Menopause syndrome
Menopause syndrome
People often perceive menopause and its exhausted symptoms as inevitable companions of aging. And they are wrong. Universum,Clinic doctors know that menopause syndrome is a complex of vegetative-vascular, mental and metabolic-endocrine disorders that arise in people as a result of the fading of the hormonal function of the gonads and the general age-related involution of the body.
Mentioned negative manifestations can and should be corrected, eliminated, and prevented. We help women to maintain youth, good self-feeling and quality of life in the menopause period. We protect our Clients from the possible consequences of menopause. If possible, we eliminate the causes of the fading of the reproductive functions of the body, returning the well-being.
Causes and pathogenesis of climacteric syndrome
Menopause is a physiological process, as a result of which the synthesis of sex hormones ceases. Usually, it is related to age and many of women pass through menopause without any effect.
However, there are also many women with specific body negative reaction to hormonal changes. Such disorders are called menopause syndrome.
Causes of menopause syndrome
Menopause is accompanied by a sex hormones production decrease. For women women - estrogens, the ovaries are responsible for estrogens synthesis, for men - androgens, which are synthesized in the testicles. The brain regulates the function of sex organs through the most important system: hypothalamus-pituitary-gonads.
Accordingly, estrogens deficiency can occur not only in the case of violations on the part of the gonads, but also due to hypothalamus-pituitary-gonads disorders.
The causes of menopause syndrome are as follows:
- natural decrease of hormonal functions;
- diseases of the gonads (PCOS, tumors, fibrosis changes);
- sexually transmitted infections consequences;
- unhealthy lifestyle (smoking, alcohol abuse);
- injuries with damage and destruction of ovaries, testicles;
- gonads, uterus surgical operations;
- ill-conceived contraception by means of use of hormonal drugs, spirals;
- radiation therapy sessions with irradiation of reproductive organs;
- chronic diseases, such as diabetes, hyperthyroidism.
The development of climacteric syndrome after head injuries or strokes cannot be excluded.
Pathogenesis of menopause syndrome and its periods
With the onset of menopause (40-45 years old), a woman's body goes through 4 periods (men's climacteric syndrome usually occurs 2-5 years later).
Universum Clinic Medical Team use modern STRAW+10 criteria (Stages of Reproductive Aging Workshop)
- Menopausal transition. For women age of 40–45 it manifest by irregular periods. The reason is estradiol, follicle-stimulating hormone (FSH) fluctuation and progesterone decrease.
- Perimenopause lasts from the beginning of unstable menstruation and for another 12 months from the moment of the last menstrual period. Sex hormones level progressively decrease, atrophic processes begin in the gonads.
- Menopause begins 12 months after the last menstruation.
- Postmenopause is the first 5–8 years from the onset of menopause and beyond.
Manifestations of menopause syndrome can occur in any of the listed periods. But, unfortunately, they go beyond the well-known "hot flashes" and can cause real damage to a woman's health.
Male menopause also occurs with fading and atrophy of the testicles. The testosterone and other androgenic hormones level decrease.
Menopause Symptoms
Most often, negative symptoms occur against the background of a normal age-related menopause. But unpleasant symptoms can occur even earlier, if the menopause began due to other reasons not related to age.
Depending on the time of onset, the symptoms of menopause syndrome are divided into three categories: early, medium-term and late-term.
We will remind you that the manifestations listed below can occur up to the age of 40, if the synthesis of female sex hormones is disturbed for one reason or another.
Early symptoms
They begin to appear during the period of perimenopause and last 1-2 years after the onset of menopause (in total, they can bother for 5-7 years).
Early vasomotor (neurovegetative) symptoms of menopause syndrome are:
- "tides" of heat and chills;
- sweating attacks;
- heartbeat feeling;
- tinnitus;
- dizziness and headache;
- urinary retention followed by polyuria episodes;
- blood pressure drops
Psychoemotional disorders are also early signs of hormonal imbalance:
- weakness, brokenness feeling;
- muscles pain, joints pain (fibromyalgia);
- anxiety and worry;
- memory weakening , forgetfulness;
- drowsiness, inattention, deterioration of the ability to concentrate
When women come for an appointment with a therapist or neurologist, usually symptomatic therapy is prescribed, which does not bring relief.
