What are the symptoms of women's menopause

Some female friends will become very anxious when they reach menopause. They don't know how to take care of their bodies, which makes their physical condition worse and worse, and they may even have quite a lot of symptoms. The most typical symptom is that they will feel some changes in their menstruation, such as irregular menstruation, or even feel that their menstrual flow has become less or more.

What are the symptoms of menopause?

The most typical symptoms of perimenopausal syndrome are hot flashes and flushes. It mostly occurs between the ages of 45 and 55. Most women may experience symptoms of varying severity. Some people begin to experience symptoms during the menopausal transition period and continue for 2 to 3 years after menopause. For a few people, the symptoms may not be alleviated or disappear until 5 to 10 years after menopause. Women who undergo artificial menopause often experience perimenopausal syndrome 2 weeks after the operation, which peaks 2 months after the operation and can last for up to 2 years.

1. Menstrual changes

Changes in the menstrual cycle are the earliest clinical symptoms of perimenopause and are divided into three types:

(1) The menstrual cycle becomes longer, the menstrual volume decreases, and finally menopause occurs.

(2) Irregular menstrual cycle, prolonged menstrual period, increased menstrual flow, even heavy bleeding or continuous bleeding, which then gradually decreases and stops.

(3) Sudden cessation of menstruation is less common. Because the ovaries do not ovulate, estrogen levels fluctuate, making endometrial cancer more likely to occur. For patients with abnormal bleeding, a diagnostic curettage should be performed to rule out malignant transformation.

2. Vasomotor symptoms

The clinical manifestations are hot flashes and sweating, which are manifestations of unstable vasomotor function and the most prominent characteristic symptoms of perimenopausal syndrome. Hot flashes start in the chest, move to the head and neck, and then spread throughout the body. In a few women, hot flashes are only confined to the head, neck, and breasts. Patients experience burning sensation and redness of the skin in the area of ​​the flush, followed by explosive sweating. The duration varies from a few seconds to several minutes, and the frequency of attacks ranges from several times to 30 to 50 times a day. It is easily triggered at night or under stress. This vascular instability can last for 1 year, sometimes up to 5 years or longer.

1. Elevated follicle-stimulating hormone (FSH).

2. Estradiol (E2) and progesterone levels decrease.

3. Luteinizing hormone or LH may remain unchanged during menopause but may increase after menopause.

4. Segmental curettage and endometrial pathological examination: exclude endometrial tumors.

5. Pelvic ultrasound, CT, and MRI examinations can show the full picture of the uterus and ovaries to rule out organic gynecological diseases. Type B ultrasound examination can rule out uterine and ovarian tumors and understand the thickness of the endometrium.

6. Measure bone density, etc. to understand whether there is osteoporosis.