(Part Two of a Women’s Health Month series)

As Women’s Health Month continues, Gothenburg Health providers are encouraging women to look beyond the most talked-about menopause symptom—hot flashes—and recognize other common, but often overlooked, health changes that can impact quality of life.

While menopause is defined as 12 consecutive months without a period, the years leading up to it and those that follow can bring a variety of physical, cognitive and emotional changes. Many of these symptoms are treatable, and early awareness is key.

Three lesser-discussed symptoms include urinary changes, bone loss and shifts in memory and mood.

Urinary symptoms are common during and after menopause due to declining estrogen levels. According to The Menopause Society, estrogen plays an important role in maintaining the health of the bladder and urethra. As levels drop, women may experience burning or pain with urination, increased urgency or frequency, higher risk of urinary tract infections, and even urinary incontinence. Some women also report waking two or more times per night to urinate, a condition known as nocturia.

Support is available locally. In addition to discussing treatment options with a provider, Gothenburg Health offers pelvic floor therapy with Kelsey Max, DPT in the Physical Therapy Department, which can help improve bladder control and reduce symptoms.

Bone health is another critical concern. Estrogen loss accelerates bone breakdown and slows new bone formation, increasing the risk of osteoporosis and fractures. The Menopause Society highlights research showing osteoporosis is not only common among postmenopausal women but may also increase overall risk of death within certain bone density ranges.

Gothenburg Health provides tools for early detection and monitoring, including Direct Access Testing (DAT) bone density scans. Women can also access lab work through DAT and are encouraged to review results with their primary care provider to explore strategies for supporting bone and hormonal health.

Memory concerns and mood changes are also frequently reported. Difficulty concentrating, forgetfulness and “brain fog” are common during the menopause transition and in the years that follow. Hormone fluctuations can also influence mood, and women may be more vulnerable to depression during perimenopause.

Gothenburg Health offers support in this area as well, including Behavioral Health services and the Senior Life Solutions program, providing resources for emotional and cognitive well-being.

Women experiencing changes related to menopause are encouraged to speak with their primary care provider or OB/GYN. To learn more about available services or to schedule an appointment, contact Gothenburg Health. Support, answers and personalized care are available close to home.