Low moods, hormones and perimenopause

Confusing symptoms, PMT and Perimenopause

The thing I hate most about perimenopause is the uncertainty that comes with this hormonal shift. There is the inconvenience of an altered pattern of periods – irregularity interspersed with regularity, lighter periods interspersed with much heavier periods, longer periods interspersed shorter periods, all of which together mean rarely leaving home without an array of sanitary options to cope with each eventuality. Add to that the fluctuating PMT-type symptoms - low moods, tearfulness, anxiety – and then the headaches, aching joints, the weird and/or horrifying dreams, the painful sore breasts and palpitations. It’s so strange that you can get into your 40s or 50s – 30s if you’re really unlucky – without anyone ever warning you. When the symptoms kick in they are confusing and it takes a while to work out what is going on. What’s amazing, and wonderful, is to find so many women going through the same experience and sharing their experiences and concerns on blogs and discussion boards. I’m not an advocate for any HRT or herbal remedies but I definitely do advocate looking at diet and exercise as tools to help combat the changes and, after a month of dining out and pre-Christmas festivities, it’s definitely time to take some of my own medicine. I know I would feel the better for it.

For more information on menopause, see this useful article from the New York Times.

I’m dreaming of a black puppy

At the risk of offending dog lovers everywhere, I have to begin this evening’s post by admitting that I am not a huge fan of man’s best friend. Don’t get me wrong – I don’t dislike dogs, but I wouldn’t want to live with one – mostly for reasons of hair, smell, food and pooh, not necessarily in that order.

I was surprised, in light of this, to awake recently from a dream about a black puppy.

I turned to the web for illumination and learned that, since they are often seen as faithful companions, dreaming of dogs may indicate a longing for companionship. Alternatively, dogs may turn up in your dreams to guide you into worlds you cannot see for yourself. You are meant to watch carefully where the dog is leading you amd draw insights from that.

Some people believe dogs have a psychic sense and that dreams of dogs may indicate that you are getting in touch with your own pyschic abilities.

Finally, dogs, like cats, are sometimes substitutes for substitutes for children and so dreaming of a dog may symbolize maternal longings.

This is the sum total of my knowledge of interpreting the presence of the puppy dog in my dream. Sadly, none of the interpretators was able to tell me why the sweet black puppy bit me on the nose. Left to my own interpretation on the finer detail of the dream I can only conclude I was right all along. Dogs are fine in their place but I wouldn’t want to live with one.

Menopause Dreaming and Nightmares

I had lunch with a girl friend today who is in her early 40s. She’s concerned that either she doesn’t dream at all or she cannot remember her dreams – so concerned in fact that she is planning to seek medical advice.

The conversation reminded me that I had a particularly terrifying series of nightmares about 18 months ago. They lasted for about three weeks and rougly coincided with missing a period for the first time since my teens. At the time the minor matter of a pregnancy test distracted me from thinking too much about the nightmares – perhaps the waking nightmare was enough – but more recently, as I’ve been spending some time blogging and tweeting with my menopause sisters, I’ve got to wondering whether there’s a connection between bad dreams and changing hormone levels. It seems like a lot of women are asking the same question.

Some wonder whether bad dreams may spark nightsweats and/or contribute to sleeplessness. Some speculate whether heart palpitations or breathing disturbance may trigger a stress response that manifests as a nightmare. Some say they are the result of abnormal neurotransmittor function caused by excessive adrenal cortisol levels. Cortisol is the stress hormone and will be familiar to readers who have experienced another menopause horror, the panic attack. More of that on another occasion.

One thing is for sure, nightmares tend to be pretty effective at waking us up and too many of them can start to seriously impact the quality of your waking hours. If experiencing these nightmares is what brought you to my blog today, then I hope that you will find some reassurance here if not a cure.

Unlike my dreamless girlfriend, I often have vague memories of dreams. Up till now I’ve been pragmatic about them and hold to the belief that dreaming is the brain’s way of processing information from the recent past – maybe it helps us to resolve an issue we are struggling with at work, for example. I’ve never worried too much about it. But blindingly scary nightmares that hang around in your head for two or three days at a time are an entirely different cup of tea – particularly if you can think of nothing that might be triggering the trauma.

And, of course, the other tricky thing about menopause is that it isn’t always easy to talk about it with your GP. If the symptom is not on their list, then they may not recognise it as a possible indicator of something happening on the hormone front. (Look back to my dizziness and Enya post for more on that topic). There is the risk that nightmares might be seen as linked to stress and anxiety – and for some, that a short step away from the prescription pad – particulary if you’re about the same age as their mother!

For me, the good news is that the bad dreams passed fairly quickly and my sleep pattern has returned to normal – for now at least. Better still, if the problem recurs, I at least know now that I’m not the only fifty-something experiencing it. As for my dreamless girlfriend, I was so tempted today to tell her to count her blessings but the wise counsel of my inner crone said no. So I sympathised and even supported her decision to go off in search of her dreams. I just hope in 10 years time she won’t find herself regretting it!