Xiaolan, 27, did not expect it
I was young
Not yet married
Actually entered the "menopause"!
A few months ago, Xiaolan's "aunt" suddenly stopped coming, because Xiaolan's menstrual leave was often not allowed, so she did not care, until recently, Xiaolan felt inappropriate and came to the hospital for examination.
The doctor did a sex hormone test for Xiaolan, and the results showed that Xiaolan's follicle-stimulating hormone level was greater than 100U/L, and clinically, follicular-stimulating hormone exceeded 40U/L, indicating that the ovarian function was relatively low, and patients often had symptoms such as menopause.
"Menopause refers to the physiological stage before and after menopause in women, the transition stage from reproductive period to old age, which is a normal process in the aging process, most women have menopause for 5-10 years, mostly in women aged 46-50 years." Wang Xiaoyun, deputy chief physician of the Department of Gynecology of the Second Hospital of Zhejiang University, said, "But because of work pressure, genes and other factors, there are now many young girls in their twenties and thirties who have entered menopause early, and the hormones of the ovaries may be the same as those in their 50s." ”
What is it that makes menopause come early?
Stress has a big impact on women. Contemporary women not only have to work like men, but also have to take care of children and deal with family chores, and excessive pressure can easily lead to a decline in ovarian function. "The number of follicles in women is fixed, some people will have more follicles, some people will have fewer, and it may be decided at birth." Dr. Wang Xiaoyun said.
In addition to stress and genetic factors, if you get mumps at an early age, the virus can also have an effect on the ovaries. There is also the unfortunate tumor, etc., involving surgery or radiotherapy and chemotherapy, which will also affect the function of the ovaries, and the menopause of this part of the women will also be advanced.
How to tell if you are entering menopause?
Menopausal syndrome, also known as perimenopausal syndrome, is a group of syndromes caused by fluctuations or decreases in sex hormones before and after menopause in women during this period, mainly due to autonomic nervous system dysfunction, accompanied by neuropsychological symptoms. Entering menopause, the body sends out many "signals", short-term manifestations include:
Menstrual disorders: Some women's menstrual cycles are abruptly shortened, or suddenly delayed, and some suddenly do not menstruate
Vasoconstriction instability: manifested as a bout of fever, lasting 3-5 minutes and then better
● Autonomic dysfunction: manifested by sudden dizziness, palpitations, or insomnia, tinnitus, etc., some women will also have mental discomfort, such as sudden feeling depressed, irritable
In addition to short-term manifestations, there will be some long-term manifestations, typical of urinary tract and genital tract symptoms, such as frequent urination, repeated urinary tract infections, feeling vaginal dryness, lower abdominal discomfort, etc.
In addition, the reduction of estrogen in menopause will accelerate the loss of bone, which is prone to osteoporosis; and the metabolism of glycolipids will change, at this time, people are more likely to gain weight; and are prone to cardiovascular diseases such as increased blood pressure and coronary heart disease.
Not coming to the aunt is menopause?
No menstruation does not represent menopause, whether it is menopause, mainly to check the level of sex hormones, which needs to go to a regular hospital for examination and judgment. Outpatients who are often in their 40s do not come to menstruation for a long time and think that they are menopause, but after a period of time, suddenly menstruation comes again, and the bleeding cannot be stopped for a long time.
"There was a patient who had intermittent vaginal bleeding for more than half a year, and when he came to the doctor, his face was pale, his lower eyelids and fingernails were pale, and the blood routine showed severe anemia." Dr. Wang Xiaoyun asked the patient why he did not come to the hospital earlier, "The patient said that her family told her that it was a normal phenomenon, and thought that it would be fine to drag it out." Later, he fainted at home and was sent to the hospital for treatment. Anemia for a long time will increase the workload on the heart, and the heart will slowly become larger. ”
Why do I suddenly have prolonged vaginal bleeding?
The uterus is like a house, when menstruation comes every month, the "wall" in the house will be simultaneously peeled off under the stimulation of estrogen and progesterone, and the blood vessels will be exposed after peeling, which will cause bleeding, which is the cause of menstrual bleeding.
But if the ovaries function is not good, there is no ovulation, there is no progesterone effect, the endometrium continues to thicken, thicken to a certain extent, a part of the "wall" may occur in a certain place to fall off and bleed, and when this "wall" is restored, the other place begins to fall off... In this way, one after another spalling will cause intermittent, intermittent, long-term vaginal bleeding.
Therefore, if the menstrual volume is significantly reduced, or suddenly does not come, more than two months, it is recommended to come to the hospital for examination, through the gynecological B ultrasound or sex hormone test, to determine whether it is menopause, if necessary, the doctor will intervene.
Menopause, not so terrible
Some women have a hard time accepting themselves into menopause and are afraid of aging. In fact, this is a very natural process, and everyone will go through this stage. Dr. Wang Xiaoyun once met a patient who was very angry when she heard about menopausal syndrome and thought that the doctor was cursing her.
"It's easy to be irritable, but it's actually a more common manifestation of menopause." Dr. Wang Xiaoyun said. If you find that you have been irritable recently, accompanied by insomnia, hot flashes, and menstrual disorders, you must consciously go to the relevant examinations and be prepared to accept menopause. At the same time, family and friends should help women through this special period. In addition, adhering to a healthy lifestyle, maintaining a pleasant mood, and having proper sex can all help alleviate menopausal symptoms.
For young patients with premature ovarian failure, it is recommended to perform hormone replacement therapy as early as possible, improve menopausal symptoms, improve quality of life (but it needs to be carried out under the guidance of a specialist in the hospital)
"Some people are still energetic after 60 years old, some people are already old before the age of 30, menopause does not mean aging, only means that our ovaries are 'retired'." As long as you are curious about new things and keep more time and energy for yourself, you can be 'young' even in menopause."
Expert introduction
Text | Gynecology Wang Xiaoyun
| Zhou Jianwei Chen Guozhong
Editor-in-charge | Chen Dan