Your Top 5 Menopause Problems—Solved!

Smart solutions for your most annoying menopause symptoms.

by The North American Menopause Society
dejected woman depressed sad fight bedroom picture
Photograph: Abel Mitja Varela

Feeling frazzled by irritability, nighttime hot flashes, or insomnia? What follows are introductory tips on dealing with five of the most common menopause symptoms in midlife women. (Remember, you should always discuss any concerns you have with your healthcare provider first. There may be other causes of your symptoms. Together, you can decide which options are best for you.)

1. Mood Changes

Some women find that hormone fluctuations in perimenopause create a feeling of being out of control. Reports of increased irritability, anxiety, fatigue, and blue moods are not uncommon. Relaxation and stress-reduction techniques, including deep-breathing exercises and massage, a healthy lifestyle (good nutrition and daily exercise), and enjoyable, self-nurturing activities may all be helpful. Some women try to treat their menopause symptoms with over-the-counter products. To know if they really work, check the NAMS website or the National Center for Complementary and Alternative Medicine.

Discussing mood issues with your healthcare provider can help you identify the cause, assess for severe depression, and decide on the most appropriate intervention. For depression, prescription antidepressant medications may be indicated to correct a chemical imbalance. Although several weeks are usually needed to experience the full effect of one of these drugs, many women show a marked improvement with these medications with relatively few side effects. Some antidepressants have also been found to treat hot flashes. Antidepressant therapy is most effective when combined with counseling or psychotherapy.

2. Urinary Incontinence

While it is defined as the persistent, involuntary loss of urine, most women would say urinary incontinence is an unfortunate, unwelcome, and unwanted annoyance. Luckily, there are strategies to help improve the various forms of incontinence without medication or surgery. Try drinking adequate water to keep urine diluted (clear and pale yellow), and avoid foods or beverages with a high acid or caffeine content, which may irritate the bladder lining. These include grapefruit, oranges, tomatoes, coffee, and caffeine-containing soft drinks. Also try Kegel exercises to strengthen your pelvic floor muscles and reduce incontinence episodes.

3. Night Sweats

To get relief from night sweats, try different strategies to stay cool while you sleep:

  • Dress in light nightclothes. 
  • Use layered bedding that can easily be removed during the night. 
  • Or, try wicking materials for both (commercially available). 
  • Cool down with an electric fan. 
  • Sip cool water throughout the night. 
  • Keep a frozen cold pack under your pillow and turn over the pillow often so that your head is always resting on a cool surface, or put a cold pack on your feet.

4. Trouble Falling Asleep

Establish a regular sleep schedule and sleep routine:

  • Wake up and go to bed at consistent times, even on weekends. 
  • Relax and wind down before sleep by reading a book, listening to music, or taking a leisurely bath. 
  • Try snacking on a bowl of cereal or peanut butter on toast before bedtime. Milk and peanuts contain tryptophan, which helps the body relax. 
  • Drinking non-caffeinated tea may also do the trick.
  • Keep bedroom light, noise, and temperature at a comfortable level—dark, quiet, and cool are conditions that support sleep. 
  • Use the bedroom only for sleep and sex. 
  • Avoid caffeine and alcohol late in the day.

5. Sexual Discomfort

Menopause contributes to sexual changes through the decreases in ovarian hormone production and may lead to vaginal dryness and a decline in sexual activity. To counteract these changes, try:

First Published January 30, 2012

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