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Thermal Physiology and Thermoregulation
Published in James Stewart Campbell, M. Nathaniel Mead, Human Medical Thermography, 2023
James Stewart Campbell, M. Nathaniel Mead
Vasomotor instability symptoms, also known as “hot flashes,” are common among menopausal women; they can also occur in older men. A hot flash involves a sudden sensation of being overheated, often accompanied by sweating and vasodilation of the face, neck, and chest. Hot flashes occurring at night during sleep may generate night sweats.151 The prevalence of vasomotor symptoms increases with obesity, anxiety, depression, higher environmental temperatures, and lower altitudes.152
Hot Flashes/Hot Flushes/Menopausal Symptoms
Published in Charles Theisler, Adjuvant Medical Care, 2023
Hot flashes are intense waves of heat felt over the face, neck, and chest. Hot flashes and sweating, especially night sweats, are the most common symptoms of menopause and perimenopause. Mood and sleep disturbances are also frequent complaints. Menopause marks the end of the menstrual cycles and is diagnosed after a woman has gone 12 months without a menstrual period. Some hot flashes pass in a few seconds, while others may last for more than 10 minutes. Overall, episodes of hot flashes can last several months or years. African American and Hispanic women tend to experience hot flashes for more years than white and Asian women. Researchers do not know the exact causes of hot flashes.
Midwifery Approach to Lifestyle Medicine for Reproductive Health
Published in Gia Merlo, Kathy Berra, Lifestyle Nursing, 2023
Decreased quality of sleep is a common complaint during menopausal transition. Symptoms of night sweats and hot flashes can be difficult to manage and can interrupt sleep. Women in midlife may be managing multiple stressors and life changes that may also disrupt sleep. The North American Menopause Society recommends sleep hygiene strategies as means to prevent some of the sleep difficulties of this time of life (Shifren, 2014).
Brain fog in menopause: a health-care professional’s guide for decision-making and counseling on cognition
Published in Climacteric, 2022
Persistent cognitive difficulties are seen following infection with the SARS-CoV-2, a condition that appears to disproportionately affect women [69]. While deficits in memory and attention have been reported following SARS-CoV-2 infection [70,71], perhaps the strongest association is with executive dysfunction, as evidenced by a pre/post-SARS-CoV-2 infection study of participants in the UK biobank study [72]. Although executive dysfunction can be a symptom of the MT, longitudinal studies do not show a reliable change in that cognitive domain across the MT. Unfortunately, consideration of other symptoms and perhaps even menstrual cycle irregularity may not be particularly helpful in distinguishing cognitive difficulties due to menopause from those due to SARS-CoV-2 infection. The most frequent symptoms of long-haul COVID include shortness of breath, fatigue or exhaustion and sleep disorders or insomnia [73]. Night sweats and temperature dysregulation have also been reported. Menstrual cycle irregularities are associated with acute SARS-CoV-2 infection and with vaccination [74], which may be explained by a short-term interruption of sex steroid hormone function, and which in turn may acutely worsen perimenopausal and postmenopausal symptoms [75]. There are insufficient data to guide identification of menopause-related versus SARS-CoV-2-related cognitive issues and interventions.
Objective and subjective vasomotor symptom outcomes in the CBT-Meno randomized controlled trial
Published in Climacteric, 2020
S. M. Green, E. Donegan, R. E. McCabe, D. M. Fedorkow, D. L. Streiner, B. N. Frey
Another area of concern among menopausal women includes difficulties with sleep. While 15–30% of adults report difficulties with sleep, 25–50% of perimenopausal and postmenopausal women report sleep difficulties14,15. Further, menopausal women are at 3.4 times greater risk than premenopausal women for sleep disorders (e.g. insomnia16). As with vasomotor symptoms, the physiological mechanisms underlying sleep difficulties during menopause are not fully understood. However, declining levels of estrogen and interference in sleep due to night sweats have been proposed as contributors17,18. Examining the impact of treatments on sleep is important given that, similar to vasomotor symptoms, difficulties with sleep are associated with lower self-reported quality of life, mental health difficulties, and poorer daytime functioning19.
Association of mindfulness and stress with menopausal symptoms in midlife women
Published in Climacteric, 2019
R. Sood, C. L. Kuhle, E. Kapoor, J. M. Thielen, K. S. Frohmader, K. C. Mara, S. S. Faubion
Stress during midlife is multifactorial. Although some studies indicate that midlife stress is mostly related to perceived health, psychosocial factors, and role overload2, other studies suggest that perceived stress also correlates with bothersome menopausal symptoms3. The present study demonstrated a positive correlation of perceived stress with menopausal symptom burden, which aligns with some of the existing literature3. Further, we found variability in the interaction effects between stress and menopausal symptoms on various domains of MRS. This correlation was most evident in the MRS psychological domain but was not statistically significant in the MRS somato-vegetative domain. This is a notable finding, given the fact that hot flashes and night sweats are the most commonly reported symptoms at menopause. Aligned with our observation, previous studies have demonstrated that distress and vasomotor symptom correlation may be accounted for by personality factors that mediate symptom awareness, rather than vasomotor symptoms per se29–31. A previous study by our group demonstrated that the psychological symptoms, rather than the vasomotor symptoms, affected women’s view of menopause negatively, which is consistent with the observation that specific menopause-related symptoms may have a variable impact on women32.