This phase of the woman, which is like puberty, is called the climacterium. In this period, reproduction ends, purity occurs in the ovaries, and a new era begins for the woman in which fertility is lifted. For this period, we come across in the books that the "climacterium" is referred to as climacteric, male men or the first worker. It is generally accepted that the cause of its occurrence is the aging of the ovaries.
The term menopause refers to an event that is not reversible for a woman. If a woman has not menstruated for 1 year, she is considered to have regained her female appearance. One day after this period, when this time comes, the school of the last semester is applied. This period to breed is 40-60 years old. Menopause develops in women. The sexual smear, which was a method used in the diagnosis, is no longer used because of its short time and ease of use from women at the starting point.
In the postmenopausal period, in the most important countries in the world, at least 3 areas of FSH and LH over 40 internationally. It is reached 3 years after the annual appearance of FSH and LH, and then as a sign. It should come to mind if it is not designed for pre-menu items.
Estrogen deficiency symptoms and signs occur in approximately 70-80% of women. Symptoms due to estrogen deficiency in menopause appear immediately. Despite this, cardiovascular diseases and pathologies related to osteoporosis, which impose significant problems on women in the postmenopausal period. Hot flashes and sweating are the most common menopausal complaints in women. In addition, women may experience internal contraction, restlessness, decreased appetite, loss of memory and concentration, volatile mood, and loss of libido. Another important issue is the changes in bone tissue with menopause.
We should consider this treatment as pre-menopausal and post-menopausal periods. Treatment in the pre-menopausal period; The cause of menopause is the aging of the ovaries and their loss of function. The characteristic of this period is that FSH and estrogens synthesized from the ovary begin to lose their old rhythmic oscillations. In this case, it is the patient's complaints that determine the treatment. In this period, two important groups of complaints that push the doctor and the patient to treatment are the symptoms of hot flashes and irregular menstrual bleeding. Treatments are usually hormonal treatments.
However, their dosage is very different from postmenopausal treatment. The aim is to ensure the occurrence of menstrual bleeding in specific periods of the patient and to relieve the patient.
The main purpose is to replace the lost estrogen hormone. The most important problem in estrogen therapy is which hormones will be used in which way and for how long. When it comes to the prevention of hot flashes or vaginal thinning, it may be possible to determine the route and duration of the treatment according to the individual.
When it comes to the acceleration of bone resorption, which is the late problem of menopause, and the increase in the risk of cardiovascular disease, it is not possible to adjust the individual treatment dose. For this reason, treatments are tried to be planned within the framework of the results obtained from various studies.