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    Medical Service Name – Menopause

    Menopause, sometimes known as “the transition of life,” occurs when a woman’s monthly periods end. It’s generally detected after a year without a menstrual bleeding. It’s a natural component of aging and signifies the end of your reproductive years. The onset of menopause generally happens between the ages of 40 and 50. According to studies, the average age of menopause is 51. However, women who have their ovaries surgically removed go through “sudden” surgical menopause.

    When menopause approaches, the ovaries produce less estrogen. When this reduction happens, your menstrual cycle (period) begins to shift. It may grow erratic before coming to a halt. Physical changes might occur when a woman’s body adjusts to altered hormone levels. Each stage of menopause (perimenopause, menopause, and postmenopause) has its own set of symptoms that your body adjusts to.

    Risk Factors

    Most prevalent risk factors include:

    • Physical Inactivity
    • Obesity
    • Arterial Hypertension
    • Hypercholesterolemia
    • Poor Calcium Consumption
    • Smoking
    • Hot Flushes
    • Sleeplessness
    • Irritability

    Stages Of Menopause

    Natural menopause is a gradual process that is divided into three stages for women:

    • Perimenopause – Perimenopause, also known as “menopause transition,” occurs eight to ten years before menopause, when the ovaries begin to generate less estrogen. It generally starts in a woman’s 40s, although it can also begin in her 30s. Perimenopause lasts until the ovaries cease producing eggs, which is when menopause occurs.
    • Menopause – Menopause is the phase in a woman’s life when she no longer has menstrual cycles. The ovaries have finished generating eggs and most of the estrogen at this point.
    • Postmenopause – Many women’s menopausal symptoms, such as hot flashes, may subside at this period. Some women, however, continue to have menopausal symptoms for a decade or longer after they have reached menopause. Women at the postmenopausal stage are at a greater risk for various health problems, including osteoporosis and heart disease, due to a reduced amount of estrogen.

    Signs and Symptoms of Menopause

    Women may notice all or some of the below-mentioned signs when approaching menopause:

    • Hot flashes (an unexpected feeling of warmth that spreads over the body).
    • Sweaty nights and/or cold flashes
    • Dryness in the vaginal area; sexual discomfort
    • Urinary rush 
    • Insomnia
    • Mood swings or mild depression
    • Signs of dehydration

    Women who are still going through the menopausal transition (perimenopause) may have the following symptoms:

    • Breast tenderness
    • Premenstrual syndrome deterioration (PMS).
    • Irregular or missing periods
    • Heavier or lighter periods
    • Headaches
    • Joint and muscular pains
    • Libido fluctuations (sex drive)
    • Memory lapses
    • Weight gain
    • Hair thinning or loss

    These symptoms might indicate that the ovaries are generating less estrogen or that hormone levels are fluctuating more. Not every woman experience all of these signs and symptoms. Women who have new symptoms such as racing heart, urine abnormalities, migraines, or other unique medical concerns should consult our expert health professionals to ensure that these symptoms are not caused by anything else.


    Most women can detect when they’ve started the menopausal transition by the signs and symptoms of menopause. Consult our doctors if you’re concerned about irregular periods or hot flushes. In some circumstances, further testing may be recommended.

    Menopause is usually diagnosed without the need for tests. However, our doctors may advise blood tests to assess your levels of the following hormones:

    • Follicle-stimulating hormone (FSH) and estrogen (estradiol). FSH levels rise, and estradiol levels fall as menopause progresses.
    • Thyroid-stimulating hormone (TSH), since hypothyroidism (underactive thyroid) can create symptoms that are comparable to menopause.

    Treatment Options at 7DMC

    Menopause does not necessitate medical intervention. Treatments instead focus on alleviating your indications and symptoms and avoiding or controlling chronic diseases that may develop as you age. Treatment options include:

    • Hormone therapy – This is a type of hormone replacement therapy. For menopausal hot flashes, estrogen therapy is the most effective therapeutic choice. Our doctors may prescribe estrogen at the lowest dose and for the shortest time to give symptom relief for you, based on your personal and family medical history
    • Vaginal estrogen – Estrogen can be applied directly to the vaginal canal via a vaginal cream, pill, or ring to reduce vaginal dryness.
    • Antidepressants in low doses – Certain antidepressants known as selective serotonin reuptake inhibitors (SSRIs) have been shown to reduce menopausal hot flashes.
    • Gabapentin – Gabapentin is an anticonvulsant drug that has also been demonstrated to aid with hot flashes. This medication is beneficial for women who cannot utilize estrogen treatment and who have overnight hot flashes.
    • Clonidine – Clonidine, a tablet or patch commonly used to treat high blood pressure, may help with hot flashes.
    • Medications for osteoporosis prevention and treatment – Doctors may prescribe medicine to prevent or treat osteoporosis, depending on the patient’s needs.

    Frequently asked questions

    Vaginal estrogen, nonhormonal vaginal moisturizers, and the novel oral-systemic estrogen agonist-antagonist ospemifene are all treatment possibilities (Osphena).

    Signs that you may need hormone replacement medication are:

    • Hot flashes
    • Sweats during night
    • vaginal dryness
    • Itching, burning or pain during intercourse
    • Bone deterioration
    • Sex-drive is low
    • Mood shifts
    • Irritability

    Soy, abundant in phytoestrogens, or plant estrogens, is the most commonly mentioned natural cure. Red clover and flaxseed are two other sources, both of which are accessible as supplements.