This report aims to identify the physical and mental symptoms of the menopause and explain the use and potential side effects of frequently used pharmaceutical drugs to assist in relief of the symptoms. Natural relief of symptoms are also described. This article doesn’t aim to describe all the psychological or physical features of the menopause, these can be dealt with in a subsequent article.
The menopause usually affects women between the ages of 40-50 years. The menstrual cycle becomes irregular about 5-7 years prior to the start of the menopause. Nearer the onset the amount of cycles where ovulation doesn’t occur increases. During the menopause that the woman may experience dryness of the vagina. This may result in inflammation and an increased risk of disease.
A reduction in libido is generally experienced, yet some women get a rise. Some women suffer from hypertension (high blood pressure). Hot flashes are common due to by an decrease in estrogen levels. Psychological Symptoms Of The Menopause. The emotional symptoms were, for several years, dismissed by many Doctors and Physicians.
However, they’ve discovered to be actual, usually associated with reduced estrogen levels. Symptoms may include irritability, fatigue, anxiety, and severe emotional disturbances.
Hormone replacement therapy. Estrogen: Estrogen is used to deal with’hot flashes’ (sometimes called’hot flushes’) in women that are experiencing menopause. Some brands of estrogen can also be utilized in the treatment of vaginal dryness, itching, or burning, or to prevent osteoporosis. However, women who want a medication simply to treat vaginal dryness or just to prevent osteoporosis should look at a different treatment. Side effects of estrogen include increased risk of endometrial cancer, and vaginal bleeding among others.
Progestogen is used to modulate the effects of estrogen and are often prescribed together. In women with a uterus, the addition of a progestogen cyclically (for a minimum of 10 times per 28-day cycle) reduces the further risk of endometrial cancer; this extra risk is removed if a progestogen is given continuously. However, this should be weighed against the increased risk of breast cancer.
Oestrogen is given systemically in the perimenopausal and postmenopausal period. Menopausal atrophic vaginitis may respond to a brief course of a topical vaginal oestrogen preparation. Systemic treatment with an oestrogen or medication with oestrogenic properties alleviates the symptoms of oestrogen deficiency like vasomotor symptoms.
Tibolone given in the postmenopausal period also diminish postmenopausal osteoporosis. Tibolone unites oestrogenic and progestogenic effect and it is given continuously, without cyclical progestogen. Tibolone increases the risk of breast cancer.
Clonidine could be used to decrease vasomotor symptoms in women who aren’t able to take an oestrogen, but clonidine might cause unacceptable side-effects. HRT increases the risk of venous thromboembolism, stroke, endometrial cancer ( which could be reduced by a progestogen), breast cancer, and ovarian cancer. Women who start combined HRT over 10 years after menopause have an increased chance of cardiovascular disease. Women using combined or oestrogen-only HRT are at a higher risk of deep vein thrombosis (commonly DVT) and of pulmonary embolism particularly in the first year of use. An oestrogen could be given orally or it could be given by subcutaneous or transdermal administration (patch).
In women who have a personal or family history of deep vein thrombosis or pulmonary embolism, severe varicose veins, obesity, the use of HRT has to be given careful consideration. Like all medications, HRT has side effects yet has helped many women through the’change’ (menopause).
Vitex agnus-castus. Clinical studies have proven that these berries work on the pituitary gland and help stabilise hormone alterations so helping menopausal symptoms.
Czarny bez (Black Cohosh)
Cimicifuga racemosa. The principal use of black cohosh extract is for alleviation of menopausal symptoms. It’s been widely researched, particularly in Europe, for its ability to alleviate the symptoms associated with menopause. While black cohosh is usually considered safe, individuals with liver disease or a family history of liver disease should consult their physician before taking black cohosh.
Turnerna diffusa. This shrub historically been used as an aphrodisiac and has been claimed to induce euphoria.
Angelica sinensis. Dang gui functions as a phytoestrogen and contains similar, but milder, effects of oestrogen. Dang gui also can help support the cardiovascular system, which may of aid to menopausal women suffering hypertension (high blood pressure).
Soy contains natural plant estrogens called phytoestrogens. These are weaker than human estrogens However, studies show they behave similarly in the human body. In the body, phytoestrogens help balance a woman’s estrogen level.
Vitamin E is an antioxidant. Studies have been done that indicate it can help alleviate hot flashes and postmenopausal vaginal dryness and it’s been popular for that purpose ever since.