What is Menopause

November 11, 2009 | By admin In Women's Health |
What is Menopause ?
Women, on average, one third of his life in the period through menopause. Age of menopause and all over the world since ancient times did not show much change and the average is around 45-55. To 40 years before menopause, “early menopause” is defined as. Menopause usually regarded as a stage of life is natural. Indeed, menopause, women’s life after the end of the spawning function is a natural step. However, some changes which POSTMENOPAUSAL women’s lives and so deeply negative impact that the situation to the emergence of many diseases and causes of reduced quality of life of women. These days before the negative effects of menopause and to be treated like a disease is considered to be attempted. A natural part of life for women Menapozun do anything from monitoring because of no longer remains. Laboratory conditions, particularly women of ovarian hormones are produced and used in further processed this concept has come to the fore. The replacement of ovarian hormones POSTMENOPAUSAL decreasing the negative changes and menapoza all diseases can be easily pre or minimize.

The female hormone estrogen ovulation Menapozdaki fundamental changes as a result of the decrease stops. Thus, in women,

Hot flushes, sweating, palpitations
Insomnia, nervousness, (mental depression) depression, forgetfulness, fatigue, short temper
Sometimes in sexual desire (libido) decrease
Osteoporosis (osteoporosis)
Hardening of the arteries (atherosclerosis) tends to develop
Withdrawal of sexual organs (atrophy), dryness, painful relationship
To urinary incontinence in up to atrophy
arises.

Women wake up one morning, they find themselves do not have menopause. 20 years in the middle of menopause is the period of changes. After 40 years in women before ovulation, depending on the reduced irregular menstruation, intermittent hot flushes and sweats, psychological changes begin to emerge. Then gradually increases, and complaints unit is disconnected completely. 1 year in this period piece is sufficient for the diagnosis of menopause lack of bleeding. One of more than 6 months delay to investigate whether the blood that stimulate ovulation and estrogen hormone (FSH) levels were measured and precise diagnosis is. However, irregular periods or irregular bleeding menopause thought I should not be against the normal patient of these changes by contacting your doctor pregnancy and genital cancer in women can be seen from these diseases can be kept in mind should be investigated carefully.

POSTMENOPAUSAL HEART AND VASCULAR DISEASES
The reduction of estrogen hormone in women with POSTMENOPAUSAL of these hormones in cardiovascular disease protective effect disappeared because of hardening of the arteries and heart attack risk 60% increase. As a result of work done outside of the hormone estrogen reduce the risk at a rate of 25-50% was found. Hormone estrogen in the blood while reducing harmful fats increases the useful oils. Estrogen directly on the vascular relaxant also, has a positive effect. Fibrinogen in the blood clotting factors and also found to be less than those who used estrogen and vascular bed of a heart attack within the protective effect of reduced risk of clot formation has been reported to be also connected.

POSTMENOPAUSAL osteoporosis (OSTEOPOROSIS)
Approximately 25 million women in the United States with the problems of osteoporosis after menopause main mineral of bone tissue which is roughly the calcium deficiency as a result of aging and estrogen menapozdaki is permanently lost. The mean bone loss in the first 5-8 years, 4-8% per year while the women and then partially reduced each year approximately 1% of bone tissue and 75 years old when it loses, on average, 30% of the 35-year-old bone tissue is lost. Accordingly osteoporosis menapozla results with the rapidly growing pains with silent spine fractures, length contraction and kamburluk revealed. 65 years until a woman POSTMENOPAUSAL average 4 cm in length, 9 cm up to 75 years shorter. Depending on bone fractures in the spine collapse and rib cage emerged kamburluk result of the deterioration of the bone structure in patients with respiratory distress may develop. Impact of falling POSTMENOPAUSAL women hip, wrist and other bone fractures also can be exposed more easily. One of the most serious of these fractures are hip fractures and hip fractures after the 12-20% of patients are lost within 2 years. Patients undergoing hip fracture a portion of the rest are in need of constant care. Therefore, treatment and rehabilitation in the United States the annual expenditures amount to 20 billion dollars and this figure is increasing every year. Protection in this respect the most economical, easiest and most humane method stands out as our opposite. Ground for the risk factors for osteoporosis:

