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This July, VA Women’s Health is working to help Veterans become informed while navigating menopause. This campaign focuses on outlining the variety of menopause experiences veterans may

have, and the full range of treatments available at VA. Menopause is a normal hormonal and biological change in the body that occurs as the ovaries age and prepare to stop producing

reproductive hormones. It typically occurs around age 51, and is considered officially started when the body goes for 12 consecutive months without a menstrual cycle. “Menopause is a natural

part of aging, but it affects every woman uniquely,” said Helen Hannah, MSN, CRNP, a gynecologist at the Washington DC VA Medical Center. “Some breeze through it with minimal side effects,

while others struggle with symptoms like hot flashes, night sweats, brain fog and more.” In the years leading up to menopause, the ovaries production of estrogen and progesterone begin to

vary greatly during a phase called perimenopause. Hannah said this transformational phase typically starts about four years before menopause, and the intense hormonal fluctuation can wreak

havoc on the body in the following ways: * Hot flashes * Night sweats * Brain fog * Vaginal dryness * Weight gain * Mood Changes * Decrease in Libido To combat these symptoms, Hannah begins

working with Veterans at 45 years old to recognize the signs of menopause.   “I start to have a conversation with them about what to expect,” she said. “Not every woman will need treatment

for menopause, it’s based on what each patient experiences. But I want them to understand that if the symptoms begin to affect their daily life, that help is available.” There are several

medications that VA provides, both over the counter and prescribed, to help treat symptoms of menopause. Hannah also recommends some healthy lifestyle changes that can be done at home. “I

always tell women to be mindful of what they’re putting into their body. Alcohol consumption, caffeine and hot, spicy foods are always going to make hot flashes worse,” she said. “On the

other hand, natural endorphins, a well-balanced diet and staying hydrated can be very beneficial in reducing symptoms.” For those who are struggling severely with menopause symptoms, Hormone

replacements may be authorized. Hannah has some advice for women Veterans who are not sure where their symptoms fall on the spectrum. “It is a natural thing that happens in life, but for

some it can be a very difficult time,” she said. “If menopause symptoms are disrupting your life severely, don’t tough it out. Let us help.” To learn more about menopause and relief

resources offered to women Veterans at the VA, visit:  Menopause - Women Veterans Health Care (va.gov) To learn about all aspects of women’s health care at VA, call 1-855-829-6636.