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Menopause symptoms every woman should know

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By Francesca Hangeior.

 

So, you’re already well aware that menopause typically goes hand-in-hand with a host of pesky symptoms, including mood changes, hot flashes and dry-down-there private parts (hey, just ask Drew Barrymore).

And maybe you’ve even heard that it can also cause trouble sleeping. But are you familiar with some of the lesser-known and unusual menopause symptoms, like burning mouth syndrome and tinnitus? Here’s everything you need to know.

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Symptoms of Menopause

FIRST, WHAT ARE COMMON SYMPTOMS OF MENOPAUSE

In addition to the weird stuff (more on that later), there are common symptoms associated with menopause, too. It all starts with irregular periods, which will become less frequent over time and ultimately cease.

Once changes to menstruation start, it’s an indication that estrogen levels are dropping (permanently) and you’re liable to experience a number of other physical symptoms as a result—including hot flashes, night sweats, chills, vaginal dryness (and discomfort during sex because of it), weight gain due to slowing metabolism, difficulty sleeping and mood changes (irritability and random crying have been known to occur). Needless to say, none of this sounds very fun—but it is par for the course and, fortunately, these symptoms do most often become milder or even disappear in time.

10 UNUSUAL (AND LESSER-KNOWN) SYMPTOMS OF MENOPAUSE

And now, without further ado, here are the truly bizarre symptoms you likely haven’t heard of, but might want to brace yourself for.

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BURNING MOUTH SYNDROME

Cat got your tongue? Nope, it’s probably Burning Mouth Syndrome—a not very well understood, but decidedly unpleasant menopause and postmenopause symptom that  can cause “a painful, burning sensation in the tongue, lips, gums, or other parts of the mouth, which can be exacerbated by hot or spicy foods.” If you’re suffering from BMS, you won’t be able to see anything weird in your mouth—this syndrome is characterized by a sensation that occurs in the absence of lesions or other oral abnormalities—but you certainly will feel it.

If you’re experiencing this one, there are a number of things you can do to get some relief: Sucking on ice chips and avoiding acidic foods is a good place to start, but Mayo Clinic medical experts say that stubborn cases often respond to treatment with cognitive behavioral therapy, alpha-lipoic acid supplements, antidepressants or, ironically, capsaicin (among other things).

ELECTRIC SHOCK SENSATIONS

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Some women experience sudden, sharp sensations that feel like electric shocks or jolts in various parts of the body, including the head, neck and limbs.” Pretty spooky, right? There’s very little research into Electric Shock Sensation (ESS) but women who experience it describe it as a “snap, crackle, pop” under the skin that often immediately precedes the infamous menopause symptom known as a hot flash. ESS is most likely triggered by hormonal fluctuations (duh) and, though quite bizarre, this harmless short-lived zap isn’t thought to be a condition that requires treatment, nor is it a cause for concern.

ITCHY SKIN

Decreased estrogen levels cause dry, itchy skin—and sometimes even the onset of eczema, rashes and hives—in many menopausal women. For more severe presentations, your physician might prescribe topical corticosteroids, but many women can find relief by taking warm, rather than piping hot, showers and generously applying over the counter moisturizers designed to protect the delicate barrier of aging skin.

BODY ODOR CHANGES

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Menopause can cause changes in body odor—ranging from noticeably more potent to just plain different—due to changes in hormonal and metabolic activity, explains Dr. Afzal. Alas, there’s not much you can do about it besides embrace your new signature scent or stock up on strong deodorant.

INCREASED ANXIETY AND/OR DEPRESSION

If you’re feeling extra blue these days, you can blame menopause for that, too.  According to research published in Obstetrics and Gynecology Clinics of North America, “vulnerability to depression is increased across the menopause transition and in the early years after the final menstrual period.” Indeed, Dr. Afzal confirms that “hormonal fluctuations during menopause can contribute to feelings of anxiety and depression, which can be debilitating for some women.” Anxiety and depression don’t have to be the new normal, though—antidepressants and other psych meds can be as effective for menopausal women as they are for the rest of the population, and behavioral interventions, including different modes of therapy, can go a long way to improving mental health symptoms, with or without medication.

