Menopausal health and ovarian anti-failure multiple choice questions

Individualized menopausal hormone therapy (MHT) that meets the indications, long-term regular exercise + balanced nutrition, and avoiding bad habits that damage the ovaries such as staying up late/smoking/excessive dieting. The rest of the ovarian massage, stem cell anti-aging, and sky-high-priced phytoestrogen supplements are 99% IQ tax. Choosing these three is more than 100 times more effective than the "anti-aging tax" you spend hundreds of thousands on beauty salons and micro-businesses every year.

Last week, I accompanied my cousin to the gynecological endocrinology department for a follow-up consultation. She is 49 years old and just menopausal last year. How serious were her previous hot flashes and night sweats? In the summer, when others were wearing long sleeves on the subway, she kept sweating while wearing short sleeves. When she woke up at night, her back was all wet. After listening to the introduction of sisters in the community, she spent more than 20,000 yuan to get an annual ovarian maintenance card from a beauty salon. She went there twice a week and applied the essential oil called "Imported Phytoestrogens Essence". After three months, it was of no use. Instead, hot flashes became more frequent. She often quarreled with her brother-in-law over trivial matters. Later, I went to the hospital for a full set of examinations. There were no problems with the breasts, uterus, and blood coagulation function. I was just stuck in the safe "window period" of 10 years after menopause. The doctor prescribed the lowest dose of estrogen and progesterone compound tablets. Within two months of taking it, the hot flashes were basically gone. Last week, I had a follow-up visit and said that I can even sleep well now, and I can dance square dance for two hours without feeling tired.

When it comes to this, some people will definitely frown: "How dare you use hormones casually? Isn't it said to cause cancer? ”Harms, this is also the most controversial point at the moment. The academic attitude towards MHT is not one-sided: the evidence for the supporters is very solid. Large sample follow-up data in the past 20 years show that as long as it is used before the age of 60 and within the window period of 10 years after menopause, and there are no contraindications such as breast lesions, blood clots, and severe hypertension, the benefits of low-dose supplementation far outweigh the risks. It can not only quickly relieve various discomforts during menopause, but also reduce the risk of osteoporosis, Alzheimer's, and cardiovascular disease. ； The opposition's concerns are also very real. Even at the lowest dose, long-term use will slightly increase the probability of breast cancer and venous thrombosis. Especially for people with underlying diseases, the risk will increase more significantly. In fact, both sides are right. The core is not "can hormones be used" at all, but "can you use them?" You must find a gynecological endocrinologist in a regular hospital for a comprehensive evaluation. Don't blindly buy hormone medicines purchased on behalf of others, and don't reject them outright when you hear the word "hormone", which will waste your quality of life.

Many people don't dare to touch hormones, so they turn to buy hundreds or thousands of bottles of "soy isoflavones" and "natural ovarian maintenance supplements." A few years ago, I treated a 47-year-old aunt. She took the "ovarian maintenance pills imported from the United States" purchased half a year ago. Her hot flashes did not go away, but abnormal liver function was detected. Later, when she was sent for a test, it was discovered that the health product contained synthetic estrogen of unknown ingredients, and the dose was more than twice the standard. When it comes to phytoestrogens, the current research results are also ambiguous. Some clinical trials say that supplementing an appropriate amount of soy isoflavones every day can slightly relieve the symptoms of hot flashes. Some results show that there is no difference from a placebo. It is a "thing that has no big harm, but don't expect to have miraculous effects." Usually drinking two cups of soy milk and eating some tofu is enough. There is no need to spend a lot of money to buy purified supplements.

There is a 51-year-old aunt in my clinic who has been a fitness enthusiast for more than ten years. Now she jogs for 40 minutes every day and goes to the gym twice a week to do strength training. The last time she checked for anti-Mullerian hormone (AMH, also known as the core indicator of "ovarian age"), it was higher than that of many 40-year-old women. Menopausal symptoms have basically never appeared, and her bone density is better than that of a sedentary girl in her 30s. In fact, exercise is a really cost-free way to fight against aging. It can improve pelvic blood circulation, reduce the damage to ovaries caused by oxidative stress, and stabilize mood. It is more reliable than any supplement, but it is difficult to persist. Many people fall asleep after practicing for three days, and then turn around and buy anti-aging pills worth thousands of dollars. Isn’t that putting the cart before the horse?

Not to mention those completely useless pitfalls, such as the ovarian massage in a beauty salon. Think about it, the ovaries are deep in the pelvic cavity, with the bladder in front and the rectum behind them. Normally, you can’t touch them when you press from the belly. Those essential oils can only moisturize the belly at most, but can they penetrate into the pelvic cavity and affect the ovaries? That's crazy. If you can delay ovarian aging with just two clicks, why do you need a gynecologist? There is also the recently hotly hyped stem cell ovarian anti-aging product. It is still in the clinical trial stage and there is no formal product approved for marketing at all. One injection of hundreds of thousands of dollars will be of no use if you are lucky. If you are unlucky, it may cause immune rejection and infection, which will harm the body.

There is another point that many people overlook. Protecting your ovaries really does not require you to take any extra supplements. Don’t mess with your body and you will win more than half of it: in order to lose weight, diet until menopause, stay up until two or three o’clock every day, and smoke a lot of cigarettes. These will actually accelerate the aging of the ovaries. If you stay up late and buy tens of thousands of anti-aging products, isn’t that the same as opening the water gate and scooping water into the tank at the same time? Pure waste of effort.

In fact, menopause is a normal physiological stage that every woman will go through. There is no need to regard it as some "aging scourge", and there is no need to worry about "freezing age" to the point of spending money. These multiple-choice questions are difficult to say and easy to say. Choose the formal and suitable one, which is better than anything else.