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This presentation covers common and less common menopause symptoms, vulvovaginal anatomy, bladder functions, hormonal effects on pelvic tissues, and tips for pelvic health and personal hygiene. Includes kegel exercises, bladder health, and heart health for menopausal women. Resources for further information provided.
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Menopause: A Hot TopicJo Ann Jones, RN and Myra Siminovitch, PT.Telehealth PresentationJanuary 22, 2008 Common Symptoms • Changes In Menstrual Cycle • Hot Flashes/ Night Sweats • Vaginal Dryness • Disrupted Sleep • Fatigue • Mood Swings
MenopauseCommon Symptoms • Loss of sexual Desire/Painful Intercourse • Increased Body Fat • Memory and Concentration Difficulties • Wrinkles • Rogue Chin Hairs • Vision Changes
MenopauseLess Common Symptoms • Crawly Feeling Under Skin • Sensitivity To Touching By Others • Acne • Rapid Heart Beat • Chills Or Extreme Warmth • Vaginal Or Urinary Tract Infections • Bloating, Gas Pains, Flatulence • Urinary Leakage
MenopauseLess Common Symptoms • Migraine Headaches • Thinning Scalp Hair • Aching Ankles, Wrists, Knees, Shoulders • Anxiety and Panic Attacks • Easily Wounded Feelings • Sudden Inappropriate Bursts of Anger
Taboo Topics • Vaginal Dryness • Loss of sexual Desire/Painful Intercourse • Vaginal Or Urinary Tract Infections • Urinary Leakage • Perineal & Bladder Health • Bone health • Heart Health
Vulvovaginal Anatomy 101 • Vulva means “Covering” • Vulva: External Female Genital organs: Labia majora, labia minora, clitoris, urethra • Labia Majora: Outer larger lips • Fatty pads of tissue wrap around the vulva usually covered with hair • Labia Minora: Inner smaller lips • Thin stretches of tissue that protect the vagina, urethra and clitoris • Clitoris: Highly sensitive tissue • oval-shaped body of spongy tissue, located at top of labia minora
Vulvovaginal Anatomy 101 • Vagina: Opening that extends into your body • Intercourse, birth canal • Urethra: Passage for urine, connected to the bladder • Located below clitoris • Perineum: Stretch of skin from the bottom of the vulva to the anus • Vestibule: Area between the inner lips • Openings of urethra, vagina and many small glands
How the Bladder Works • The bladder is a muscle which is shaped like a balloon • The Bladder has two Functions: • The storage of urine • The elimination of urine • The bladder contracts when it is full to empty
How the Bladder Works • The sphincter muscle acts like a faucet. When closed it helps prevent urine from leaking. When open the urine can pass out • The brain and nervous system receive a message when the bladder is full to signal you to empty your bladder
Lack of Estrogenon Pelvic Tissues • Muscles and tissues become thin and lose some of their strength and support • More prone to urinary leakage incontinence • Vaginitis: Itching, redness +soreness in and around the vagina (vulva). • difficulty with penetration/sexual activity • Bladder infections become more frequent • discharge from the vagina can lead to UTI. • The bacteria irritates the bladder and makes it contract more often • Burning feeling or pain when voiding • Having to void frequently and urgently
Loss of Estrogen • Causes the tissues around the bladder to lose their tone • Causes loss of tightness of the sphincter muscle
Pelvic floor Muscles • Support, hold in pelvic contents • Bladder, urethra, bowel, vagina and uterus • Closing Force • When tightened, muscles around the urethra, vagina and anus place a closing force to stop leakage
Take Control • Bladder Health • “Leaking” Is Not A Normal Part Of Aging • Bone health • Broken Bones Can Be Prevented • Heart Health • Be Aware
Take Control • Dryness or mild discomfort • Lubricants: Astroglide, Gynemoistrine, • KY gel, Replens • Vulvar & Vaginal Atrophy • Local application of estrogen in the form of tablet, cream or ring
Personal Hygiene • Wash and wipe from the front to the back • Wash with warm water and pat or blow dry • Use Dove Liquid Soap • Avoid • feminine hygiene sprays • bubble bath • baby wipes • Wear white cotton underwear
Take Control • Bladder Health • “Leaking” Is Not A Normal Part Of Aging • Bone health • Broken Bones Can Be Prevented • Heart Health • Be Aware
Kegel Exercises • Contract your pelvic floor muscles as if you wanted to hold gas or as if you wanted to stop the urine flow • Do not contract your stomach, seat or leg muscles • Hold for 5-10 seconds, relax 10 seconds • Repeat 10 times in a row = 1 set • Repeat 6-7 sets per day
Menopause & Heart Health • Increase in cholesterol and other blood fats • Increase in blood pressure • Increase in weight • Prevention: • Healthy lifestyle • Check blood pressure and Cholesterol levels
Resources • The North American Menopause Society • www.menopause.org • Women’s Mid Life Health Centre Of Saskatchewan • www.menopausecentre.org