Women's menopause refers to the decline of ovarian function and the cessation of menstruation. Menopause can be divided into two types: natural menopause and artificial menopause. Natural menopause refers to menopause caused by the physiological exhaustion of follicles in the ovary.
1. Natural menopause
Refers to the fact that the follicles in the ovary are exhausted, or the remaining follicles have lost their response to gonadotropin, the follicles no longer develop and secrete estrogen, and cannot stimulate the growth of the endometrium, leading to menopause.
2. Artificial menopause
Refers to surgical removal of both ovaries or other methods to stop ovarian function.
Clinical manifestations voice
Menopause represents the decline of ovarian function, the exhaustion of estrogen secretion, the cessation of menstruation, and the termination of reproductive function. Generally divided into three stages: premenopausal, menopausal and postmenopausal. Menopause is calculated based on the time of the woman's last menstrual period. Most women menopause naturally between the ages of 45 and 55.
After menopause, the sudden and obvious lack of estrogen will cause some discomfort, and some people can happen in the premenopausal period. It is often manifested as changes in mood and mood, irritability, irritability, insomnia, anxiety, inner restlessness, depression, paroxysmal flushing, hot flashes, sweating, dry skin, itching, and sometimes the skin has the sensation of ants crawling, and Skin loses elasticity, wrinkles increase, muscles gradually relax, sometimes pain, fatigue or fatigue, headache, dizziness, and unstable blood pressure. These symptoms are called a menopausal syndrome.
1. Recent symptoms
(1) Menstrual disorders
(2) Symptoms of vasomotor
(3) Symptoms of autonomic nervous system disorders
(4) Psychiatric symptoms
2. Long-term symptoms
(1) Symptoms of the genitourinary tract
(3) Alzheimer's disease
(4) Cardiovascular disease
1. Determination of serum follicle-stimulating hormone (FSH) and estrogen (E2)
FSH>10U/L in the transitional period of menopause indicates a decline in ovarian reserve. Amenorrhea, FSH>40U/L and E2<10-20pg/ml, suggesting a failure of ovarian reserve.
2. Clomiphene excitement test
From the fifth day of menstruation, clomiphene was taken orally, 50 mg per day for five days. Serum follicle-stimulating hormone was measured on the first day of withdrawal. If serum FSH>12U/L, it indicates a decrease in ovarian reserve.
It is not difficult to diagnose based on medical history and examination.
The diagnosis of natural menopause is based on the retrospective judgment of perimenopausal women with consecutive menopause for 1 year, which can be accompanied or not accompanied by perimenopausal symptoms, most of which do not require auxiliary examination. It is not difficult to diagnose artificial menopause by analyzing the causes of menopause.
For women with a short period of menopause, the pelvic exam must be performed to understand the size of the uterus; a urine pregnancy test and B-ultrasound examination should be performed when necessary to exclude early pregnancy. Because perimenopausal women will also have occasional ovulation and become pregnant, you should not take it for granted and treat it as menopause.
Purpose of the treatment: Relieve recent symptoms, early detection, and effective prevention of senile diseases such as osteoporosis and arteriosclerosis. In principle, the goal should be to maintain the health of the body. Long-term medication is required to prevent degenerative diseases after menopause.