-Dr Sunitha Devi Vannemreddy, M.D(Hom), consult the doctor at drsunithavannemreddy@gmail.com

Life has never been easy for women. Whether it’s entering into adolescence, getting married and bearing kids or reaching menopause, women have always faced hurdles and challenges to reach where they are. In older days, women used to maintain their houses and not much stressed financially, but some may suffered domestically, some may be illiterate and more engaged in household things than outside world. There is right for women to express their wishes, likes and dislikes, no right to decide about the future of her children. Simply she has to obey the rules and regulations of her husband and in-laws. When she grows older, even at that time also she has no right to raise her voice, she is again dependent on her grown children.

midlife-crisis Midlife crisis in women and Homoeopathic approach

But now time changed and attitude towards women changed. Parents started educating their female children, so that she can able to educate her children, even she is home maker. Slowly things changed, women started challenging men’s world. She started working; along with maintain her household things. She has to balance the personal life and professional life. At the same time, she has to maintain herself physically, mentally and emotionally. But with the hormonal fluctuations in women lead her to be challenging in performing her duties. Goals and responsibilities making her stressful and emotional. So physically she is becoming weak by mental stress and pressures.
In this junction, she reaches her midlife which is crisis for most of the women: Then what is midlife crisis? What are the effects of midlife crisis on women?
Midlife crisis is a term coined in 1965 by Elliott Jaques stating a time where adults come to realize their own mortality and how much time is left in their life. A midlife crisis is experienced by many people during the midlife transition when they realize that life may be more than halfway over. Sometimes, a crisis can be triggered by transitions experienced in these years, such as andropause or menopause, the death of parents or other causes of grief, unemployment or underemployment, realizing that a job or career is hated but not knowing how else to earn an equivalent living, or children away from home. People may reassess their achievements in terms of their dreams. The result may be a desire to make significant changes in core aspects of day-to-day life or situation, such as in career, work-life balance, marriage, romantic relationships, large expenditures, or physical appearance.
The condition is most common ranging from the ages of 41-60. Academic research since the 1980s rejects the notion of midlife crisis as a phase that most adults go through. In one study, fewer than 10% of people in the United States had psychological crises due to their age or aging. Personality type and a history of psychological crisis are believed to predispose some people to this “traditional” midlife crisis. People going through this suffer a variety of symptoms and exhibit a disparate range of behaviours.
It is important to understand the difference between a midlife crisis and a midlife stressor. Midlife is the time from years 40–60 where a person is often evaluating their own life. However, many midlife stressors are often labelled as a midlife crisis. Many middle aged adults experience major life events that can cause a period of psychological stress or depression, such as the death of a loved one, or a career setback. However, those events could have happened earlier or later in life, making them a “crisis,” but not necessarily a midlife one. In the same study, 15% of middle-aged adults experienced this type of midlife turmoil.
Characteristics
One of the main characteristics of a midlife crisis perspective is one assumes that their midlife is about to be eventful, usually in a negative way, and potentially stressful. Additionally, they often see their life coming to a drastic decline. Individuals experiencing a midlife crisis have some of these feelings:
• search of an undefined dream or goal
• a deep sense of remorse for goals not accomplished
• a fear of humiliation among more successful colleagues
• desire to achieve a feeling of youthfulness
• need to spend more time alone or with certain peers
It is just an identity crisis, which starts in the middle age in women. In her younger age, she dreams for something and couldn’t able to judge in which situation she is going to be happy and she chooses something and starts living in that world. But in the middle age, when she is reaching her menopause, may be because of her hormonal imbalance or stressful life, she starts turning towards her past and thinking that what she achieved in her life. She starts seeing her wishes and goals she wanted to achieve in her younger age. She feels she is aging and her vigour and beauty is reducing. She feels insecured, depressed and start fearful about her future. Her children become young and wanted the life in their own way, which make her more anxious as children might go away from her and also anxious about her children future.
Symptoms
• You find yourself indulging in a lot of daydreaming and fantasizing.
• You experience deep feelings of fatigue, boredom, irritability, and self-doubt without any known or unknown reasons.
• You feel unintentionally attracted towards alcohol, drugs and food.
• Your sexual desire easily fluctuates between increasing and decreasing.
• You lose interest in your marriage and hence, seek for separation.
• You no more have confidence in you and suffer from low self-esteem.
• You are no more interested in raising your children. Contrarily, you exert intense pressure on your kids for academics, sports, and so on.
