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The importance of relaxation in menopause

As oestrogen levels fall in perimenopause this can play havoc with women's health. We typically think about oestrogen and progesterone as our reproductive hormones, however we have oestrogen receptors around the whole body. These are proteins that are found within cells across the body and they receive oestrogen from the bloodstream, which acts as a message for a particular activity. They are found in many areas of the body including reproductive organs, breast tissue, bones, joints, ligaments, tendons, skin, cardiovascular system, thyroid, central nervous system and gastrointestinal tract. So it then comes as no surprise that as oestrogen levels fall the symptoms are so far reaching.

Symptoms can include hot flushes, night sweats, palpitations, irritability, mood swings, insomnia, irregular periods, low libido, dry vagina, fatigue, anxiety, depression, poor concentration, poor memory, incontinence, itchy skin, achy joints, achy muscles, headaches, migraines, bloating, allergies, weight gain, hair loss, facial hair, dizziness, gum disease, bad breath, weak nails, tinnitus etc. Longer term, blood vessels and lymphatics become less elastic, cholesterol levels can increase, there can be changes to the liver including inflammation and fatty liver, higher cortisol levels and increased inflammatory markers that can contribute to many chronic conditions.

This is why in menopause it is so essential that women begin to take control of their lives, prioritise self-care and look at lifestyle factors to maintain optimum health.

A note about stress and the importance of relaxation

A study has shown that chronically elevated cortisol (a stress hormone) increases the likelihood of severe menopausal symptoms (1) so prioritising relaxation is key.

If we look at the pathway of how hormones are produced in the body our oestrogens, progesterone and testosterone are primarily produced in the ovaries and adrenals. Production of these hormones requires cholesterol, pregnenolone and dehydroepiandrosterone (the latter 2 are produced in the adrenal gland). However if cortisol is required by the body the adrenals will rob the cholesterol, pregnenolone and DHEA to produce the stress hormone potentially leaving no base ingredients for the sex hormone production. So lowering stress can have a profound effect on symptoms.

There are of course times when women need to seek medical help or consider HRT so concerned clients should be encouraged to speak to their GP. But relaxation is important even for clients on medication.


Managing stress levels - Make time for yourself - you are worth it

Oestrogen and progesterone(O&P) are considered to be our calming hormones and they help protect us from cortisol. So as O&P come crashing down in menopause, we feel the effects of our stress hormones more, hence anxiety is a really common symptom. Menopause can often happen in conjunction with children leaving home, a negative perception of ageing and possible worries of ageing parents. So no wonder we need to look after our emotional wellbeing at this time too.


It is worth women spending time to reflect and be honest with themselves about their stressors and lifestyle. If life feels like it is a struggle, they can then look at making positive changes to help improve emotional wellbeing. Ideally, have regular reflexology and spend at least 10 minutes a day on relaxation techniques such as meditation, mindfulness, journaling or writing down 3 things they are grateful for each day. Make this a positive act, slumping in front of the TV doesn't count. It needs to be a time for an activity that takes them out of your head and into your body.

It is so important to take care of mental health as in women the rate peaks between the age of 45-54 years old, and the most common issue is mixed anxiety and depression (4). If anxiety and/or depression are affecting their daily life then they should talk to their GP.


Daily activities for Emotional Wellbeing


 • Daily stress busters - meditation, yoga, journal, walking etc

 • Exercise - is a cornerstone of emotional wellbeing

 • Vision boards - place your dream on a board, this primes the brain looks for opportunities

 • Journaling / 3 gratitude's - allows you brain to focus on positives

 • Look after blood sugar levels

 • Reduce/Avoid caffeine and alcohol

 • Treat yourself - because you are worth it!

 • Do something creative

 • Laugh and smile as much as you can

 • Talk to friends, family or professionals - about how you are feeling

References

1. Cagnacci A, Cannoletta M, Caretto S, Zanin R, Xholli A, Volpe A. Increased cortisol level: a possible link between climacteric symptoms and cardiovascular risk factors. Menopause. 2011 Mar;18(3):273-8. doi: 10.1097/gme.0b013e3181f31947. PMID: 21037488.

Reproduced in part with the permission of Sally Earlam FMAR, BSc, PGCE, (retired RGN)

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  • Writer's pictureSue Turner

How to care for your skin during the Winter months.





As the winter season approaches so does the onset of a number of skin changes which for many of us can lead to a range of uncomfortable skin issues.


Icy cold winds and sub-zero temperatures strip vital lipids from the skin resulting in dryness, flakiness and a lacklustre dull appearance. The inside environment can be arid with little moisture in the air as we crank up the central heating. This can leave skin feeling tight with more fine lines. Temperature fluctuations, as we move from freezing cold outside to warm and toasty inside can lead to sensitivities and impairments of the skins natural barrier function. Skin can become red and flushed as the body adjusts to these temperature differences. The lips are particularly prone to dryness in the winter months, with flaking and chapping leaving them sore and sensitive. Skin can also be particularly susceptible to UV damage at in winter even though it may not be hot outside. UV rays will still have a detrimental effect on the skin by generating free radicals that lead to pigmentation and premature ageing. Snow reflects the UV rays and can increase the UV exposure by twice as much.


