Menopause is when a woman’s menstrual periods stop. Menopause happens because the ovaries stop producing the hormones estrogen and progesterone . Menopause is natural mechanism . During a normal menstrual cycle the ovaries produce testosterone and progesterone under the control of FSH( Follicle stimulating hormone )and LH ( Luteinising hormone) both produced by the pituitary gland .
The ovary is one of a pair of reproductive glands in women , located in the pelvis, one on each side of the uterus.The ovaries are the main source of female hormones controlling the development of female body characteristics such as the breasts, body shape, and body hair. After menopause, estrogen continues to be produced in other tissues, ovaries, but also in bone, blood vessels and even in the brain.
Menopause can also be surgically induced by the process of – removal of ovaries can be in conjunction with removal of fallopian tube and uterus . The sudden and complete drop in hormone levels usually produces extreme withdrawal symptoms such as hot flashes, etc Menopause normally occurs between the ages of 45 and 55. A gradual decrease of estrogen generally allows your body to slowly adjust to the hormonal changes. Hot flashes and sweats are at their worst for the first 1 – 2 years. Menopause may last 5 or more years.
Perimenopause is the time leading up to a woman’s last period. Periods can stop and then start again .During perimenopause a woman will have changes in her levels of estrogen and progesterone . These changes may lead to symptoms like hot flashes. Some symptoms can last for months or years after a woman’s period stops.
Age/Sex prevalance of menopause
Females are affected by menopause.Menopause start occuring at the age of between 45-47.
Females of all races are affected by menopause.
• Decline of the reproductive hormones -ovaries start making less estrogen and progesterone, which regulate menstruation.
• A hysterectomy that removes your uterus, but not your ovaries, usually doesn’t cause menopause. • Cancer therapies( chemptherapy ) can induce menopause
• Ovarian insufficiency — when ovaries fail to produce normal levels of reproductive hormones
• Hot flashes
• Night sweats
• Skin flushing(wrinkles )
• Menstrual periods occuring less often and eventually stop
• Decreased interest in sex
• Sometimes Forgetfulness
• Irregular menstrual periods (periods can come more often or less, last more days or fewer, be lighter or heavier.)
• Mood swings including irritability, depression, and anxiety
• Vaginal dryness (The walls of your vagina may get drier and thinner because of lower levels of the hormone estrogen )
• painful sexual intercourse
• Vaginal infections
• Joint aches and pains
• Osteoporosis ( bones become weak and thin )
• Urine incontinence
• In some women weight gain
• Unrefreshing night sleep and daytime tiredness
• Blood Test
• Urine test
• Hormones- LH , FSH
• A pelvic exam may indicate changes in the vaginal lining caused by declining estrogen levels
• Hormone therapy (Estrogen and progesterone therapy)
• Oral contraceptive pills
• Local (vaginal) hormone and non-hormone treatments
• Vaginal moisturizing agents such as creams or lotions , use of lubricants during intercourse are non-hormonal options for managing the discomfort of vaginal dryness.
• Coronary heart disease rates in postmenopausal women are higher than in women of the same age who have not reached menopause.
• Flushes of heat during menopause are sudden and intense.
• Breast feel heavy and hard .
• Feeing of pulsation or throbbing in the head.
• A heavy flow of blood that feels very hot appears with some periods
• Women of sensitive with mild disposition
• Effects of grief and sorrow, headache
• Pain in small spots , menstrual cramps
• Sinking in the stomach which is releived by deep breath
• Great debility and maximun weakness felt early morning
• Ill efefcts of grief and anger
• Depression in chronic ailments
• Wants to be alone to cry .
• Women with changeable moods , irregualr periods and a tendency toward tears.
• Headache from overwork.
• Aversion to fatty food, warm food and drink .
• Menopause symptoms such as night sweats and hot flashes, vaginal dryness, bleeding and mood swings.
• Pain across hip to hip.
• Women with extreme hot flashes, both day and night.
• The night time heat may be worse than during the day.
• Left-sided headaches and migraines.
• Talkative women
• The woman needing Sepia may be chilly most of the time
• She may weep easily and desire strenuous exercise or physical activity, which often relieves her symptoms temporarily.
• Sepia provides relief for sadness, indifference, moodiness, vaginal dryness and pain during intercourse.
• Avoid caffeine, alcohol, and spicy foods
• Dress lightly and in layers
• Eat soy foods
• Get adequate calcium and vitamin D in food and/or supplements
• Get plenty of exercise
• deep breathing whenever a hot flash starts to come on
• Try relaxation techniques such as yoga, tai chi, or meditation
• Try to get enough sleep.
• Engage in physical activity for at least 30 minutes
• Talking to friends