Stop Hot Flushes

The cessation of menses in western women occurs at the average age of 51 years. Before five years there is gradual increase in number of anovulatory cycle. This period is called climacteric. At this time estrogen secretions fall and negative feedback results in increased pituitary secretion of LH and FSH hormone.

Yes, Stop your hot flushes now!

The symptoms in menopause relate to estrogen deficiency. The hot flushes which are the major feature in most of menopausal women may occur when the patient still has regular menses. It is the major vasomotor effect of menopause. In some patients it is relatively major but in others it may come in minor form. In most of women this symptom gradually improve but in others say one forth, they go on for more than five years.

The cause of hot flushes is not clearly known but can be related to estrogen withdrawal in women with poor vascular control. It is experienced by 25 percent women with psychological background particularly following oophorectomy or ovarian irradiation at young age.

Hot flushes or feeling of warmth due to cutaneous vasodilatation are commonly experienced by women on face and neck then spreading to whole body. This feeling may be followed by sweating. This is manifested by headache, irritability, sleeplessness, fatigue, depression, palpitation and giddiness.

Many women seek explanation rather than treatment. Hot flushes can be dealt with intake of clonidine but in most cases estrogen replacement is necessary. This not only helps to fight the vasomotor symptoms but also benefits bone and soft tissues. Giving estrogen orally is called hormonal replacement therapy or HRT. It can be given in different forms. Cyclic administration of oral estrogen like ethinyl oeradiol along with medroxy progesterone can be given for 21 days and 10 days respectively. Topical estradiol is used in treating menopausal syndrome e.g. .dienoestrol cream. The therapy should be taken under medical supervision and for desired period. For prolonged use of estrogen, both progesterone and estrogen are taken simultaneously. Long term use can be continued up to ten years. The stop of these hormones should be tapered off.

Many ayurvedic herbal drugs like Ashokarishta, Lohaswa, Ashwagandharishta, Hempushpa and Supari Pak are also helpful for getting rid of hot flushes. Fast breathing exercises and different types of meditations are beneficial. Regular morning walk makes body strong enough to combat effects of menopause. Various yoga exercises are of much use. Regular monitoring by a good and experienced gynecologist is must.

Some dietary changes prove to be of great help. Optimum intake of green leafy vegetables leads to detoxification of body. Dairy products like milk, curd, cheese should be included in one’s diet to overcome stress of hot flushes. Due to stress owing to this condition, body movements are reduced leading to obesity. So one should avoid taking saturated fat. Excessive intake of tea or coffee should be strictly checked. Alcohol and caffeine in excess amount further deteriorate the condition. Phytoestrogens which are produced from plants help to reduce the severity of hot flushes. This is found especially in soya bean and Alfa Alfa sprouts.
Thus a women should face the situation with full courage and not lose self control.

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