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Women's Health

Smooth sailing through menopause: natural ways to ease the transition

Natural remedies to navigate menopause comfortably and confidently

Smooth sailing through menopause: natural ways to ease the transition
Photo by Peter Schulz on Unsplash
a woman standing on a beach holding a frisbee

Life is full of transitions, but few are as challenging to navigate as menopause. This process can cause uncomfortable physical and psychological symptoms such as hot flashes, painful intercourse, and severe vaginal dryness. Thankfully, there are ways to relieve menopausal symptoms. Menopausal hormone therapy (MHT), dietary supplements, and lifestyle changes can help reduce hot flashes, relieve vaginal dryness, and mitigate other menopausal symptoms, allowing you to comfortably transition into the next chapter of your life.

What Is Menopause?

Menopause is a natural process that marks the end of a person’s monthly menstrual periods. This is caused by the loss of ovarian follicular function and reduced production of the hormones estrogen, progesterone, FSH (follicle-stimulating hormone), and testosterone. Doctors typically diagnose menopause if menstruation hasn’t occurred for at least one year.

Hormonal birth control—including birth control pills and hormonal intrauterine devices—causes menstrual cycle changes and can mask symptoms of menopause, making it difficult to detect the start of perimenopause—the period before menopause during which the ovaries produce estrogen at a slower rate.

Who Experiences Menopause?

Menopause affects people with uteruses who are typically occurs between the ages of 45 and 55. Some people experience menopause before the age of 40, which is often referred to as early menopause. Research indicates smoking is one possible cause of premature menopause.

Anything that damages the ovaries or stops the body from producing estrogen (like hysterectomy, ovary removal, radiation therapy, or chemotherapy) will cause symptoms of menopause.

How Long Does Menopause Last?

The duration of perimenopause and menopause varies between individuals. Perimenopause can last between two and eight years.

While most people experience menopausal symptoms for less than 5 years, they can last between 7 and 11 years for some. Genetics and lifestyle factors can influence the length of menopause.

Menopause Symptoms

Menopause symptoms usually start during perimenopause and can impact day-to-day life. Here are some typical symptoms of menopause:

Menstrual Changes

During perimenopause, changes in the frequency and duration of menstrual periods are common. Additionally, some may experience spotting between periods.

Hot Flashes and Night Sweats

Vasomotor symptoms of menopause (VMS), such as hot flashes and night sweats, are also common. Hot flashes are a sudden feeling of heat in the upper body. Red blotches and profuse sweating can occur during hot flashes, and you may experience chills afterward. Low estrogen levels also cause nighttime hot flashes, known as night sweats, which often disrupt sleep.

You can relieve hot flashes by drinking ice-cold water, removing a layer of clothing, and using a fan when you feel a flash coming on.

You can also treat hot flashes by identifying and avoiding triggers such as stress and spicy foods. Medical treatment can help manage severe hot flashes.

Vaginal Dryness

Low estrogen levels during menopause can cause vaginal dryness, resulting in discomfort, itching, and burning. Vaginal dryness can also cause small tears in thinner vaginal tissues, causing pain during sex.

You can treat vaginal dryness with an over-the-counter vaginal moisturizer. Estrogen therapy in the form of low-dose vaginal preparations is also an effective treatment for many. Additionally, using a water-based lubricant can help prevent pain during intercourse.

If you prefer natural remedies over vaginal moisturizers, low-dose vaginal products, and other medicines, then herbal supplements—like sea buckthorn oil—and vitamins D and E may be helpful.

Mood Changes

Mood swings can make you feel irritable one minute and teary the next. Getting enough sleep, staying active, and reducing stress can help mitigate mood changes and enhance your overall well-being.

Depression and Anxiety

Menopausal symptoms and hormonal changes can cause depression and anxiety. Adequate sleep, a healthy diet, and regular physical activity can reduce the symptoms of depression and anxiety. Talk with your healthcare provider if you experience severe depression during menopause, as this may require therapy, medication, or both.