Multi childbirth
Smoking, alcohol use
Nutritional disorders (calcium-poor diet)
The absence of sun bathing habits
Sports do not have the habit of
Bound to the bed for a long time causing diseases
Some endocrine (hormonal) disorders (hyperparathyroidism, hyperthyroidism (goiter), adrenal gland, or excessive work as a medicine long-term intake of steroid hormones, etc.).
Connective tissue diseases (rheumatoid arthritis, sarcoidosis), liver cirrhosis, kidney disease, premature menopause
Genetic factors (presence of osteoporosis in family)

POSTMENOPAUSAL URINARY CHANGES ROADS
Lack of the hormone estrogen and feminine organs of neighborhood togetherness because of physiological functions that affect the urinary tract and bladder. Vaginal and urinary hole (urethra) support tissues are weak, the bladder function impairment may increase or if the urinary incontinence may occur. During this period, bladder hernia healing, uterine atrophy due (uterus) or urinary incontinence and vaginal prolapse of the reason may be. However, the most common cause of urinary incontinence is common POSTMENOPAUSAL bladder over-activity which is due to the untimely contractions (detrusor instability). These patients often miss out on the urine in the door jam, they are the toilet could not grow. 10% of pre-menopausal women in the period after the 20% in 30 common POSTMENOPAUSAL this situation is encountered. Applied to vaginal or oral estrogen hormone reduces or corrects complaints.

Menopause DIAGNOSIS AND TREATMENT

Minimize the negative effects Menapozun most important pre-condition recognize the earliest stage is to be started whether early treatment. In the first year because most are menapozdaki losses. Menopause as a basis to stop ovulation (natural) or the receipt of the ovaries (surgery) or not work depending on the damage occurs. After 40 years of age and do not menstruate for a period of 1 year or a woman with complaints without further research POSTMENOPAUSAL is acceptable. Menapoza transition period, pregnancy and malignant diseases that cause irregular bleeding should be distinguished. For this, see rare pieces that, flushing, palpitations, sweating and psychological changes a woman’s piece of the 3 on the blood taken, the ovaries that stimulate hormone (FSH, LH) levels has increased and more accurate diagnosis and treatment would have been early can be started immediately. Irregular (usually rare) piece on a woman with FSH at 40 pg / ml is placed strictly on the diagnosis of the menopause. FSH values 25-40 pg / ml in the case of the accession process began in menapoza, albeit infrequently, but ovulation and pregnancy are also thought to be. But in all cases of pregnancy and other diseases that cause irregular bleeding pregnancy test, ultrasonography and endometrial biopsy (abortion), etc. and should be investigated.

HORMONE THERAPY with

Disorder or lack of the hormone estrogen decline in the major is the basic treatment is to give the hormone estrogen. If the patient does not have not been diagnosed for the inconvenience;

Oral
Or a lot of bands with the gel skin pasted
Vaginal
estrogen replacement therapy is essential to begin.

Creates barriers to the use of hormone status:

New heart attack (myocardial infarction) who had
Transient ischemic attack
Been spent stroke (cerebrovascular accident), brain vessel blockages
Of liver function is corrupted
Presence of advanced tumors with estrogen (breast, uterus)
Thromboembolism (blockage of blood vessels with clotting damariçi)

Careful and controlled to be used when:

Ischemic heart disease (hardening of the arteries due to malnutrition)
Hypertension (high blood pressure)
Gall bladder diseases and stones
Diabetes Mellitus (Diabetes)
Hiperlipemi (blood fat, cholesterol, the rate is higher)
Migraine headaches
Million (in uterine tumors)

Before starting hormone therapy, possible side effects of these drugs used for many years and circumstances that may arise due to be known by the patient, preparation should be made. Preliminary research:

