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Understanding Menopause: Symptoms, Risks, and Hormone Replacement Therapy

Menopause or Menopause is the changing state ofwomanBoth physically and mentally It is caused by the ovaries stopping producing eggs. Causes a lack of female hormones People who enter menopause will have an average age of 45 – 55 years. The body will change as an early warning signal, such as an irregular period or irregular periods. And I missed my period for 1 year and it came back again. The latter will disappear permanently.

Some women may not have symptoms. Or there are only a few symptoms and they don’t last long. But some people may have very severe symptoms. Until it interferes with daily life In this case, it is recommended to consult a specialist doctor to consider receiving hormone replacement therapy. which the doctor will consider as appropriate

Asst. Prof. Dr. Orwin Wallipakorn, Department of Reproductive Medicine The Department of Obstetrics and Gynecology provides information on “Preparing to deal with menopause appropriately” in the Doctor Rama Short Queue program through the channel “Rama Channel Rama Channel” Explaining that menopause is a condition similar to adolescence. When you’re a teenager, you’ll have raging hormones. But menopause is entering old age. The door of transition from adulthood to old age is called Menopause

For menopause It can occur in both men and women, but women have more prominent symptoms becauseperiodDisappeared is one of the warning signs. But men don’t have it.Warning signs

The concept of women’s menopause is that their ovaries stop working. The ovaries are responsible for producing female hormones that act throughout the body, including memory, skin, hair, heart, bones, joints, and most importantly, the reproductive system. cause menstruation The vagina is not dry. sexually aroused When the hormones disappear Symptoms from head to toe have arrived.

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Menstruation, a sign of menopause

Menstruation is one of the signs that The body has normal female hormones. If hormones are gone, the first sign is that menstruation has disappeared. For example, some women are not yet menopausal, but their periods have disappeared. It is also a warning sign of certain diseases such as the uterus and ovaries during menopause.

Menstrual symptoms disappear It is a warning sign that We’re out of hormones. The first warning signs It may come irregularly, coming every 2 – 3 months, or some people come 2-3 times in 1 month, but it comes in small amounts. What they call “Blood will go, wind will come” comes from women’s abnormal menstruation before menopause.

Warning signs

  • Menstruation is not normal.
  • Hot flashes
  • Fatigue, easily tired
  • cannot sleep
  • vaginal dryness

“All 5 signs don’t have to be complete. But my period has definitely disappeared. The medical profession will diagnose the patient as having menopause. Only when menstruation has been missed for 1 year and the age is compatible with menopause. And after that If menstruation returns again It must be suspected of menstruation or abnormal bleeding. It must be recommended to see a doctor.”

Hot flashes, agitation

Asst. Prof. Dr. Orwin further explained that Annoying side effects that can be encountered during the transitional age Some people may experience symptoms 2-3 years before menopause, namely hot flashes. You may be sitting alone and the heat comes up, it flashes up to your face, the heat heats up and then it disappears. Some people happen 10 times in one day, less than a minute at a time. The body will adjust. cooling Makes you sweat and goosebumps follow.

This will greatly affect the quality of life of women. Because most women aged 45-55 years are bosses. Many things must be managed. The child may be in his teens. There may already be chaos in life. And there are also symptoms of hot flashes. Sometimes it occurs while you are asleep, causing you to wake up, affecting your sleep cycle. Makes sleeping uncomfortable

“Sometimes husband and wife Cannot sleep in the same room Because the wife woke up, turned up the air conditioner, turned down the air conditioner, causing her husband to not be able to sleep with her. and disrupts women’s sleep. In addition, there are body aches and pains in small joints due to increased inflammation, including vaginal dryness, which occurs after 2-3 years of hormone deficiency. The main thing is less sexual desire. When having sex, it hurts more because the lubricant decreases.”

Hot flashes and irritability are only temporary. But after adjusting Get used to the lack of hormones. These symptoms will disappear. But vaginal dryness will still be there and will become more and more common. If we don’t treat

Entering the “menopausal age” early, risking disease.

For some people, there may be no symptoms at all. Except for menstruation Some women have red hot days. Every time you have your period, it has many effects on your body. But some people just pass by. Menopause is fine, but some people have all the symptoms. It depends on each person’s body’s sensitivity to hormonal changes.

The factor that causes many symptoms is that they end before 40 years of age. The symptoms are quite severe. Because menstruation ends early Especially Thai people, menopause ends at age 50. If it ends before 40 years, it is considered too early. until affecting long-term health Risk of heart disease and osteoporosis. This group recommends seeing a doctor to consider receiving hormone replacement therapy to prolong and reduce the risk of heart disease. and osteoporosis in the future

Another group is patients who have gone through menopause after ovarian surgery. It’s like going down an elevator. Hormones decrease quickly The symptoms are quite severe. And patients who are overweight and smoke are more likely to have these symptoms. Entering old age means aging is a downward spiral. We wouldn’t be healthy today if we didn’t control our diet. Exercise well

Coping after menopause

After menopause Muscles break down 1-2% per year. Bones also break down 1-2% per year. Elasticity of blood vessels. The function of the heart deteriorates with age, therefore, it is the definition of old age. We have to cope. How to make these deteriorations happen as slowly as possible? which is fortunate in women There is a warning sign. Most women come in to see the doctor to check their diabetes, lipids, breast cancer, and bone mass because they get older. Risk of developing various cancers will increase

