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Menopause is usually a natural change. It is also known as the climacteric, when menstrual periods stop permanently in most women's lives and they are no longer able to bear children.
This is due to decrease in hormone production by the ovaries. In those who have had surgery to remove their uterus but still have ovaries, menopause may be viewed to have occurred at the time of the surgery or when their hormone levels fell. Following the removal of the uterus, symptoms typically occur earlier, at an average of 45 years of age.
Menopause typically occurs between 49 and 52 years of age. Gynecologists often define menopause as having occurred when a woman has not had any vaginal bleeding for a year.
Before menopause, a woman's periods might become irregular, During this time, women often experience hot flashes; these typically last from 30 seconds to ten minutes and may be associated with sweating, and reddening of the skin. Hot flashes often stop occurring after a year or two. Other symptoms may include vaginal dryness, sleeping difficulties, and mood swinging. The severity of symptoms varies between women.
Symptoms that may appear and continue through post menopause include:
While menopause is often thought to be linked to an increase in heart disease, this primarily occurs due to increasing age and does not have a direct relationship with menopause .In some women, problems that were present like endometriosis or painful periods will improve after menopause.
It can occur earlier in those who smoke. Other causes for menopause include surgery that removes bot ovaries or some types of chemotherapy. At the physiological level, menopause happens because of a decrease in the ovaries' production of the hormones estrogen and progesterone. While typically not needed, a diagnosis of menopause can be confirmed by measuring hormone levels in the blood.
Specific treatment might be needed. Some symptoms may be improved with treatment. With respect to hot flashes, avoiding smoking, caffeine, and alcohol is often recommended. Sleeping in a cool room and using a fan may help. Exercise may help with sleeping problems. Other medications called hormone replacement therapy (HRT) may help or While HRT was routinely prescribed before, it is now only recommended in those with significant symptoms, as there are concerns about side effects. Miss Arafa is a leading consultant in this field and she can help if you have any of the above symptoms to find the best course of action.
In post-menopausal women, however, any genital bleeding is an alarming symptom that requires an appropriate study to rule out the possibility of malignant diseases.
If your menopause is having a big impact on your physical or mental wellbeing, it is a good idea to talk to an experienced and leading gynaecologist in the field like Miss Arafa who will provide you with a first class quality service. You can make an appointment in any of her clinics in London. You can also request a telephone consultation and we will be happy to provide same day service or any time of your convenience. Simply fill in the online form to request an appointment at a time that suits you.
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