Tobacco, alcohol, caffeine, and other drugs

Tobacco

Menopause can be a meaningful time to reflect on health goals, and for some people, that may include reducing or quitting smoking. Research suggests that people may find it easier to make changes during life transitions like menopause. Smoking has been linked with earlier onset of menopause- on average, about two years sooner than those who don’t smoke. It can also contribute to increased risks for conditions like heart and lung disease, bone loss, hip fractures, tooth loss, and changes in skin appearance.

For those using tobacco or nicotine products (including nicotine replacement products like patches or gum), it’s helpful to know that certain hormone therapy options may be more limited. If you’re thinking about cutting back or quitting, your health care provider can offer a range of supports that match your goals, including nicotine replacement, medications, and counseling.

Alcohol 

Some research indicates that alcohol use may affect how menopause symptoms show up, including hot flashes, sleep challenges, and changes in mood. Drinking more than two standard drinks per day, or more than 10 per week, may also affect bone health over time by contributing to calcium loss and nutritional deficiencies. Alcohol can also increase the risk of falls and fractures, which can be more concerning as bone density changes with age. If you’re noticing how alcohol impacts your body or mood during menopause, consider discussing this with a health care provider. They can help you explore strategies that feel realistic and supportive for your lifestyle.

Caffeine

Caffeine can affect individuals differently, but for some, it may increase hot flashes or interfere with sleep. Paying attention to how caffeine (from coffee, tea, energy drinks, or chocolate) affects you can help guide your choices. Reducing intake gradually, especially later in the day, may help ease some menopause-related symptoms.

Other drugs

Substance use, including misuse of prescription medications or use of unregulated drugs, can have health impacts at any age, and older adults may experience unique challenges. These can include physical and mental health effects, as well as potential social, financial, or legal concerns.

If you’re exploring your relationship with substances and considering change, support is available. Treatment approaches are similar regardless of age and may include detox, medications, counseling, peer support, and more. Your health care provider can connect you to resources that respect your needs and priorities.