Urinary Incontinence

Decreased estrogen levels can weaken the pelvic floor muscles and urethra, making it hard to hold in urine long enough to get to a bathroom; this is known as urinary urge incontinence. Some individuals also experience urinary stress incontinence, whereby sneezing, laughing, or coughing can cause a leak of urine.

Physical therapy, maintaining a healthy weight, and doing Kegel exercises can help with these urinary symptoms. Products like incontinence pads, pessaries, and urethra caps can help contain urine leaks.

Brain Fog

Problems with focus and memory affect about two-thirds of menopausal individuals. Simple practices—like getting enough sleep, eating a balanced diet, staying socially active, and engaging in mentally challenging activities—can reduce brain fog.

How To Treat Menopause Symptoms

Menopause treatment options—such as menopausal hormone therapy and vaginal estrogen—can help relieve hot flashes, vaginal dryness, and other symptoms associated with menopause.

Hormone Replacement Therapy

Hormone replacement therapy (HRT), also known as menopausal hormone therapy (MHT) or estrogen therapy, can alleviate hot flashes, painful intercourse, and other menopause symptoms by using bioidentical hormones to replenish estrogen levels.

Progesterone hormone therapy may also be needed to protect the womb lining from the effects of estrogen hormone therapy. Taking progesterone and estrogen together is known as combined hormone therapy.

Different menopausal hormone therapy mediums include:

  • Skin patches
  • Tablets
  • Implants
  • Topical gels and sprays.

If you have a low sex drive that persists after systemic hormone therapy, your healthcare provider may recommend testosterone.

Benefits of Menopausal Hormone Therapy

While the effects of hormone therapy vary depending on individual factors, hormone replacement therapy is considered one of the most effective ways to treat menopausal symptoms and reduce the risk of conditions associated with menopause including osteoporosis, liver disease, uterine cancer, and heart disease.

Health Risks of Hormone Therapy

Menopausal hormone therapy is considered safe for most women, but that doesn't mean it’s without possible health risks—especially for those with pre-existing conditions or a family history of blood clots, cancer, and cardiovascular disease. Menopausal hormone therapy may not be safe for some and should be discussed with your healthcare provider if you have a family or personal medical history of any of the following:

  • Blood clots
  • Stroke
  • Heart disease
  • Heart disease risk factors (e.g., high cholesterol and high blood pressure)
  • Breast cancer
  • Gallbladder disease

Those undergoing menopausal hormone therapy may experience side effects including:

  • Nausea
  • Breast tenderness
  • Headaches
  • Hair loss
  • Bone loss
  • Diarrhea
  • Leg cramps
  • Depression
  • Acne
  • Vaginal bleeding or spotting
  • Increased risk of blood clots and breast cancer

Non-Hormone Menopause Treatment

Alternative therapies like non-hormone treatments can help ease the symptoms of menopause if you decide against hormone therapy. Antidepressant medications, such as selective serotonin reuptake inhibitors (SSRIs), can help manage depression and anxiety resulting from menopause. Clonidine, a blood pressure medicine, and gabapentin, an epilepsy medication are known to help with the vasomotor symptoms of menopause. Cognitive behavioral therapy can help with anxiety and low mood resulting from menopause.

Lifestyle Changes

On their own or in combination with hormone therapy, these lifestyle changes can make a huge difference in managing symptoms of menopause.

  • Stop smoking
  • Reduce alcohol and caffeine consumption
  • Eat a balanced diet
  • Exercise regularly
  • Engage in enjoyable activities to boost your mood
  • Maintain a healthy weight
  • Seek support from loved ones

Complications From Menopause

Decreased estrogen levels can result in long-term complications from menopause.

Osteoporosis

Osteoporosis is characterized by bone loss and decreased bone density, which is caused by a lack of estrogen.

Hormone therapy may help protect against menopausal bone loss. For those who can’t undergo hormone therapy, other approaches to decrease osteoporosis risk are encouraged (e.g., staying active, taking calcium supplements, and quitting smoking).

Antiresorptive medications—like bisphosphonates—reduce the breakdown and absorption of bone tissue and can be used to treat osteoporosis in postmenopausal individuals.

