Menopause is not just hot flashes and night sweats~Be careful with cardiovascular disease, Alzheimer’s disease, and 3 women’s cancers-Hot News YesNews

There are two major events that a woman will encounter in her life, one is the first menstruation that comes from adolescence, and the other is the menopause of menopause. Although female menopause is a necessary stage, after the general age reaches 50, it may face menopause. However, it has been clinically found that some people are less than 40 years old, ovarian function has declined, estrogen has decreased significantly, and menopause should be reported early! The uncomfortable symptoms caused by menopause are not only the initial hot flashes, night sweats, heart palpitations and other symptoms; be careful to enter the middle and late stages, for fear of osteoporosis (fractures), cardiovascular disease, and even Alzheimer’s disease, as well as the three major women’s cancers. risk! Therefore, once you report for menopause early, or when you have obvious menopause obstacles, don’t be sloppy, thinking that forbearance will be good, it is best to find a specialist for evaluation and treatment, and take you through the annoying menopause easily!

What is female menopause?

Non-ovulation is called menopause, from the reproductive age to infertility, this transitional period is called menopause

What is female menopause? Do I have to wait until the menstruation is all over and do not come again, is it menopause? Basically, a woman’s menstruation represents ovulation, and non-ovulation is called menopause. From reproductive age to infertility, this transitional period is called menopause. It takes an average of 30 to 40 years from the beginning of menstruation to menopause in the fifth and sixth grades of elementary school. In fact, women can be called menopause during the period of two or three years before and after menopause. According to the 106 National Health Interview Survey conducted by the National Health Agency, about 40% of women aged 45-49 have menopause, and 70% of women aged 50-54 have menopause.


Dr. Lai Zongxuan (right), director of the Reproductive Medicine Center of Cathay Pacific Hospital, said that in the middle and late menopause, there is a risk of osteoporosis (fracture), cardiovascular disease, and even Alzheimer’s disease, as well as the risk of cancer of the three women! (Video and audio, photography / Zheng Mingjun, Jiang Minjun, Song Meiyao)

How is menopause formed?

Aging ovarian function, non-ovulation, reduced hormones, disease/cancer chemotherapy, environmental pollution, etc.

How is menopause formed? Menopause means that ovarian function begins to age, no ovulation, and estrogen is reduced to a minimum. This is a natural process of physiological changes. It’s just that some people come early and some people come late. According to Taiwanese research statistics, the average age of female menopause is 49.3 years old. Most women have menopause around the age of 50 or around 2 years, but in fact the ovarian function begins to decline even earlier, so many people have menopausal syndrome in their 40s, which is also called menopausal disorder.

Dr. Lai Zongxuan, Director of the Reproductive Medicine Center of Cathay Pacific Hospital, said that as women enter menopause, ovarian function will gradually decline from the original vigorous state. “Ovarian function” can be divided into two parts: the first is the function of ovarian secretion of hormones, and the function of ovarian ovulation. “Function. Both of these are the causes of menopause. In addition, after menopause, ovarian follicles are almost completely exhausted, so no more ovulation. Hormones will suddenly drop very low, especially estrogen will drop very low, which will cause the surrounding tissues of the body to be unsuitable. This is the main reason for menopause.


When it comes to the symptoms of menopause, it is immediately reminiscent, or people often hear complaints: heart palpitations, chest tightness, hot flashes, and even night sweats, insomnia, frequent tantrums, depression, or vaginal dryness affecting sexual well-being, etc., making it difficult Parry.

In addition, some people will have “early menopause”, such as their own genetic problems, such as chromosomal fragility or Turner’s disease; others are taller and thinner, or have insufficient adipose tissue People are also more likely to have premature menopause. And the cancer is undergoing chemotherapy, it may also cause ovarian failure and premature menopause.

Dr. Lai Zongxuan said that it is easier to overlook the impact of environmental pollution. For example, exposure to PM2.5, plasticizers, petrochemicals, decorative formaldehyde, etc., with volatile substances, may also harm the ovaries and cause early menopause. . As well as receiving radiation such as X-ray, or computer tomography, if too much exposure is exposed, it may also cause premature menopause.

What are the symptoms of menopause?