How summer skin and winter skin differ

The skin is the largest organ of the body, defending us from the environment we live in. Whether living in a hot country with blazing sunlight, or in cold harsh climates with lots of snow, the skin works tirelessly to protect us.

During the summer months in the UK we can experience higher temperatures; which can increase sebaceous gland activity, making our skin oilier and increasing the chances of breakouts. Higher humidity levels can stimulate the sudoriferous glands, leading to increased perspiration and less clothing being worn which exposes the skin to harmful UV rays.


When the season changes, so do temperature levels which drop quickly. We may notice skin feeling less oily with tightness due to less moisture in the air, fluctuations of temperature will become the norm with low outside temperatures and high temperatures inside. Whilst our skin will adapt to its conditions it likes consistency and dislikes sudden changes which make it work overtime to ensure levels are maintained.


Dehydration

One of the main issues winter skin faces is dehydration. Dehydration occurs when the water content is lost from the cells of the outermost layer of the skin (stratum corneum) which holds over 10% water content in a healthy epidermis.


The skin's outermost layer acts as a barrier to our body, when functioning correctly it maintains levels of moisture. When the skin lacks the moisture it needs and becomes dehydrated it quickly develops tiny cracks and fissures in the barrier allowing for further water to evaporate through these cracks, something known as Trans Epidermal Water Loss (TEWL), these cracks create direct pathways for irritants to penetrate into the skin leading to irritation and aggravation.


Whilst increasing consumption of water will always benefit us, the skin is the last organ to receive the benefits and so the use of correct topically applied products is essential.


Avoiding cleansing with foaming washes high in surfactants and opt for creamy based cleansers which will remove dirt, debris and make-up without stripping away essential moisture and oils.


Applying serums rich in Hyaluronic Acid like Hydrating Serum will benefit the skin greatly by infusing moisture into the top layers of skin, whilst using regular facial masques packed with Aloe Vera like Soothing Masque will by hydrate and soothe.


If the home environment is especially dry consider investing in a humidifier or simple bowls of water placed near radiators to add moisture to the air, simply tricks like this can be very beneficial for our skin.


Sensitisation

Temperature fluctuations can also lead to impairment of the skins natural barrier function. Skin can become red and flushed as the body adjusts to the temperature difference.


Cold weather encourages us to turn up the temperature in the shower or immerse ourselves in hot bath water, whilst this may offer us some warming relief, the increased water temperature can break down vital skin lipids; think about when washing greasy dinner plates, hot water run on the surface breaks down the oil and grease and so hot water on the skin has the same effect, disrupting the barrier function leading to increased sensitivity and water loss.


UV Damage

Whilst many of our clients think applying solar protection ends as summer time fades, we need to ensure they realise the importance of all year round protection. Damaging UV is prevalent in all hours of daylight, whether dull, cloudy or raining it bombards us with rays which cause skin damage and the onset of premature ageing. Whilst we don’t experience too much snow in the UK, sun damage is at one of its highest levels in the winter due to the sheer reflectiveness of the snow, in fact, fresh snow reflects even more UV radiation than water. You may have seen parodies of people on skiing trips with ‘goggle tan’ - tanned faces with a defined white untanned skin in the shape of skiing goggles, whilst this may look humorous it is a very real reality and exposure to snowy conditions can lead to both a tan as well as sun damage. Ensuring an SPF of at least 25 or higher, reapplied regularly will offer protection; those embarking on skiing trips should look to reapply every two hours. Moisturising Solar Shield SPF25 or Daily Skin Defence SPF50 are both perfect options to choose.


Chapped lips and cracked hands

One of the pet peeves of millions during the winter season is those tight chapped lips and dry cracked hands.


Our lips are exposed to elements constantly and are very susceptible to drying as they comprise of just 3-5 layers and don’t produce sebum to keep them lubricated. Cold weather and central heating strips any moisture from these delicate skin layers very easily leading to tightness, cracking, flaking and general discomfort. Using lip balms rich in Beeswax, Shea Butter and Honey like Seal & Protect Moisturising Lip Balm SPF10 will infuse nourishment and emollience to lock in that essential moisture and creates a buffer against the temperature fluctuations which cause the dryness.


