Therapy for Menopausal Symptoms

Menopausal symptoms

With the loss or reduction of estrogen and a possible increase in testosterone (male sex hormones), menopausal symptoms can occur. These are described as hot flashes in the head and neck area, accompanied by increased sweating, palpitations, and insomnia. During this phase of life, women are often left to “fend for themselves,” which worsens the condition. Hormone replacement therapy (HRT) is frequently prescribed without prior hormonal status evaluation and breast examination.

The average age for menopause is 51, meaning perimenopause can start in the forties, and some women may enter menopause even earlier. Thus, perimenopausal symptoms can appear sooner. It’s essential for women to understand and monitor hormonal changes in their bodies during perimenopause to assist themselves and their doctors in managing these symptoms effectively.

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Perimenopause

Perimenopause can be considered the reverse of puberty. This means libido decreases, and vaginal dryness occurs, making intercourse uncomfortable and painful. Menstruation becomes irregular and eventually stops. Many women are unaware of perimenopause, its existence, and its symptoms, leading to a lack of preparation for the changes that occur.

Before perimenopause and menopause, estrogen and progesterone work in harmony, allowing for monthly ovulation and the possibility of pregnancy. During perimenopause, these hormones no longer work in balance. Their levels fluctuate, leading to hormonal imbalance and various perimenopausal symptoms, such as irregular bleeding with cramps and discomforts that were not previously present. Bleeding can occur every two weeks or after six weeks. There is also more frequent urination or urinary incontinence, discomfort during intercourse due to vaginal dryness, and psychological issues such as“brain fog” or confusion. These changes can exhaust and drain energy, reduce the quality of life, and lead to depression. Insomnia, night sweats, hot flashes, heart palpitations, and weight gain are common.

It is important to point out that the state of menopause requires an examination by: an endocrinologist, a gynecologist, breast examination, possibly bone density (DEXA dens), hormonal tests: LH, FSH, E2.

We advise not to ignore these symptoms and to seek help from your gynecologist. Your doctor will determine which tests you need and the appropriate hormonal therapy to help you feel better and restore balance to your life.