General body and gynecological examination, blood pressure, weight, weight measurement
Liver functions (liver enzymes in blood, fats, cholesterol is measured)
Blood and urine tests (general controls)
Cervical smear (cervical cancer to investigate the smear taken)
Mammography (breast cancer screening)
Endometrial biopsy and / or vaginal ultrasound and endometrial thickness measurement (the cervical cancer screening)
Fasting Blood Sugar (Diabetes investigation)
Electrocardiography (heart attack or malnutrition in the investigation)
If you need bone density measurements (to prevent fractures and to investigate the requirements for other drugs)
This tests the patient according to the state for at least 1 year intervals is repeated.

Hormone-free Treatment
Usually not directly against menapoza, created diseases (osteoporosis, etc.) and methods used against the drug contains.

Calcium Support
Bisphosphonates
Vitamin D
Diet
Calcium-rich diet is essential. Milk, yogurt, cheese, etc. try to pre-diet is bone loss.

Exercise
Simple 30-minute walk every day and lifting weights, muscle strengthening movements, is as important as medication. In the summer sunlight (ultra-violet) to benefit from regular sunbathing is useful.

TREATMENT OF DISEASES THAT

Although the prevention of disease could not be objective when the front is the appropriate treatment.

Melting of bone
Appropriate treatment is fracture occurred with physical therapy and rehabilitation will be provided. Arise due to fracture caused kamburluk physical therapy for pain and respiratory distress and is trying to help patients atellerle appropriate. For the prevention of the formation of a broken home, patients should be rearranged according to. Stair edges, bathroom and toilet to hold onto the arms are made. Power failure may occur immediately to avoid collision and fall special battery or stairs can be placed jenaratörlü lamps. Slippery in places covering materials (carpets, rugs, etc..) Can be made stable.

Urine Abduction
Bladder neck or bladder to sag to be increased activity (detrusor instability) depends. Bladder neck surgery in cases where the floating art; incontinence due to bladder muscle contractions untimely medicine, physical therapy and / or bladder treatment is appropriate based on the electrical simulasyonuna. What to do about treatment by a physician’s expert examination, laboratory and Urodynamic (bladder filling, micturition pressure and kidnapping with a computer record) should be decided in such studies. Well-chosen patients to treat urinary incontinence may lead to improved growth as.

PSYCHOLOGICAL PROBLEMS

Especially in the first year to be cut from pieces for women, hot flashes, sweating, loss of ability to bear children, such as missing woman disorders, isolation, depression, inner-closing, insomnia, excessive irritability and aggression may cause. In this case, get a psychiatric treatment recommendations and are needed. Exercises to try to make a deep problem.

Sexual Problems

POSTMENOPAUSAL sexual desire is not affected. Female sexuality is a behavior that can be learned. In general, pregnancy, fear elimination, professional life (career, earning money etc.) caused concern to reduce their child has grown up with a decreasing dependence on physical, year formed by experiences, spouses each other more well-known result of women’s sexual menapozdaki life even more color to be very natural. Menopause may occur when the period of depression and adjustment of sexual desire (libido) an amount panic without knowing the reduction would be appropriate to refer to counseling and treatment is the most rational way. Otherwise, the missing woman, worthlessness, feeling of being diseased may take longer to reduce their sexual desire, or may be permanent. Decreased sexual desire and vaginal entrance in the withdrawal from vaginal POSTMENOPAUSAL (atrophy) due to dryness and painful relationship and the related reluctance may occur. In such cases, a local hormone or lubricant gel applications, problems are solved. Do not forget “Life begins at forty”.

Menopause and Family

Menopausal women alone is a problem difficult to overcome. Spouses and children must be considerate and help women in this period. Support and suggestions of a woman with close menapozu easiest meet. This psychological support and suggestions, information, or to provide continued treatment may take the form.

Is also a period in your life naturally Menapozun without forgetting, by taking necessary measures to wish  happy life to spend!

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