Dry eye and Menopause

More and more studies have shown a relationship between dry eye syndrome and menopause, which explains why many more women are affected by this problem compared to men.

menopause and dry eye

Aging, Menopause and Dry Eye

It is a fact, the more you get older, the more the chances of feeling the effects of dry eyes increase. Exceeded the age of 65, the body produces much less oil than in its twenties. However, women are even more prone to suffering from dry eye syndrome after menopause due to the hormonal changes that occur at this stage of life. As I have already explained several times, the oil produced by the meibomian glands ensures the stability of the lacrimal film. If this oil becomes ineffective or missing, the lacrimal film is not healthy and an evaporative eye dryness settles in with all the undesirable symptoms associated with it. Excessive evaporation therefore causes a drop in the quality of the tear film.

Better Understanding Menopause

Menopause is a natural and inevitable process in a woman’s life. It settles in her fifties, sometimes before. The average post-menopausal period is about one-third of a woman’s life. It is therefore important to learn how to manage as smoothly as possible this often delicate period, both physically and psychologically.

What are the causes ?

Menopause is the period of life during which menstruation ceases and the ovaries no longer produce eggs. Women are menopausal when they have not had menstruation for a year. Gradual depletion of ovarian function and their production of hormones, including estrogens, characterizes what is known as perimenopause, which can last from a few months to a few years. This results in irregular menstrual cycles and the appearance of certain symptoms (hot flushes, mood disorders, fatigue, etc.). In addition to being used for the development and functioning of sexual organs in women, estrogens affect bone strength, artery elasticity, skin texture and appearance, mood and concentration. A decrease in estrogen production therefore results in both physical and psychological manifestations.

Hot flashes during menopause

Almost 75% of women experience menopausal symptoms. Hot flashes are the most common and most troublesome menopausal symptom. Three out of four women are affected. The irregular secretion of estrogens, which intervene in the regulation of body temperature, is the cause.

Hot flushes can last from a few seconds to a few minutes, or even up to an hour. On average, they last three to six minutes. They may, on occasion, end in tremors and chills.

The symptoms of menopause

Postmenopausal women may also complain of insomnia, irritability, anxiety, nervousness and depression. In addition, some symptoms, such as vaginal dryness and decreased libido, may affect their sex lives. Psychologically, various symptoms are associated with menopause, including mood swings, memory problems and difficulty concentrating.

Effect of estrogen during menopause

Estrogens help maintain good bone structure. Their absence accelerates the physiological process of bone demineralization, which can promote osteoporosis, a condition responsible for fractures and vertebral fractures.

As a preventive measure, a daily intake of calcium (from diet or supplements) at 1200mg is important after menopause. This mineral strengthens the bones and reduces the risk of osteoporosis.

The postmenopausal woman must also ensure a sufficient intake of vitamin D. This vitamin necessary for the fixation of the calcium on the bones is mainly manufactured by the skin under the effect of the sun. Since sun exposure during the winter months is limited, vitamin D supplementation is generally recommended. Osteoporosis Canada recommends an additional 800 to 2000 IU for people over the age of 50 or with osteoporosis per day.

It would therefore be wise if you are a woman and you are taking hormone replacement treatments for menopause to discuss it with your doctor if you experience the discomforts of dry eyes.

In the video below, Dr. Boxer Wachler explains a testosterone treatment of ointment to be put on the eyelids to stimulate the production of lipid by the meibomian glands.

You can also check out the following link for more infos about testosterone vs dry eye: