Menopause Treatment Istanbul
Menopause is a natural phase of a woman's life and refers to the period when the menstrual cycle ends permanently. This process is not limited to the end of menstruation; Depending on changes in estrogen and progesterone hormones, hot flashes, night sweats, sleep problems, mood changes, vaginal dryness, decreased sexual desire, difficulty in weight control and changes in bone health may occur.
Menopause does not proceed the same way in every woman. While some women go through this process with mild symptoms, in some women the complaints can significantly affect the quality of daily life. In case of early menopause or premature ovarian failure, a more careful evaluation is required in terms of bone health, cardiovascular health, sexual health, fertility and psychological well-being.
"Menopause is not a disease, but a natural transition period of a woman's life. However, if symptoms affect the quality of life, this process can be made more comfortable with a personalized treatment and follow-up plan."
Article Summary
Menopause Treatment Istanbul issue should be handled by evaluating the person's complaints, examination findings and needs together. In this article, the basic points about Menopause Treatment Istanbul, the diagnosis-treatment process and things to pay attention to are summarized.
What Will You Find in This Article?
- What is Menopause?:This section explains basic information on the subject, the evaluation process and points to consider.
- What are the symptoms of menopause?:This section explains basic information on the subject, the evaluation process and points to consider.
- When Does Hot Flashes End During Menopause?:This section explains basic information on the subject, the evaluation process and points to consider.
- When Does Menopause and Early Menopause Begin?:This section explains basic information on the subject, the evaluation process and points to consider.
What is Menopause?
Menopause is a natural period when menstrual bleeding stops permanently as a result of decreased ovarian functions. Clinical diagnosis of menopause is usually made by not having a menstrual period for 12 months without another medical reason.
Complaints during menopause; Effects on age, menstrual cycle, comorbidities and quality of life should be evaluated together [1][3].
During this period, there is a decrease in the estrogen and progesterone hormones secreted from the ovaries. Especially the decrease in estrogen level; It can cause symptoms such as hot flashes, night sweats, vaginal dryness, sleep problems, mood changes and decreased bone density.
Menopause mostly occurs between the ages of 45 and 55. However, since each woman's genetic structure, general health condition, lifestyle and medical history are different, the age of menopause may vary from person to person.
What are the symptoms of menopause?
Menopause symptoms may differ from person to person. While the symptoms are mild in some women, they can have significant effects on sleep patterns, work life, social life and sexual health in others.
The decision on hormone therapy should be made taking into account personal risks, uterine condition, breast health, history of vascular disease, and expected benefit from treatment [1][2].
Common symptoms during menopause include:
- Hot flashes and night sweats:It may be accompanied by a sudden feeling of heat, flushing of the face and neck, sweating and sometimes palpitations.
- Menstrual irregularities:In the pre-menopausal period, menstrual intervals may lengthen and the amount of bleeding may decrease or increase.
- Sleep problems:Night sweats, frequent awakenings and hormonal fluctuations can disrupt sleep quality.
- Mood changes:Anxiety, restlessness, depressive mood, irritability and emotional fluctuations may be experienced.
- Vaginal dryness:Due to the decrease in estrogen, vaginal dryness, burning, itching and pain during sexual intercourse may occur.
- Decreased sexual desire:Hormonal changes, sleep problems, vaginal dryness and psychological factors can affect sexual desire.
- Skin and hair changes:Dry skin, loss of elasticity and thinning of hair may occur.
- Weight and body shape changes:Changes in metabolism, muscle mass and fat distribution can make weight control difficult.
- Decrease in bone density:The drop in estrogen after menopause can accelerate bone loss and increase the risk of osteoporosis.
When Do Hot Flashes End During Menopause?
Hot flashes and night sweats are among the most commonly reported symptoms of menopause. While these complaints decrease within a few months in some women, they may continue for years in others. Period; It may vary depending on genetic structure, stress level, sleep patterns, smoking, weight, eating habits and general health status.
The treatment option for symptoms such as vaginal dryness, hot flashes or sleep problems is individualized according to the severity of the complaint and the patient's medical history [1].