Initial symptoms: palpitations, chest tightness, hot flashes, night sweats, insomnia, frequent tantrums, depression, or vaginal dryness, etc.

After women enter the menopause, because of the rapid decline in hormones, there will be great changes in the physiological and psychological changes, which are often caught off guard. When it comes to the symptoms of menopause, it is immediately reminiscent, or people often hear complaints: heart palpitations, chest tightness, hot flashes, and even night sweats, insomnia, frequent tantrums, depression, or vaginal dryness affecting sexual well-being, etc., making it difficult Parry. However, some of these are the initial symptoms of menopause. In the middle menopause, there may be urinary incontinence, cardiovascular disease, and osteoporosis; and in the late stage: Alzheimer’s, and even ovarian cancer, breast cancer, endometrial cancer and other three women’s cancer risks.

What are the complications of menopause?

Cardiovascular disease, osteoporosis/fracture, urinary tract infection, cervical cancer, breast cancer, ovarian cancer, etc.

Why are there these worrying symptoms and complications? According to Dr. Lai Zongxuan, after menopause, females are prone to high blood pressure due to the decrease of hormone concentration and the decrease of protective power, which makes blood vessel elasticity worse, blood pressure rises. Therefore, it is worrying that cardiovascular diseases, such as myocardial infarction or cerebral stroke, may be fatal! According to the American Heart Association, one out of every three women suffers from cardiovascular disease, and 10 years after entering menopause, the risk of heart attack is greatly increased, which deserves special attention!


After menopause, the secretion of estrogen decreases, which increases the activity of osteoclasts and decreases the activity of osteoblasts, leading to increased bone absorption and rapid loss of bone density in the body, which is prone to osteoporosis.

In addition to cardiovascular diseases, females with reduced estrogen secretion after menopause increase the activity of osteoeclasts and decrease the activity of osteoblasts, leading to increased bone absorption and rapid loss of bone density in the body, prone to osteoporosis. An inadvertent external force often causes fractures. Among them, there are three common fractures, including compression fractures that occur in the lumbar spine, hip fractures that occur in the hip joint, and wrist fractures. Lack of estrogen may also cause brain function atrophy and memory decline. Studies have shown that menopausal women who have not received hormone replacement therapy have a significantly higher chance of developing Alzheimer’s disease than women who have received hormone replacement therapy. The mood of menopausal women will also be affected, and there will be a bad temper, panic disorder, anxiety disorder and depression.

In addition, the most troublesome women after menopause are the health problems of the urinary tract. The epithelium of the urogenital tract will begin to shrink and become less elastic due to insufficient female hormones, which will lead to urinary tract infections, dysuria, and urgency. , Frequent urination, and even urinary incontinence, etc., will seriously affect the quality of life. And what makes it difficult for menopausal women is that after menopause, the pH of the vagina changes from weakly acidic to neutral, which may cause vaginal dryness, uncomfortable vulvar itching, painful intercourse, and reduced libido. Because of vaginal dryness, it is easy to break the skin during sexual intercourse, cause bacterial vaginitis, and even viral infections such as human papillary lesion infection, which may cause cervical epithelial lesions, and there is a risk of cervical cancer. As for women whose menstruation is too early or menopause is too late, the ovaries will be active for a longer period of time and ovulate more frequently than ordinary people, which will also increase the risk of ovarian cancer. In addition, women who are overweight should also be aware of the increased risk of breast cancer after menopause.

What are the diagnostic check items for menopause?

Including: Estrogen (E2), Follicle Stimulating Hormone (FSH), Anti-Muschian Hormone Abbreviation (AMH), Ultrasound, etc.

Recognize the dangerous complications of menopause, but don’t panic too much. Correct diagnosis can help you grasp the pulsation of menopause early and be prepared. The diagnostic test items for menopause include: estrogen (E2), follicle stimulating hormone (FSH), anti-Mushian hormone abbreviation (AMH) and so on. And do ultrasound to rule out whether menstruation is not coming due to other diseases, and there is suspected stopping of menstruation.

