Effects on women's sexual life after menopause

Every month, women always have a few days when they feel uncomfortable because of the arrival of menstruation, but if the menstruation does not come on time, women will inevitably feel panicked. If you are pregnant, it's okay, but if there is abnormal amenorrhea, it means that there is something wrong with your body. At this time, you must pay attention to it and go to the hospital for examination in time.

1. Uterine amenorrhea

Uterine amenorrhea can be divided into congenital and acquired types. The causes of congenital uterine amenorrhea include Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome with müllerian duct malformations and androgen insensitivity syndrome; the causes of acquired uterine amenorrhea include amenorrhea caused by infection or trauma leading to intrauterine adhesions.

(1) MRKH syndrome: Patients with this syndrome have completely normal ovarian development, female reproductive hormone levels, and secondary sexual characteristics. However, due to the failure of fusion of the uterine segments formed by the bilateral paramesonephric ducts during the fetal period, they are congenitally without a uterus. Or the bilateral mesonephric ducts stop developing shortly after fusion. The uterus is extremely small, without endometrium, and is often accompanied by urinary tract malformations.

(2) The chromosome karyotype of patients with androgen insensitivity syndrome is 46,XY, and the gonads are dysplastic testicles. The testosterone level in the blood is lower than that of normal men, but due to the defect of androgen receptor, the male internal and external genitalia are abnormally differentiated. Androgen insensitivity syndrome is divided into complete and incomplete types. The clinical manifestations of complete androgen insensitivity syndrome are female-type external genitalia, immature development, and no pubic hair; incomplete androgen insensitivity syndrome may have axillary hair and pubic hair, but the gender of the external genitalia is unclear.

(3) Intrauterine adhesions usually occur after repeated artificial abortions or after curettage, intrauterine infection or radiotherapy. Endometrial tuberculosis can also cause adhesions, deformation, and shrinkage of the uterine cavity, and eventually form scar tissue, causing amenorrhea. Intrauterine adhesions may cause amenorrhea due to both endometrial unresponsiveness and endometrial destruction.

2. Amenorrhea due to dysplasia of the lower genital tract

Amenorrhea due to developmental abnormalities of the lower genital tract includes cervical atresia, vaginal septum, vaginal atresia and hymenal atresia. Cervical atresia can be caused by congenital developmental abnormalities and adhesions after acquired cervical injury, often causing blood accumulation in the uterine cavity and fallopian tubes. The vaginal septum is caused by the fusion of the two side mesonephric ducts, with the tail end of the duct not connected or partially connected to the urogenital sinus. It can be divided into complete vaginal septum and incomplete vaginal septum. Vaginal atresia is often located in the lower part of the vagina, while the upper 2/3 is a normal vagina. This is caused by the failure of the urogenital sinus to form the lower part of the vagina, and menstrual blood accumulates in the upper part of the vagina. Hymen occlusion is caused by the failure of the urogenital sinus epithelium to penetrate the vestibule, resulting in amenorrhea due to the inability of menstrual blood to be discharged.

What to do after menopause

1. Have a full body check-up at least once a year, which can not only prevent diseases, but also detect and treat them early. It is recommended that women over 40 years old have a full body check-up every six months.

2. Take calcium tablets or eat foods rich in calcium.

3. After menopause, you should develop a habit of exercising regularly to improve your body's immunity.

4. Tell your doctor honestly about your menopausal symptoms.

5. Quit smoking, drinking, coffee and caffeinated foods.

6. Strictly control your weight. Don’t be too thin but not too fat either.

7. Keep yourself in a good mood every day and don’t be nervous or stressed.

8. Eat nutritious foods and less high-fat foods.

9. Be interested in new things. You might as well develop one or two hobbies in your spare time. This will not only increase your interests but also make your life more fulfilling.

10. Have a positive attitude towards life, don’t be depressed or negative.

Menstruation is a treasure for a woman's health and beauty throughout her life, so after menopause, female friends should pay attention to taking care of themselves. Good maintenance is good for their health and will also delay skin aging and a series of other physical problems. But now women who have not reached menopause should also pay attention to dietary restrictions during menstruation, otherwise it will cause great harm to the body.