The disease that terrorizes women

Doctor Vasi Rădulescu, author of the best-selling “The Healthy Woman’s Book”, says that the transition can last until the age of 52-55, then a period of calm follows. The correct information also plays a crucial role here, because menopause is not this bau-bau that terrorizes the woman, but the result of the cessation of reproductive function, i.e. ovulation , respectively monthly preparations of the uterus for a possible pregnancy. Not all women will experience symptoms; some will suffer from headaches, irritability, insomnia, pain during sex, mood swings, depression and others may not have any symptoms. A correlation was observed between lifestyle and menopausal transition, respectively the associated symptoms. Women who lead active, healthy lives, avoiding vices (especially smoking), have a smoother transition with a limited range of symptoms. We see again how important it is to eat a balanced diet, to exercise, to socialize, to be exposed to the sun, to sleep well.

Bone demineralization, the main problem

There is no typical treatment to reverse the symptoms of menopause, only purely symptomatic therapies: painkillers, sleep stabilizers, antidepressants, maybe some vitamins and minerals. We note that there are no supplements or miracle drugs for menopause, the phase being an absolutely natural transition of a woman.

Menopause does not come suddenly, but sets in after a year without a period. Two main problems appear after menopause: cardiovascular disease and bone demineralization. Note that they are not mandatory, but there is an increased risk in postmenopausal women. For bone system health, a diet rich in calcium and vitamin D is recommended (exposure to natural light will generate a large amount of vitamin D), vitamin D supplementation as needed, bone density tests in the doctor. Osteoporosis remains a common entity in women. Cardiovascular diseases will be discussed in the dedicated chapter.

Estrogen therapy improves symptoms

Two main hormones change their levels dramatically at menopause. These are FSH, follicle stimulating hormone, respectively estrogen. FSH, associated with LH (called luteinizing hormone), stimulates the growth and development of follicles, but also the production of estrogen at the follicular level. There is therefore an interdependence between FSH and estrogen. FSH will increase at the start of the ovulatory phase. At menopause, there is no longer an ovulatory phase and FSH will have a typical blood level between 25 and 135 mIU/ml. An LH/FSH ratio greater than 2 is strongly suggestive of polycystic ovary syndrome, which we have already discussed.

Estrogen is usually low at menopause. The ovaries no longer produce enough estradiol and the body shifts estrogen production to fatty tissue. Therein lies the answer to the typical symptoms of menopause – low levels of estrogen can cause dryness, increased frequency of urinary tract infections, depression, insomnia, mood swings, flushing heat, headache. Estrogen replacement therapy can lead to optimal control of these symptoms. There are now estrogen pills or patches, but the therapies will only be recommended by doctors.

The Healthy Woman’s Book details all about women’s health, in a simple style that anyone can understand. The book already has more than 25,000 readers and will be available, together with the Jurnalul newspaper, from Monday, November 14.

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