Managing menopausal symptoms

Cancer treatments that reduce oestrogen levels or block the action of oestrogen can result in menopausal symptoms. Symptoms may be more severe than a 'natural' menopause. 

Menopause and cancer

Menopause refers to the permanent end of menstruation (having periods). 

Menopause happens because the ovaries stop producing the hormones oestrogen and progesterone. Symptoms of menopause, like hot flushes and mood changes, are caused by the change in your hormones.

Cancer treatment and menopausal symptoms

Cancer treatments that reduce oestrogen levels or block the action of oestrogen can cause menopausal symptoms. For example, chemotherapy, hormone therapy and ovarian ablation. 

Even if you have already been through menopause, you are likely to experience menopausal symptoms while on hormone therapy treatment. 

These treatments can also cause your periods to stop (menopause).

In some cases, menopause caused by cancer treatment can be quite sudden. Symptoms are often more intense than when menopause occurs naturally. Often, the younger you are, the more severe the symptoms. 

Menopause caused by cancer treatment can be temporary or permanent. Those who are closer to the age of natural menopause (late 40s to mid-50s) are more likely to find that their periods don’t come back after treatment.

What are the most common menopausal symptoms?

Common menopausal symptoms include:

  • Hot flushes/night sweats
  • Vaginal dryness/dry skin
  • Lower sex drive (low libido)
  • Mood changes
  • Poor concentration
  • Aches and pains
  • Trouble sleeping (insomnia)
  • Osteoporosis (bone thinning)

Dealing with menopausal symptoms

Menopausal symptoms can have a big impact on your day-to-day life, especially when you are trying to deal with a cancer diagnosis. Fortunately, there are lots of treatments to help with most menopausal symptoms and ways to help you cope better. For example:

  • Prescription medications like hormone replacement therapy (HRT). HRT is usually not suitable if your cancer is hormone sensitive.Talk to your consultant about your options and about specialist menopause clinics, which may be able to help.
  • Complementary therapies such as reflexology, massage, meditation and aromatherapy can help relieve menopausal symptoms for some people. Always discuss complementary therapies with your cancer specialist or GP before starting.
  • Relaxation techniques such as meditation and yoga.
  • Emotional support from counsellors and support groups.
Tips to help:

Hot flushes can be anything from a mild warming sensation to an unpleasant all-over hotness which causes heavy sweating. A hot flush usually lasts 4-5 minutes but can last for just a few seconds or up to 10 minutes.

The following tips may help to ease the effects of hot flushes:

  • Wear cotton or special wicking-fabric clothing. Cotton absorbs moisture and wicking fabrics take moisture away from the body to keep you dry and comfortable.
  • Have layers of clothing and bedding so that you can remove or add layers as your body temperature changes.
  • It may help to avoid certain foods and drinks such as spicy foods, caffeine, alcohol and hot drinks – try and keep a note of any food or drink that makes your flushes worse so that you can avoid them.
  • Have cool drinks, avoid warm areas, use an electric fan.
  • Use sprays or moist wipes, to help lower your skin temperature.
  • Avoid hot baths or showers, as they may trigger a hot flush.

Low oestrogen levels can cause vaginal dryness, irritation and discomfort during sexual intercourse. 

  • Vaginal moisturisers can be used to help with vaginal dryness.
  • If you experience discomfort during sex, water-based lubricants may help.
  • Ask your pharmacist, doctor or nurse about which products are suitable.
  • Ask your doctor about oestrogen treatments, such as rings or tablets used inside your vagina. Oestrogen products may not be suitable for you if your cancer is hormone-receptor positive.

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