Cardiovascular Disease

The decline in estrogen during menopause increases the risk of developing cardiovascular disease. The rates of coronary heart disease are three times higher in menopausal women. To mitigate this risk, those experiencing menopause are advised to maintain a healthy and balanced diet and exercise regularly.

Conclusion

A decrease in estrogen levels during menopause can result in a wide range of physical, mental, and emotional changes in the body. Hot flashes, vaginal discomfort, mood swings, incontinence, and other symptoms can significantly impact daily life. However, there are ways to manage menopause symptoms. Hormone therapy has proved successful in treating symptoms by replenishing estrogen and progesterone levels. For those who are unable to receive hormone therapy for any reason, lifestyle changes, non-hormone treatments, dietary supplements, and other treatments can help alleviate symptoms. Discuss potential therapy and treatment plans with your healthcare provider so you can sail through menopause smoothly.

Pop Culture

In 1969, the Monkees appeared on The Johnny Cash Show and played a stunning, original country song

"Nine Times Blue" is a jaw dropping intersection of craftsmanship and pure talent.

the monkees, nume times blue, monkees live, monkees country, johnny cash show

The Monkees perform on "The Johnny Cash Show."

The great debate about The Monkees is whether they were a real band or just a group of actors thrown together for a TV show. The answer is yes. They were actors cast to play an American version of The Beatles, and many of their early songs were written by big-time professional songwriters such as Tommy Boyce, Bobby Hart, Neil Diamond, Carole King, and Gerry Goffin.

However, The Monkees would pick up their own instruments, play on the 1967 Headquarters album, and perform as a live band on sold-out tours. After a resurgence in the '80s, the band enjoyed a lucrative career as a legacy act, with various members continuing to perform as The Monkees until Michael Nesmith died in 2021. Nesmith, originally a country singer from Dallas, Texas, wrote several of The Monkees' hits, including "Mary, Mary," "Papa Gene's Blues," "The Girl I Knew Somewhere," and "Listen to the Band," and was a driving force in the group being taken seriously as musicians.




By the summer of 1969, The Monkees' TV series was off the air, and the affable Peter Tork had exited the group, citing exhaustion. The remaining three soldiered on, performing on The Johnny Cash Show to promote their latest album, Instant Replay. The band chose to perform "Nine Times Blue," a country song written by Nesmith that he had demoed at the time but wouldn't be released until he recorded it as a solo artist in 1970.

The performance is a wonderful reminder that The Monkees were great comedic actors and accomplished musicians. Davy Jones and Micky Dolenz do a fantastic job singing harmonies on the chorus, while Nesmith plays some nice fills on his Gibson acoustic.

- YouTube www.youtube.com

Later in the show, The Monkees joined Cash for a performance of his 1966 novelty song, "Everybody Loves a Nut," which perfectly suited the band's comedic sensibilities. Two weeks after the release, Cash scored one of his biggest hits with "A Boy Named Sue," recorded live at San Quentin prison.

A few months later, Nesmith left The Monkees to pursue a country-rock career, first with the seminal group The First National Band, which scored a Top 40 hit with "Joanne" from the album Magnetic South.

- YouTube www.youtube.com

Although Nesmith's country-rock albums of the '70s were moderately successful, he was still overshadowed, as a musician, by The Monkees' towering success and subsequent downfall. In the '70s, it wasn't easy for Nesmith to get the respect he was due as a country artist. But in the years leading up to his death in 2021, Nesmith's work was reappraised, and he was seen as a brilliant songwriter who anticipated the rise of alt-country.

The Monkees hold a complicated place in rock 'n' roll history. While some see them as a prefabricated band assembled to cash in on The Beatles' success, others recognize them as talented musicians brought together under bizarre circumstances who forged their own path and created something fresh and innovative, only earning proper respect years later.

1950s year book, old photos, college annual, students, 1950s america

The Wittenberger College 1956 yearbook.

Ever look through your parents’ high school yearbook and all the teenagers look like they are 35 years old? When you think about how teenagers look today, the difference is striking. But why? Did people grow up much faster back in the day, or is there something else at play?

