot. So now there are cooling clothes for “menopause belly” as well as the gym.
They are all mix and match, and best of all, after a long day staying cool with Cucumber, you can fall into bed wearing them knowing they will be dry, odor-free (that’s our anti-bacterial nano-technology!) and help keep you cool through then night.
Cucumber’s multi-tasking pieces are ideal for travel as our fabrics don’t crush, are happiest cold-water machine or sink washed and like to hang dry as they dry super fast because of their moisture wicking properties. Remember, don’t iron our jersey pieces, and our “silk’ pieces rarely need a light press.
Have you tried Cucumber Clothing? What did you think? Let us know your thoughts in the comments below, on the Gennev Facebook page or by joining Midlife & Menopause Solutions, our closed Facebook group.