Hormones, hormones ... The life of a woman begins with themand ends with them. Sexual development begins in utero, and as early as week 15, the sex of the unborn child can be determined. And then the development of women is divided into several periods. Each of them has its own characteristics. None of them can be called simple. But the physiological stage of menopause is the most difficult.
Climax - general information
The question arises: when there comes a climax, treatment is necessary? The climacteric period (climax) can last long enough (up to 10 years). It begins in most cases after 40 years. But it can be early or late (35-55). Hormonal changes in the body of a woman lead to a gradual extinction of reproductive functions. This long period is divided into 2 phases. Its first phase - premenopause - is characterized by the fact that the duration of menstruation and their regularity begin to change. Allocations can become very scarce, and very abundant, and their rhythm is unstable. Postmenopause is the second phase of menopause. At this time, the hormonal activity of the ovaries dies out, the monthly stops completely and a period of physiological rest sets in for the sexual system of the woman. Menopause is an indispensable stage of aging, which every woman experiences in her own way. Someone has no special changes in the body and in consciousness, and someone has a whole complex of symptoms called menopausal syndrome.
Climax: Causes and Consequences
Approximately from 35 years the amount of estrogen(a hormone that is needed for the onset of menstruation and pregnancy) and progesterone begins to decline constantly. And it decreases until the menstrual period completely ceases and the woman's fertile function does not fade. Since the sex hormones take an active part in the regulation of various organs and systems of the body, temporary disorganization of the body's functions occurs, which must adapt to new conditions of life. Estrogen affects the work of the heart, the genitourinary system, the system of thermoregulation, the state of bones, skin and hair. When hormone deficiency appears, "breakdown", the severity of which depends on the presence of stress factors, the presence of acute or chronic diseases, sexual or psychoemotional disorders. Female genitalia undergo significant structural changes up to atrophy. And there is a need for treatment. Ovaries gradually reduce the synthesis of progesterone and estrogen. Their mass from 6-7 g is reduced to 4 g. Their follicular apparatus gradually perishes, and the vessels are replaced by a connective tissue. The shape and weight of the uterus also vary significantly due to atrophic processes. Its walls become denser, thinner. Muscle fibers are replaced with fibrous tissue. The mother tubes are already shorter and thinner. And the cilia on their free edge completely atrophy. The mucous membrane of the vagina completely loses its elasticity. The synthesis of lactic acid and glycogen decreases, which leads to a change in the pH of the vaginal environment from acidic to alkaline or neutral, which promotes the propagation of pathological microorganisms. This often leads to the appearance of atrophic colpitis and its treatment.
Regularity of the menstrual cycle withThe climacteric syndrome begins to change even before the onset of menopause. Its duration becomes longer or shorter in comparison with the previous period. Quite often at this time, there may be dysfunctional uterine bleeding, the cause of which are violations of the synthesis of the yellow body and follicles. Hemorrhages of this kind are of varying intensity and duration. Sometimes so strong that they need to be urgently treated to avoid the risk of a woman's life. And spotting can appear in the middle of the cycle. Lowering the level of estrogen causes dryness of the vagina. Its walls lose their elasticity, become thinner and begin to secrete less and less secret. Inelastic and dry vagina can cause a feeling of discomfort during sexual intercourse and in everyday life. This problem can be avoided by treatment with various candles and water-soluble lubricants. The loss of sex hormones affects the muscle tone of the genito-urinary tract. In some cases, its reduction is so significant that incontinence develops, which necessitates the use of urological pads. Changeable mood, bad sleep, irritability, fatigue, depression, sweating, accelerated skin aging, muscle and joint pains are the companions of menopause, the appearance of which depends on the lowered level of sex hormones. But the earliest and most characteristic symptom, which allows us to talk about the presence of a climacteric syndrome and its severity, are the tides. 75-85% of the female population experienced what tides are.