As hormonal fluctuations decrease in the post-menopausal period, the frequency and severity of hot flashes may ease over time. However, if symptoms affect daily life, it is recommended to be evaluated by a gynecologist and obstetrician in terms of hormone replacement therapy or non-hormonal treatment options.
"Hot flashes and night sweats do not end at the same time in every woman. The treatment plan should be determined individually according to the severity of the symptom, the person's age, health history and risk factors."
When Does Menopause and Early Menopause Begin?
Early menopause does not only mean early cessation of menstruation. Since estrogen deficiency begins at an earlier age, it may require closer monitoring in terms of bone health, cardiovascular health, sexual health, fertility and psychological well-being.
Bone health, cardiometabolic risks and gynecological examination findings should be monitored together in postmenopausal follow-up [2][3].
What are the Symptoms of Early Menopause?
Early menopause symptoms are similar to classic menopause symptoms. However, since it occurs at a younger age, both its physical and psychological effects may be felt more clearly.
Symptoms that may be seen in early menopause are:
- Menstrual irregularity:Prolongation of menstrual intervals, change in the amount of bleeding, or complete cessation of menstruation may occur.
- Intense hot flashes:Sudden feeling of heat, sweating and palpitations may be experienced more frequently.
- Night sweats and sleep disturbance:Sleep quality may deteriorate and daytime fatigue may increase.
- Sexual reluctance:Hormonal changes, anxiety, and vaginal dryness can affect sexual desire.
- Vaginal dryness:Pain, burning or tenderness may occur during sexual intercourse.
- Mood changes:Anxiety, restlessness, depressive feelings and self-confidence problems may be observed.
- Bone health problems:Lack of estrogen can cause a more rapid decrease in bone density.
What are the causes of early menopause?
Early menopause or premature ovarian failure may occur in some women without any apparent cause. However, some genetic, autoimmune, surgical and environmental factors may increase the risk.
Possible causes of early menopause include:
- Genetic factors:Having a family history of early menopause may increase the risk.
- Autoimmune diseases:The immune system's effects on ovarian tissue may reduce ovarian functions.
- Chemotherapy and radiotherapy:Cancer treatments can affect ovarian reserve.
- Ovarian surgeries:Removal of the ovaries or operations that damage the ovarian tissue can lead to early menopause.
- Surgical interventions:Surgical removal of the uterus or ovaries can cause hormonal changes.
- Some medications:Some treatments can affect ovarian function.
- Smoking:Smoking is among the lifestyle factors that can bring forward the age of menopause.
What are the Harms of Early Menopause?
Early menopause is important for long-term health because estrogen deficiency begins at a younger age. During this process, bone density, cardiovascular health, sexual health, mood and fertility planning should be carefully evaluated.
- Bone loss and osteoporosis risk:Decreased estrogen can accelerate bone loss and increase the risk of osteoporosis.
- Cardiovascular health:Early estrogen deficiency may require evaluation of cardiovascular risks.
- Fertility effect:Decreased ovarian reserve may affect the pregnancy plan.
- Sexual health problems:Vaginal dryness, pain during sexual intercourse and decreased sexual desire may occur.
- Psychological effects:Diagnosis of menopause at an early age can cause anxiety, sadness, decreased self-confidence and anxiety about the future.
In women with premature ovarian failure, if there are no contraindications, it may be recommended to consider hormone therapy or appropriate hormonal options until the age of natural menopause.
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Nutrition Recommendations during Menopause
Healthy nutrition during menopause is important for weight control, bone health, cardiovascular health and general well-being. The nutrition plan should be personalized according to the person's age, weight, metabolic status, bone density, chronic diseases and daily living habits.
Nutritional recommendations to consider during menopause are as follows:
- Calcium and vitamin D:It is important for bone health. Dairy products, yogurt, cheese, green leafy vegetables and some fish are good for calcium.
References
- [1] NICE NG23 - Menopause: identification and management- Clinical guide to menopausal symptoms, hormone therapy and follow-up approach.
- [2] ACOG - Clinical Guidance: Menopause- Clinical resources on menopause, hormone therapy and women's health.
- [3] WHO - Women's health- Women's health and preventive health approach according to life periods.