If you look back to the 1980s, there’s a clear difference between actors Paul Rudd and Wilford Brimley at 50.


Sure, that's a cherry-picked, extreme version of the difference in how people age, but it does support the idea that just a few decades ago, people aged much faster.

In a recent video, the folks at Recollection Road did a deep dive into why your average high school junior in 1958 looked like a 55-year-old bank manager, and they found seven reasons. They were a mix of environmental and cultural factors that boiled down to one central point: people are much healthier these days.

- YouTube www.youtube.com

1. Smoking

“Cigarettes were everywhere: in diners, in offices, even on airplanes. In the 1950s, it wasn't unusual to see a mother with a baby in one arm and a cigarette in the other. High school kids would light up behind the gym, and by adulthood, many were chain smokers.”

A Gallup poll found that in 1954, 45% of U.S. adults smoked cigarettes at least once a week. Compare this with 2024, when only 11% of Americans smoked a cigarette in the previous week.

2. Sun exposure

“Back in the 1960s and 1970s, a summer tan wasn't just fashionable, it was almost required. People slathered on baby oil, laid out under the blazing sun, and cooked. There was no SPF 50. In fact, lotion was designed to help you burn faster for a deeper tan. Families on vacation didn't think twice about spending hours on the beach with no shade. By the time they were in their 30s or 40s, the sun had also carved wrinkles and dark spots into their skin.”


3. Fashion

“Think about old photos of your parents or grandparents. A 25-year-old man in 1948 was often dressed in a suit and tie, maybe even a fedora. A young woman might be wearing a conservative dress and practical shoes. By modern standards, those styles look more grown-up, more like something we'd expect from someone middle-aged.”

4. Life was harder

“Someone who grew up during the Great Depression often started working as a teenager to help put food on the table. A lot of young men were drafted into World War II or Vietnam before they were even old enough to legally drink. That kind of responsibility leaves its mark. … Even women carried heavy burdens. In the 1950s, a young mother might have had three or four kids by the time she was 25, while also running a household without modern conveniences like microwaves or dishwashers.”


5. Drinking

“Having a three martini lunch was common in the business world of the 1960s. Beer was practically considered a food group in some households. Combine that with less knowledge about exercise and health, and you can see why bodies wore down faster, giving people an older appearance earlier in life.”

There has been a sharp decline in the number of Americans who consume alcohol. In 1971, 71% of Americans had the occasional drink, but that number dropped to 54% in 2025. The decline in drinking is attributed to concerns over alcohol’s effect on health and a decrease in consumption amongst younger people.


6. Cultural expectations

"By their mid-20s, most people in the 1950s and ‘60s were married, raising children, and working full-time jobs. Life was about responsibility, not self-expression. They dressed older, behaved older, and carried themselves as adults.”

7. Testosterone

“Studies show that the average testosterone has been steadily declining for decades. Men in the 1950s and ‘60s often had higher natural testosterone than men today, which gave them more muscle mass, broader builds, and in some cases, more facial hair. While that might sound like it would make them look younger, it often had the opposite effect. The heavy brows, thick body hair, and rugged features made young men look tougher, older, and more weathered than their actual age.”

boomer grandparents, boomer grandparent, millennial parents, millennial parent, grandkids
Image via Canva/PeopleImages

Boomer grandparents are excessively gifting their grandkids, and Millennial parents have had enough.

Millennial parents and Boomer grandparents don't always see eye to eye on parenting and grandparenting. Now, Millennial parents are uniting on a nightmare Boomer grandparenting trend that sees them "excessively gifting" their grandkids with tons of both new and old *unwanted* stuff during visits.

Ohio mom Rose Grady (@nps.in.a.pod) shared her "Boomer grandparent" experience in a funny and relatable video. "Just a millennial mom watching her boomer parents bring three full loads of 'treasures' into her home," she wrote in the overlay.


Grady can be seen looking out the window of her home at her Boomer mom and dad carrying bags and boxes up her driveway after several visits. The distressed and contemplative look on Grady's is speaking to plenty of Millennial moms.

