What Is Amenorrhoea?
Menopause in women refers to the decline of ovarian function and stop of menstruation. Menopause can be divided into natural menopause and artificial menopause. Natural menopause refers to menopause caused by physiological depletion of follicles in the ovary. Artificial menopause refers to the surgical removal of bilateral ovaries or other methods to stop ovarian function, such as radiation therapy and chemotherapy. Excision of the uterus alone while retaining one or both ovaries is not considered artificial menopause. A series of symptoms caused by fluctuations or reductions in sex hormones before and after menopause are mainly autonomic nervous system dysfunction, and a group of syndromes with neuropsychological symptoms is called perimenopausal syndrome or menopausal syndrome.
Basic Information
- Chinese name
- menopause
- Foreign name
- Menopause
- Menopause age
- Natural menopause is between 45 and 55 years old
- Common symptoms
- Irritability, irritability, insomnia, anxiety, hot flashes
Menopause classification
- Natural menopause
- It refers to the exhaustion of follicles in the ovary, or the remaining follicles have lost their response to gonadotropins, the follicles no longer develop and secrete estrogen, and cannot stimulate the growth of the endometrium, leading to menopause.
- 2. Artificial menopause
- Refers to surgical removal of bilateral ovaries or other methods to stop ovarian function.
Menopausal clinical manifestations
- Menopause represents a decline in ovarian function, exhaustion of estrogen secretion, cessation of menstruation, and termination of reproductive function. Generally divided into three stages: premenopause, menopause and postmenopause. Menopause is calculated based on the time of the last menstrual period of women. Most women naturally menopause between the ages of 45 and 55.
- Postmenopause can cause some discomfort due to the sudden and obvious lack of estrogen, which can occur in premenopause. Often manifested as changes in mood and mood, irritability, irritability, insomnia, anxiety, upset, depression, paroxysmal flushing, hot flashes, sweating, dry skin, itching, and sometimes ants crawling, The skin loses elasticity, wrinkles increase, muscles gradually relax, and there is pain, fatigue or fatigue, headache, dizziness, and unstable blood pressure. These symptoms are called menopause syndromes.
- Recent symptoms
- (1) Menstrual disorders
- (2) vasomotor symptoms
- (3) Symptoms of autonomic disorders
- (4) Psychological and neurological symptoms
- 2. Long-term symptoms
- (1) urogenital symptoms
- (2) Osteoporosis
- (3) Alzheimer's disease
- (4) Cardiovascular diseases
Menopause
- 1. Determination of serum follicle stimulating hormone (FSH) and estrogen (E2)
- Menopausal transition FSH> 10U / L, suggesting a decline in ovarian reserve. Amenorrhea, FSH> 40U / L and E2 <10 20pg / ml, suggesting ovarian reserve failure.
- 2. Clomiphene Excitation Test
- From the fifth day of menstruation, clomiphene was administered orally at a dose of 50 mg daily for five days. The serum follicle stimulating hormone was measured on the first day of discontinuation. If the serum FSH> 12U / L, the ovarian reserve function was decreased.
Menopause diagnosis
- It is not difficult to diagnose based on medical history and examination.
- The diagnosis of natural menopause is based on a retrospective judgment of perimenopausal women who have stopped menopause for 1 year. It can be with or without perimenopausal symptoms, and most do not require auxiliary examinations. It is not difficult to diagnose artificial menopause by analyzing the causes of menopause.
- For women with shorter menstrual periods, a pelvic exam must be performed to understand uterine size; a urine pregnancy test and B-ultrasound may be performed if necessary to exclude early pregnancy. Because perimenopausal women also have occasional ovulation and conceive, do not take it for granted and treat as menopause.
Menopause treatment
- Purpose of treatment: Relieve the recent symptoms, early detection, and effective prevention of senile diseases such as osteoporosis and arteriosclerosis. In principle, the goal should be to maintain the health of the body. Long-term medication is needed to prevent postmenopausal degenerative diseases.