Navigating Endometriosis and Menopause: 6 Key Things to Know

Not to long ago a had a conversation with an Endo-Sister about how her doctor told her women with endometriosis are more likely to experience menopause early. It was like a light bulb went off in my head! Some of the things I was experiencing in my 30s started to make more sense. So I decided it was time we had a real conversation about it.

Endometriosis is a condition that affects millions of women, often during their reproductive years. But what happens when menopause enters the picture? Many women wonder if menopause will bring relief from endometriosis symptoms or if the condition will continue to impact their lives. The relationship between endometriosis and menopause is complex and varies from person to person. Let’s dive into what you can expect and how to manage your health during this phase of life.

Does Menopause Cure Endometriosis?

Menopause often leads to a natural decline in estrogen levels, which can alleviate some of the symptoms of endometriosis. Since endometrial-like tissue growth is fueled by estrogen, lower levels of the hormone may result in less pain and inflammation. However, menopause doesn’t always mean the end of endometriosis. Here’s why:

• Residual Disease: Existing endometrial tissue and adhesions may still cause pain, even after estrogen levels drop.
• Hormone Therapy: Women using hormone replacement therapy (HRT) during menopause may experience a resurgence of symptoms, as some forms of HRT include estrogen.

Symptoms of Endometriosis During Menopause

For some women, endometriosis symptoms may continue or evolve during menopause. Common symptoms include:

• Pelvic pain or pressure.
• Digestive discomfort, such as bloating or constipation.
• Pain during bowel movements or urination.
• Scar tissue-related pain from adhesions.

Managing Endometriosis During Menopause

If you’re dealing with endometriosis and menopause, here are some strategies to help manage symptoms and improve your quality of life:

1. Consider Hormone Therapy Carefully

Hormone replacement therapy (HRT) can help manage menopausal symptoms like hot flashes and mood swings, but it may exacerbate endometriosis.

• Options: Progesterone-only therapies or low-dose estrogen therapies may be safer for women with a history of endometriosis.
• Consult Your Doctor: Work closely with your healthcare provider to find the right balance.

2. Prioritize an Anti-Inflammatory Diet

Diet can play a crucial role in managing both menopause and endometriosis symptoms. Focus on:

• Leafy Greens: Spinach, kale, and arugula.
• Omega-3-Rich Foods: Salmon, walnuts, and flaxseeds.
• Anti-Inflammatory Spices: Turmeric and ginger.
• Limit: Processed foods, red meat, and added sugars.

3. Explore Natural Pain Management

While over-the-counter NSAIDs can provide immediate relief, long-term natural options can also be effective:

• Olive Oil: Rich in anti-inflammatory properties.
• CBD/THC: May reduce pain and inflammation.
• Heat Therapy: A heating pad or warm bath can soothe pelvic discomfort.

4. Address Scar Tissue and Adhesions

Pelvic adhesions from endometriosis can continue to cause pain during menopause. Options for management include:

• Physical Therapy: Pelvic floor therapy can help alleviate pain and improve mobility.
• Surgical Options: In severe cases, surgery may be necessary to remove adhesions.

5. Stay Active

Low-impact exercise can help reduce inflammation, improve circulation, and support mental health.

• Options: Walking, yoga, and swimming are excellent choices.
• Stretching: Gentle hip and pelvic stretches can alleviate tension in the area.

6. Focus on Bone Health

Menopause increases the risk of osteoporosis, especially for women with endometriosis who have experienced hormonal therapies that affect bone density.

• Supplements: Consider calcium, vitamin D, and magnesium.
• Diet: Include bone-supporting foods like dairy, leafy greens, and fortified plant-based milks.

When to See a Doctor

It’s essential to stay proactive about your health during menopause. Schedule regular check-ups with your gynecologist or a specialist if:

• Pain persists or worsens.
• New symptoms, like heavy bleeding or digestive issues, appear.
• Hormone therapy doesn’t provide relief or worsens symptoms.

Endometriosis, Menopause, and Emotional Health

Navigating the dual challenges of endometriosis and menopause can feel overwhelming. Emotional support is just as important as physical care. Consider:

• Support Groups: Connect with others experiencing similar challenges.
• Therapy: A therapist can help you work through the emotional toll of chronic pain and menopause-related changes.
• Self-Care: Prioritize activities that bring you joy and relaxation.

Studies About Endometriosis and Menopause

Here are some studies to explore further about endometriosis and menopause:

• Endometriosis and menopause—management strategies based on clinical scenarios, NIH
• Endometriosis in Menopause—Renewed Attention on a Controversial Disease, NIH
• Endometriosis in Menopausal Women—A New Age Is Coming? Literature Review, NIH

The Takeaway

While menopause often brings changes to endometriosis symptoms, it’s not a guaranteed cure. By focusing on a combination of medical care, dietary changes, and natural pain management, you can take control of your health during this phase of life. Remember, your journey with endometriosis and menopause is unique—listen to your body and advocate for the care you deserve.

More Endometriosis Health and Wellness

• Endometriosis Resources You Need
• Understand the Connection Between Endometriosis and Celiac Disease
• Best Herbs on Your Endometriosis Journey

Have you experienced endometriosis during menopause? Share your story and tips with us on Instagram @kylacanzater and tag #PinkProverbEndoJourney. Let’s continue to support and empower each other! 💛

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It’s Kyla

Hi Healthy Fam!

Living healthy my way is my thing, and Pink Proverb is my place for health and wellness. Focusing on being proactive about health, and living and creating a self-care lifestyle that allows me to be my best self!

I am taking you a long for the ride, and I hope it inspires you to do the same.

I am a Stage IV Endometriosis mom, working hard to stay pain-free. This is my sacred place of inspiration, journaling the things that have helped me along the way.

For more, check out Healthy Kyla on Youtube!

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