MENOPAUSE...

MENOPAUSE IS NOT A DISEASE.. IT IS THE NATURAL STATE OF FEMININITY.. MENOPAUSE IS NOT A NIGHTMARE.. EVERY WOMAN'S MENOPAUSE IS DIFFERENT... EVERY WOMAN EXPERIENCES MENOPAUSE DIFFERENTLY...

Menopause, which is a natural period of life for women, is now It is no longer a nightmare. Every woman may experience menopause differently. However, the common truth for all women is that this period creates an important opportunity to start a healthy life.

Menopause is no longer considered a disease, but a natural, inevitable period of a woman's life. What is important during this period is for women to know the changes in their bodies and to prepare themselves for a healthier life. You can stop seeing menopause as a nightmare, erase the perception of 'the end of womanhood' from your mind, and turn this period into an opportunity to start a much healthier, happier and more peaceful period.

BE INFORMED AND ACCEPT
*When a menstruating woman does not have a menstrual period for at least 12 months, regardless of other reasons, it is called 'menopause'. In menopause, there is a decrease in ovarian functions, a decrease in blood levels of estrogen and other hormones, and a permanent loss of fertility. Some changes occur in the female body. Every woman experiences menopause differently. While some have little or no complaints, others may have very intense psychological and physical complaints. Here, the woman's knowledge about menopause, her acceptance of menopause, and cultural and genetic influences play an important role.

PREGNANCY IN THE TRANSITION YEARS
*The period called perimenopause is the transition years to menopause. It covers a period approximately 6 years before the last menstrual bleeding. These are the years when menopause-related changes begin in the female body. Irregular menstrual bleeding, hot flashes, vaginal dryness and emotional changes are common complaints of perimenopause. A woman can become pregnant during perimenopause, albeit with a low chance. For this reason, if pregnancy is not desired, birth control practices should not be abandoned during this period.

NATURAL AGE IN TURKEY IS 47-50
He The spontaneous cessation of menstruation, regardless of any disease or medical practice, is called natural menopause. The natural menopause age range is 42-58. The average age of menopause in Western societies is 51. Although there is no very precise data on this subject in our country, we can say that it is in the 47-50 age range. About 10 percent of women enter menopause under the age of 40, and 0.1 percent under the age of 30. The natural age of menopause is determined by genetics and smoking. It is known that women who smoke enter menopause 1.5-2 years earlier on average... If you smoke, take the first step towards a healthy life by quitting...

UNEXPECTED MENOPAUSE
*Menopause sometimes It may also occur as a result of various treatments or surgeries. Cancer chemotherapies (drug treatments) or radiation treatments to the lower abdomen cause significant damage to the ovaries. Menopause may occur after these treatments. Additionally, surgical removal of both ovaries due to medical necessity also results in menopause. Here, the complaints are much more severe than in natural menopause. Because blood hormone levels have suddenly dropped. The need for treatment of menopausal complaints in these women is much higher than in women experiencing natural menopause. Know that it should be closely monitored for health problems such as vaginal dryness and osteoporosis that may arise in the future...

EARLY BEFORE 40 YEARS OF AGE
Whether it is naturally or artificially formed, When a woman reaches menopause before the age of 40, it is called early menopause. Genetic factors or medical treatments may affect early menopause. Since the ovarian functions are interrupted very early, the woman will be deprived of the protective effects of the estrogen hormone on the body (heart diseases and osteoporosis) for many years. In addition, sudden and unexpected cessation of menstruation and loss of fertility can cause serious psychological trauma, especially in women who want to have children. This period can be devastating for a woman who equates fertility with femininity and sexuality. First of all, give up this understanding...

STRESS ACCELERATES THE PROCESS
*Sometimes the condition called premature ovarian failure (premature ovarian failure) occurs due to excessive stress, excessive exercise, excessive weight loss. It may develop due to inflammation or various medications. Once these effects disappear, menstruation may begin again. In this situation, which we call temporary menopause, the ovaries return to their normal functions and the woman can continue to have her menstrual period until the age of natural menopause.

DO NOT FEAR THE RISKS
*Every woman experiences menopause differently, but all of them common truth for; The menopause period creates a unique opportunity to review women's health and organize their subsequent life. Take advantage of this opportunity…
*While explaining the changes that menopause brings to women's lives, let's first talk about the risks. If a woman has insufficient knowledge about menopause and thinks that stopping menstruation will cause significant deficiencies in her femininity and sexual life, she will experience menopausal complaints much more intensely. This perception will negatively affect the woman's sexual life and create a depressive emotional state.
*Due to the decrease in estrogen hormone, dryness will occur, especially in the vagina, and the osteoporosis process will accelerate. The woman will be deprived of the protective effects of estrogen against heart disease. Know the changes that may occur during this period, but do not be afraid of them...

