10/18/2023
Understanding the Three Phases of Menopause
When people think of menopause, they often view it as a single phase when it's really three distinct stages: peri-menopause, menopause, and post-menopause.
1️⃣ Peri-menopause: This is your primary symptomatic phase where you find most of the struggles and complaints. This phase can last for several frustrating years.
In peri you'll have menstrual cycles where you don't ovulate, which leads to a drop in your progesterone (P) levels. As estrogen (E) and P are closely linked hormones [think of them as non-identical twin sisters], the absence of P affects your estrogen levels. While P aims to regulate and balance E, E can fluctuate very unpredictably in its absence. This exposes you to the negative effects of elevated stress/cortisol and is the cause of the increase in abdominal fat.
2️⃣ Menopause: this is the transitional point, and is defined as a 12-month period without menstruation, confirmed by an FSH test above 30mIU/ml.
3️⃣ Post-menopause: this is a brand new hormonal landscape [so stop trying to diet/exercise/work out the same way]. With the fall of both E and P, testosterone can become more relatively dominant, and insulin sensitivity falls, further affecting fat distribution and leading to a continued shift in body shape.
So how to navigate it?
✅ Nutrition:
A key aspect of managing peri/menopause is carb intake. Too few carbs will lead to more stress hormone release to regulate blood sugar, while too many can increase fat storage in an insulin resistant environment. During peri/menopause a carb-focused approach becomes important. A good starting place to adjust from is 100g carbs on non-lifting days and 150g on lifting days.
I hope anyone working out with a goal of looking like they work out, already knows they should be intentional about consuming enough protein per day.
Be mindful of your calories. When estrogen and progesterone are balanced, the body better manages calorie deficits. However, with declining progesterone levels, calorie deficits become more stressful. It's super important to aim for small deficits and include either deficit breaks or a cycling of calories.
✅ Training/Cardio:
Instead of intensive cardio workouts, embrace lots of normal-paced walking, ideally outside. Your exercise/movement/workouts should NOT be about weight loss and calorie burn and should be about de-stressing, emphasizing recovery and maintaining or gaining muscle and strength. Walking and proper strength training (long rest intervals b/w work sets) are essential through your menopausal years.
✅ Rest, Recovery & Relaxation:
Dedicate time to restorative activities such as nature walks, socializing, creative pursuits, reading, hot baths, time with friends, and whatever else does it for you. Schedule your R&R workouts like you do your lifting workouts.
✅ Sleep:
It's a struggle. The first step is same bed time, same wake time every day, try not to deviate more than 60 minutes. Take a few minutes to get morning sun in your eyes; this morning sun starts your body's sleep preparation.
The peri/menopausal journey demands serious self-care, a commitment to walking more, training smarter, and prioritizing your overall wellness. But for those who do, there's lots of progress that you can make.