Review of Menopause
Menopause means permanent menstruation. Is a postmenopausal woman pregnant? This is a question that is often asked. Women after menopause lose the ability to conceive and experience mild to severe symptoms due to severe hormonal changes. Menopause is usually over 40 years old, but if it occurs before the age of 40, it is called premature menopause.
The cause of menopause is primary ovarian failure, as a result of which the hormone estrogen secreted by the ovaries decreases and the amount of fsh increases, and these hormonal changes cause a series of symptoms and complications during menopause.
Menopause has two stages:
1- The first stage or stage of menopause or pre-menopausal stage: in which the menstrual cycle becomes irregular due to the slow decrease of estrogen hormone. Menstruation may not occur in some months. This stage continues until the last period occurs and after that menstruation no longer occurs and the person enters the stage of complete menopause.
2- Complete menopause stage: From the last menstrual period, if no other menstruation and period occurs for a year, ie the person has entered full menopause and no longer menstruates after one year, menstrual bleeding should not occur. Longer-term symptoms of menopause include osteoporosis and heart disease.
1- Flushing and night sweats
2- Sleep problems and mood swings
3- Vaginal dryness and urinary incontinence
These symptoms usually occur 4 to 5 years before menopause, and with complete menopause the severity of some of these symptoms decreases.
Flushing and night sweats: Feeling of intense heat, especially on the face and upper body, which sometimes lasts a few seconds to a few minutes and may occur several times during the day and especially at night. These symptoms can be treated with medications It is prescribed by a specialist doctor to be controlled. These drugs include hormonal and non-hormonal drugs.
Sleep problems and mood swings: which due to hot flashes and night sweats may occur sleep disorders and mild depression occurs during this period, the following can be tried to reduce sleep disorders:
– Avoid heavy meals at night.
– Avoid smoking.
– Reduce coffee and caffeine in the afternoon.
– Do not nap during the day.
– Use milk or yogurt before going to bed.
– Sleep in a quiet and cool room.
– To improve the quality of sleep, treat cramps.
Vaginal dryness and urinary incontinence: Itching, and pain during intercourse, burning sensation and urinary incontinence are common problems of menopausal women.
These women feel discomfort during sexual intercourse. Of course, you can use lubricants and vaginal moisturizers to dry the vagina, but today, vaginal laser is used to relieve dryness and pain during intercourse and urinary incontinence, which is 2 to 3 Vaginal laser sessions can reduce these symptoms better than creams and lubricants.