WHAT IS MENOPEASE? WHAT TO DO?
Oops!!!! I have entered menopause. Is my femininity over? In fact, this should not be the first question because much more important problems will arise with menopause. Let’s talk about puberty and reproductive age first. A woman’s egg count is determined while she is in the mother’s womb, and with the first menstruation, an average of one egg is consumed each month. From the first menstrual period until the last menstrual period, one of these eggs matures every month. This ovulation process continues until the eggs are gone, and after the eggs are depleted, menopause begins. Now what is menopause, perimenopause (the transition period to menopause) and premenopause (before menopause)? Let’s answer this question. Absence of menstruation for 12 months after the last menstruation is called menopause, and before this, it is called perimenopause and premenopause. During this period, a number of disorders will be waiting for the woman. There is also early menopause or premature egg depletion, which is the complete cessation of menstruation before the age of 40. Here, some changes and disorders occur in the body both in early menopause and in menopause, which occurs at a normal time.
What are these disorders and complaints?
1 Hot flashes and night sweats
2 Cardiovascular diseases
3 Bone resorption (osteoporosis)
4 Sexual disorders, sexual reluctance, vaginal dryness
5 Alzheimer’s , Dementia and decreased cognitive functions
6 Skin problems
7 Sleep disorders inability to fall asleep or wake up
8 Fibromyalgias, restless legs syndrome and joint pain
9 Bowel problems, constipation and bloating
10 Emotional changes, depression, anxiety, etc.
In order to eliminate all these undesirable complaints that impair the quality of life, we use hormone replacement therapy, that is, hormone therapy, with appropriate doses and appropriate application methods, both before menopause, during the menopause transition period, and during menopause. Of course, we have very important examinations to be done before starting this treatment. What are these?
1. A comprehensive gynecological examination (intrauterine thickness, ovaries and uterus image)
2. Cervical cancer research test, which we call cervical smear
3.Mammography
4. Our routine blood tests
5. Carotid and vertebral artery flow if smoking
According to the results of all these, age, menopause and all factors are evaluated and personalized treatment is started. Endometrial thickness is evaluated 2 months after treatment is started. Afterwards, the necessary examinations are made every year and the treatment is continued. Menopause treatment should be started after cessation of menstruation or within the first 10 years from the transition period. In cases exceeding 10 years, initiation of treatment will not be beneficial, and it may also cause some harms.
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