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Menopause: Weight management and conception (3) by Prof Oladapo Ashiru

You can become physically active without starting a formal exercise programme. Just spend time doing the thing you love that also gets you moving. Do more gardening and dancing. Take longer walks or try out a bike. Make it your goal to be active for a total of 30 minutes or more a day, on most days. Increased physical activity, including strength training, may be the most single important factor for maintaining a healthy body composition, more lean muscle mass and less body fat as you get older.

Reducing calorie in-take: The critical thing to note is that weight gain is not noticeable overnight, although it occurs overnight. To gain six kilogrammes (14 pounds) in six months, you need to consume around 270 calories more than you need each day. It might sound like a lot, but in reality, it is equivalent to roughly one large packet of crisps, half a bottle of wine, a small bar of chocolate or a couple of slices of toast and butter and that is enough to do every day!

Although you say you have not changed your eating habits, you might find it helpful to take a closer look at your diet. That small addition is what you need to get to the significant weight. Pay attention to the food you eat and slightly reduce the number of calories you consume each day. By choosing a varied diet composed mainly of lean protein and vegetable, you can safely cut back on calories and lose weight. Be careful not to cut back too drastically on calorie intake, or your body will respond by conserving energy, making extra pounds harder to shed. Because your metabolism slows as you get older, you need about 200 fewer calories a day to maintain your weight as you get into your mid-to the late 40s. It shouldn’t be a problem if you eat only when hungry and only enough to satisfy your hunger.

Decreasing dietary fat: Eating a large amount of high-fat foods adds excess calories, which can lead to weight gain and obesity. Limit calories from fat to 20 and 35 per cent of your daily calories. Emphasise on fats from a healthier source, such as nuts and olive oil, palm oil, coconut, and avocado oils.

Reducing carbohydrate: With age, many become insulin resistant which will reduce the ability to metabolise carbohydrates. To minimise weight gain, you need to cut down on carbs. All highly processed carbohydrates should be removed from the diet. These include sugar, soft drinks, cakes, biscuits, meat pie, and white bread. Natural carbohydrate should be eaten in moderation. These include eba, rice, yam, elubo, and fruits such as pineapple and mangos, which have a lot of sugar. Instead, eat grapefruit and pawpaw and plenty of green leafy vegetables like the different types of efo vegetables, but please remember to watch the quantity of oil used.

Medical consultation: It is essential to see a doctor, particularly one that knows a lot about reproductive hormones and menopause, to help you check your hormone panel and help you balance the deficient ones with natural bio-identical hormone replacement therapy. Maintaining hormonal balance is essential for good health and keeping your weight down.

Body regeneration and anti-aging therapy does occur at Mart-life detox clinic

You will be assisted to cope with the problems of menopause and given a new mode of eating, diet advice and youthful living with an all-encompassing detoxification programme to first balance your body’s physiological processes. These would be in accompanied by weight-loss and menopausal symptoms management.

Post-menopausal women and pregnancy

It is a prevalent belief that postmenopausal women have no chance of getting pregnant and carrying a baby in-utero to term. This common belief is also supported by numerous factors such as the physiological, anatomical, and even the emotional changes these women go through. They experience all the symptoms and signs of infertility. No wonder it seems almost impossible for them to achieve the desire to have children of their own.

This article focuses on enlightening such women and on spreading this vital information that “conception and safe childbearing is not over for postmenopausal women.

The process of assisted reproductive technology proves a way to help women who reached menopause to conceive.

In our clinic, they (menopausal women) go through routine IVF screening and fertility workup. Pelvic scans and other imaging tests are carried out. Procedures such as HSN or hysteroscopy are required, so the actual state of the uterine cavity is determined, which is very important because these women will carry their baby. After all the required investigations are checked, the couple goes through counseling, and at each session, they are made to understand the different steps. The various fertility regulatory bodies now put the age limit of this intervention to 52 years.

The details of the procedure are explained to them. Some may end up with stimulation, while others may use donor eggs.

Menopausal women go on some hormone therapy and supplements, and via transvaginal ultrasound scan, we assess their endometrial-thickness. When the appropriate endometrial thickness is achieved, embryo transfer is done with adequate luteal phase support.

In conclusion, a good number of embryo transfers done lead to pregnancy. Throughout pregnancy, routine antenatal investigations and scan are done, and these women go on to give birth to normal healthy babies.

 

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