@nps.in.a.pod

Today's "treasure" highlight was the mobile that hung in my nursery... #boomerparents #boomers #boomersbelike #millennialsoftiktok #millenialmom #motherdaughter

Grady captioned the video, "Today's 'treasure' highlight was the mobile that hung in my nursery..."

The humorous video resonated with with fellow Millennial parents. "Straight to the trash when they leave," one viewer commented. Another added, "I always say 'if you don’t want it in yours, we don’t want it in ours' 😂."

Even more Millennial parents have shared and discussed their situations with Boomer grandparents buying their kids too much stuff on Reddit. "Both my mother and my MIL love buying and sending toys, books, clothes, etc. I don't want to be ungrateful but we just don't need it and don't have the space. I have brought this up politely in 'we are all out of drawers for that' but it hasn't slowed things down," one explained. "I think part of the issue is that the grandparents live in different cities and vacation a lot. They don't get to see our daughter much so they buy stuff instead."

Another Millennial parent shared, "While the intention is very kind behind these, all the grandparents are very aware that we do not need, nor wish to receive these gifts in such an excessive volume - as it creates a daily struggle to store and accommodate in our home. I struggle to keep on top of tidying as it is, and this is a massive added challenge."

millennial parents, millennial parent, millennial mom, kids room, organize Millennial mom struggles to organize her son's room.Image via Canva/fotostorm

How to talk to Boomer grandparents about gifts

So, why are Boomer grandparents excessively gifting? "Boomer grandparents may be the first grandparent generation to have accumulated the substantial discretionary funds that enables them to spend money on their grandchildren," Sari Goodman, a Certified Parent Educator and founder of Parental Edge, tells Upworthy. "These grandparents probably grew up with grandparents who didn’t have that kind of money and so they may be excited to give their grandchildren the things they didn’t get."

Goodman suggests that Millennial parents first discuss with them the "why" behind the gifting. "What comes before setting a boundary to limit over-the-top gift-giving is delving into the reasons grandparents are buying so much," she explains. "Coming from a place of compassion and understanding makes it possible to come up with mutually beneficial solutions."

- YouTube www.youtube.com

She recommends that Millennial parents sit down with their Boomer parents to learn more. "Did they grow up without many toys and clothes and are fulfilling a dream? Ask them about the values they learned as children (hard work, perseverance, the power of delayed gratification) and how they can pass on these lessons to the grandchildren," she suggests.

She adds that another reason may be that Boomer grandparents live far away and want their grandchildren to feel a connection with them. "Set up a regular FaceTime or Zoom meeting. Rehearse with the kids so they have something to say and suggest a topic for the grandparents," says Goodman. "Or send snail mail. Kids love getting mail. The grandparents can send postcards from where they live and explain some of the special sites."

boomer grandparents, boomer grandparenting, video chat, video call, grandkids Boomer grandparents have a video call with grandkids.Image via Canva/Tima Miroshnichenko

Finally, Goodman adds that for some grandparents, this may be is the only way they know how to show their love. Millennial parents could ask if they would be open to other ideas. "Parents can set up an activity for grandparents and kids to do when they come over—a jigsaw puzzle, art activity, board game, magic tricks," she says. "Arrange for the grandchildren to teach the grandparents something their phones can do or introduce them to an app they might like."

This article originally appeared last September

employee; employment law; work friends; work bestie; coworker boundaries; work boundaries; work life balance

Employment lawyer reveals 4 texts to never send a coworker

It's not uncommon for people to have a "work bestie" or "work spouse." Often, people spend a lot of their waking hours at work, so they're bound to feel like they've made true friendships with their coworkers. Before too long, numbers get exchanged, and they find themselves venting after hours about work, but this may not be a good thing.

Ed Hones is an employment attorney in Seattle, Washington, and he is not only discouraging coworkers from thinking of each other as friends, but also sharing what texts people should never send their colleagues. As an employment lawyer, Hones sees the legal fallout of the lines between friends and coworkers being blurred. Though he isn't saying people can't text their coworkers, he lists four specific types of texts to never send in case of a lawsuit.


