Menopause health management PPT

There is no one-size-fits-all standard plan for menopausal (perimenopausal) health management. The core principle is "stratified intervention and individual adaptation" - those with mild symptoms should give priority to adjusting their lives, and those with moderate symptoms can choose non-hormonal solutions to relieve them. Those who meet the indications do not need to be afraid of hormone supplements. There is no need to endure the symptoms until the symptoms disappear on their own, and do not step into the trap of randomly supplementing "ovarian maintenance" products with unknown ingredients.

I just met 48-year-old Sister Zhang in the clinic last week. She has worked in finance for 20 years and is known for her good temper. In the past six months, she suddenly had three quarrels with her colleagues. She always gets angry with her husband and children when she comes home. She wets her pajamas with sweat at every turn. She tosses and turns at night before she can fall asleep until two or three o'clock. At first, I thought it was due to the pressure of checking out at the end of the year. I bought melatonin and took it for two months, but it didn’t work at all. Finally, I checked six sex hormones and found that the follicle-stimulating hormone had soared to 42mIU/ml. This is a typical perimenopausal hormone fluctuation. Then I realized that it was not my mood that was wrong, but my body was sending signals.

To be honest, people have a lot of misunderstandings about menopause nowadays. They either think that "everyone has menopause and it will be over in three to five years", or they are so anxious that it is actually unnecessary to move thousands of dollars of ovarian care packages and imported health products to their homes.

First, let’s talk about the life adjustments that are easiest for everyone to implement. Don’t believe the nonsense on the Internet that “drinking three cups of soy milk a day can relieve menopause.” Think about it, a cup of 200ml soy milk contains less than 10 mg of soy isoflavones. To achieve The dose that can improve symptoms is to take 80mg a day, which is equivalent to drinking 8 cups of soy milk a day. Drinking it may not be enough to cause abdominal bloating. If you really want to supplement, you might as well eat a small handful of steamed soybeans every day and drink soy milk as a daily supplement. Don't treat it as a special medicine. There is also no need to exercise. If you have joint pain during menopause and are often flustered, don’t force yourself to run 5 kilometers and dance Pamela. Walk for 20 minutes after meals every day, or do 10 minutes of baduanjin at home, squat against the wall, even if you stand and shake your arms. Moving can help regulate neurotransmitters, and hot flashes and irritability will be much lighter.

If you still feel uncomfortable after adjusting your life for a month or two, you can try a non-hormonal intervention plan. For example, oryzanol and vitamin B1 are useful for mild to moderate hot flashes, poor sleep, and emotional irritability, and have few side effects. I have several patients who took it for half a month and said that their daily heat flow was reduced by half, and their sleep was much more comfortable. However, some people did not feel anything after taking it, so there is no need to force it, and they can just switch to another plan. There is also black cohosh extract, which is mentioned in many guides now. It is a good alternative for people who are not suitable for taking hormones. However, be careful to buy regular drugs or compliant dietary supplements. Don’t buy the "rejuvenation hormone" sold by micro-commerce. It may contain illegal estrogen secretly, and you will not know if it is damaged. There are also acupuncture and moxibustion of traditional Chinese medicine. I have a 50-year-old patient who does Sanyinjiao and Yongquan twice a week for three months. He used to wake up four or five times a night, and now he can sleep through the whole night.

The most controversial thing is hormone replacement therapy (MHT). Let’s be objective about this. There is no absolute right or wrong. The mainstream view of Western medicine in obstetrics and gynecology is that as long as you are in the window period (that is, within 10 years of menopause and younger than 60 years old), have no history of breast cancer or endometrial cancer, and have no high-risk factors for blood clots, the benefits of hormone supplementation far outweigh the risks, and not only can you improve quickly, Symptoms such as hot flashes and insomnia can also prevent osteoporosis and cardiovascular diseases. I have a 52-year-old postmenopausal patient who has been regularly using low-dose natural hormones for 6 years. The last review of his bone density was higher than that of many 30-year-old sedentary white-collar workers, and his complexion is much better than that of his peers. However, many scholars of natural medicine and some traditional Chinese medicine believe that hormone supplementation is an exogenous intervention after all. If you don’t need it, you can get through it smoothly by relying on lifestyle, botanical medicine, and emotional regulation. This view is also correct. After all, everyone has different needs. If your symptoms are very mild, or you really have contraindications to the use of hormones, you can choose other options. There is no need to focus on hormones.

In fact, the most easily overlooked thing is emotional support. I have seen too many patients shed tears when they come to see a doctor, saying that their husbands and children think she is "looking for nothing" and "pretentious". In fact, those sudden irritability and want to cry for no reason are caused by hormone fluctuations that cause neurotransmitters such as serotonin to be disrupted. It is really not a personality problem. The family should be more accommodating and talk to her and take a walk more, which is more effective than any amount of medicine she takes.

To put it bluntly, menopause is a normal stage of life. It is the same as getting acne during adolescence or morning sickness during pregnancy. There is no need to treat it as a scourge, and there is no need to bear it hard. It can be as comfortable as you want.