Reasons for menopausal muscle twitching

Menopausal muscle twitching may be related to hormonal fluctuations, autonomic nervous system dysfunction, calcium deficiency, psychological factors, medication side effects, and other factors. Menopausal women are prone to involuntary muscle contractions due to a decrease in estrogen levels and an increase in nerve and muscle excitability.

1. Fluctuations in hormone levels

The sharp decline in estrogen levels during menopause can affect neurotransmitter balance, leading to abnormal acetylcholine secretion and triggering spontaneous discharge of muscle fibers. This condition often occurs at night or during rest, manifested as brief twitching of local muscles, commonly found in eyelids, limbs, and other areas. Maintaining a regular daily routine can help alleviate symptoms.

2. Autonomic dysfunction

Dysregulation of the autonomic nervous system during menopause can lead to excessive excitation of the sympathetic nervous system, causing abnormal discharge of motor neurons. This type of flesh jumping is often accompanied by vasomotor symptoms such as hot flashes and palpitations. Deep breathing training and soaking feet in warm water can improve autonomic nervous system function.

3. Calcium deficiency

A decrease in estrogen will reduce the absorption rate of calcium in the intestine, and a decrease in blood calcium concentration will increase neuromuscular excitability. Menopausal women should have a daily calcium intake of 1000 milligrams, which can be supplemented with dairy products, soy products, dark green vegetables, and other foods. If necessary, calcium supplements should be used under the guidance of a doctor.

4. Psychological factors

Emotional problems such as anxiety and depression can increase the sensitivity of the nervous system, forming a vicious cycle of "anxiety flesh jump more anxiety". Mindfulness meditation and cognitive-behavioral interventions can effectively reduce psychological stress responses, and it is recommended to engage in relaxation training at least 3 times a week.

5. Drug side effects

Some menopausal medications such as selective serotonin reuptake inhibitors may cause adverse reactions such as muscle tremors. If there is persistent muscle twitching, timely follow-up is necessary. The doctor may adjust the medication dosage or switch to alternative drugs with less neurological impact such as paroxetine and venlafaxine. Menopausal women should pay attention to maintaining a balanced diet, with a focus on supplementing nutrients such as vitamin D and magnesium. They should engage in 30 minutes of moderate intensity exercise daily, such as brisk walking and swimming. Avoid excessive intake of caffeine and alcohol, and try taking a warm bath or gentle yoga 2 hours before bedtime. If muscle twitching is accompanied by symptoms such as muscle weakness and atrophy, neurological disorders such as amyotrophic lateral sclerosis should be ruled out. It is recommended to seek medical attention as soon as possible for electromyography examination. Regularly conduct bone density testing and hormone level assessment, and develop personalized intervention plans under the guidance of doctors.