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Menopause signs and symptoms, and treatments. How Do I Know if I'm in Menopause?

 What is menopause?



Menopause is the cessation of menstruation and a woman’s reproductive capacity. It usually occurs around the age of 50, but may happen prematurely, or artificially after removal of the ovaries. Most symptoms that occur during menopause result directly from the estrogen deficiency produced by the failing ovaries. Interestingly, Japanese women suffer far fewer symptoms of menopause because they eat more plant estrogens like tofu, soya, and miso.

There are three stages and it can last for several years.


Perimenopause is the period of transition that begins before menopause and lasts for a full year after a person's last period.

Menopause: This occurs when menstruation has stopped for a medical reason, such as the removal of the ovaries, or 12 months following the last period.

postmenopause: Although it might be challenging to determine when menopause ended and postmenopause began, postmenopause is the period of time that follows menopause.

Symptoms

back pain

•dry, thinning hair

•very heavy periods (flooding)

•very light periods

•hot flashes, mostly affecting the face and neck, and varying in frequency and duration

•incontinence, one of the most common menopausal symptoms; through wear and tear, childbearing, and lack of estrogen

•osteoporosis

•psychological problems such as irritability, anxiety, insomnia, and poor memory

•increased hair growth on the face, stomach, or chest, due either to an increase in the male hormone, androgen, or the drop in estrogen production

•vaginal looseness, a feeling of slackness, or of something protruding into the vaginal passage—possibly a prolapsed uterus, or a section of the urethra, bladder, or rectum dropping downward as a result of lost muscle tone

•about 20–25 percent of menopausal women experience pain during intercourse, called dyspareunia. Mostly, this is due to thinning of the vaginal wall and a lack of lubrication, both caused by estrogen deficiency

Causes

Menopause can result from:

-declines in natural levels of reproductive hormones. Your ovaries begin producing less estrogen and progesterone, the hormones that control menstruation, as you enter your late 30s, and your fertility decreases.

-radiation treatment and chemotherapy. These cancer treatments have the potential to cause menopause, resulting in symptoms like hot flashes either during or right after the course of therapy. Following chemotherapy, menstruation (and fertility) may not always stop, therefore birth control may still be preferred. Only when radiation is focused on the ovaries does radiation therapy have an impact on ovarian function. Menopause won't be impacted by radiation therapy administered to the head and neck, breast tissue, or other areas of the body.

-primary insufficiency of the ovaries. Menopause occurs in about 1% of women before the age of 40. (premature menopause). Primary ovarian insufficiency, which can be brought on by autoimmune disease or hereditary causes, is a condition in which your ovaries are unable to generate the appropriate amounts of reproductive hormones, which can lead to premature menopause. But frequently, there is no known cause for premature menopause. In order to save the brain, heart, and bones for these women, hormone therapy is often advised at least until the age of menopause naturally.

-Ovaries are removed during surgery (oophorectomy). The hormones estrogen and progesterone, which are produced by your ovaries, control the menstrual cycle. Menopause sets in right away after ovaries are surgically removed. Your periods end, and you're likely to suffer other menopausal symptoms like hot flashes. Symptoms and signs

TREATMENT

Ayurveda

Calamus root can be good for memory problems and mental stress. 

Celery seeds and cedar are balancing, and may help with menstrual problems.

Cinnamon is especially powerful during menopause, and is particularly useful for low libido and edema.

Coriander is cooling, and acts as a diuretic and diaphoretic. It is also thought to be aphrodisiac.

Aloe vera cools and cleanses the liver when taken internally, helping with any “hot” symptoms of menopause, including flashes, sweats, and swelling.

Chinese Herbalism

shan Zhu Yu can be used or flooding, with ginseng for heavy sweating and hot flashes. 

Chinese senega may be useful for irritability, insomnia, and depression.

Angelica, peony root, and thorowax root are the ideal herbs to treat the symptoms of menopause, which is believed to be a weakness of the Kidneys, deficient Blood, and an imbalance between Kidney and Liver. 

