How can women not be upset during menopause?

　　Go out more and do more activities. Don't sit there thinking about "bothering things" all the time. Some people come to see a doctor after entering menopause and say, "I'm very troubled and don't want to go to work. Please give me some time off." ”In fact, it is easier to get distracted when a person is stuck at home alone. I often tell patients: "If you are retired or laid off, don't stay at home all the time. Instead of making money, you should go out and consume your energy. Contact some friends and colleagues from the outside world, and your mind will naturally become more cheerful." ”even on Hospital , ask the doctor to prescribe medication, and also pay attention to self-adjustment. For menopausal syndrome, self-adjustment is the basis and cannot rely solely on drugs. Drugs cannot fundamentally solve the problem. In fact, 50% of female Through this kind of self-adjustment, you can go through menopause smoothly without using drugs. For example, many doctors and nurses in the hospital have also reached menopause, but they are aware of this problem and pay attention to adjusting their lifestyles and going to the hospital every day. exercise , actively participate in various community activities, do exercises and dance, expand my interests and hobbies, and have more friends. If I have something I can't think about, I can find someone to talk to and comfort each other, and then I can think about it.

　　If something happens, you should go to the hospital to see a doctor.

　　First, the symptoms are obvious. If menopause is very uncomfortable and has affected your life or work, you should go to the hospital and ask a doctor for help. For example, some people are very "quarrelsome", fighting with family members at home and with colleagues at work. She also felt that something was wrong, but she just couldn't control herself. In the end, her boss talked to her and asked her to be laid off. In fact, if you go to the hospital in this case, the doctor will give you some medicine and the problem can be solved.

　　Second, menstruation is obviously abnormal. Some people have been bleeding for more than a month, but they think that they are menopausal and it is normal to have abnormal menstruation, so they just carry it and finally stop it. anemia It is very dangerous to come to the hospital for treatment only if you have severe bleeding or even severe bleeding.

　　Third, the menopause No menopause. If you are over 55 and have not yet had menopause (medically known as late-onset menopause), don’t think that you are still young because you haven’t had menopause, or that you will remain youthful forever. Because this happens easily breast cancer、Uterus Endometrial cancer, so you must not be careless and go to the hospital as soon as possible to ask a doctor to do relevant examinations for yourself.

　　Do I need to take medicine during menopause?

　　uncertain. If your period just disappears slowly and you don’t feel any particular discomfort; or if your period doesn’t come for 3 months and then comes again, a little bit, or even not at all, and there are no obvious symptoms; or if you only have mild symptoms, such as sweating once or twice a day, sleep That's fine, you feel quite cheerful and you don't feel bad, so you don't need to go to the hospital to see a doctor or take medicine. Because, after all, "drugs are three parts poisonous", and no drug is 100% safe, especially drugs for treating menopausal syndrome, which may increase the risk of endometrial cancer. In fact, half of all women survive menopause without any treatment.

　　Can it prevent or delay the onset of menopause?

　　There is no need to prevent or delay menopause, and especially there is no need to take medication to prevent it. Because first, menopause is a natural process that happens to every woman as a matter of course. Why should we prevent it? In other words, it is completely normal for a person to enter menopause. It is not like a disease. Diseases should be prevented. There is no need to prevent menopause, and it cannot be prevented. It is bound to happen, and it would be abnormal if it didn't happen. Second, using drugs for prevention involves risks, such as the risk of cancer, which is not worth it. The correct attitude towards menopause is to face it calmly, and then make self-adjustments and participate in more activities to minimize menopausal symptoms. When it is really unbearable, ask the doctor to help with medication, which can generally solve the problem better and the risk is small.

　　What to think about hormone replacement therapy

　　The current expert opinion is: use hormone replacement therapy as a treatment. Treatment is the way to cure a disease. In other words, only when you have a disease can you use this method to treat it. Treatment and prevention are two different concepts: prevention is to prevent the disease before it disappears, and treatment must be to treat the disease after it is already present. Since it is a treatment, it should not be used casually, but should be used under the guidance of a doctor, and follow-up visits are required. Corresponding physical examinations must be done every year to ensure the safety and effectiveness of the medication.

　　What problems does hormone replacement therapy mainly solve?

　　First, lighten the spirit, nerve symptom. For example, what people often call "noisy". In fact, these women are very uncomfortable and painful. Hormone replacement therapy is effective in 90% to 95% of them. Another example is anxiety and depression. After taking hormones, 60% of women can reduce their symptoms.

　　Second, reduce osteoporosis.

　　Third, the treatment of senile Vaginitis . One-third of elderly women will suffer from repeated urinary tract infections after entering menopause. The elderly are very troubled: they always take antibiotics, they are not tired, and they have frequent urination, urgency and painful urination at the slightest disturbance. There are also problems with taking anti-inflammatory drugs for a long time. If you take them for a long time, you will become resistant to them. I started taking them orally, and then intravenously, and the more I used them, the more advanced the drugs became. There are also elderly women who have urinary incontinence and wet their pants whenever they cough or even laugh. 20% to 30% of women who have given birth will have this problem as they grow older, which is related to estrogen deficiency. Hormone replacement therapy is very effective for this.

　　Fourth, treat sleep disorders. About 40% of menopausal women have sleep disorders, manifested as inability to fall asleep or waking up early. Some people can't sleep for a month or two and it's very painful. The first words they say when they come to the hospital are often: "Doctor, you must solve my sleeping problem tonight. ”This kind of sleep disorder is caused by estrogen deficiency, so diazepam alone will not work for them. The effect will be better if they take estrogen together.