What is menopause?
Menopause usually occurs at the age of 45-55 and is a period of declining ovarian function when menstruation stops during the year. It is preceded by premenopause (perimenopause) with irregular cycles and is accompanied by a decrease in estrogen and progesterone levels. This affects not only the reproductive system, but also the entire body, causing vasomotor, urogenital, and psychoemotional symptoms. Caring for women during this period (menopause care) includes diagnosis, therapy, and prevention of complications such as osteoporosis or cardiovascular diseases.
The main symptoms
Women often experience hot flashes, night sweats, mood swings, irritability and insomnia — this is a vasomotor syndrome affecting up to 80% of patients. Urogenital changes are manifested by vaginal dryness, itching, discomfort during intimacy (vaginal atrophy) and frequent urinary tract infections. Additionally, decreased libido, fatigue, memory problems, weight gain and joint pain are possible. The symptoms vary in intensity and require an individual approach.
Diagnostics
The diagnosis is made on the basis of anamnesis, examination by a gynecologist and laboratory tests: determination of the level of FSH (follicle-stimulating hormone, > 25 IU / l indicates menopause), estradiol and AMH (anti-Muller hormone). Ultrasound of the pelvic organs, mammography, densitometry to assess bone density and lipid/glucose tests are recommended to exclude risks. If necessary, colposcopy or endometrial biopsy to exclude pathologies.
Methods of treatment and care
Hormone replacement therapy (HRT or MGT): The most effective method is estrogens (monotherapy or with progesterone for women with preserved uterus). It is prescribed for 5-7 years with symptoms that reduce the quality of life, with risk control (oncology, thrombosis). Improves well-being in 90% of cases.
Non-hormonal drugs: Herbal preparations (phytoestrogens from soy or red clover), antidepressants (SSRIs for hot flashes), gabapentinoids. Vaginal moisturizers and estrogen creams for topical use in atrophy.
Non-drug approaches: Nutrition correction (more calcium, vitamin D), moderate exercise (yoga, walking), quitting smoking and alcohol. Physical therapy, reflexology and psychotherapy for emotional balance.
Prevention of complications
Regular monitoring helps to prevent osteoporosis (bisphosphonate preparations), hypertension and atherosclerosis. The clinic offers personalized programs: annual checkups, breast cancer screening, and colonoscopy. A healthy lifestyle prolongs activity and preserves beauty.
When should I see a gynecologist?
Make an appointment for early symptoms (premature menopause before age 40), heavy bleeding, severe hot flashes, or depression. Timely care improves the quality of life and minimizes risks. In our clinic you will find comprehensive menopause care with experienced specialists.