Herbalism

Valerian will help with anxiety and tension, and combined with skullcap relaxes the nervous system. 

Ginseng will help with anxiety and irritability, and increases mental alertness. It will also boost vitality and prevent feelings of fatigue. 

Herbal laxatives include butternut, blue flag, and senna.

Shepherd’s purse, lady’s mantle, yarrow, golden seal, beth root, and periwinkle help with heavy bleeding.

Dandelion cleanses the liver and helps the body to detoxify, which can reduce the risk of breast growths and other cell changes.

Milk thistle can be used to treat lumpy and painful breasts. 

Agnus castus can be used for breast tenderness and any problems of menopause, as it works to normalize the levels of female hormones.

Black cohosh can restore female hormonal balance and help to prevent night sweats and hot flashes. Other herbs to consider are licorice, alfalfa, and Dong Quai.

American ginseng can increase libido, as can agnus castus and black cohosh. 

Ginkgo biloba can help with memory and concentration problems.

Cramp bark is antispasmodic and will help with painful menstruation. 

Burdock root helps with dry and scaly skin, and licorice or chamomile, applied directly to the skin, will soothe and soften. 

Valerian can help improve the quality of sleep and treat insomnia.

Passiflora will help you to sleep.

Motherwort can restore thickness and elasticity to the walls of the vagina, and dong quai can help with dryness.

Dandelion is a natural diuretic and will help with any swelling associated with water retention.


Aromatherapy

Clary sage will lift your mood and help to deal with fluctuating hormones. 

Chamomile, diluted in a little carrier oil, is adaptogenic, and will balance hormone levels causing night sweats, hot flashes, and other symptoms.

Essential oils of damian, and geranium or ylang ylang are aphrodisiacs for low libido. 

Fennel can be massaged into the abdomen for water retention and symptoms of hormonal imbalance.


Homeopathy

Sepia is enormously useful, and can treat hot flashes, headaches, irritability, and heavy menstrual bleeding.

Conium, for loss of libido.

Graphites, for weight gain, hot flashes, and scanty menstrual bleeding. 

Lachesis, for flooding, irritability, memory loss and concentration problems, hot flashes, and headaches.

Pulsatilla, for depression, weepiness, and changeable moods. 

Sanguinara, for tender breasts and flooding.

Flower Essences

Mustard, for depression with no identifiable cause.

Olive, for fatigue.

Mimulus, for fear of aging and death. 

Walnut, for life changes. 

Vitamins and Minerals

Take magnesium and vitamin B-complex for anxiety and irritability. 

Vitamin E, linseed oil, acidophilus, and vitamin B-complex will help with tender and lumpy breasts. 

For constipation, try extra vitamin C. 

Coenzyme Q10 will help lack of energy and fatigue; check that you are not anemic.

Quercetin can help with migraine and headaches associated with menopause, as can vitamin C and E.

Vitamin C can help regulate heavy bleeding (flooding) when combined with bioflavonoids. 

Vitamin A, zinc, iron, and vitamin B-complex can also help with heavy menstrual bleeding.

Selenium may help to reduce hot flashes and night sweats, as will vitamin C, which is a more effective preventive than HRT. 

Zinc, vitamin C, vitamin E, and magnesium will help with painful menstruation.

Linseed oil, evening primrose, vitamin B-complex, and zinc can be taken for skin problems.

Magnesium is helpful for insomnia and sleep problems. 

A vitamin E capsule can be placed inside the vagina for vaginal dryness. 

PROLAPse

When to visit a doctor

Maintain routine doctor's appointments for any medical issues and preventive care. Even after menopause, keep making these checkups.

As you get older, suggested health screening tests including colonoscopy, mammography, and triglyceride screening may be part of your preventive health care. Additionally, depending on your medical history, your doctor might advise thyroid testing as well as breast and pelvic checks.

Always consult a doctor if you experience vaginal bleeding after menopause.

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