Hot Flashes, Mood Swings: How to Cope with Perimenopause Symptoms Post-Surgery

As women approach menopause, the hormonal changes can be challenging, especially when combined with the physical changes after bariatric surgery. Perimenopause, the transitional period before menopause, can bring about hot flashes, night sweats, mood swings, and irritability, which may be heightened in women who have undergone significant weight loss. However, weight loss itself can also help alleviate some menopausal symptoms, such as the severity of hot flashes and mood swings. Here’s how to navigate perimenopause post-bariatric surgery.

1) The relationship between weight loss & hormones.

Weight loss after bariatric surgery can positively influence hormone regulation. Obesity contributes to higher estrogen levels, as fat cells produce estrogen. Weight loss reduces these levels, potentially decreasing the intensity of symptoms like hot flashes and night sweats. However, hormone fluctuations post-surgery may still lead to symptoms such as irritability, trouble sleeping, and mood swings.

2) Nutritional deficiencies & bone health.

As estrogen levels drop during perimenopause, women are at a higher risk for bone density loss. Bariatric patients need to be particularly cautious, as the surgery can impact nutrient absorption, especially calcium and vitamin D—both essential for bone health. Ensure you're taking the necessary supplements and getting regular bone density checks to prevent osteoporosis. Including foods rich in calcium, vitamin D, and other bone-supporting nutrients like magnesium in your diet can help mitigate these risks.

3) Managing perimenopause symptoms.

Managing hot flashes, night sweats, and mood swings involves a combination of lifestyle changes and nutritional adjustments. Here are some strategies to cope:

• Stay cool by dressing in layers, using fans, and avoiding hot or spicy foods that can trigger hot flashes.

• Focus on foods that are rich in fiber, lean proteins, and essential vitamins. Avoid caffeine and alcohol, which can worsen symptoms.

• Engage in stress-reducing relaxation techniques like yoga, meditation, or deep breathing. These exercises may help manage mood swings and reduce irritability.

• Regular physical activity helps maintain muscle mass, improve mood, and reduce the intensity of hot flashes. Strength training and weight-bearing exercises are particularly important for maintaining bone health.

4) Hormone therapy & medical interventions.

In some cases, hormone replacement therapy (HRT) may be recommended to balance hormonal levels and reduce perimenopause symptoms. Bariatric patients should discuss this option with their healthcare provider to ensure it fits their specific medical history and needs. Regular follow-up visits are crucial to managing both perimenopause and the long-term effects of bariatric surgery.

By maintaining a healthy lifestyle, keeping up with regular check-ups, and staying informed about the symptoms and effects of perimenopause, you can manage the challenges of this phase of life with greater ease.

**PS - Did you know we have a new product called BariMelts Hormonal Balance+ specially formulated for bariatric patients?

Article By: Rachel Ignomirello, MS, RDN, CSOWM, LDN

Bariatric Dietitian and Board-Certified Specialist in Obesity & Weight Management.

BariMelts provides general recommendations, not to be construed as medical advice. Please consult your doctor.