• You start getting conscious about your looks and desire going back to your youthfulness.
Homoeopathic approach towards midlife crisis
Homeopathy medicines can be used to treat both acute and chronic disorders. At the same time they are helpful in emotional crisis and physical ailments as well, as Homoeopathy covers mental, physical and emotional plane.
Some Homeopathy medicines which helps to treat the midlife crisis of women:
FOLLICULINUM
Folliculinum is made from ovarian follicle, which is folliculin, the natural hormone secreted by the ovaries and also known as oestron.Folliculinum can be alternated daily with any other appropriate remedy.Folliculinum for hormonal symptoms during menopause of:  Hot flashes: night sweats, feels hot and bothered, and facial flushing.Vaginal dryness. Yellow or brownish vaginal discharge. Menstrual cycle irregularities: either too short, too long, or none at all; flooding; pre-menstrual syndrome. Fibroids. Cystitis that recurs premenstrually, or chronic cystitis in menopause, chronic E. coli infections. Candida, yeast infections. Hair loss. Cardio-vascular problems: angina, palpitations, tachycardia, and other heart irregularities.Dizziness, air hunger, and faintness. Headaches and migraines.Weight gain without over eating, both obesity and water retention; and can gain up to seven pounds before periods. Abdominal swelling and heaviness; bloating; stomach rumblings. Chronic constipation, sometimes alternating with diarrhea. Heavy feeling in rectum. Swollen liver.Cravings for sugar and wheat. Allergies of all sorts, hay-fever, allergic reactions. Skin rashes; itching; dry and chapping eczema; easy bruising.Feels drained emotionally or psychologically; over estimates her energy reserves. Is full of self-denial. There can be panic attacks. Hyperactive worse for resting.Symptoms are: Better from: during menses except specific menstrual symptoms, after the 3rd day of menses, movement, fresh air, hard pressure. Worse from: before menses, from and during ovulation until to menses, heat, warmth, noise, touch, resting, motion.
 AMYLENUM NITROSUM 
Hot flashes that comes on very suddenly and unexpectedly, with congestion to the head, heat of especially the face followed by profuse sweating, with anxiety and palpitations; flushing of face provoked by the least emotion and which can spread to other parts of the body; profuse perspiration of female genitals during menopause. Other symptoms during menopause: throbbing headaches with burning sensation in head and ears, with surging of blood to head and face, face is fiery red, migraine worse left side; congestion of female organs. Hysterical tendencies with great anxiety as if something bad might happen. Cannot sit still, and constant stretching of limbs. Symptoms are Better from: open air, exercise in open air, cold water; and Worse from: menopause, heat, close room, emotions, slight causes.
ARGENTUM NITRICUM 
Heat flushing during peri-menopause. Flooding; hemorrhage of non-menstrual bleeding (metrorrhagia) during menopause; involuntary urination Depression during menopause with feelings of being neglected or forsaken, abandoned, and isolated. Oversensitive regarding anything they consider an undeserved slight. They feel enveloped in a dark cloud. Excitable during peri-menopausal period. They will avoid ordeals of any kind. Symptoms are Better from: fresh air, cold air, riding or walking in cold winds, cold bathing and compresses, after belching, in company; and Worse from: heat of any kind, being overdressed, summer, at night and early morning- 11 a.m., crowded room, mental exertion or excitement, from emotions, events, disturbances, sweets, sugar, right-side.
AURUM METALLICUM
Mild heat flushes during peri-menopause. Depression before during and after menopause. They feel surrounded by a darkness, in a black cloud. They crave sunlight and dislike cloudy days. They feel hopeless, despairing and doomed, and there is a sense of utter worthlessness, which is followed by self-destructive attitudes. Symptoms are Better from: sunny weather, dry weather, cool open air, warm bed, movement, walking in open air, evening, music, moonlight; and Worse from: grief, emotions, excitement, failure, cloudy weather, winter, spring, from sunset to sunrise, night.
CIMICIFUGIA RACEMOSA 
Hot flashes in the evening at 10:30 p.m. Other symptoms during menopause of: external numbness and feeling as if whole body is numb; pain under left breast; uterine pain; jerking movements; insomnia.Particularly for active women; with rheumatic conditions, who are nervous and suffer ovarian irritation, uterine cramps and heavy limbs. Depression with sensation of gloomy cloud enveloping her. Symptoms are Better from: rest, warmth, warm wraps, open air, eating, continued motion, pressure, grasping things; and Worse from: menopause, during menses, morning, night, cold (except headache), damp cold air, change of weather, movement, emotions, alcohol.
