Menopause health science PPT

Menopause is not a "necessary suffering stage of aging". 90% of uncomfortable symptoms can be safely relieved through life adjustments and standardized medical intervention. There is no need to "just get over it"； The risk of using hormone supplementation therapy in compliance with the indications during the window period is extremely low, which is far lower than the health damage caused by long-term insomnia and abnormal mood. ； Most common health products claiming to "supplement estrogen" are either ineffective or the dosage is uncontrollable, and are not recommended as the first choice of intervention.

Last week we just picked up 47-year-old Sister Li from the outpatient clinic. She is known for her good temper as an administrator. In the past six months, she has been angry with her colleagues and family members. After that, she would hide in the toilet and cry. She would be covered in sweat after lying down for half an hour at night. She would wake up three or four times a night. Her period only comes once every two to three months, and the amount is so small that a pad can handle it. The sisters around her all advised her, "Every woman has this problem, just be patient and it will pass." She herself felt that she was getting older and was pretentious. She took Chinese medicine to replenish qi and blood for three months, but she didn't feel better. In the end, she was almost depressed before she came to register. After the hormone test, she was already in a typical perimenopausal state. She was prescribed low-dose hormone supplements and sleep aids. She came back for a follow-up visit two weeks later and said that she could sleep through the whole night and had not lost her temper for a long time.

There are really too many patients like Sister Li. Many people's understanding of menopause is still at the stage of "it's just bad temper and sweating, and it will be fine after two years." Some people even regard inappropriate menopause as a "psychological problem." This is really a big misunderstanding.

The hormone supplementation therapy that everyone is most afraid of does have two different tendencies in the industry: The mainstream view in the field of gynecological endocrinology is that as long as the patient is within 10 years of menopause, under 60 years old, and has no contraindications such as breast cancer, blood clots, and severe liver and kidney diseases, the benefits of supplementing with low-dose estrogen and progesterone far outweigh the risks. It can not only relieve superficial symptoms such as hot flashes, insomnia, and emotional irritability, but also prevent long-term problems such as osteoporosis and cardiovascular disease.； Another relatively conservative view is that if the symptoms are very mild and do not affect normal life, they can be improved through lifestyle adjustments first. There is no need to rush to medication and avoid unnecessary drug intake. In fact, both views are essentially "centered on the patient's feelings." There is no absolute right or wrong. It all depends on the degree of your own symptoms.

Oh, by the way, there was a patient before. He heard from the live broadcast that eating bird's nest and royal jelly can replenish estrogen. He spent more than 20,000 to buy a bunch of them. After half a year of eating, the hot flashes didn't go away. The physical examination showed that the breast nodules increased from level 1 to level 3. He was so scared that he stopped quickly. In fact, these "estrogen-like hormones" derived from animals and plants either have extremely low activity and cannot reach the effective dose, or the dose fluctuates high and low and cannot be controlled. On the contrary, it is easy to stimulate the breast and endometrium. There is really no need to spend this money. Some people also ask whether soy isoflavones can be eaten? The conclusions of current research are not uniform. Some clinical data show that it can mildly relieve the symptoms of hot flashes, while others show that it is as effective as a placebo. So if you feel comfortable after taking it, continue taking it, and stop if it doesn’t work. You don’t have to buy imported health products that cost hundreds of yuan a bottle. Ordinary medicines that cost more than ten yuan a bottle have the same effect.

Don't believe in the unified "menopausal health recipes" and "menopausal exercise guide" on the Internet. How can there be so many requirements? If you like to drink soy milk, one cup a day is fine. If you don't like it, don't hold your nose and drink it. It will make you feel bad. I know a few aunties who are about 50 years old. They don’t eat anything to supplement their health. They just dance in the square for 40 minutes every evening and go hiking on weekends. The symptoms of hot flashes and night sweats are lighter than those of many people who take conditioning drugs. There is also sleep. Don’t think that insomnia during menopause is normal. Don’t watch short videos before 11 pm. Blue light stimulation will aggravate hot flashes. If you still don’t fall asleep after lying down for half an hour, get up and sit for a while. Drink warm milk. Don’t lie down and endure it. The more you endure, the more anxious you will become.

By the way, there is also calcium. Don’t wait until you fall and break a bone before you think of supplementing it. After menopause, bone loss is 3 to 5 times faster than before. Drinking 300ml of milk every day and spending 15 minutes in the sun is better for absorption than eating a lot of expensive calcium tablets. If you are lactose intolerant, you can drink Shuhua milk or sugar-free yogurt, and it will be fine.

Don’t think of menopause as a “sign of getting older.” Last year, I had a patient who had just gone through menopause at the age of 52. She had always wanted to learn skateboarding. Her family members advised her not to bother with it at such an old age, but she refused to listen and signed up for an adult skateboarding class. Now she can skate better than many young people. Last week, she sent me a photo of her skateboarding at the beach. She was in great shape. Menopause is an ordinary stage of life, just like adolescence and pregnancy and childbirth. It is just some changes brought about by hormone fluctuations. It is not a "bump" or the beginning of a "downhill journey". You can live it how you want.

In fact, all said and done, menopause is really not as scary as everyone thinks, and there are not so many rules and regulations that must be followed. If you don't feel any discomfort, just live how you want. You don't have to go out of your way to make up for this or that. ； If you feel uncomfortable, whether it's because you sweat a lot, can't sleep well, or you can't help but lose your temper, don't bear it. You can either adjust your life rhythm first, or go to a gynecological endocrinology or menopausal clinic in a regular hospital. There is really no need to endure it, and there is no need to feel embarrassed. Oh, by the way, if there is a mother or wife who is at this stage at home, please be more patient. They are not deliberately looking for trouble. It is really the hormones in the body that are "getting angry." Give them more warm water and say less sarcastic words. It will be more effective than any supplement.