Signs of Menopause
Menopause refers to the stage of final cessation of menstruation. It is a physiological process due to cessation of function of ovarian follicles. Lack of estrogen hormone is also one of the reasons.
Some common signs of menopause that surely points towards this stage can be summarized as under-
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- Progressive atrophy of genital organs due to deposition of fibrous tissue.
- Shrinking of fallopian tubes with less motility.
- Uterus becomes small and fibrotic due to atrophy of muscles.
- Secondary sex characters also show changes. Breasts are gradually atrophied resulting in their flabby structure. There is spar city of auxiliary and pubic hair.
- Physical appearance also changes. Skin becomes wrinkled and less elastic with hair appearing on the face.
- Metabolic changes like osteoporosis occurs due to estrogen deficiency. Reduction in collagen matrix and calcium leads to osteoporosis. Before menopause high HDL and low LDL levels protects women against ischemic heart disease. But after menopause LDL rises which also increases the risk of IHD.
- As a result of menopause, hypochlorhydria occurs. Motor activity of alimentary tract decreases leading to dyspepsia and constipation. Frequency of urine also increases.
- Emotional upsets are very common at menopause. Sex urge may increase. After 60 years of age this urge decreases due to ageing.
- Hormones of pituitary gland are secreted in excess.
These were some of the diagnostic facts about menopause. Sometimes menses stop due to other reasons like pseudocyesis or pregnancy. Before taking menopause treatments, some clinical features do help to differentially diagnose these signs of menopause.
- General signs like increase in weight, deposition of fats on hips, buttocks and breast.
- Many women experience hot flushes that may stop within a year. The cause of hot flushes is exactly not known but decline in estrogen level lead to it and when body adjusts with the decline, hot flushes gradually pass off. These may be due to vasomotor cause which is the result of vasodilatation. The feeling of heat may be followed by sweating. Hot flushes and sweat are accompanied by scanty and delayed menses by some women.
- Dry vagina and loss of libido during intercourse are the emotional changes mostly experienced by women in menopausal stage.
- Emotional manifestations like headache, irritability, giddiness, fatigue, sleeplessness, depression and palpitation do occur. There may be sensation of pricking by needle on sole and feet. Disturbance in sleep may be due to hot flushes.
- Due to atrophic vaginitis and decreased vaginal lubrication, dyspareunia and lack of libido may occur.
- Due to menopause laxity of muscles and ligaments happens so lady may present with symptoms of joint pain or backache.
- Vagina becomes narrow with tenting of vaginal vault, thinning of mucous membrane and loss of rugae.
- The patient encounters early features like progressive scanty menses followed by stop of the flow, menses at prolonged intervals or sudden cessation of menstrual flow. Prior to menopause menstrual cycles become anovulant. Sometimes onset of menopause may be asymptomatic. These females adapt themselves well to physiological changes of menopause.
Puberty and menopause are two very important stages in a female’s life. If any problem is faced at these stages like the signs of menopause mentioned above, they should not hesitate to take proper treatment.
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