HEART PALPITATIONS

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Don’t be alarmed if your heart skips a beat, either: The expert tells us that hormonal fluctuations (i.e., the force behind all menopausal woes) can cause irregular heartbeats or palpitations, which are felt as an unusually rapid heart rate, in some women. According to the British Heart Foundation, these palpitations and irregularities are typically harmless and most often occur during hot flashes.  Alas, reduced estrogen levels during menopause are also associated with an increased risk of heart disease, since said hormone plays an important role in protecting the arteries of a woman’s heart. As such, women who are experiencing this menopause-related symptom needn’t panic—after all, that won’t help your heart rate—but it’s wise to check in with your doctor and keep a closer eye on your heart health going forward, nevertheless.

JOINT PAIN

Hormone fluctuations, inflammation and other factors can contribute to joint pain in menopausal women. This unpleasant condition is called arthralgia, and although the causes are hard to pin down, a 2010 review published in Maturitas confirms that menopausal women are at considerably higher risk, and that decreased estrogen is likely to blame for exacerbating the symptoms of joint stiffness and pain.  Fortunately, the same study suggests that Hormone Replacement Therapy (HRT) is proven to be effective at relieving arthralgia in the menopausal population, so it’s a treatment worth considering if you’re experiencing vasomotor symptoms that are particularly disruptive or distressing.

HAIR LOSS

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In case you missed it, menopause can cause hair loss. Indeed, the combination of plummeting estrogen and progesterone levels that occurs during menopause “can cause hair to become thinner, drier, and more brittle, leading to hair loss or breakage.  So, how to restore your lackluster locks to their former glory, you ask? For starters, there are a host of shampoos that boast hair-strengthening and volume boosting benefits. There are also OTC medicated treatments that encourage hair growth and even a medical procedure involving platelet rich plasma (PRP) injections that you can seek if the former options don’t deliver the desired results.

TINNITUS

Menopause can cause ringing or buzzing in the ears, which is known as tinnitus,” and yes, it can be a very annoying distraction to the unlucky women who experience this symptom.  On the bright side, a 2018 nationwide study published in Oncotarget acknowledged the increased risk of tinnitus among menopausal women and identified Hormone Replacement Therapy (once again) as a treatment that may provide potential benefits in the management and prevention of the condition—so if this menopause-related hearing change has been plaguing you, it might be worth exploring the option with your doctor.

INCREASED URINARY TRACT INFECTIONS

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Changes in the urinary tract during menopause can make women more susceptible to UTIs, the expert tells us, which can cause painful urination, frequent urination and other unpleasant symptoms. If you’re experiencing discomfort when urinating or a constant urge to go (and little relief for your effort), you should definitely inform your doctor, as antibiotics are the treatment of choice for UTIs.

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Frequent ejaculation not certain to prevent prostate cancer – Urologists

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The Association of Urological Surgeons in Nigeria, NAUS, has expressed concern about the recent and continued circulation in the public space of what it labelled as misinformation on social media and mainstream media regarding the link between frequent ejaculation and the risk of prostate cancer.

In a position statement on “Risk of Prostate Cancer and Frequency of Ejaculation” obtained by Vanguard, the executive committee of the NAUS – a professional organisation dedicated to advancing the field of urology in Nigeria – noted that while some studies have explored a potential correlation between increased ejaculation frequency and a reduced risk of prostate cancer, the evidence remains inconclusive, and more research is needed to fully understand the connection.

The statement – CAC/TT/No. 125351 – dated December 16, 2024, and jointly signed by the Association’s President, Prof. N.K. Dakum, and Secretary General, Prof. Muhammed Ahmed, cautioned that at this time, it is important to interpret the existing evidence carefully, and frequent ejaculation should not be seen as a guaranteed way to prevent prostate cancer.

