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Swollen feet in the menopause: What causes them?

 

Have you noticed your swollen feet more often since you entered the menopause? You're not alone. Many women experience this discomfort, and while it may seem like a minor problem, it's actually a sign of how hormonal changes affect your body at this stage.  

 

Here's why your feet swell and what to do to feel better.  

 

Causes of swollen feet during menopause 

 

 

Swollen feet during menopause are a common problem. This is largely due to hormonal changes. One of the key factors is a decrease in oestrogen, hormones that play an important role in circulation, fluid retention and the functioning of the lymphatic system.(1,2) 

However, hormonal changes are not the only cause of swollen feet during menopause. Factors such as lifestyle, certain medications and diseases also play a major role(3). 

 

Impact of hormonal changes on fluid retention 

The menopause is characterized by major changes in the female reproductive system, mainly in ovarian function and oestrogen production. When oestrogen levels drop, the lymphatic system becomes less efficient. This facilitates fluid retention in areas such as the feet, legs and knees and causes swelling.(2)  

Oestrogen is also important for maintaining water balance in the body. During a woman's menstrual cycle, oestrogen varies and, along with it, fluid retention varies. So hormonal changes during menopause may be one of the causes of fluid retention.(1) 

 

Other conditions that can cause swollen feet   

In addition to hormonal changes, some possible causes are:(3) 

  • If you spend a lot of time standing or sitting without moving. 

  • Being overweight.  

  • A diet high in salt. 

  • Use of certain medications such as hormone replacement therapy or blood pressure medication.  

  • Heart, artery or vein disease. 

 

Ways to relieve symptoms  

  

Swollen feet during menopause can be uncomfortable, but there are simple ways to relieve them. The first is to eat a good diet, as certain foods can contribute to fluid retention. Reducing salt intake is key. 3 In addition, there are several habits and natural remedies that can help.  

 

Exercises and habits that improve circulation 

Physical activity is essential to improve circulation and prevent swollen feet. It is recommended to do so:(3,4) 

  • Gentle exercise, such as walking, swimming or making circular movements with your ankles to stimulate blood flow. 

  • Change position from time to time if you spend a lot of time sitting or standing. 

  • Elevate your legs to help fluid drainage. 

  • Avoid wearing tight clothing that hinders circulation in the legs. 

 

Recommended natural options  

There are several natural options to help reduce swelling in the feet. For example: (4,5,3) 

  • Specialized lymphatic drainage massages. A healthcare professional can teach you the precise technique.  

  • Bandages or compression stockings to improve blood flow and prevent fluid build-up in the lower extremities.  

  • Skin care with moisturizing creams or oils.  

  • Use of repellents to avoid insect bites and infections. 

 

Warning signs that require medical consultation 

 

Although swelling in the feet may be common during menopause, there are certain signs that indicate the need to consult a doctor. These are: (3) 

  • Swelling that is sudden, intense or affects only one foot, which could be a sign of a more serious circulatory problem, such as deep vein thrombosis. 

  • Skin that is red, hot or painful to the touch. 

  • Difficulty breathing. 

  • chest pain 

  • significant weight gain in a short time  

In addition, it is important to keep in touch with your gynaecologist. He or she will be your ally in the menopause and will give you recommendations to alleviate symptoms and prevent certain conditions such as vaginitis.  

In summary, swollen feet during menopause are common and can be alleviated with dietary changes, exercise and natural options. However, if swelling is persistent or accompanied by other worrisome symptoms, it is important to consult a doctor to rule out more serious health problems. 

 

Referencias bibliográficas 

  1. Cheuvront SN, Kenefick RW, Elliott-Sale KJ. Estrogen-to-progesterone ratio and fluid regulatory responses in various degrees and methods of dehydration. Front Sports Act Living [Internet]. 2021 [cited 2025 Feb 1];3:722305. Available from: https://www.frontiersin.org/journals/sports-and-active-living/articles/10.3389/fspor.2021.722305/full
  2. Warren AG, Brorson H, Borud LJ, Slavin SA. Outcomes of hormone therapy in lymphedema. Plast Reconstr Surg Glob Open [Internet]. 2016 [cited 2025 Feb 1];4(3):e798. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6366986/
  3. National Health Service (NHS). Oedema. NHS [Internet]. 2022 [cited 2025 Feb 1]. Available from: https://www.nhs.uk/conditions/oedema/ 
  4. National Health Service (NHS). Lymphoedema - Treatment. NHS [Internet]. 2023 [cited 2025 Feb 1]. Available from: https://www.nhs.uk/conditions/lymphoedema/treatment/ 
  5. National Health Service (NHS). Lymphoedema - Prevention. NHS [Internet]. 2023 [cited 2025 Feb 1]. Available from: https://www.nhs.uk/conditions/lymphoedema/prevention/

 

 

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