Treatment of menopause in women

How does the climax begin? The first signs of menopause are a change in the nature of menstruation: a change in their intensity and frequency. Countdown of climacteric changes starts from the first recorded violations. The duration of the complete extinction of reproductive function in each woman is individual, but on average it is 1-2 years, although the period can be much longer. The average age of menopause is 45-50 years.

Stages of climax

There are three consecutive stages of climax.

Premenopause – Premenopause associated with persistent menstrual cycle disturbances. The gap between critical days becomes longer, until they disappear completely. Bleeding during this period can be very strong or, on the contrary, insignificant. In the period of premenopause, chest pain, uterine bleeding, hot flashes, and a feeling of rapid heartbeat can be observed.

Menopause is the complete cessation of menstruation. During this period, the ovaries finally stop producing hormones.

Postmenopause – The third phase, in which the restructuring of the hormonal balance is completed, is characterized by a decrease in tone and dryness of the vagina, a decrease in the size of the uterus.

Early menopause: causes

Normally, menopause occurs at the age of 45-50, but in recent years, doctors have noticed signs of premenopause in 40-year-old women. The reasons for the development of early menopause in women are:

• hereditary factors;
• Bad Habits;
• having more than one abortion;
• overweight;
• irregular sex life;
• diets and fasting;
• chronic psychological and physical exhaustion of the body;
• autoimmune diseases;
• disorders in the work of the endocrine system;
• gynecological diseases.

Normally, hormonal changes occur imperceptibly, without causing a woman noticeable discomfort. However, in some cases there are unpleasant symptoms of menopause:

• tides; anxiety;
• sleep disturbance;
• neuroses;
• heart failure;
• growing feeling of weakness;
• dizziness;
• nausea;
• hyperemia of the skin;
• increased sweating;
• dyspnea;
• fluctuations in blood pressure;
• enuresis;
• lowering of the walls of the vagina;
• deterioration of the skin.
• The consequences of climax also include:
• disorders in the work of the cardiovascular system;
• osteoporosis (fragility and fragility of bones);
• change in posture (hunchback appears, height may decrease by several centimeters);
• pain in the lower back, joints;
• metabolic disorders, which can lead to the development of diabetes, obesity, etc.

Diagnosis of climax

The removal of negative symptoms of menopause will not be effective without a preliminary diagnosis. That is why the diagnosis includes:

• gynecologist examination;
• cytological examination;
• Ultrasound of the pelvic organs;
• mammography
• biochemical blood analysis;
• coagulogram;
• electrocardiography;

 Treatment of menopause

Treatment of menopause in women is closely related to its prevention. Timely diagnosis of the initial symptoms of menopause will help correct its course and avoid serious consequences. Do not forget to visit a gynecologist once a year, even if there is no apparent reason for this. In adulthood, when the body is faced with hormonal changes and menopause, the doctor's attention is especially appropriate.

Non-hormonal treatment of menopause

Non-hormonal treatment of menopause is aimed at normalizing the work of the entire body as a whole. For this, drugs that improve the work of the nervous system and multivitamins are prescribed. Taking calcium is recommended to prevent the development of osteoporosis.

Еxercise therapy

Physical therapy (yoga, breathing exercises, pilates) helps to relieve well-being, prevent uterine prolapse, and improve the tone and blood supply of the pelvic organs.

Hormonal treatment of menopause

Hormonal therapy is used when ovarian function is reduced. It is necessary for:

• removal of symptoms of climacteric syndrome: hot flashes, excessive sweating, insomnia, weakness, irritability, depression, etc.;
• slowing down of atrophic changes of the urogenital tract, namely vaginal dryness, accelerated or involuntary urination;
• prevention of osteoporosis, ischemic heart disease, depression;
• for the treatment of urogenital and sexual disorders;
• improving the quality of life of women in general.

Hormonal treatment of menopause has a number of absolute contraindications:

• breast cancer, present at the moment or suffered in the past;
• hormone-dependent malignant neoplasms of genital organs;
• internal bleeding of unknown origin;
• idiopathic or acute venous thromboembolism (deep vein thrombosis, pulmonary embolism);
• the presence of diseases associated with arterial thrombosis (angina, myocardial infarction);
• untreated hypertension;
• acute forms of liver diseases;
• intolerance to the components of a specific drug.

Relative contraindications to the use of hormonal treatment of menopause include:

• endometriosis;
• uterine myoma;
• migraines;
• venous thrombosis and/or thromboembolism in history;
• familial hypertriglyceridemia;
• gallstone disease;
• epilepsy;
• increased risk of developing breast cancer.

Women who are diagnosed with menopause in natural terms are recommended to be prescribed replacement therapy for 5 years, with further discussion of possible transition to other treatment options. Practice shows that the duration of HRT does not exceed 5-7 years. If menopause is diagnosed before the natural term (up to 45 years), the use of therapy is justified, at least until the age of its natural onset.

If the patient is contraindicated to use hormone therapy or she refuses it of her own free will, it is recommended to consider an alternative treatment option for menopause - phytotherapy and homeopathy.

Climacteric syndrome can develop already at the first delays of menstruation (up to 80% of cases), but the maximum manifestations occur 1-2 years after the onset of menopause. The climacteric syndrome is able to level off on its own after 5-7 years, and 1-2% of women have periodic flushes for decades.

Do not self-medicate, get a qualified consultation from a gynecologist at the LeoDerm clinic. The doctor will help you relieve negative symptoms and ease the period of hormonal adjustment. Make an appointment and feel good again.