Premature menopause
Introduction
Introduction The age of menopause is advanced because women's ovarian function declines, estrogen levels decrease, and estrogen levels decrease, a series of symptoms of menopausal syndrome such as hot flashes, sweating, insomnia, headache, blood pressure instability, palpitations, bones Joint pain, etc.; genital organs gradually shrink, resulting in vaginal dryness, genital itching, sexual life disorders, and frequent urination, urgency, unable to hold urine and other discomfort, can also produce osteoporosis, abnormal lipid metabolism, etc., for women's health More harmful.
Cause
Cause
The factors that cause women's age at menopause are:
1. Early menarche: The earlier the age of menarche, the earlier the menopause occurs.
2, fertility status: the older the first pregnancy, the earlier the menopause; the fewer the number of pregnancies, the earlier the menopause.
3, living habits: the survey results show that women who eat fish or shrimp 2 to 3 times a week, the age of menopause is relatively late; women who insist on drinking milk all the year round, and the more milk, the longer the persistence time, the later the menopause; Women who never exercise, the age of menopause is early; in addition, the more they are exposed to passive smoking, the longer they are, the earlier the menopause.
Examine
an examination
Related inspection
Ovarian examination ovarian function test
There are a series of symptoms of menopausal syndrome, such as hot flashes, sweating, insomnia, headache, blood pressure instability, palpitations, bone and joint pain, etc.; genital organs gradually shrink, resulting in vaginal dryness, genital itching, sexual life disorders, and frequent urination , urgency, unable to hold the urine and other discomfort, can also produce osteoporosis, abnormal lipid metabolism.
Diagnosis
Differential diagnosis
Menopausal transition period and postmenopausal amenorrhea: On June 14, 1994, in Geneva, the work conference on the progress of menopause research in the 1990s was proposed to propose abandon menopause and recommend a peri-menopausal and menopausal transition period. Its provisions are as follows:
1 pre-menopausal period: refers to the period of ovarian activity, including puberty to menopause.
2 Menopausal: refers to the last menstrual period in a woman's life, often to review and determine.
3 Postmenopausal period: refers to the whole period of menopause until the end of life.
4 Menopausal transitional period: refers to a period of premenopausal period, that is, a transitional period from reproductive age to menopause, including the beginning of the trend of menopause in clinical or blood hormone levels (ie, ovarian function begins to decline) Signs) until the last menstrual period.
Peri-menopausal period: refers to a period of time before and after menopause, including signs of menopausal tendency from the clinical or blood hormone levels (ie, signs of ovarian function begins to decline), has continued until the last menstrual period The next year is the menopausal transition period plus one year after menopause.
Postmenopausal bleeding: Postmenopausal bleeding is not a disease, but a clinical symptom.
As people's lives continue to improve, women's life expectancy is gradually extended, one-third of life is spent after menopause, a series of geriatric diseases are coming one after another, and postmenopausal bleeding is one of the most common symptoms. Postmenopausal bleeding refers to vaginal bleeding after 1 year of menstruation, mainly refers to the symptoms caused by non-organic, benign and malignant lesions of the internal genitalia. Patients with postmenopausal bleeding should seek the cause. With the development of medical science and the popularization of medical knowledge, people are more alert to postmenopausal bleeding, and the proportion of postmenopausal bleeding caused by malignant lesions is gradually reduced, less than 10% reported abroad. Mainly due to non-organic lesions, followed by benign lesions. There are different reports in China, about 20% to 50%.
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