"I see great cases destroyed every single day from one thing: old text messages," Hones reveals. "You might think that your text thread with your coworker is a safe space to vent, joke, or even scheme, but let me be clear about this one thing: it is not. In the eyes of the law, those text messages are evidence, and if you ever have to sue your employer for something, defense attorneys will find a way to get those text messages and destroy your credibility and tank your case."

employee; employment law; work friends; work bestie; coworker boundaries; work boundaries; work life balance Smiling at work, checking messages during a break.Photo credit: Canva

Of course, no one plans to sue their employer or to have their employer sue them, but sometimes things happen that result in lawsuits. Once a lawsuit is filed, discovery often follows, which means phone records and other device communications can be requested. If you've been trash-talking your boss or making egregious claims, you may be stuck having to explain it in court. But avoid sending these four texts, and you won't have to worry about your employer finding something to use against you in a lawsuit.

1. Asking a coworker to bend the rules

Hones explains that this often happens in the form of asking someone to clock you in or initial a form they forgot to complete. It may be something you think everyone does every once in a while at their place of employment, but sending a text message is documenting the request. Explicitly asking a coworker to break this employment policy can result in termination being justified. The employment attorney implores people to avoid doing it completely.

employee; employment law; work friends; work bestie; coworker boundaries; work boundaries; work life balance Man focused on his phone screen, deep in thought.Photo credit: Canva

2. Awkwardly acknowledging something inappropriate

"Here is the scenario," Hones says. "A coworker or supervisor texts you something inappropriate. Maybe it's a dirty joke or a comment about your private life, or medical condition. It makes you uncomfortable, but you have to see this person at the office tomorrow, and you don't want to make it awkward, so you reply with an LOL, laughing emoji, or a thumbs up. But if you send that text, you're walking into a legal trap called "The Unwelcome Standard.'" This means that if this behavior turns into harassment or creates a hostile environment, legally, it can be seen as being acceptable due to responses to inappropriate texts in the past.

3. Texting about job hunting

It's not uncommon for frustration to boil over and result in someone declaring they're going to start looking for a new job. Not every text or annoyed utterance about needing to find different employment is serious. Sometimes it is about blowing off steam, but other times it's truthful. Hones says not to let your employer be the one to decipher the difference in a court of law, because it may not work out in your favor. It could reduce an employee's lost wages claims, eliminate the ability to claim work conditions that resulted in an abrupt resignation, and even result in the company pushing an employee out if the text is revealed before they resign.

4. Talking trash about your boss or company

"We all need to vent, but doing it via text message hands the employer the perfect cover story," says Hones. This comes into play when an employee sues for discrimination or wrongful termination. According to the employment lawyer, if an employee sues for one of those reasons, the burden shifts to the employer to prove they didn't fire the employee for an illegal reason. If the employer discovers the negative texts about them, then it could give legitimacy to their claims if they have lied about the reasons someone was terminated. Hones says it's common for employers to lie in these cases by saying the employee was disrespectful or a bad employee, and texts trash-talking the boss would strengthen their argument.

employee; employment law; work friends; work bestie; coworker boundaries; work boundaries; work life balance Focused multitasking at the office.Photo credit: Canva

Hones explains in another video that it's not wise to assume your coworker-turned-friend will have your back in an employment investigation. Often, people need their jobs and are unwilling to risk them to help someone else keep theirs. Becoming overly familiar with a coworker may feel genuine and comfortable, but maintaining certain boundaries will help protect you legally should you ever have to sue your employer.

"Work relationships do not necessarily have to be friendly to be healthy," Dr. Maya Reynolds, MD, MPH, Psychiatrist and Behavioral Health Spokesperson at Choice Point Health, explains to Upworthy. "Keeping personal relationships and work relationships separated keeps a person free from additional emotional entanglement, rivalry, and disappointment. Because when work relationships step into personal life, promotions or disagreements can feel personal rather than professional, which brings a great emotional toll on oneself. Also, maintaining boundaries at work promotes your psychological safety."