When a woman experience 1 year without menstrual cycle it is called as menopause. Permanent cessaion of menstrual cycle for 12 consecutive months stamps the diagnosis of Menopause.
Menopause is a phase which comes in every woman’s life. It is a natural part of aging and typically affects women between the age group of 45 to 55 years.
As women grow older, their ovarian follicles diminish in number. There is a decline in granulosa cells of the ovary, which were the main producers of estradiol and inhibin. So the estrogen deficiency ultimately leads to menopause and symptoms relted to it.
Perimenopause or ‘menopause transition’ is the time when the ovaries will start to decrease the amount of oestrogen they produce and physiological changes first become noticeable, usually beginning on average 3-4 years before the menopause. During menopause, the ovaries no longer release eggs and oestrogen production slows drastically.
Symptoms are typically due to deficiency of estrogen in the body.
Cardiovascular Risk: Coronary heart disease and Stroke risk is increased 2-3 times after menopause.
Osteoporosis: More than 250,000 menopausal and postmenopausal women are affected by osteoporosis. The characteristic bone loss or decreased bone density in osteoporosis is due to estrogen deficiency in these women.
● Avoid alcohol, smoking , hot and spicy foods, caffeine intake
● Weight loss
● Regular exercise , Yoga, Pranayam helps coping up with symptoms
● Follow a healthy diet which is high in Protein content . Soybeans contains natural phytoestrogens and helps reducing the symptoms
● Estrogen only therapy
● Estrogen & Progesterone therapy
HRT is the most efficient treatment for symptoms of acute climacteric syndrome and for efficient prevention of long-term estrogen deficiency. Estrogen-only therapy is labeled as estrogen replacement therapy (ET, ERT). For combination of estrogens and progestogens, the term is estrogen–progestogen therapy (EPT).
There is slightly increased chances of Coronary heart disease, Stroke, Venous thromboembolism and breast cancer. Though benefits outweigh the risks HRT is tailored treatment for each patient according to their needs the route of administration is decided.
Post menopausal women are at 5 times higher risk of development of osteoporosis and hence fractures of bone.
Osteoporosis related fractures include vertebral fracture, hip joint fratre, wrist bone fracture on fall.