I don't want to go out and poke people's nests during the "May Day" holiday
Choose to go home for a few days
Two days before returning home
Mother Ji Zi Takashi
The third day home
Chickens fly and dogs jump
From mom's big baby to a quarrelsome partner
It only took 3 days
"Mom, are you going to go through menopause?"
01
Ask sincerely:
At what age is menopause normal for a woman?
Menopause is a more popular name, and it is also called "perimenopause" in medicine.
The average age at which Chinese women begin perimenopause is 46 years old, the average age of menopause is 48-52 years old, and most women go through menopause between 45-55 years old. Menopause between the ages of 40-45 is called early menopause.
It is important to note that menopause refers to the permanent cessation of menstruation. Menopause is diagnosed when women over the age of 40 have stopped menstruation for 12 months and have ruled out pregnancy and other conditions that can cause amenorrhea.
02
Perimenopause
The following changes may occur during menstruation
When a woman enters perimenopause, ovarian function begins to decline, sex hormone levels fluctuate in the body, estrogen levels become high and low, and progesterone levels are insufficient or absent.
At this point, the following changes may occur during your period:
The cycle is irregular
Frequent menstruation: The cycle is shortened to less than 21 days.
Oligomenorrhea: Cycles extend to more than 35 days and may last up to 60 days or more.
Changes in menstrual flow
Women who enter perimenopause often experience a decrease in menstrual flow, and some women experience heavy bleeding.
Abnormal uterine bleeding
Between 10% and 20% of women have irregular menstrual cycles, prolonged periods, heavy menstrual bleeding, incomplete bleeding, or profuse bleeding. Sometimes menstruation stops for weeks or months, followed by irregular vaginal bleeding that is heavy and lasts 2 to 3 weeks or longer.
Menopause occurs when ovarian function is completely lost and estrogen and progesterone are lowered to a certain level.
03
Perimenopausal menstrual abnormalities
It may also be an organic lesion
A small percentage of abnormal uterine bleeding is due to organic lesions, including:
Endometrial dysplasia
Endometrial polyps
Adenomyosis
Uterine leiomyomas
Endometrial carcinoma
······
Even in the absence of the above-mentioned organic lesions, prolonged and heavy vaginal bleeding can lead to secondary anemia and even secondary genital tract and pelvic infections.
furthermore
Systemic coagulation-related disorders
Ovulatory dysfunction
Local abnormalities of the endometrium
iatrogenic factors, etc
It may also cause abnormal bleeding
Therefore, it is necessary to see a doctor as soon as possible to identify the cause and treat the symptoms!
Don't simply think that this is a "normal phenomenon" of menopause, just endure it and it will pass, you should record the date, duration, and amount of menstrual flow of menstruation, and see a doctor in time.
04
Entering perimenopause
What do I need to pay attention to?
- Management of a holistic healthy lifestyle
It is recommended to maintain an active lifestyle to improve menopausal symptoms to a certain extent, such as getting enough sleep, maintaining a balanced diet, exercising regularly, controlling an appropriate weight, increasing social and mental activities, and having annual health check-ups.
- Menopausal Hormone Therapy (MHT)
This is the most effective treatment for the common "menstrual abnormalities", vasomotor symptoms and genitourinary tract atrophy that occur during menopause, and it is the only solution that can solve the various problems associated with postmenopausal estrogen deficiency in a "package".
Tips: MHT is a medical measure, and it is necessary to go to a professional medical institution to have a specialist understand the indications and rule out contraindications, and take an individualized treatment plan.
- other
Comprehensive intervention such as traditional Chinese medicine, botanical medicine, psychology, nutrition, and rehabilitation.
- Guidance in this issue: Sheng Zhumei, attending physician of the Women's Health Care Department of Hangzhou Obstetrics and Gynecology Hospital
- Contributed by: Hangzhou Obstetrics and Gynecology Hospital
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