What to do about irritability during menopause

After women enter menopause, they will experience some physical and mental reactions, especially some women who will nag every day after menopause, and will easily get angry about everything, and will become particularly irritable. When facing my husband and children, although I want to treat them gently, I really can't control myself and I always get angry. So, what to do about irritability during menopause?

Menopausal irritability is a manifestation of menopausal syndrome.

Menopausal syndrome refers to a group of syndromes characterized by autonomic nervous system dysfunction and accompanied by neuropsychological symptoms caused by fluctuations or decreases in sex hormones before and after menopause in women.

The fundamental cause of perimenopausal syndrome is ovarian failure caused by physiological, pathological or surgical reasons. Once the ovarian function fails or is removed and destroyed, the estrogen secretion by the ovaries will decrease. There are more than 400 types of estrogen receptors in the female body, distributed in almost all tissues and organs of the female body. They are controlled and dominated by estrogen. Once the estrogen decreases, it will cause degenerative changes in organs and tissues, resulting in a series of symptoms.

Treatment of menopausal syndrome

1. Sex hormone therapy is estrogen/progesterone replacement therapy.

(I) Indications: vasomotor syndrome, osteoporosis, atrophic vaginitis, premature menopause, recurrent or refractory urethrocystitis; lipoproteinaemia.

(ii) Contraindications: history of embolism, chronic liver and kidney dysfunction, sex hormone-dependent tumors (uterine fibroids, endometrial cancer, breast cancer, ovarian cancer), prophyria, severe hypertension, diabetes, severe varicose veins, smoking addiction, and inability to adhere to long-term follow-up.

(III) Method: Oral medication is recommended, and subcutaneous implantation and intramuscular injection are avoided. Topical medication is limited to senile vaginitis and should not be used for a long time.

1. Estrogen-progesterone cyclic therapy: a standardized replacement therapy. Combined estrogen 0.625 mg/d×25 days (or other estrogens equivalent to this dose) with secretory doses of progesterone added from the 16th to the 25th day for a total of 10 days. 3 to 6 cycles constitute one course of treatment. Patients who have cyclical blood withdrawal should continue to receive supplemental progestin. If there is no bleeding during three consecutive cycles, progestogen can be discontinued.

2. Estrogen-only cyclic therapy: taking replacement doses of estrogen for 25 days per month. It is limited to those who have undergone hysterectomy and have obvious menopausal symptoms. For those who have not undergone hysterectomy and whose progesterone withdrawal results are negative, although simple estrogen therapy can be tried, progesterone withdrawal must be performed once every 2 to 3 months. Those with positive blood withdrawal results should switch to estrogen-progestin cyclic therapy. If the progesterone withdrawal test is negative for three consecutive times, estrogen-only cyclic therapy can be continued, but in principle not more than 3 to 6 cycles.

3. Nylestriol therapy: suitable for all menopausal women. 5 mg, orally once a month. After symptoms improve, change to 1-2 mg, 1-2 times a month, with an overall effective rate of 75.8% to 98.4%. The advantages are: simple, long-lasting, and little endometrial irritation. The symptoms of vaginitis and urethritis in the elderly have been significantly improved.

4. Estrogen-androgen therapy: suitable for women with breast pain and sexual dysfunction. Estrogen combined with methyltestosterone 5-10 mg/d. Contain. It also has the effect of inhibiting estrogen from promoting excessive endometrial hyperplasia.

After entering menopause, women should pay attention to their own health care, improve their health care capabilities, and pay attention to regulating their emotions, especially psychologically, and must stay healthy. You should improve your nutrition and eating habits in your daily life. You can use your spare time to go out dancing and do some exercise, which can improve your physical fitness and relieve the symptoms of menopausal syndrome.