The female menopausal syndrome refers to a series of mental and physical manifestations of women before and after menopause due to the reduction of sex hormone content, such as autonomic dysfunction, reproductive system atrophy, etc., and a series of physical and psychological changes, such as anxiety, depression and sleep disorders.
Western medicine believes that female menopausal syndrome is caused by the decline of ovarian function and decreased estrogen secretion. Therefore, hormone supplementation can slow down various metabolic disorders caused by low estrogen content and improve menopausal women’s symptoms. Menopausal women often show mild depression, anxiety or cognitive impairment, and even those with signs of estrogen deficiency. If there are no other contraindications, hormone replacement therapy (HRT) can be used to treat the female menopausal syndrome.
Traditional Chinese Medicine
Chinese medicine believes that female menopausal syndrome is mostly based on kidney yin deficiency and that the main pathogenesis of this disease is as follows.
Female age is "seven-seven-forty-nine", kidney qi is gradually declining, Tiangui is exhausted, Chong and Ren two pulses are weak and blood is insufficient, resulting in an imbalance of Yin and Yang; second, yigui is the same source, insufficient kidney essence can cause liver Loss of nourishment, abnormal flow of drainage, stagnation of liver qi; third, loss of kidney yin, yang is not hidden, the pulse is not nourished, viscera, qi and blood are not coordinated, so often worry, depressed, unhappy, crying, reluctant to speak, memory loss, Inattention, dreams at night, or very irritable, or suspicious, even moody and other symptoms.
Among them, most Chinese medicine practitioners believe that "a deficiency of liver and kidney yin and stagnation of liver and qi" are the main pathogenic mechanisms of female menopausal syndrome.
The factors affecting women's menopause mainly include genetic factors, environmental factors, geographical factors, marital quality, reproductive age, mental and psychological factors, living habits, diseases and therapeutic factors, etc. Negative life events have a greater impact on the occurrence of menopausal syndrome, but the incidence of physical diseases is significantly lower than that of those without physical diseases. People with physical diseases may focus on the symptoms of physical diseases, plus long-term use of some drugs. It may have a regulatory effect on the menopausal syndrome.
Female menopausal syndrome mostly occurs between 40 and 60 years old, and most women can have symptoms of varying severity. About 85% of menopausal women mostly relieve themselves, and about 25% of them have severe symptoms that affect their lives and work and require treatment. Young women can also develop menopausal syndrome after surgery to remove both ovaries, or after radiotherapy.
There are various clinical manifestations, which can generally be divided into:
①Sexual aging: after 50 years of age, women experience decreased or partial cessation of sex hormone secretion, apathy, sexual boredom, sexual physiology, and atrophy of sexual function. In most women, fertility and periodic changes in hormones cease naturally, and the vaginal mucosa shrinks and its lubricating ability is weakened, resulting in dyspareunia (painful intercourse), vaginal folds and vaginal wall elasticity disappear, breast atrophy and drape.
② Cardiovascular symptoms: flushing, hot flashes, sweating, palpitations, headache, dizziness, even increased blood pressure, angina, etc.;
③Neuropsychiatric symptoms: anxiety, depression, irritability, insomnia, irritability, inattention, forgetfulness, etc.;
④ Menstrual changes and reproductive system changes menstrual disorders, vulvar and vagina atrophy, prone to senile vaginitis, uterine and vaginal prolapse, etc.;
⑤Others: osteoporosis, joint and muscle pain, bladder and urethral symptoms, etc.
Menopausal women can be diagnosed with the above symptoms, but organic diseases of the cardiovascular and genitourinary systems and schizophrenia must be excluded first.
Menopausal women's mental and physical health care is the task of the whole society. Menopausal women are psychologically intervened to help them consciously control their emotions while strengthening social support, creating a good living environment, reducing the adverse stimulation to menopausal women, and effectively reducing the menopausal comprehensive occurrence of the levy.
Patients must first understand that menopause is a normal process of physiological changes, and some symptoms are inevitable, so there is no need to be overly anxious. It is necessary to relieve the burden of thinking and maintain an open-minded and optimistic mood. Take part in more entertainment activities to increase the joy of life. When the symptoms cannot be relieved through self-treatment, seek medical treatment in time to relieve the psychological disorder.
Ma Lishuang, Chen Changxiang, Li Shuxing, etc. Research on the influencing factors of female menopausal syndrome and depression. "CNKI; WanFang", 2009
Yan Runhu, Liu Zhicheng. Understanding of Traditional Chinese and Western Medicine on Female Menopausal Syndrome. "WanFang", 2003
Sun Yanhong, Jin Ruomin. Research progress in the preparation of animal models of female menopausal syndrome. "CNKI; WanFang", 2005
Li Guoan, Yu Yin. Clinical study on acupuncture treatment of the female menopausal syndrome. "CNKI", 2002
Ye Yanping. Research on the pathogenesis and syndrome differentiation of female menopausal syndrome: Attached 106 cases of clinical data. "CNKI", 2000