Menopause is a natural phase of every woman's life – yet it's often treated as a taboo subject. At our practice in Wiesbaden, we accompany women through this phase with understanding, medical competence, and a holistic approach. This guide explains what happens in the body during menopause and what support options are available.
What happens during menopause?
Menopause refers to the time of the last menstrual period, typically between ages 45 and 55. The years before and after – the so-called perimenopause and postmenopause – are characterized by hormonal changes that can affect the entire body.
At its core, it's about the declining production of estrogen and progesterone in the ovaries. These hormones regulate not only the menstrual cycle but also influence bone health, cardiovascular system, brain function, skin elasticity, and mood.
The most common symptoms and their causes
Menopause symptoms are diverse and vary greatly from person to person. About a third of women experience few complaints, while others are significantly affected.
- Hot flashes and night sweats (vasomotor symptoms)
- Sleep disorders and chronic fatigue
- Mood swings, irritability, anxiety
- Concentration problems and 'brain fog'
- Vaginal dryness and bladder problems
- Joint pain and muscle tension
- Weight gain, especially around the abdomen
- Skin and hair changes
Diagnosis and laboratory diagnostics
Menopause diagnosis is primarily based on symptoms and medical history. Laboratory tests can be used supportively to determine hormone status. We typically measure FSH (follicle-stimulating hormone), estradiol, and if needed thyroid values, as hypothyroidism can cause similar symptoms.
Overview of treatment options
Treatment depends on the severity of symptoms and individual preferences. There's no 'one-size-fits-all' solution – rather, we develop a tailored plan together with you.
Hormone replacement therapy (HRT) is considered the most effective treatment for vasomotor symptoms under current guidelines and can also protect bones, heart, and brain. Modern HRT protocols are safer than previously thought and are individually dosed. We thoroughly discuss benefits and risks.
For women who don't want or can't take hormones, there are alternatives: phytoestrogens (isoflavones from soy or red clover), herbal preparations like black cohosh, and non-hormonal medications like certain antidepressants that can be effective against hot flashes.
Lifestyle changes for more wellbeing
- Regular exercise: strength training, yoga, swimming
- Balanced diet with plenty of calcium and vitamin D
- Stress management: meditation, mindfulness, adequate sleep
- Avoiding triggers: alcohol, caffeine, spicy foods
- Maintaining social contacts and mental health
When to see a doctor? Warning signs
Some symptoms should be medically evaluated, even if they might be related to menopause: unusual bleeding after menopause, severe mood swings or depression, persistent pain, and unusual fatigue should be investigated.
Our holistic support in Wiesbaden
At our practice, we take time for you. We listen, take your concerns seriously, and develop an individual treatment plan together. When needed, we combine conventional medical approaches with complementary methods. Our goal is for you not just to get through this phase of life, but to experience it as an opportunity for a new beginning.