The Association said that as a body of experts, it had a sense of duty to clarify the claims to prevent the spread of misleading information regarding ejaculation and prostate cancer risk

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The statement reads: The Association of Urological Surgeons, Nigeria (NAUS) has observed with concern the recent and continued dissemination of information on social media platforms and even the main stream media in Nigeria regarding the relationship between sex/frequent ejaculation and the risk of prostate cancer.

“There is a need, as professionals in the field to make a statement in that regard in order to avoid the perpetuation of often misleading and inaccurate statements or conclusions.

“We, therefore, wish to state that while there are studies suggesting a potential association between frequent ejaculation and reduced prostate cancer risk, the evidence is not yet conclusive, and more research is needed to fully understand the relationship between the two.

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NAFDAC raises the alarm over fake Paludex drugs, uncovers counterfeit hub in Aba

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NAFDAC has warned Nigerians about the sale and distribution of fake Paludex tablets and suspensions across the country.

The agency announced on its X account (formerly Twitter) that fake Paludex Artemether/Lumefantrine tablets (80mg/480mg) were falsely labelled as being made by Impact Pharmaceutical Ltd, located at Standard Industrial Layout, Emene, Enugu State.

It added that these fake drugs are being distributed by MD Life Sciences Ltd, also based in Emene Industrial Layout, Enugu.

NAFDAC further revealed the discovery of counterfeit Paludex dry powder for oral suspension (180mg/1080mg), meant for children.

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NAFDAC stated that the counterfeit Paludex oral suspension was falsely labelled as being manufactured by Impact Pharmaceutical Ltd, located at No. 33A/33B Standard Industrial Layout, Enugu, and Ecomed Pharma Limited in Ogun State, and marketed by MD Life Sciences Ltd.

The agency revealed that laboratory tests conducted by a WHO-prequalified laboratory in Germany showed that both products contained zero per cent of the Active Pharmaceutical Ingredients (API). Additional tests conducted by NAFDAC also confirmed the absence of any API in the products.

The statement further disclosed that the fake products are not listed in NAFDAC’s database of registered drugs, and the NAFDAC registration numbers displayed on the packaging are fake.

NAFDAC emphasized that authentic Artemether/Lumefantrine tablets or suspensions are a combination of two active ingredients, Artemether and Lumefantrine, used for treating acute, uncomplicated malaria in both adults and children.

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“The illegal marketing of medicines or counterfeit medicines poses a great risk to the health of people.

“By not complying with the regulatory provisions, the safety, quality, and efficacy of the products are not guaranteed.

“Also, poor-quality pediatric formulations or medicines in general have the potential of causing treatment failure when the API content is below the prescribed dose,” it said.

NAFDAC said that all its zonal directors and state coordinators have been directed to carry out surveillance and mop up the fake products within their zones and states.

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It also implored distributors, healthcare providers, and patients to exercise caution and vigilance within the supply chain to avoid distribution, administration, and use of the products.

The agency said that all medical products must be obtained from authorised/licensed suppliers.

“The products’ authenticity and physical condition should be carefully checked.

“Anyone in possession of any of the above-mentioned products is advised to immediately discontinue the sale or use and submit stock to the nearest NAFDAC office.

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The agency advised the public, especially those who have used any of the products to seek immediate medical advice from a qualified healthcare professional.

It also advised healthcare professionals and consumers to report any suspicion of substandard and falsified medicines to the nearest NAFDAC office, NAFDAC on 0800-162-3322 or via email: [email protected].

In another development, NAFDAC also identified Eziukwu Market, also known as Cemetery Market in Aba, Abia State, as a major hub for producing and distributing fake and substandard products.

This discovery followed an operation led by NAFDAC’s South-East Zonal Director, Martins Iluyomade, on Tuesday.

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During the operation, Iluyomade described the market as a centre for large-scale production and distribution of counterfeit goods, comparing its impact to “weapons of mass destruction.” Despite earlier raids, including a major one in December 2023, the illegal activities have persisted.

