03/24/2025
On my Sexual Health and Wellbeing Show today I will be talking with my ophthalmologist Dr. Robert Cyliert. In case you haven’t noticed. Your eyes are changing. Here are some issues we will be discussing on the show and of course for your information always.
Visual Changes in Perimenopausal and Menopausal Women
As women approach menopause, they experience a range of physical changes, including shifts in vision. Hormonal fluctuations, particularly declining estrogen and progesterone levels can affect the eyes in multiple ways. Many women in their 40s and 50s notice difficulties with both near and distance vision, as well as an increase in conditions like astigmatism. Understanding these changes can help women manage their eye health more effectively.
Common Vision Changes During Perimenopause and Menopause
1. Nearsightedness (Myopia) and Farsightedness (Presbyopia)
• Nearsightedness (Myopia): Some women may experience worsening nearsightedness, where distant objects appear blurry. This can be due to changes in the shape of the eye or dryness, which affects the ability to focus properly.
• Farsightedness (Presbyopia): Around midlife, many women struggle with seeing up close, such as when reading or using a phone. This results from the gradual loss of flexibility in the eye’s lens, making it harder to focus on near objects.
2. Astigmatism
Astigmatism occurs when the cornea or lens has an irregular shape, leading to blurred or distorted vision at all distances. While astigmatism can be present at any age, hormonal changes during menopause may worsen its effects, making it more noticeable.
3. Dry Eyes and Visual Discomfort
Reduced estrogen levels can lead to decreased tear production, resulting in dry, irritated eyes. This can contribute to fluctuating vision, making it harder to focus clearly for extended periods.
Managing Vision Changes
• Regular Eye Exams: Vision prescriptions can change frequently during this stage of life. Annual check-ups ensure that glasses or contact lenses are up to date.
• Lubricating Eye Drops: Artificial tears can help manage dryness and improve comfort.
• Proper Lighting: Good lighting can reduce strain when reading or working on screens.
• Healthy Diet: Nutrients like omega-3 fatty acids, vitamin A, and lutein support eye health.
• Corrective Lenses or Surgery: Some women may need bifocals, progressive lenses, or even laser surgery to correct vision changes effectively.
Conclusion
Perimenopausal and menopausal women often notice shifts in their vision due to hormonal fluctuations. Nearsightedness, farsightedness, and astigmatism can all be affected, along with overall eye comfort. By staying proactive with eye care, women can maintain clear vision and reduce discomfort as they navigate this stage of life.
