Can women recover after menopause?

Can women recover after menopause? In fact, it depends on the situation. If it is caused by normal physiological stubbornness, then it is impossible to recover. But if it is caused by some disease problems, of course it needs treatment and dietary adjustments to help recovery.

1. Etiological treatment

During the reproductive period, the cyclical changes in estrogen and progesterone in the blood of women participate in coordinating the body's physiological activities, becoming an important factor in stabilizing the female body's internal environment and maintaining health. After menopause, due to the continuous low level of estrogen and progesterone, women's physical and mental functions become disordered, and the body produces a series of degenerative changes, leading to poor physical health in some women. Treat these health problems caused by estrogen deficiency at the etiological level.

2. Physiological supplementation

The purpose is to enable the organs in postmenopausal women to function physiologically as much as possible to maintain the health of the body, not to restore their endocrine conditions to the level of the ovarian cycle during the reproductive period, that is, physiological supplementation. Physiological supplementation mostly advocates the use of natural estrogens, which have the chemical structures of estrone, estradiol and estriol.

3. During the menopausal transition period, hormone replacement therapy (HRT) should focus on progesterone supplementation

During the menopausal transition period, the growth and development disorders of follicles gradually increase, and finally the functional follicles disappear from the ovaries. The corresponding changes in estrogen and progesterone during this period are: first, there is a relative deficiency of progesterone, and then deficiency; estrogen deficiency changes cyclically, although there may be a transient relative excess, the total amount gradually decreases, and finally to deficiency, resulting in relatively excessive or single unopposed estrogen stimulation for a long time. Some women may experience varying degrees of proliferative changes in the endometrium, and even malignant changes. Therefore, during this period, the main focus should be cyclical progesterone supplementation to regulate the menstrual cycle and prevent endometrial proliferative lesions. As estrogen becomes gradually deficient, estrogen and other hormones are supplemented at the same time.

4. HRT in postmenopause should focus on estrogen supplementation

After menopause, ovarian follicle activity basically stops. The blood estradiol concentration drops from about 150-1500 pmol/L during the reproductive period to below 80 pmol/L within 1-2 years, which is lower than the basic level for maintaining the physiological functions of the body's organs. Endometrial atrophy is completed within 2 to 3 years after menopause, the rate of bone loss is fastest within 1 to 3 years after menopause, and corresponding degenerative changes occur in various organs throughout the body. Therefore, to prevent postmenopausal degenerative changes, timely and long-term estrogen supplementation is necessary. To counteract the side effects of estrogen on endometrial hyperplasia, those with a uterus need to add progestin.