Iluyomade expressed frustration that people continue to prioritize profits over public health and safety. He also pointed out that the market leaders had previously signed an agreement with NAFDAC during the last operation, promising to expose those involved in these illegal activities.

However, he stressed that the market’s leadership must now answer serious questions about their failure to stop the production and sale of fake products.

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‘Blessed’: US Woman Sees Second Chance In Life After Pig Kidney Transplant

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Towana Looney donated a kidney to her mother in 1999 only for the remaining one to fail years later due to pregnancy complications.

Now, the 53-year-old from Alabama has become the latest recipient of a gene-edited pig kidney — and is currently the only living person in the world with an animal organ transplant, New York’s NYU Langone hospital announced Tuesday.

“I’m overjoyed, I’m blessed to have received this gift, this second chance at life,” Looney said during a press conference, held three weeks after the procedure.

Xenotransplantation, transplanting organs from one species to another, has long been a tantalizing yet elusive scientific goal. Early experiments on primates faltered, but recent advances in gene editing and immune system management have brought the dream closer to reality.

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Pigs have emerged as the ideal donors: they grow quickly, produce large litters and are already part of the human food supply.

Advocates hope this approach can help address the severe organ shortage in the United States, where more than 100,000 people are waiting for transplants, including over 90,000 in need of kidneys.

A last chance

Looney had been living with dialysis since December 2016 — eight grueling years. High blood pressure caused by preeclampsia had taken its toll, leaving her with chronic kidney disease.

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Despite receiving priority on transplant waiting lists as a living donor, her search for a compatible kidney was a frustrating dead end. Her unusually high levels of harmful antibodies made rejection almost inevitable, and as her body lost viable blood vessels to support dialysis, her health declined.

Out of options, Looney applied to join a clinical trial for pig kidney transplants, and finally underwent the seven-hour surgery on November 25.

Asked how she felt afterward, Looney’s joy was infectious. “I’m full of energy, I’ve got an appetite… and of course, I can go to the bathroom. I haven’t been going in eight years!” she laughed, adding that she plans to celebrate at Disney World.

Jayme Locke, a surgeon on the transplant team, described the results with awe. “The kidney functioned essentially exactly like a kidney from a living donor,” she said, adding that Looney’s husband saw a rosiness in her cheeks for the first time in years.

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“That is the miracle of transplantation.”

Cautious optimism

Looney’s surgery is the third time a gene-edited pig kidney has been transplanted into a human who is not brain dead.

Rick Slayman, the first recipient, died in May, two months after his procedure at Massachusetts General Hospital. The second, Lisa Pisano, initially showed signs of recovery following her surgery at NYU Langone, but the organ had to be removed after 47 days, and she passed away in July.

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Looney, however, was not terminally ill before the transplant, noted Robert Montgomery, who led the surgery. Each case, he emphasized, provides critical lessons for refining the techniques.

The kidney was provided by biotech company Revivicor, which breeds genetically modified herds in Virginia. A Massachusetts-based company, eGenesis, provided the kidney for Slayman.

Looney’s organ has 10 genetic edits to improve compatibility with the human body — an advance over Revivicor’s earlier efforts that used kidneys with a single gene edit and included the pig’s thymus gland to help train the host’s immune system and prevent rejection.

Montgomery, a pioneer in the field who performed the world’s first gene-edited pig organ transplant in a brain-dead patient in 2021, said both methods are likely to enter clinical trials “probably by this time next year, or even sooner.”

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“This is a watershed moment for the future of transplantation,” said Kevin Longino, CEO of the National Kidney Foundation. The nonprofit’s polling shows that patients and families favor faster clinical trial progress, believing the risk of inaction outweighs the uncertainties of xenotransplantation.

Looney was discharged December 6 to a nearby New York City apartment. Though her high antibody levels remain a concern, doctors are monitoring her closely using wearable technology and are trying a novel drug regimen to prevent rejection.

Periodic hospital visits may still be required, but the team remains optimistic she can return home in three months.

AFP

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