We must also take care of our hands during the winter months is essential to reduce over drying and uncomfortable cracking. Avoid highly foaming washes which can strip away vital lipids, in place opt for conditioning hand washes or a creamy cleanser like the multi-functional Ultra Soothing Cleanser to maintain moisture levels and nourish at the same time. Limiting the amount of times our hands are washed will also help to maintain moisture levels, if regular washing is unavoidable follow with application of a hand moisturiser to rescue them from potential dryness. Ensure hand wash and had moisturiser are kept together as a duo to remind you to moisturise after every wash. Our new Conditioning Hand Duo Box Set will fit the bill perfectly.


Wearing gloves in low temperatures will reduce dryness and offer a warming barrier to the elements, if gloves are not practical or disliked then ensuring hand moisturiser is applied will seal in moisture and act as an invisible glove. A hand moisturiser with added SPF such as Hand & Nail Rescue Cream SPF20 will be better still to protect the backs of the hands from damaging UV and premature ageing.


We need t adjust our winter skincare wardrobe; just how we wear different clothes for the cold season, so must we look to changing the products we use. Subtle changes like switching a moisture lotion for a cream will add increased emollience; opting for a creamy cleanser in place of a foaming cleanser will reduce drying in the skin or if you prefer not to change your existing products then I recommend you use a serum to layer up your regime or a twice weekly masque to offer the added nourishment you need.


Exfoliation can play a key benefit to winter skin and reduce the dry dull look which affect the complexion. Using a gentle exfoliant rich in proteolytic enzymes like Micro-fine Daily Exfoliant will digest the top most dead skin cells and allow serums and moisturisers to absorb more readily to nourish and hydrate. Alternatively using a facial scrub such as Exfoliating Scrub with powdered bamboo will assist with the sloughing away of dead skin cells without over abrasion.


For the body, gentle but thorough exfoliation treatments with exfoliants like Salt & Seaweed Scrub will buff and polish away dead skin allowing oils and body wraps to penetrate more effectively, massage with pre-warmed oils benefits as the gentle warmth encourages penetration of the lipids; Finalise with a rich weight moisturiser to saturate the skin with emollience and strengthen the skins barrier, Moisturising Body Butter is an excellent choice.


For the hands a lipid based serum like Regenerative Serum added to the back of the hands before moisturiser application will also be beneficial.


As the winter season approaches so does the onset of a number of skin changes which for many of us can lead to a range of uncomfortable skin issues.


Icy cold winds and sub-zero temperatures strip vital lipids from the skin resulting in dryness, flakiness and a lacklustre dull appearance. The inside environment can be arid with little moisture in the air as we crank up the central heating. This can leave skin feeling tight with more fine lines. Temperature fluctuations, as we move from freezing cold outside to warm and toasty inside can lead to sensitivities and impairments of the skins natural barrier function. Skin can become red and flushed as the body adjusts to these temperature differences. The lips are particularly prone to dryness in the winter months, with flaking and chapping leaving them sore and sensitive. Skin can also be particularly susceptible to UV damage at in winter even though it may not be hot outside. UV rays will still have a detrimental effect on the skin by generating free radicals that lead to pigmentation and premature ageing. Snow reflects the UV rays and can increase the UV exposure by twice as much.


How summer skin and winter skin differ

The skin is the largest organ of the body, defending us from the environment we live in. Whether living in a hot country with blazing sunlight, or in cold harsh climates with lots of snow, the skin works tirelessly to protect us.

During the summer months in the UK we can experience higher temperatures; which can increase sebaceous gland activity, making our skin oilier and increasing the chances of breakouts. Higher humidity levels can stimulate the sudoriferous glands, leading to increased perspiration and less clothing being worn which exposes the skin to harmful UV rays.


When the season changes, so do temperature levels which drop quickly. We may notice skin feeling less oily with tightness due to less moisture in the air, fluctuations of temperature will become the norm with low outside temperatures and high temperatures inside. Whilst our skin will adapt to its conditions it likes consistency and dislikes sudden changes which make it work overtime to ensure levels are maintained.


Dehydration

One of the main issues winter skin faces is dehydration. Dehydration occurs when the water content is lost from the cells of the outermost layer of the skin (stratum corneum) which holds over 10% water content in a healthy epidermis.


The skin's outermost layer acts as a barrier to our body, when functioning correctly it maintains levels of moisture. When the skin lacks the moisture it needs and becomes dehydrated it quickly develops tiny cracks and fissures in the barrier allowing for further water to evaporate through these cracks, something known as Trans Epidermal Water Loss (TEWL), these cracks create direct pathways for irritants to penetrate into the skin leading to irritation and aggravation.


Whilst increasing consumption of water will always benefit us, the skin is the last organ to receive the benefits and so the use of correct topically applied products is essential.


Avoiding cleansing with foaming washes high in surfactants and opt for creamy based cleansers which will remove dirt, debris and make-up without stripping away essential moisture and oils.


Applying serums rich in Hyaluronic Acid like Hydrating Serum will benefit the skin greatly by infusing moisture into the top layers of skin, whilst using regular facial masques packed with Aloe Vera like Soothing Masque will by hydrate and soothe.


