These helpful tips provide me some relief from menopause and PH

Hormone replacement therapy is often used to manage symptoms of menopause, but for those of us with conditions like pulmonary hypertension (PH) and congestive heart failure, it’s not so simple. The risks of hormone replacement therapy potentially worsening our fragile cardiovascular and renal systems make it a no-go for many of us. My PH specialists strongly advise against it, too.

So while I’ve been navigating menopause alongside PH and other coexisting conditions, I’ve had more questions than relief.

I was diagnosed with PH when I was about 30 years old. Since then, managing this rare condition, along with congestive heart failure, tachycardia, and chronic kidney disease, has been a full-time job.

But nothing prepared me for the curveball of menopause. One day, I woke up drenched in sweat, as if I’d been caught in a rainstorm. Hot flashes, mood swings, and emotional struggles seem to have appeared out of nowhere, leaving me asking, “Where is Jen?” It’s like I’ve become someone else, and finding relief feels impossible. Bless my husband, Manny, for sticking around through the mood swings and the thermostat wars.

According to the World Health Organization, menopause typically occurs between the ages of 45 and 55, though perimenopause can start as early as the mid-30s. Hot flashes are common, but they’re not the only act in this play; vaginal dryness, sleep problems, and mood swings are also part of the show. For those of us with PH and coexisting conditions, these symptoms can feel even more overwhelming, piling on to the challenges we already face.

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Let’s cool it down

The question becomes this: What can I do to manage these symptoms without turning to hormone replacement therapy? As with everything involving PH, treatment plans vary because we’re all different ages and at varying stages of progression and comorbidity. What works for one person might not work for another.

Nevertheless, the following are a few tips I’ve found helpful, in case you’re facing a similar situation:

Cool down, literally. Hot flashes are no joke. Keep a fan nearby, invest in cooling pillows, and embrace the art of layering clothing. I’ve become a pro at shedding a cardigan faster than a magician pulling a rabbit out of a hat.

Hydrate like it’s your job. Water is your best friend. Staying hydrated can help alleviate such symptoms as hot flashes and dry skin. Plus, it gives you an excuse to carry around a cute water bottle. I have one that fits well in my car’s cup holder. For those of you with fluid restrictions, check with your medical team and stay within your recommended limit.

Move it. Gentle exercises like walking, yoga, or stretching can do wonders for your mood and sleep. Just listen to your body and don’t overdo it.

Care for your mind. Stress and anxiety can amplify menopausal symptoms. Try practicing mindfulness or meditation, or simply take a few deep breaths when things feel overwhelming. If all else fails, scream into a pillow — it’s oddly therapeutic.

Sleep smarter and cooler. Sleep can be elusive, but creating a bedtime routine can help. Think cool, dark, and quiet. If you’re waking up drenched in sweat, keep a towel or change of clothes nearby. Some bedding and pajamas are designed to keep us cooler at night.

I can’t help but think back to when my grandparents used to tell us kids to “stay young.” If only it were that simple! For now, I’m determined to find solutions that work for me, even if it means navigating this season one sweaty, emotional, and frustrating step at a time. If I can laugh through it, maybe I’ll come out the other side stronger, with some great stories to tell.

Note: Pulmonary Hypertension News is strictly a news and information website about the disease. It does not provide medical advice, diagnosis, or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The opinions expressed in this column are not those of Pulmonary Hypertension News or its parent company, Bionews, and are intended to spark discussion about issues pertaining to pulmonary hypertension.