TURN THIS PERIOD INTO AN OPPORTUNITY
*Despite all the negativities we have mentioned, it is possible to turn the menopause period into an opportunity for women's life. Generally, women who have taken care of their families and children until then can be protected from many diseases and spend the rest of their lives happier and more enjoyable by knowing their own body, taking care of their health, and having annual screening checks. The perception of 'end' needs to be changed. Women who receive adequate medical care can have a satisfactory sexual life for many years after menopause. For this, first of all, it is necessary to prevent atrophy that will develop in the vagina.
*Women who have annual smear and mammography checks can easily be treated if cervical and breast cancer is caught very early. Diseases such as diabetes and goiter can be diagnosed early with blood tests at annual check-ups.
*A regular gynecology and obstetrics specialist The woman who is in contact with her husband reports any abnormal bleeding to her doctor. In this way, a possible uterine cancer can be diagnosed very early and its treatment can be carried out successfully.

POST-MENOPAUSE PERIOD
*Postmenopause is the period in which a woman has lived since her last menstrual period. It is called. Medically, this period can be divided into two sub-periods. The first 5 years from the last menstrual period are called early postmenopausal period, and the period from 5 years until death is called late postmenopausal period.

HOW TO DETERMINE IF A WOMAN HAS ENTERED MENOPAUSE? > HOW TO KNOW THAT YOU HAVE ENTERED MENOPAUSE?
*The first symptoms in women in their forties are menstrual irregularities and hot flashes. Menopause is diagnosed when a woman does not have a menstrual period for 12 months. Some hormones in the blood also help us here.
*If blood FSH levels are constantly above 30 mIU/mL, we can say that this woman has entered menopause.
*During perimenopause, FSH levels follow a fluctuating course. An increase in FSH during this period should not be mistakenly considered as menopause.

IT IS NOT POSSIBLE TO PREVENT IT. DELAY IT BY QUITTING SMOKING
*Menopause occurs as a result of the depletion of the cell structures in the ovaries that produce hormones and ensure the menstrual cycle. . Therefore, it is not possible to prevent the depletion of these cell structures.
*But the most important factor known to affect the age of menopause is smoking. In smokers, menopause occurs on average 1.5-2 years later. The age of menopause in non-smoking women will extend by 1.5-2 years.
*Apart from this, women continue to have regular menstrual periods as a result of hormone treatments given due to menstrual irregularities and hot flashes during the transition to menopause. But this does not mean that menopause is prevented. Because when the hormone medications given are stopped and the FSH level in the blood is examined, it will be seen that it is above menopause levels.
*Thanks to hormone treatments during the transition to menopause, women can spend this important period of life more comfortably and are protected from heart diseases, osteoporosis, and vaginal dryness that causes pain during sexual intercourse.
*Menstruation can occur with the medications given during the transition to menopause. It does not extend the woman's natural age of menopause. However, it will treat the hot flashes and vaginal dryness that occur in women during this period, and will also reduce the risks of osteoporosis, heart diseases and colon cancer.

THE MOST COMMON COMPLAINT IS HOT FLASH
* We can classify the complaints during the menopausal period as hot flashes, sleep disorders, headache, changes in memory and concentration, depression and anxiety disorders. There is no need to consult a psychiatrist immediately for these complaints.
*Hot flashes are the most common complaint during menopause. It is thought to occur due to the interaction of temperature regulation centers in the brain with hormonal changes. However, it should be known that hot flashes will not only be due to menopause.
* Diseases such as thyroid, infection, cancer and medications such as tamoxifen (used for breast cancer) and raloxifene (used for osteoporosis) may also cause hot flashes.
*The severity of hot flashes varies from woman to woman. While in some cases it may appear as a vague complaint, in others it may cause severe distress in the woman's social life. It usually takes about 3-5 years. The severity of hot flashes decreases over time. There are treatment options for people with severe complaints.

CHANGE YOUR LIFESTYLE, DO SPORTS
*Make changes in your lifestyle to cope with the problems that will occur during menopause.
*First of all, take precautions such as avoiding hot environments, not using a hair dryer, staying away from hot drinks, alcohol, caffeine and cigarettes.
*Regular exercise reduces stress and ensures comfortable sleep. Ensure that the work environment and bedrooms are cool.
* Women with severe complaints can be given hormone treatments, antidepressant drugs and some blood pressure medications.

SLEEP AT LEAST 6 HOURS AND START THE DAY AT THE SAME TIME
*Some women may experience sleep disorders, especially during hot flashes at night. An adult of this age needs to sleep approximately 6-9 hours on average.
*Sleep disorders

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