Client’s individual approach from Universum Clinic doctors guarantees that the woman will receive direct treatment of the menopause syndrome, and not its symptoms. By knowing the specifics of the problem, we achieve an improvement of life quality and eliminate the negative menopause body impact.
Mentioned symptoms are also characteristic men’s climacteric syndrome, but they occur much less often: men have a lower level of estrogen throughout their lives, so their fluctuations do not affect their well-being so much.
Medium-term symptoms of menopause syndrome
Appear 2-5 years after the onset of menopause:
- urogenital disorders – atrophy of the genitourinary tract epithelium with frequent vaginitis, colpitis and cystitis, urinary incontinence;
- skin manifestations –wrinkles, brittleness and dryness of hair, nails, baldness increase;
- vision disorders - dryness of the conjunctiva, cataract.
Mentioned signs can be combined with early menopause syndrome manifestation. Universum Clinic Doctors will take all details into account.
Late menopause symptoms
This is a complication of long-term, natural or pathological estrogens ireduction n the blood. Develop 5–10 years after menopause:
- osteoporosis –bone density decrease and fractures risk increase;
- cardiovascular diseases – ischemic heart disease, heart attacks, strokes;
- atherosclerosis of vessels;
- metabolic syndrome with abdominal obesity;
Such conditions arise against the background of general body withering and associated with a deep estrogens deficiency. They should be detected in a timely manner and preventive treatment should be carried out.
Diagnosis and treatment of menopause syndrome from Universum.Clinic medical Team
For early and accurate diagnosis of menopause syndrome, an individual approach to each patient is very important. Doctor from Universum.Clinic begins with a survey:
- whether there are any peculiarities in the cycle, is cycle regular, when was the last period;
- whether early symptoms of menopause syndrome are noted;
- how safe and comfortable sex life is;
- whether there is no accompanying pathology (PCOS, diabetes);
- were there injuries to the pelvis, head;
- what methods of contraception are used.
Then a gynecological examination, pelvic organs ultrasound with Doppler mode is performed. If necessary, we perform blood tests for sex hormones level, examine the function of the thyroid gland (hyperthyroidism can also cause hot flashes).
Menopause syndrome treatment
A template approach is excluded. It is possible to achieve success and eliminate menopause syndrome only after detailed examination and cause clarification, period of this process.
When prescribing treatment, doctors from Universum.Clinic try to avoid aggressive methods and prevent unpleasant treatment. For this, the following are used:
- lifestyle improvement;
- stress managment methods;
- physiotherapeutic methods;
- vitamin D;
- hormonal treatment;
- measures to improve sexual life.
In some cases, it is necessary to use hormone replacement therapy. This method of menopause syndrome treatment involves choosing the optimal combination of drugs. Medicines are used in various forms: from tablets to skin patches.
Sometimes our doctors manage to limit themselves to local estrogen preparations: vaginal suppositories or creams.
We do not recommend self-medicating or dealing with symptoms. Qualified gynecologist consultation, endocrinologist, psychologist at Universum.Clinic will help to restore and maintain the life well-being and its quality, despite age.
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- vegetative-vascular signs: hyperhidrosis, headache, hot flashes, chills,
- pallor attacks;
- emotional and mental disorders: irritability, drowsiness, anxiety, depression, decreased mood, attention, memory impairment;
- metabolic and endocrine disorders: medium-term (urogenital symptoms, skin changes and its appendages) and late (cardiovascular diseases, osteoporosis).
- well-being set-up: weight lose, sport activity, give up bad habits;
- psychological corrections;
- use of non-hormonal means to normalize vegetative disorders;
- hormone replacement therapy, locally (vaginal suppositories, creams);
- hormonal replacement therapy with one or more drugs in the form of tablets, skin patches;
- optimal methods of treatment are selected depending on the menopause period, its causes, symptoms severity.
- nervous system liability;
- mood swings;
- weakness, apathy;
- depression, anxiety states may develop.