Perimenopause is finally getting the attention it needs in support of the women going through the diverse and often intense symptoms caused by the shifting of hormones. As estrogen and progesterone fluctuate, the connective tissue integrity and elasticity is reduced and muscle mass and bone density starts to decrease. Lower levels of estrogen and progesterone may cause irregular periods, spotting, hot flashes, painful sex, headaches, trouble sleeping, weight gain, incontinence, achy joints and mood swings. These symptoms can last 4-8 years or longer with menopause being reached one year following the end of your last period.
A healthy whole foods diet, weight-bearing exercise and a daily sleep routine can support your health through perimenopause. Certain supplements can target symptoms such as magnesium for more restorative sleep; Vitamins D and B12 for mood; Vitamins D and K for bone turnover and Vitamin E for hot flashes and vaginal dryness (consult a qualified health professional for a supplement prescription specific to you). Women may also choose hormone replacement therapy, either bioidentical or synthetic, for perimenopause symptoms which can vary from mild to debilitating.
How does chiropractic help? Regular chiropractic adjustments of your spine can have a direct effect on your autonomic nervous system that integrates closely with the hormonal system. Spinal adjustments balance the sympathetic and parasympathetic components which can decrease the intensity of hot flashes, minimize headaches from neck tension, relax the neuromusculoskeletal system for sleep, activate the nerves connected to the pelvic floor and reduce joint inflammation. Chiropractic alignment may also help to promote the release of endorphins, the “feel good” chemicals into the bloodstream. In 2018, a study in the Journal of Upper Cervical Chiropractic Research found that there was a resolution of hot flashes following chiropractic care. Chiropractors can advise you on safe and proper strengthening exercises to combat the decline in estrogen that may lead to bone loss, osteopenia and osteoporosis. Osteoporosis can cause upper back and spinal pain, hip strain and knee weakness which may raise the risk of injury. Adjustments of the spine in combination with weight-bearing exercise can help to decrease pain, promote circulation, ease muscle spasms and reduce the chance of falls and fractures.
There is assistance and awareness for the many stages of a woman’s life such as menstruation, fertility and pregnancy. In comparison and until recently, perimenopause has not had the same level of research and focus. This is changing as women and health professionals are advocating for the health of this population. Chiropractic can help to naturally support women through perimenopause as an alternative or in addition to hormone replacement therapy. Embrace and thrive!