Monday, August 12, 2019 7:15 AM
Dr. honey. Sibylle Fässler Waber, gynecology and obstetrics specialist at FMH Emmental Hospital.
Dr. honey. Sibylle Fässler Waber, gynecology and obstetrics specialist at FMH Emmental Hospital, on the subject of menopause.
Mrs. Fässler Waber, what does menopause mean?
Menopause is the year after the last period, also called menopause (Menos = month). Colloquially speaking, we are also talking about an amendment. Many women start menopause at the age of 50, but often start at the age of 40.
Were only women affected?
Starting from the definition of years after the last period or even the term menopause, then only women are affected. In men, testosterone, which is also a precursor of estrogen, may also be mild, and may have mild menopausal symptoms. However, it is still not as pronounced as in women and is not treated.
What complaints and symptoms are typical?
Initially, bleeding, bleeding or even severe bleeding are common. These symptoms are typical of hormone deficiency and luteal hormone deficiency. Later, when it comes to estrogen decline, they typically include sleep disorders, mood swings, vaginal dryness to recurrent urinary tract infections, dry mucous membranes and fever.
When should you go to the doctor?
Basically, all women are under regular gynecological monitoring. Often women before a certain age because of typical symptoms. Then there are women, about one-third, who have severe symptoms (no longer finding sleep or becoming depressed) and these women should seek timely medical attention. Before, for example, true depression is present, or it mostly damages the bladder due to recurrent urinary tract infections.
At what age do you go into menopause?
In the past, it has been said that women over 50 enter menopause. However, in my many years of activity, I have found that the age at which menopause occurs is ever increasing slightly. In the meantime, I also have women over 55 and still have regular periods, and checkable ovulations may occur. In addition, of the 50, the ovarian function is likely to wear off, but never completely cease. Well, it may be that a woman has not had a period for half a year, and then suddenly the period comes up again. However, declining ovarian function often occurs earlier, around the age of 45, when bleeding abnormalities can occur.
How long does menopause last?
Basically, these are the years after the last period and that is why we have ceased ovarian function forever during menopause. In my experience, the ovaries still produce some estrogen, and even in a woman 75 years of age where the ovaries have to be removed for medical reasons, they may flush again. As a rule, however, women around the age of 80 enter Senio and no longer have symptoms of menopause.
How to treat menopause symptoms
Basically, only complaints that harass women are treated. Only one-third suffer from severe menopausal symptoms, one-third is mild, and one-third have no complaints. Women with mild or no complaints are usually not treated at all or women like to get help at a pharmacy or pharmacy and try all kinds of herbal remedies. So black cohosh can relieve restlessness and improve sleep, sage helps against sweating, acupuncture helps against restlessness and general symptoms of menopause like falling asleep. With only disturbing vaginal dryness, hormones that are effective only in the vagina can be used locally.
And how do you treat women with severe complaints?
If a woman has fatty problems, she can no longer sleep and is therefore increasingly restricted in her work, natural bioidentical hormones are used. Hormone replacement therapy is highly individualized and can be dosed very precisely and adapted to daily needs. A thorough examination of the woman, including ultrasound and basic mammography, is required before starting therapy.
Vein thrombosis and pulmonary embolism. One reads over and over again about the side effects of hormone replacement therapy. How about that?
With modern hormone replacement therapy, natural estrogens are administered through the skin. Thus, side effects such as leg vein thrombosis and pulmonary embolism are almost eliminated. In the meantime, we even know that such therapy can be used in women who have had thrombosis, for example, family thrombophilia. Another alleged side effect is still haunting the female mind and that is weight gain. But during menopause we have less energy and less energy. Therefore, at the onset of menopause, the diet should be completely reorganized and eat about 25 percent less calories. Or he rides on to much more sports accordingly. If these facts are not accepted and enforced, there will inevitably be weight gain. This weight gain occurs not because of the intake of natural estrogens, but from the reduction and lack of hormones of our own. With natural estrogens, balance is restored and weight control succeeds much better.
What is Hormone Replacement Therapy Associated with Breast Cancer?
Breast cancer is an ongoing issue when it comes to hormone replacement therapy. Meanwhile, the use of natural estrogens has not been shown to increase breast cancer risk. Of course, it is necessary to explain why mammography is still needed before using hormone replacement therapy. The fact is, much of breast cancer is hormone dependent. So, if breast cancer is present at an early stage and we provide estrogens without basic mammography, we can promote tumor growth. For this reason, we want to do a basic mammogram to detect any early, small breast cancer.
What else needs to be considered in hormone replacement therapy?
Most women who still have a uterus still need natural progestin, the corpus luteum hormone. This corpus luteum hormone also helps relieve menopausal symptoms, especially muscle and joint pain. It is also a protection for the uterus, because if only estrogens meet it, the mucous membrane will grow again and women will start menstruating again. This is a side effect that we absolutely must avoid, as in the worst case it can lead to uterine cancer due to improper use of unilateral estrogens. In other words, hormone replacement therapy necessarily belongs to professional hands. With proper use and under the supervision of experts, hormone replacement therapy is now safe and safe to use.
What is the course of menopause?
As mentioned before, menopause starts at 40. Ovulation does not occur regularly. If ovulation does not occur, there is no hormone lutes corpus, and at the same time estrogen, which is highest in the mid-cycle, remains high and does not decline. This can lead to the following problems: Estrogen makes the breasts swell and the stomach swollen and make women feel pregnant. In addition, the mucous membrane in the uterus grows a little more and this can lead to increased bleeding.
Does bleeding disorder affect all women?
Not all women have these bleeding disorders, many start menopause without any symptoms. At some point, this phase is over and there is no more ovulation because no more estrogen is produced. This is the moment when women are less likely to have menstruation until it completely fails. It may be that after half a year, the period will come up again, then again a few months of rest and it may appear again. This can take two to three years.
Are there ways to delay the onset of menopause?
Not. This possibility does not exist. Healthy lifestyles, i.e. healthy foods, normal weight and less alcohol, can often alleviate symptoms. But if a woman has severe menopausal symptoms, it does not lead to a single pace, even with lots of sports and a lean habit.
Do not use this information as the sole basis for health-related decisions. If you have health problems, consult your doctor or pharmacist. Surfing the internet does not replace a doctor's visit.
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