Menopause screening
Menopause screening
It is the period when the woman's menstruation ceases. The patient, who has not had a period for 1 year, is 40 years old and over in menopause. It is a normal occurrence, not a disease. Menopause that occurs before the age of 40 is called premature menopause. The release of two female hormones, estrogen and progesterone, from the ovary slows down and stops completely after a while.
When the hormones decrease, the earliest indicator is variable menstrual bleeding. Age at menopause differs in duration according to heredity and race. The world average is 51 years old, in Turkey this average is 46 years old.
Symptoms
Cessation of menstrual bleeding
Hot flashes and night sweats
Palpitations, insomnia
Irritability, depression and forgetfulness
predisposition to gain weight
Osteoclasis
Dry skin, vaginal itching, painful intercourse and reluctance
Frequent or difficult urination
urinary incontinence
The following tests should be done in menopause:
Occult blood laboratory test in Fsh, Lh, E2, tsh, prolactin, stool
If the person is menstruating, tests should be done on the 3rd day of menstruation.
Smaer test, ultrasound (breast-usg, mammography, bone scan)
Treatments
Preferably, this period should be spent naturally.
According to the complaint can be given:
Estrogen/progesterone supplementation (hormone placement therapy)
Antidepressants can be effective for hot flashes. It can be used in women who cannot use hormones.
Calcium and vitamin supplement (healthy diet + sports exercise)
Lubricant Gel for vaginal dryness
Risks of hormone therapy
The risk of blood clots, Heart attack, Stroke, Breast cancer, Gallbladder disease increases.
If hormones are very necessary, they should be used in very low doses and for a short time.
Advice for women in menopause
Be active and exercise
Do not smoke
eat healthy
Get a bone scan
Have blood pressure, cholesterol, blood sugar checks done.
Have annual obstetrics and family doctor control (smaer test, usg, occult blood test in stool, breast examination)