If the home environment is especially dry consider investing in a humidifier or simple bowls of water placed near radiators to add moisture to the air, simply tricks like this can be very beneficial for our skin.


Sensitisation

Temperature fluctuations can also lead to impairment of the skins natural barrier function. Skin can become red and flushed as the body adjusts to the temperature difference.


Cold weather encourages us to turn up the temperature in the shower or immerse ourselves in hot bath water, whilst this may offer us some warming relief, the increased water temperature can break down vital skin lipids; think about when washing greasy dinner plates, hot water run on the surface breaks down the oil and grease and so hot water on the skin has the same effect, disrupting the barrier function leading to increased sensitivity and water loss.


UV Damage

Whilst many of our clients think applying solar protection ends as summer time fades, we need to ensure they realise the importance of all year round protection. Damaging UV is prevalent in all hours of daylight, whether dull, cloudy or raining it bombards us with rays which cause skin damage and the onset of premature ageing. Whilst we don’t experience too much snow in the UK, sun damage is at one of its highest levels in the winter due to the sheer reflectiveness of the snow, in fact, fresh snow reflects even more UV radiation than water. You may have seen parodies of people on skiing trips with ‘goggle tan’ - tanned faces with a defined white untanned skin in the shape of skiing goggles, whilst this may look humorous it is a very real reality and exposure to snowy conditions can lead to both a tan as well as sun damage. Ensuring an SPF of at least 25 or higher, reapplied regularly will offer protection; those embarking on skiing trips should look to reapply every two hours. Moisturising Solar Shield SPF25 or Daily Skin Defence SPF50 are both perfect options to choose.


Chapped lips and cracked hands

One of the pet peeves of millions during the winter season is those tight chapped lips and dry cracked hands.


Our lips are exposed to elements constantly and are very susceptible to drying as they comprise of just 3-5 layers and don’t produce sebum to keep them lubricated. Cold weather and central heating strips any moisture from these delicate skin layers very easily leading to tightness, cracking, flaking and general discomfort. Using lip balms rich in Beeswax, Shea Butter and Honey like Seal & Protect Moisturising Lip Balm SPF10 will infuse nourishment and emollience to lock in that essential moisture and creates a buffer against the temperature fluctuations which cause the dryness.


We must also take care of our hands during the winter months is essential to reduce over drying and uncomfortable cracking. Avoid highly foaming washes which can strip away vital lipids, in place opt for conditioning hand washes or a creamy cleanser like the multi-functional Ultra Soothing Cleanser to maintain moisture levels and nourish at the same time. Limiting the amount of times our hands are washed will also help to maintain moisture levels, if regular washing is unavoidable follow with application of a hand moisturiser to rescue them from potential dryness. Ensure hand wash and had moisturiser are kept together as a duo to remind you to moisturise after every wash. Our new Conditioning Hand Duo Box Set will fit the bill perfectly.


Wearing gloves in low temperatures will reduce dryness and offer a warming barrier to the elements, if gloves are not practical or disliked then ensuring hand moisturiser is applied will seal in moisture and act as an invisible glove. A hand moisturiser with added SPF such as Hand & Nail Rescue Cream SPF20 will be better still to protect the backs of the hands from damaging UV and premature ageing.


During the winter months we need to adjust our winter skincare wardrobe; just how we wear different clothes for the cold season, so must we look to changing the products we use. Subtle changes like switching a moisture lotion for a cream will add increased emollience; opting for a creamy cleanser in place of a foaming cleanser will reduce drying in the skin or if you prefer not to change your existing products then I recommend using a serum to layer up your regime or a twice weekly masque to offer the added nourishment you need.


Exfoliation can play a key benefit to winter skin and reduce the dry dull look which affect the complexion. Using a gentle exfoliant rich in proteolytic enzymes like Micro-fine Daily Exfoliant will digest the top most dead skin cells and allow serums and moisturisers to absorb more readily to nourish and hydrate. Alternatively using a facial scrub such as Exfoliating Scrub with powdered bamboo will assist with the sloughing away of dead skin cells without over abrasion.


For the body, gentle but thorough exfoliation treatments with exfoliants like Salt & Seaweed Scrub will buff and polish away dead skin allowing oils and body wraps to penetrate more effectively, massage with pre-warmed oils benefits as the gentle warmth encourages penetration of the lipids. Finalise with a rich weight moisturiser to saturate the skin with emollience and strengthen the skins barrier, Moisturising Body Butter is an excellent choice.


For the hands I recommend a lipid based serum like Regenerative Serum added to the back of the hands before moisturiser application will also be beneficial.


All products mentioned above are from Eve Taylor Skincare and available from me at The Therapy Room.

If you are new to this brand I am happy to see you for a complimentary skin consultation and offer some samples for you to try.


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