Do I need a spe­cial diet as I ap­proach menopause?

Wellness Update - - Let's Talk Menopause -

A bal­anced diet will give you most of what your body needs to stay healthy. Here are a few spe­cial points to con­sider: • Older peo­ple need just as many nu­tri­ents but

tend to need fewer calo­ries for en­ergy. • Women over 50 need 2.4 mi­cro­grams (mcg) of vi­ta­min B12 and 1.5 mil­ligrams of vi­ta­min B6 each day. Ask your doc­tor if you need a vi­ta­min sup­ple­ment. • Af­ter menopause, a woman's cal­cium needs go up to main­tain bone health. Women 51 and older should get 1,200 mil­ligrams (mg) of cal­cium each day. Vi­ta­min D also is im­por­tant to bone health. Women 51 to 70 should get 600 in­ter­na­tional units (IU) of vi­ta­min D each day. Women ages 71 and older need 800 IU of vi­ta­min D each day. • Women past menopause who are still hav­ing vagi­nal bleed­ing be­cause they are us­ing menopausal hor­mone ther­apy might need ex­tra iron.

I'm hav­ing a hys­terec­tomy soon. Will this cause menopause?

A woman who has a hys­terec­tomy (his-tur-EK­tuh-mee) but keeps her ovaries does not have menopause right away. Be­cause your uterus is re­moved, you no longer have pe­ri­ods and can­not get preg­nant. But your ovaries might still make hor­mones, so you might not have other signs of menopause. You may have hot flashes be­cause the surgery may af­fect the blood sup­ply to the ovaries. Later on, you might have nat­u­ral menopause a year or two ear­lier than usu­ally ex­pected. A woman who has both ovaries re­moved at the same time that the hys­terec­tomy is done has menopause right away. Hav­ing both ovaries re­moved is called a bi­lat­eral oophorec­tomy (OH-uh-fuh-REK-tuh-mee). Women who have this op­er­a­tion no longer have pe­ri­ods and may have menopausal symp­toms right away. Be­cause your hor­mones drop quickly, your symp­toms may be stronger than with nat­u­ral menopause. If you are hav­ing this surgery, ask your doc­tor about how to man­age your symp­toms. Menopause that is caused by surgery also puts you at risk for cer­tain con­di­tions, such as bone loss and heart dis­ease. Ask your doc­tor about pos­si­ble steps, in­clud­ing MHT, to help pre­vent th­ese prob­lems.

What if I have symp­toms of menopause be­fore age 40?

Some women have symp­toms of menopause and stop hav­ing their

More in­for­ma­tion on menopause and menopause treat­ments

• Food and Drug Ad­min­is­tra­tion, HHS

Phone: 888-463-6332

• National Cen­ter for Com­ple­men­tary and Al­ter­na­tive Medicine

Phone: 888- 644- 6226 ( TDD: 866-464-3615)

• National In­sti­tute on Ag­ing, NIH, HHS

Phone: 301-496-1752 ( TDD: 800-222-2225)

• The Hor­mone Foun­da­tion

Phone: 800-467-6663

• The North Amer­i­can Menopause So­ci­ety

Phone: 440-442-7550

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