Basically, clinical symptoms are combined with a blood test to see if the ovarian hormones meet the criteria for menopause. Generally, the blood test measures “Follicle Stimulating Hormone” (FSH). If it is higher than 25 IU/ml, it means almost the beginning. Entering menopause, at 35 IU/ml, the menstruation is almost stopped. There is also the detection of the concentration of the new anti-Mühler hormone (AMH), which is less than 0.1 and enters menopause, and by 0.01, menopause is almost stopped. This is also the latest indicator. If you feel that menstruation is delayed for more than half a year and menstruation for a year, you can take a blood test, or do a gynecological ultrasound examination to see if there are other causes, such as hydromass, tumors, which affect normal hormone secretion and cause menstruation If it doesn’t come, it may also be polycystic ovary disease. Menstruation may become quarterly menstruation, half-year menstruation, or even menopause by mistake. In addition, the uterine cavity is sticky, the endometrium cannot grow, and there is no menstruation. Therefore, it is necessary to rule out gynecological diseases before diagnosis, in order to diagnose whether it is a problem of ovarian function, or it may be due to aging and entering menopause.


The current consensus of the Global Menopausal Hormone Medical Association: If there are symptoms of menopause, of course, first take non-medicinal maintenance. If the symptoms are severe and cannot be relieved, accept hormone supplementation as soon as the menopause has symptoms. Don’t delay the supplementation until 10 years after menopause. For example, I am over 60 years old, and I have never taken hormones before, but I want to start supplementing hormones, which may increase the problem of blood clots.

When does menopause need medication?

There is a golden time for the use of hormonal drugs, and there will be a consensus on the global menopausal hormonal medicine

Dr. Lai Zongxuan said that if the daily maintenance of menopause cannot be relieved and there are still uncomfortable symptoms, drug treatment should be considered. The advantage is that it can alleviate the uncomfortable symptoms of menopausal hot flushes, dryness, and too dry privacy, and can also reduce Alzheimer’s disease and metabolic syndrome. occur. Regarding the drug treatment method, there is now a concept: at the beginning of menopause, general drug treatment will choose the way of taking contraceptives, and periodically let the menstruation come back, so that women feel like rejuvenation menstruation is coming again; after 3 or 5 years, I would recommend halving the dose to prevent menstruation. However, how long does it take to supplement hormonal drugs? This is a question that everyone is currently concerned about, and whether supplementing hormones will cause breast cancer?

This problem goes back to 2003 when the National Institutes of Health and Wyeth Pharmaceuticals (a pharmaceutical manufacturer of hormone drugs) collaborated on a study. One group of menopausal subjects took hormonal drugs and the other group did not take hormonal drugs, and observed 10 Years, see if the symptoms of menopause have improved? Also observe whether the incidence of cardiovascular and cancer has decreased? Are there bone loosening problems? As a result, it only took 4.6 years to call a card, because it was discovered that there were people taking hormonal drugs, the risk of breast cancer increased by 26%, so based on research ethics, it was decided that the experiment should be suspended to protect the subjects. As a result, news reports at home and abroad caused everyone’s panic. They dared not take it when they felt scared. They even thought that taking hormone drugs would be equated with breast cancer, and had no choice but to tolerate the symptoms.

However, there is something wrong. This study is actually flawed. The average age of the two groups of subjects is 62 years old, and the general age of menopause is about 50 years old, so it is about more than 10 years after menopause that hormone supplements are started. The two groups of experimenters have a positive result in the fight against osteoporosis, and both have positive and negative opinions on the prevention of cardiovascular disease. In addition, reducing urinary incontinence is also helpful; in fact, the two groups of experimenters are too old, leading to Deviation in experiment. Later, scholars redefined the result: If hormone supplementation before the age of 60, it will not increase the risk of breast cancer, nor will it increase the risk of any cancer. In addition, women with premature menopause may have the greatest benefit and benefit from hormone supplementation in their 30s or 45s. There is also great benefit from supplementing hormones just after menopause.