IGNATIA AMARA
Hot flashes with sensation as if about to perspire but no moisture; perspiration in single parts, especially during forenoon, and ameliorated while eating. Anxiety during flushes of heat during menopause. Other symptoms during menopause: headaches; sinking feeling in stomach; vaginal sensitivity and nervous irritability of female organs and tissue; sinking feeling.Depression and grief, with hysterical tendencies, nervousness, and irritability during menopause. They are on an emotional roller-coaster and there is emotional intensity and can enjoy being sad. They suffer many internal conflict with themselves. Symptoms are Better from: while eating, warmth, change of position, when alone, deep breathing, walking, occupation and diversion, distracting activity; and Worse from: emotions, chagrin, worry, fright, loss of a person or possession dear to them, grief, repressed anxiety, suppressed depression, consolation, at the same hour each day, morning, open air, cold, external warmth, after meals, tobacco, smoking, strong odors, right side, yawning, standing, before and during menses.
LACHESIS 
Sudden heat flushes and clammy sweats during the day; with heat and burning pain in the vertex (top) of head, heat flushes in face and redness of face; flushing from emotions, from mental exertion, after eating; heat flushes may be with or without perspiration, and sweats may come on with and from mental exertion; hot flashes and sweats at night; perspiration is clammy and may be better after eating; profuse perspiration of female genitals during menopause. Menopause causes many aggravations and one does not feel well during and after. Other symptoms during menopause: constricted feeling around abdomen, worse pressure of cloths; stomach feels empty; sensation of a ball in the throat; weak empty feeling in stomach; diarrhea; hemorrhoids; weariness; difficulty breathing; nose bleeds; dizziness; palpitations; fainting; convulsions; weakness; vertigo and tinnitis; violent and burning headaches at top of head, pain in temples, and left-sided migraines, worse on waking in the morning; high blood pressure, heart feels too large, and there is a cramp-like pain in the chest wall over the heart; palpitations; chest congestion and heavy feeling in chest; cramps during the night; neuralgia; insomnia; convulsions; ovarian fibroids; ovarian cysts; hemorrhoids are worse during menopause; congestion and nervous irritability of female organs and tissue; uterine pains; flooding, heavy menstrual periods and/or non-menstrual bleeding (metrorrhagia) during menopause with black, thick and offensive blood; desire for coffee; bruises easily; hives and boils. High sexual energy and insatiable desire; increased desire during menses, pregnancy and menopause; feels worse from suppressed sexual desire.Depression and irritability comes on before, during and after menopause, and there are strong tendencies to unwarranted suspicion, envy, jealousy, insecurity and resentment. They can be excitable, forgetful, hysterical, and behave like a crazy person. They can suffer insanity and anger with anxiety during menopause. Mental over-excitement, overly talkative changing from one subject to another. Anxiety in the morning and on waking. They are compelled to hurry in every thing they do. There may be poor memory and confusion.Symptoms are Better from: free discharges, loosening cloths, sitting, breathing, open air, cool fresh air, cold, warm compresses, alone, night for mental labor, eating, swallowing food; and
Worse from: in the morning and from sleep, menopause, start and close of menses, left-side, left then right side, 11 a.m.; heat of room and sun, warm and or wet weather, warm bath, spring, summer, summer solstice, sun, scratching, touch, pressure, tight constrictive clothes especially around neck, throat or waist, narcotics, empty swallowing.