Tides begin to appear 1-2 years beforemenopause. And the duration of this period can be from six months to 15 years. Prolonged and severe nature of the tides, which requires special treatment for menopause, occurs in women with an artificial (removal of the ovaries) or early menopause. The emergence of tides is associated with the fact that through the endocrine ligament of the hypothalamus-pituitary body, the woman's body tries to forcefully eliminate the lack of estrogen, forcing the ovaries to produce sex hormones. Estrogens directly affect the thermoregulatory processes of the body. When there is a lack of a hormone, false signals about overheating enter the hypothalamus. And then the mechanisms of protection and dumping of excess heat are included: the heart rate increases, the vessels dilate, and profuse sweating begins. The inclusion of these protective mechanisms is perceived by a woman as a sudden feeling of heat. It appears in the chest and as a wave rolls over the neck, head, hands. Most often these sensations are covered in the upper part of the body. But sometimes the tides can absorb completely the entire body. The duration of each tide is from 10 seconds to tens of minutes (an average of 3-4 minutes). Their frequency is also different. The number of tides per day determines the severity of menopausal syndrome:
- 1 degree - easy: up to 10 tides without disruption of performance;
- 2 degree - average: 10-20 tides with palpitation, pain in the heart, headaches, dizziness, decreased efficiency;
- 3 degree - heavy: more than 20. In this case, there are attacks of weakness, nausea, rapidity and irregularity of the heartbeat, a sharp fluctuation in blood pressure, an increase in temperature, loss of working capacity, followed by profuse cold sweat and chills. With this degree of severity of the syndrome, treating menopause is a must.
Tides can arise even during sleep. A woman may not notice a heat attack, but the feeling of cold that arises from cold and wet sweat makes her wake up. Frequent attacks during sleep lead to his frustration.
Very often, tides do not start from scratch. Their appearance is facilitated by the following factors:
- heat sources - hairdryers, irons, fireplaces, stoves;
- high ambient temperature: hot room, sauna, shower, hot on the street;
- sharp and hot food;
- hot drinks;
- excessive consumption of sugar, coffee, alcohol;
- neuropsychic states (stress, anxiety).
Any woman can learn to control hertides. It is necessary to analyze seizures, identify the main causes that contribute to their appearance, and try to eliminate the appearance of these causes. The questions, answers to which the woman will help, are the following:
These general recommendations will not eliminate the tides themselves. But they will help reduce their frequency and severity.
Tides and stress
The main factor-provocateur of the appearance of the tide -stress. To keep calm in the rhythm of modern life is very difficult. Conflicts at work and at home, important meetings, public appearances, reports, delays ... This list can be continued for a long time. And even knowing that all these causes contribute to the emergence of tides, they will not be avoided in real life. Therefore, it is important to try to learn how to control tides even in critical situations. For this:
- Carry water in a small bottle. A couple of sips of cold water will stop appearance and prevent the development of an attack.
- Reducing the severity of the tide will help blown yourself with air. Carry a fan with you. Find somewhere near the place with a fan or air conditioner.
- Try not to be late for meetings, and this is notwill cause you too much excitement. If such a situation has arisen, better call back and warn about being late. Think about the possibility of communication with the person waiting for you in advance. Do not hurry.
- Diaphragmatic breathing calms the nervoussystem. If you feel the approaching tide, take a few slow, deep breaths with your eyes closed. Sing at home, in nature, at work, preferably in full voice. It also develops deep breathing.
- If the tide caught you during the report,speech, report, important conversation, try not to think about the tide. It is better to focus on the topic. After all, the fact that at the moment you have a tide no one and does not know except you. Keep confidence, and it will give strength.
Need to use menopause treatmentdrug therapy occurs when you have followed all the recommendations for a non-medicamental reduction in frequency and strength of the tides, but they were not enough. Recommendations for how to treat menopause, you should give only a doctor in view of your condition. In the treatment of menopause, the following drugs are used:
- Lowering the pressure. After all, the tides are often accompanied by a sharp increase in blood pressure. It is important to remember that only a doctor can prescribe such drugs, change their dosage in the treatment of menopause.
- Soft sedatives reduce the lability of the nervous system, which lowers the frequency of seizures.
- Antidepressants are prescribed by a doctor for the treatment of menopause, which is accompanied by depressive disorders.
- Preparations of hormone replacement therapy contain estrogens, which make up for their deficiency in the body. Scheme of application and the drugs themselves are selected individually.
Apply all these drugs in the treatment of menopause can be only after a mandatory consultation with your doctor.