Menopause Treatment

  • Menopause is when a woman stops having periods and is no longer able to get pregnant naturally.
  • Periods usually start to become less frequent over a few months or years before they stop altogether.
  • It happens usually between 45 and 55 years of age,the average age is 51.
  • 1 in 100 women menopause before 40 years of age- premature menopause or premature ovarian insufficiency.

What are the Symptoms?

    Menopausal symptoms can begin months or even years before your periods stop and last around 4 years after your last period

  • Hot flashes
  • mood swings
  • vaginal dryness,low sexual desire
  • forgetfulness,trouble sleeping
  • urinary incontinence
  • Osteoporosis

What are the Treatment options?

  • Hormone replacement therapy (HRT) – tablets, skin patches, gels and implants that relieve menopausal symptoms by replacing oestrogen
  • Vaginal oestrogen creams, lubricants or moisturisers for vaginal dryness
  • Cognitive behavioural therapy (CBT) – a type of talking therapy that can help with low mood and anxiety
  • Eating a healthy, balanced diet and exercising regularly – maintaining a healthy weight and staying fit and strong

Hot flashes-Treatment

  • wearing light clothing
  • keeping your bedroom cool at night
  • taking a cool shower, using a fan or having a cold drink
  • trying to reduce your stress levels
  • avoiding potential triggers, such as spicy food, caffeine, smoking and alcohol
  • taking regular exercise and losing weight if you're overweight

Heart disease

Women have double the risk of heart problems after menopause. To prevent heart disease, one should follow a healthy

  • Diet
  • Exercise
    • Get regular, intentional physical activity.
    • At least 150 minutes of moderate intensity or 75 minutes of vigorous intensity activity each week (or a combination of these), preferably spread throughout the week.
    • Reduce your lifetime weight gain by limiting your calories and getting regular physical activity.
  • Quit smoking
  • Cholesterol lowering medication if needed
  • Annual health check
    • Physical examination
    • Weight (BMI)
    • Blood pressure
  • Labs
    • Cholesterol
    • Triglycerides
    • Diabetes screen

Osteoporosis prevention

Go for a regular Bone Marrow density test (BMD test) if

  • Age more than 65
  • Broke a bone before 50
  • Menopausal with risk factors
  • Positive family history
  • Premature menopause
  • Infrequent periods
  • Exercise induced loss of periods
  • Low BMI
  • Medical issues( thyroid, prolactin, malabsorption, arthritis)
  • Medication(steriods, antiepileptics, heparin)
  • mmobility
  • Alcohol, smoking
  • Low calcium , vitamin D

For good bone health, one should

  • Life style modifications- reduction in smoking, alcohol, physical inactivity, and steroid intake .
  • Weight bearing and muscle strengthening exercises-
  • 30 minutes of regular exercises at least 4 days a week is recommended.
  • Dietary calcium supplementation for women < 50 yrs is 1000mg/day and for women > 50 yrs is 1200 mg/day.
  • Vit. D supplementation for women < 50 yrs is 400-800IU/day and for> 50 yrs is 800-1000IU/day

Book an Appointment with
Dr. Astha Dayal?