Therefore, the current consensus of the Global Menopausal Hormone Medical Association: If there are symptoms during menopause, of course, first take non-medicinal maintenance. If the symptoms are severe and cannot be relieved, receive hormone supplements as soon as the menopause has symptoms. Don’t delay until 10 years after menopause. For example, if I am over 60 years old, I have never taken hormones before, but I want to start supplementing hormones, which may increase the problem of blood clots. It is best to start supplementing as soon as the symptoms of menopause appear, the effect is the best, and the supplement is safe within 10 years, and will not increase any discomfort and the risk of cancer. For example, if you have menopause at the age of 50, eating until the age of 60 will not increase the risk of any discomfort and cancer. This is the current global consensus and the basis for clinical treatment.


Although menopause before the age of 60 can be moderately supplemented and will not increase any risk of breast cancer and cancer, there are also contraindications, including already having cancer, such as colorectal cancer, breast cancer, do not supplement hormone drugs.

Although menopause just before the age of 60 can be supplemented in moderation and will not increase any risk of breast cancer and cancer, there are also contraindications, including cancers that you already have, such as colorectal cancer and breast cancer, do not supplement. There is also the risk of blood clots or strokes, or people who smoke, which may increase the risk of blood clots; and people with poor liver function are not suitable for oral hormones, and can use hormones that are absorbed through the skin or the vaginal mucosa. As well as having an allergic reaction to hormonal drugs such as a rash, it is not suitable for use.

[5 Tips for Daily Menopause Maintenance]

Menopause is the process of body aging. It is not a disease. The uncomfortable symptoms brought about can affect the quality of life. Therefore, daily maintenance can help delay aging without affecting life. The following tips are recommended:

1. Fixed exercise habits:

Maintain good exercise habits, such as yoga, dancing, hiking, swimming, playing ball, etc. The most important thing is to persevere so that the organs and tissue cells maintain a good metabolic cycle, and the tissues and organs are less prone to aging.

2. Control weight:

Metabolism slows down during menopause. It’s good to eat 70% full. Avoid eating sweets and deep-fried food. Try to adopt a Mediterranean diet, eat good oil, high fruits and vegetables. It is recommended that each meal take up 50% of fruits and vegetables, 25% of starch, and protein. 25%.

3. Prevent bone and joint injuries:

When doing sports, take protective measures to avoid injury to bones and joints.


Avoid osteoporosis, eat foods such as dried fish, nuts, seafood, drink milk, yogurt, or supplement calcium tablets. There are also supplements of soy foods, such as tofu, soy milk, etc., which are rich in estrogen and relieve the symptoms of menopause.

4. Supplement calcium and legume food:

Avoid osteoporosis, eat foods such as dried fish, nuts, seafood, drink milk, yogurt, or supplement calcium tablets. There are also supplements of soy foods, such as tofu, soy milk, etc., which are rich in estrogen and relieve the symptoms of menopause.

5. Implement three-point inspections:

Mature women should keep in mind the “three points without missing” health check, which is a very important health concept, including regular breast screening, pap smear and gynecological ultrasound.

[Cracking the common myths of menopause]

Myth 1: Early menopause will increase the risk of women’s cancer in the future?

For example, endometriosis and chocolate cysts have a recurrence after surgery, and menopause after menopause. The risk of cancer like this is relatively high. So if there are gynecological problems, they must be checked regularly.

Myth 2/Uncomfortable symptoms of menopause, forbearance will heal?

Menopause is like a cold, forbearance may pass for several months, but some people may continue to feel unwell for many years because of their physique. If you continue to forbear, the quality of life will be greatly affected, such as bad temper, easy insomnia, poor sex life, etc., and even the symptoms will become serious, so women must treat themselves well.

Myth 3 / Menopausal supplementation of hormones will be good?

Mild discomfort during menopause can be maintained by daily maintenance, but if there is daily maintenance, the symptoms are still severe and cannot be relieved, so you should receive medication.

Can easily listen at any time:To listen to more exciting “Menopause” content-SoundOn click here

Menopause is not just hot flashes, night sweats~ Be careful with cardiovascular disease, Alzheimer’s disease, and 3 women’s cancers

https://www.facebook.com/top1health

The above article is specially written or authorized by the author. The content reflects the author’s opinion and does not represent the position of this website. No organization is allowed to reprint the full text content without written authorization, but it is welcome to reprint the link on social media.

.

Leave a Comment

This site uses Akismet to reduce spam. Learn how your comment data is processed.