Eileen answers your questions on bulging menopausal tummies and period pains without a period

Eileen Durward

14 March 2016

Today's topic

Hello, and welcome to my weekly video blog. And today on A.Vogel Talks Menopause, I’ve got a couple of viewers’ questions, which I think are quite interesting ones, and probably affect quite a lot of you actually watching today.

Q1: Bulging tummy

Now the first one is from Saheeba, and she was asking about a bulging tummy. She says, “What causes it, and is there actually anything we can do about it?” Now, there are possibly two main reasons why this can actually happen in the menopause, and it is actually a really, really common problem.

Falling Oestrogen

The first one is, as I’ve explained before in several of the issues, that falling oestrogen can actually affect our carbohydrate metabolism. So it can actually slow our metabolism down, even though we might not be changing our diet, and we may not be having extra calories. We start to put on weight. And very often, the weight actually goes around the tummy area.


Now, it could also be caused by bloating, and bloating, again, can be affected because low oestrogen is actually slowing our transit time down. And you might find you get very bloated, you get windy, and it’s this whole thing of you get up in the morning, put your skirt or your trousers on, and everything does up nicely. And then by tea time, you’re thinking “Oh, everything’s so tight, I’ve got to undo my zip or undo my button.” And this is very often an indication of digestive bloating.

Now, there’s a number of things you can do with this. Watch your carbohydrate intake, and things like lots of bread, and pasta, and white rice can really be a major contributor here. So try and cut those down a little bit and see if that helps. You’ve also got the fact that we tend to get a bit sluggish as we get older. So remember to have plenty of really good fiber-rich foods in the diet, and remember the water as well, because that will help to keep everything moved along.

Putting Weight On – Stress

Now the other way we can get a bulging tummy is if we start to actually put on weight that starts from below the bust line and basically gives us what’s called the menopause apple-shaped tummy. Now this tends to be caused because of a reaction to stress. Now I’m sure all of you have heard of the flight or fight. In times gone by, our nervous system would be adapted to any sign of danger, would be adapted to running away, or fighting. And there’d be a very, very quick surge of adrenaline into the system, and we would deal with the stress, and then everything would calm down, and the body would go “Whew! But I need a bit more energy. What if this happens again tomorrow?”

So it actually, that kind of stress scenario makes us very hungry, and it makes us actually crave sweet things, because that will give us energy very very quickly. Now, in those days, long, long ago, this kind of situation, the way the body’s adapted, would actually help to save our life. But today, we’re not in the habit of being chased by saber-toothed tigers. So, we get long-term daily stress that goes on and on and on. So eventually, the body goes, “I need to create a proper store of energy here, so that when this happens all the time, I can reach it easily.”

And the body actually starts to lay down fat right round the middle, in the whole abdomen area. Unfortunately, the usual methods of dieting, such as cutting calories, and exercising, will not help here. And a lot of women actually find that once they start doing that, they will cut their calories down even further, they will exercise even more, and then they find that they’re still putting on the weight. So in this situation, where you get a bulging tum in the middle, then you actually need to deal with the stress. You need to look at stress remedies, you need to look at your magnesium, and you need to look at your relaxation. And very often, that can just help to control things a little bit.

Q2: Period pain without a period

Now, the second question is from Leesette, and she’s asking about period pains, but without a period. Now this is another common symptom as you approach the menopause. You may find that some months, you start to miss periods, or you only get very, very scant periods. But you will find that when that period was due, you still get all the usual symptoms. You can get the PMT, you can get the bloating, the cramping, the food cravings, and the breast tenderness.

Now this is quite natural, because even though your hormone levels are falling, you will still get that monthly cycle. The only problem is, your hormones will not be high enough to trigger a bleed, but they will still be high enough to give you all the other common symptoms. And sometimes, this cycle can actually last a couple of years after your periods have stopped for good. So this is okay, this is not normally something to worry about.

However, with both these situations, if you are experiencing any pain, if you are getting to the point where you’re having to take painkillers, if it’s happening every day, then it’s really important to get this checked out by your doctor. There are other issues such as fibroids, such as a prolapse, that can actually cause these problems as well, so it really is important to get that seen to.

Until next week

Now I hope that’s cleared things up for you a little bit, and I shall be looking forward to talking to you again next week on A.Vogell Talks Menopause, where I will be talking about the importance of water.


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  • MKB's photo avatar
    MKB — 22.02.2018 15:32
    Hi, I'm a 45 year old woman. My 1st child was a normal birth, my 2nd was an emergency cecearian at 2 1/2 months early, had complete placenta previa. My 3rd child was a planned cecearian & I had gotten my tubes tied at the same time I had my last child. I started going thru cold sweats 24 hours a day when I was about 34. I had to take a 3 month leave from work. It was miserable & embarrassing. My doc checked my levels& said I was perimenopausal. Always had horrible cramps that would land me in the er monthly. Ibuprofen or anything i could buy would not work, even if i took the whole bottle. I had an endometrial eblation surgery in 2006. I didn't get any cramps for 3 years straight . After that the cramps came back full blown but I haven't had a period in 8-10 years.... not real sure, but a lot of years. Anyways I woke up last Saturday with a period, not spotting, but an actual period. I have doc appointment tomorrow, that was already made for something else, but I will ask my doc what the heck is going on with me. So I am not sure whether I should be worried or not. I think my situation is quite a bit different then others I've read.


  • A's photo avatar
    A — 12.02.2018 18:21
    Thank you for sharing this information. Appreciated.


    • eileen's photo avatar
      eileen — 13.02.2018 15:51
      Hi A You're welcome!


  • Chris's photo avatar
    Chris — 30.01.2018 02:35
    Mam,As a working women I suffersevere pain with heavy bleeding for past six months how to handle the job as well as this periods problem


    • eileen's photo avatar
      eileen — 30.01.2018 14:51
      Hi Chris If you have been getting heavy periods and pain for this long it is really important to get it checked out by your doctor asap. Although this is a common scenario on the approach to the menopause it is not good for you and can quickly cause anaemia. This in turn can trigger fatigue, joint pain, low mood/anxiety and poor sleep. Your doctor may be able to give you some non hormonal medication to stop the bleeding, possibly an iron supplement if you are anaemic and also just check to make sure that nothing else, such as fibroids, are causing the bleeding.


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