Some women with MS have worsening after menopause and others experience no changes. There are no precautions to take for menopause, other than to take measures to avoid the onset of osteoporosis including adequate calcium and Vitamin D supplementation. My symptoms feel worse during PMS and the hot flashes and night sweats seem to make it worse. The hormonal changes that occur with menopause are responsible for the hot flashes. It is this hormonal change that is somehow related to the MS symptoms.
Some women feel better and others feel worse after menopause.
Also the pregnancy data imply a possible protective effect of estrogen. The actual hot flash is so transient that it does not have a significant effect on the MS symptoms in of itself. This material is provided as general medical information only and may not include all side effects or details relevant to a particular individual's treatment. Boards, Forums and Chat Questions by People with MS Answers by caring Neurologists. My Private Calendar Helps Japan Chapter Schapiro, MD Mental Health .