Menopause Health Care & Treatments
General PracticeEndocrinology, Diabetes and Metabolism
Menopause is a natural transitional period that women experience, typically between the ages of 45 and 55, during which ovarian function gradually declines, leading to a decrease in oestrogen levels and the cessation of menstruation. During this stage, appropriate healthcare is crucial.
Symptoms
The symptoms of menopause can significantly impact daily life, including interpersonal relationships, social activities, family life, and work.
Common symptoms of menopause include:
- Physical Symptoms: Hot flashes, night sweats, palpitations, headaches, muscle and joint pain, weight changes, dry and itchy skin, decreased libido, vaginal dryness, and discomfort during intercourse.
- Psychological and Emotional Symptoms: Mood swings, anxiety, depressive feelings, decreased self-esteem, memory and concentration issues (often referred to as "brain fog").
- Sleep Problems: Night sweats and hormonal fluctuations may lead to difficulty sleeping, affecting daytime mood and mental state.
Menopause may also increase the risk of certain diseases, such as cardiovascular disease and osteoporosis. Due to the decrease in oestrogen levels, the risk of cardiovascular disease increases, and bone density may decrease rapidly, increasing the risk of fractures.
Methods
Here are some medical measures for menopausal health care:
- Diet and Nutrition: Increase calcium and vitamin D intake to strengthen bones and reduce the risk of osteoporosis. Consume sufficient vegetables, fruits, whole grains, and high-quality proteins while limiting excessive salt and sugar intake.
- Weight Management: Maintaining a healthy weight can help reduce the risk of cardiovascular diseases and diabetes associated with changes in oestrogen levels.
- Exercise: Regular physical activity can help maintain bone density, improve cardiovascular health, and alleviate menopausal symptoms such as hot flashes and night sweats. Recommended exercises include walking, swimming, yoga, and strength training.
- Mental Health: Menopause may be accompanied by emotional fluctuations. Engaging in social activities, meditation, psychological counselling, or therapy can help manage these emotional changes.
- Sleep Quality: Improve sleep environment and bedtime habits, Avoid caffeine and alcohol at night., Ensure adequate rest.
- Supplementary Therapy and Medication: For women with severe symptoms, Hormone Replacement Therapy (HRT) or other non-hormonal therapies, such as antidepressants, may be needed to manage menopausal symptoms.
- Regular Check-ups: Menopausal women should undergo regular health check-ups, including breast examinations and bone density tests, to detect and address related health issues early.
Through these measures, women can better manage the changes and challenges of menopause, maintaining both physical and mental health.
Hormone Replacement Therapy (HRT)
Hormone Replacement Therapy (HRT) is a treatment method for menopausal symptoms such as hot flashes, night sweats, vaginal dryness, and mood swings. This therapy alleviates these symptoms by supplementing the reduced levels of estrogen and progesterone in the body, and it can be administered through various methods such as oral medication, patches, gels, vaginal creams, etc.
- There are two main types of HRT: combination therapy containing oestrogen and progesterone and oestrogen-only treatment. Combination therapy can be further divided into continuous combined and sequential combined therapy, where continuous combined therapy involves daily intake of both estrogen and progesterone. In contrast, sequential combined therapy involves taking progesterone for several days each month.
- The benefits of HRT include relieving menopausal symptoms, protecting bone density from osteoporosis, and potentially benefiting cardiovascular health. However, it also carries some risks, such as an increased risk of breast cancer, heart disease, stroke, and blood clots, and significantly higher risks for women in menopause ten years after starting treatment.
The decision to use HRT and how to use it should be discussed in detail with your doctor based on your symptoms and health risks, and regular check-ups should be conducted to ensure that the benefits of treatment outweigh its risks.
For those who cannot use HRT, non-hormonal prescription medications for treating menopausal hot flashes or the use of lubricants and moisturizers for vaginal discomfort may be considered.
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