Dizziness / Vertigo / Balance Issues (Menopause-Related)
Episodes of dizziness, light-headedness, vertigo (a spinning sensation), or feeling off-balance can occur or change during the menopausal transition. Hormonal fluctuations (estrogen affects the inner ear and blood vessels), associated symptoms like hot flashes or anxiety/panic attacks, changes in blood pressure regulation, dehydration, or sleep deprivation can all contribute. While often related to these factors, persistent or severe dizziness or vertigo requires medical assessment to rule out inner ear disorders (like BPPV, common with age), cardiovascular issues, neurological problems, or medication side effects.
Management Strategies
- Fall prevention measures at home
- Balance exercises (e.g., Tai Chi)
- Avoiding known triggers (caffeine, alcohol, high salt if Meniere's suspected)
- Treating specific underlying causes (e.g., Epley maneuver for BPPV, medications for vestibular migraine or Meniere's disease)
- Managing hot flashes, anxiety, sleep disturbances
- Staying well-hydrated
- Eating regular meals
- Avoiding sudden changes in posture (if orthostatic)
- Medication review
Impact
- Risk of falls
- Anxiety
- Nausea
- Limitation of activities
Diagnostic Considerations
Detailed history of symptoms (timing, duration, triggers, type of sensation) is crucial. Physical exam including neurological and potentially cardiovascular assessment. Specific tests may include Dix-Hallpike maneuver (for BPPV), hearing tests, VNG (videonystagmography), imaging (MRI) if central cause suspected.