PULSATILLA
Hot flashes of especially the face, and the rest of the body feels chilly when not flushing; hot sweats worse at night and from heat, but is not thirsty; is almost always weepy. Other symptoms during menopause: vaginal yeast infections; cervical erosion; asthma starting during menopause; irregular periods; uterine pains and non-menstrual bleeding (metrorrhagia); involuntary urination; varicose veins; nose bleeds; left-sided migraines and headaches with pain in temples; tinnitis; palpitations; insomnia; skin bruises easily; rheumatic pains in extremities, especially hip pains; weight gain; fluid retention; desires sweets; osteoporosis; post menopausal ailments and hormonal disturbances (estrogen). Female problems and hormonal imbalances of menopause, miscarriage, and infertility. Given constitutionally it regulates high estrogen metabolism with progesterone imbalance.Highly emotional and feminine people who fear being neglected, feel easily slighted and craves sympathy. Though generally mild mannered, their personalities can bend “which ever way the wind blows,” changeable, blowing hot and cold. Constant and lifelong fears of anything or everything, with fixed ideas about religion, sex and food. They are weighed down by their anxiety and feel cautious, discouraged and suicidal. Depression with feelings of abandonment, neglect and dependency on others. Anxiety is felt in the stomach. Depression and weepiness. Mental imbalance, changeable moods, over-excitable; claustrophobia; anxiety in pit of stomach during peri-menopausal period. Symptoms are Better from: fresh open air, cool rooms, windows open, cold, dry weather, cold bathing, cold compresses, slow walking, gentle motion, weeping, sympathy, evening; and Worse from: heat and warmth, warm rooms, humid conditions, change in weather from cold to warm and warm to cold, being chilled and wet weather; too many clothes, warm compresses, late afternoon, evening, night, after eating.
SEPIA
Hot flashes that move upward with profuse perspiration, and weakness after a flush; especially during the day in the afternoon, in the evening and at night, and worse for slightest exertion mental or physical; anxiety during hot flashes; hot sweats worse at night; offensive smelling sweats; profuse perspiration of female genitals during menopause. Other symptoms during menopause: anxiety; palpitations; weakness and sudden fainting worse before periods and in a room full of people; sinking sensation in the stomach; weight gain; increased or lack of appetite; difficult breathing; hair loss; migraines, left-sided headaches, burning at top of head; nose bleeds; early, irregular and heavy periods with flooding; congestion and nervous irritability of female organs and tissue; backaches better for movement; involuntary urination; nose bleeds; osteoporosis; vaginal discharge, vaginal dryness; vaginal yeast infections; vaginal pain during sexual intercourse; uterine pain; ovarian pain; cervical erosion; heavy menstrual periods during, metrorrhagia during and after menopause; total loss of sexual libido; constipation; weariness; generally chilly. Hysterical tendencies during menopause; anxiety and mental imbalance in peri-menopause and during menopause. Anxiety during menopause with flushes of heat. Anxiety in the evening but improves in the morning. Anxiety makes them walk faster. Agoraphobia with fear of going out; dread of meeting with friends. Claustrophobia in narrow places. Poor memory and difficulty concentrating worse under stress; irritable and over-sensitive. Menopause causes may symptoms. Depression is worse on waking in the morning, but better after getting up. They become indifferent to everything and everyone with disgust for life. They do not want to do anything, neither work nor play, even thinking is an exertion. They tend sulk and lash out at those closest. Withdraws and may use alcohol or marijuana to escape. Symptoms are Better from: vigorous exercise and motion, walking fast, rapid motion, dancing, lying down, rising up, napping, crossing limbs, open air, during a storm, thunder and lightnings, afternoon, evening after eating, when alone, firm pressure, touch, loosening clothes, heat/warmth, hot compresses, drawing up limbs, after sleep, afternoon, darkness, tobacco; and Worse from: rest, lying in bed, before sleep, during first sleep, after sleep in the morning, slow movement, physical exertion, jarring, kneeling, stooping, while standing, touch, after sex, sexual excess, before and during menses, left-side, consolation, morning, evening, emotional upsets, becoming cold, open air, when heated, before thunderstorms, full moon, increasing and decreasing moon, spring, winter, dusk, during and after perspiration, washing.
SULPHURICUM ACIDUM
Hot flashes in face, with clammy, sticky sweats, worse in the evening, at night, and after exercise; red face; with perspiration and especially while eating warm food. Other symptoms during menopause of: trembling inside; pains at menopause; cervical erosion; prolapse uterus and vagina; emptiness in stomach; nosebleeds; canker sores and mouth ulcers; alcoholism; weariness. Older women who are weak during the menopausal years. Hurry and haste in movements, cannot do things fast enough. Irritable and fretful over slightest cause. Symptoms are Better from: warmth, moderate temperatures, rest, hands near head; and Worse from: menopause, lifting arms, odor of coffee, evening.

Dr.Devendra Kumar MD(Homeo)
International Homeopathic Consultant at Ushahomeopathy
I am a Homeopathic Physician. I am practicing Homeopathy since 20 years. I treat all kinds of Chronic and Acute complaints with Homeopathic Medicines. Even Emergency conditions can be treated with Homeopathy if case is properly managed. know more about me and my research on my blog https://www.homeoresearch.com/about-me/
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