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Menopause - Symptoms
Menopause occurs typically in females between the ages of 43 and 55. Symptoms of depression are common during the menopause years. Hormone changes, as well as the feeling that one is entering "old age" are contributing factors. Physical symptoms such as hot flashes, night sweats, dryness, or itching of the vaginal wall are also common. The final two years before the onset of menopause may be associated with irregular menstrual periods. Osteoporosis (decreasing bone density and strength) has been associated with the post menopausal female. This is thought to be secondary to the decline of the hormone estrogen. Treatment may include the supplementation of hormones to decrease the unpleasant physical symptoms associated with menopause. Hormone supplementation is not without health risks. It has been shown that estrogen therapy is associated with an INCREASED risk of stroke and deep venous thrombosis.
Recent evidence has linked estrogen therapy to a REDUCED risk of heart attack through its effect on raising the HDL lipoprotein in the blood. It has been shown that the use of estrogens (e.g. Premarin) helps to prevent post menopausal osteoporosis and reduces the risk of hip fracture. Self help includes discussing these problems with your partner or a friend. In some circumstances a hobby, new job, or regular exercise can help. Calcium supplementation should begin in the early menopausal female to decrease the effects of osteoporosis. Calcium supplements are available without a prescription. Maintaining a healthy level of activity can contribute to the maintenance of strong bones. Supplemental estrogen hormones (Premarin) may be indicated in some cases. See your physician for guidance. The Internist or OB-GYN physician commonly treats the symptoms associated with menopause.
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