Menopause (menopause)

Causes, diagnosis and treatment of menopause
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About the service

About the service

It is impossible to cancel the process of extinction of the ovaries and go against the laws of nature, therefore it is necessary to treat menopause as just another stage in life. It is necessary to take all possible measures to ensure that this period is minimally painful and does not cause serious illnesses.

It is important to see a doctor. Treatment of menopause symptoms depends on the degree of their manifestation. The cessation of menstruation has a negative impact on the psycho-emotional state of the patient, so professional help from specialists is required. The onset of menopause can provoke problems with the endocrine and cardiovascular systems, for example, the development of arterial hypertension, coronary heart disease, etc. Additionally, there is a risk of exacerbation of chronic pathologies.

Menopause symptoms manifest differently for every woman. The duration of this period can vary significantly - from 2 to 10 years or more. The onset (premenopause) can occur at either 34 or 54 years of age. Usually, you can get a more realistic picture by asking your older relatives (mother, grandmother, aunt, sister) how it was for them: the onset of menopause, signs of menopause and other nuances of the menopausal period.

Every woman experiences different accidents and events throughout her life, but one thing is sure to happen - menopause cessation of the menstrual cycle, loss of reproductive function. Signs and symptoms of age-related changes in women in the body are connected to the “control center” - the brain. From about the age of 35, a woman’s pituitary gland and hypothalamus begin to gradual preparation for shutting down the reproductive system; there is a decrease in the level of various sex hormones in the body, in particular estrogen (and the number of eggs), which subsequently entails the disappearance of menstruation.

Symptoms of menopause

The decline of reproductive function is a long process, which can be accelerated by various bad habits, unhealthy lifestyle and certain chronic diseases, such as metabolic syndrome. Atrophic changes in ovarian function are accompanied by a number of symptoms of menopause:

  • Cycle disruption. When menopause begins, the duration can sharply increase or decrease, making it difficult for a woman to predict the onset of menstruation
  • Hot flashes accompanied by increased sweating. The onset of hot flashes for no other reason is a clear sign of estrogen deficiency
  • Headache, often similar to migraine
  • Sleep disorders
  • Emotional instability (mood swings, depression, irritability, etc.)
  • Rapid heartbeat and increased blood pressure
  • Memory deterioration
  • Dryness in the vagina
  • Burning, itching of the genitals associated with changes in microflora
  • Weakening of the muscle tone of the bladder, leading to urinary incontinence (problems with urination are common)
  • Weight gain
  • Cervical erosion
  • Decreased libido during menopause is a common occurrence
  • Breast mastopathy
  • Pain and heaviness in the chest area
  • Loss of skin turgor
  • Pigmentation on the neck and face
  • Bone fragility (osteoporosis) as a result of the accelerated aging process of bone tissue associated with a deficiency of hormones and microelements

Climacteric syndrome during menopause includes other manifestations or passes almost unnoticed, everything is individual.

Diagnosis of menopause in women

Diagnosis of menopause in a woman includes tests and examinations:

  • Blood test for FSH (follicle-stimulating hormone)
  • Estradiol is the main and most active sex hormone from the estrogen group
  • Progesterone is an endogenous steroid and progestogenic sex hormone
  • LH (luteinizing hormone) test
  • Biochemical blood test

It is impossible to cancel the process of extinction of the ovaries and reproductive system of a woman and go against the laws of nature, but you can reduce the risk of diseases, for example, vascular atherosclerosis, tumors of the pelvic organs, etc. Treatment of menopause depends on the degree of their manifestation in a woman.

During this period of life, it is important to see a doctor. The very first thing is a gynecological examination with a cytological examination. A referral to a cardiologist, neurologist, urologist, psychologist and other specialists is possible. The full list of doctors is determined taking into account the clinical manifestations of menopause in a woman. The examination necessarily includes an ultrasound of the pelvic organs. Only an integrated approach can eliminate the risk of developing diseases during the postmenopausal period.

In case of severe symptoms (severe hot flashes, sweating), the gynecologist prescribes hormone replacement therapy (HRT), i.e. replenishment of the deficiency of the female sex hormone estrogen with the help of drugs: tablets, creams, suppositories, patches, implants. Medications for menopause for hot flashes and sweating are selected individually.

Your doctor may prescribe the hormone progesterone to ensure the health of the uterus and its lining, preventing gynecological problems. Before prescribing hormone replacement therapy, the doctor will collect medical history and take into account the presence of other diseases, characteristics of the woman’s body, for which such treatment is contraindicated. It is important to remember that pregnancy is not excluded during menopause, so it is necessary to regularly check your health.

Many women's problems during menopause belong to the field of psychology. The attending physician may recommend a course of drug treatment with drugs intended for to change the climacteric state, improve mood, reduce anxiety, relieve vegetative and somatic disorders. In this regard, classes with a psychologist, yoga, meditation also help a woman. and other effective psychological techniques.

Good results in the treatment of menopause symptoms in a woman at any age can be given by herbal medicine recommended by a doctor. Herbal medicine will help to establish normal sleep, reduce excitability, increase vitality, remove hot flashes. It is necessary to take herbal preparations under the supervision of a specialist.

General recommendations for women in the age of menopause, with symptoms in pronounced form or simply with unpleasant sensations that prevent you from fully enjoying life, are as follows:

1
Healthy balanced diet
2
The use of products that activate metabolism.
3
Calcium intake in doses required by the body
4
Performing feasible physical exercises and loads

Don’t forget, menopause is not a disease, but a natural part of a woman’s life. It can occur early or around 40, 45, 50 or even 55 years old (everything is individual and you need to remember that there are reasons that delay or bring menopause closer). Knowing your condition means understanding your body's needs. To ensure that your health does not fail during menopause, you can consult a doctor at our clinic in Moscow and strictly follow all his recommendations for the prevention of menopause.

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Our doctors
Kappusheva
Laura Magomedovna
Deputy chief doctor in gynecology, obstetrician-gynecologist
Kamoeva
Svetlana Viktorovna
Deputy Chief Physician for Obstetrics and Gynecology, obstetrician-gynecologist
Pivovarova
Svetlana Victorovna
Head of the outpatient department, gynecologist, endocrinologist
Shevchuk
Alexei Sergeyevich
Oncogynecology consultant, obstetrician-gynecologist
Ozdoeva
Zara Salmanovna
Obstetrician-gynecologist, doctor of ultrasound diagnostics
Pegova
Maria Romanovna
Obstetrician-gynecologist
Smirnova
Angelica Yuryevna
Obstetrician-gynecologist, endocrinologist
Dukhina
Tatiana Alexandrovna
Obstetrician-gynecologist, ultrasound specialist
Sirotinina
Maria Vasilievna
Obstetrician-gynecologist, gynecologist-endocrinologist, ultrasound diagnostics doctor
Grishin
Igor Igorevich
Obstetrician-gynecologist
Gomov
Mikhail Alexandrovich
Consultant in oncogynecology, obstetrician-gynecologist
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