“Seeing a doctor You have to see that menstruation is really over. And if you have symptoms, treat them accordingly. But if there are no symptoms, they will go through the health promotion process, checking blood pressure, diabetes, cholesterol, and recommending screening for breast and cervical cancer. If you still have sex, there is still a risk. But if you don’t have sex, it won’t increase your risk. Because cervical cancer is caused by an infection in the cervix. If there is no sexual intercourse, there is no chance of contracting new infections. The risk stops after you stop having sex.”

while “Breast cancer” It is a deterioration of the body. As I get older More screening is required. “Bones and muscles” Advise patients to do weight-bearing exercise such as walking and running, but not swimming. Because swimming doesn’t involve weight. Weight-bearing puts pressure on the bones. Stimulates bone regeneration, so bones will remain strong after menopause. Important: Exercise. Good for bone mass Muscle mass and heart

Next is eating Try not to get fat. Because after menstruation ends The metabolism will get worse. If you eat the same amount as before, you will definitely become fatter. You may have to choose foods that maintain the strength of your bones and muscles. What most people forget is that they don’t have enough protein. You have to eat 1 gram per 1 kilogram and foods that are high in calcium and vitamin D. Eat vegetables and fruits to get all the vitamins. Avoid risk factors such as sleep deprivation, fatty food, alcohol, and cigarettes. We may be able to tolerate them when we are teenagers. But as you get older, it will begin to deteriorate.

secret of youth

  • relieve stress
  • exercise
  • Eat nutritious food, green leafy vegetables, fruits.
  • Avoid alcoholic beverages and smoking.

Is it necessary to take hormones?

Asst. Prof. Dr. Orwin further said that Niyam “old age” The doctor’s thing is the decay of the body. But some people may think that aging is a matter of sexual performance. The beauty of one’s appearance must be considered whether it is worth it or not to take hormones in order to maintain this, or whether hormones are really beneficial or not.

But the medical use of hormones There is no way to prolong aging. Currently, there is no such concept. I used to have beliefs. But there is proof that taking it may not be that beneficial. But there are indications in certain cases, such as treating menopausal symptoms, osteoporosis, or in patients who have gone through menopause. There are clear indications. But if you want to take it to stay 2000 years young, it is recommended that it be at your doctor’s discretion.

But there are some people who are executives. When entering menopause There may be forgetfulness and forgetfulness. Decision making has changed, memory is shortened, patients are now seen on a case-by-case basis. If it affects work and is in a position to affect decision making You may come see your doctor to receive hormones. Hormone exposure is associated with memory loss. Especially for people who went through menopause before 40 years of age, taking hormones can slow down memory loss. But hormones must be taken in the correct way.

If taking only estrogen Will cause abnormal bleeding. and can develop mucosal cancer or take in doses that are too high May stimulate breast cancer. current trends The use of hormone replacement therapy depends largely on the patient’s risk profile. If the patient is healthy, they can consider using hormones. by the hormones currently used It will be as close to nature as possible. Compared to 20 years ago

Menopause and sexual feelings

As for “sexual feelings,” some people may be concerned. Quite sensitive in Thailand Some women who have done research Menopausal women often understand that when menstruation ends, The duty here is finished. There is no need to have sex. But on the other hand, men enter menopause. There will be a decrease in sexual performance. Doves do not crow. Therefore, in the concept of menopause Men will be proud. He will not enter menopause yet. Can do activities If the spouses are the same age One person is proud to still have it. But another person thinks that there is no need. causing a mismatch in beliefs

“There is information that Menopausal woman who are still having sex Even though menstruation is over It will be better for your health in the long run. Have a better quality of life Vaginal dryness, frequent urination, urinary tract infection It will decrease if the patient continues to have sex. The longer you abstain, the more you will begin to have sex again. It will be dry and painful than before. But if you can’t, feel distressed, you may need to see a doctor. to use topical hormones To make the pain less and heal.”

What to do to slow down the “menopausal age”?

Asst. Prof. Dr. Orwin went on to say that basically, whether entering menopause is early or late is not much different. It depends more on taking care of yourself after menopause. If menopause is delayed, it’s definitely better because sex hormones help slow down the menopause. There is less inflammation in the body than with menopause. Ways to take care of yourself to slow down menopause are:

  • Take care of your health
  • exercise
  • Keep your weight in check.
  • Eat well, sleep well
  • Not stressed

Women entering menopause should see a doctor. Women in general will see a doctor. Number 1 is during prenatal care. Number 2 is during menopause. Therefore, people who come in to consult a doctor to prepare to enter menopause. It will increase the opportunity to take care of ourselves as we enter an aging society. Therefore, it will be an opportunity to reduce bedridden elderly people.”

If you enter menopause and don’t want to get old, the main thing is to exercise especially. “Weight training” Must build muscle mass Lifting weights to maintain muscle mass will reduce insulin resistance. and increase fat burning Reduce inflammation in the body And most of the elderly people have slouched backs. Because the back is the part where weight training is difficult. Most people will lift their legs and arms, but the back muscles are quite difficult. Affects posture, personality and is related to spinal collapse in the elderly.

2024-04-07 07:00:00

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