What is Andropause?

Female menopause syndrome refers to a series of mental and physical manifestations caused by a decrease in sex hormone levels before and after menopause, such as autonomic dysfunction and atrophy of the reproductive system. , Depression, and sleep disorders. Women's menopause syndrome is more common in women aged 46 to 50 years. In recent years, the age of onset has increased and the incidence has increased. ^[1]

Factors that affect women's menopause include genetic factors, environmental factors, regional factors, marital quality, reproductive age, mental and psychological factors, lifestyle habits, and diseases and therapeutic factors. ^[4]

Women's menopause syndromes usually occur in the 40 to 60 years of age, and most women can have symptoms ranging from severe to severe. About 85% of menopausal women are mostly able to relieve themselves, and about 25% of them have severe symptoms that affect life and work and require treatment. Menopausal syndrome can also occur in young women after surgical removal of both ovaries or after radiation therapy. ^[5]

Menopause Syndrome Drug Treatment

Prophylaxis and education of menopause should be started from prevention to keep patients optimistic and reduce unnecessary concerns.

General treatment: Mild patients generally do not need to take medication for treatment, if necessary, respect the doctor's order.

Estrogen treatment: Before treatment with estrogen, a detailed medical history should be asked for a systemic examination. Focus on breast, pelvic and rectal examinations. Blood pressure, blood tests, urine routine, and vaginal and cervical smear tests. Regular follow-up and review during medication.

It is worth noting that hormone replacement therapy (HRT) usually includes estrogen therapy alone and estrogen and progestin combined therapy. Although the efficacy of the two is positive, due to the indications and contraindications, it may even induce endometrium. The potential dangers of cancer and breast cancer have affected their widespread use. Researchers Morrison MF ^[6] and others have found through randomized controlled trials that estrogen therapy is not an effective method for treating women's menopausal mild to moderate depression. Progesterone does not significantly improve the depressive symptoms of patients, even when combined with estrogen. The positive effect was slightly weakened when used alone.

Those who should not be treated with estrogen : tumors that have been affected by "hormonal effects", such as endometrial cancer, some breast cancers, and families with a history of such tumors. The cause of irregular uterine bleeding is not identified. liver disease liver dysfunction. Patients with edema caused by congestive heart failure or liver and kidney disease, patients with thrombophlebitis, uterine fibroids, hypertension, and diabetes should not use this therapy. ^[5]

Menopausal psychotherapy for women

Mental and physical health care for menopausal women is the task of the whole society. Psychological intervention for menopausal women helps them to control their emotions consciously. At the same time, it strengthens social support, creates a good living environment, reduces the negative stimulation of menopausal women, and effectively reduces the overall menopause. Signs happen. ^[7]

Patients must first understand that menopause is a normal physiological change process, and some symptoms are inevitable, and there is no need to be overly anxious. It is necessary to relieve the burden of thought and maintain an open-minded and optimistic mood. Participate in more entertainment activities to increase the joy of life. When the symptoms cannot be alleviated through self-driving, it is necessary to seek medical treatment in time to guide the psychological disorder.