Health in Your 40s

• Menstrual periods that are heavier or lighter, shorter or longer than you're used to
• One or more missed menstrual period followed by a regular period
• Hot flashes, irritability, decreased sex drive and problems sleeping

You're inching closer to middle age and are wiser for it, but sometimes you may wonder where the years have gone. While this turning point can be cause for celebration, it can also lead to anxiety and depression for some women. Talk to your health care professional if negative feelings about this life stage become overwhelming. You might find that simply establishing a healthy diet and exercise program—and sticking to it—will lift your spirits. If not, there are effective treatments for depression and anxiety.

Your metabolism continues to slow during the transition to menopause and your weight gradually shifts from your hips and thighs to your abdomen, shoulders and chest. If you don't have a regular aerobic exercise and strength training program, it's never too late to start. Talk with your health care professional about putting together a plan that takes into account your age, health status, daily schedule and goals. You'll improve your health, have more energy and look your best if you maintain a healthy weight and keep your muscles well-toned.

Exercise and strength training will help your bones, too. Because your body produces less estrogen as you near menopause, you're at increased risk for bone loss, which can lead to the bone-thinning disease osteoporosis. In addition to exercising, make sure you are getting enough calcium in your daily diet. Your health care professional can advise you if you need additional supplements or medications for your calcium needs.