Dr Radhika Vohra
We wanted to bring you some tips that increase awareness and may help you prepare for a Blessed Ramadan. Ramadan is the religious month of practising reflection, patience and gratitude. However, the many physical and mental symptoms experienced during perimenopause and menopause can impact worship, particularly during Ramadan celebrations. Fasting can exacerbate symptoms, and it is important to consider ways to prevent their impact on your body during worship.
Menopause symptoms and Ramadan
Fatigue can increase, so it is important to consider how to make the healthiest choices at mealtimes to help you through the month. Include lots of green leaf vegetables, low-sugar fruits such as berries, lean meats and fish rich in Omega 3 fatty acids such as salmon, and protein-rich dairy like sugar free Greek yoghurt. Avoid caffeine, carbonated drinks, fried food, processed meat and sugary and high salt foods.
Hot flushes and night sweats can lead to dehydration, particularly whilst fasting. Keep hydrated sipping water throughout the night, keep water handy during the evening hours of Ramadan. Try eating hydrating foods such as cucumber, celery or apples. Wear cool, breathable fabrics especially during prayer. Some find having a rest or lie down in the day helpful.
Menopause anxiety can make it difficult to practise patience, meditation and breathing techniques can help instil calmness. We have some tips on techniques on our page Breathing techniques
Hormone replacement therapy (HRT) and Ramadan
If you are on HRT this can be continued during Ramadan. Our advice on some of the common types is as follows:
- HRT patches do not break your fast as they go through the skin and fat cells and slowly delivers into the blood stream and it is not nutrition.
- Same applies to gels such as oestrogel or sandrena, you can also adjust the time that it is applied at Suhoor or after Iftar.
- Utrogestan can be taken at night once you have broken your fast.
- vaginal oestrogen can be inserted after Iftar and does not affect your fasting.
- Speak with your doctor if you have further questions, especially if you have conditions such as diabetes or high blood pressure.
Ramadan Mubarak. We wish you joy and connection, please do share these tips with your friends.