2011年8月4日 星期四

Changes associated with menopause



Menopause simply refers to the end of the woman's menstruation. The term is used to refer to the entire period of time during which decreased ovarian function and menstruation stops. This period is usually year, normally covering ages 45-55. Sometime around forty, a woman might notice that your session is different - how time lasts, how much it bleeds, or the frequency with which the case is not the same. Or, without notice, could find itself very warm feeling during the day or night.

The average age of last menstrual flow is about 51 years old. Takes 12 consecutive months without deadlines to determine when occurred the menopause, so that you can only set the real time when there is menopause much after the Act. The perimenopause or climacteric phase occurs around 12 to 24 months (in some cases, more) before the last menstrual period and is characterized by symptoms such as hot flushes and irregular periods. Post-Menopause refers to the period of 12 months after the last menstrual period from life.

Most of the women, approximately 60 to 80 per cent - experience only mild discomfort during menopause. After a year or two irregular periods and a number of hot flashes of mild to moderate severity, they simply stop menstruating. 10 To 20% are virtually no symptoms. For 10 to 20% remaining, including the majority of those who undergo surgical menopause symptoms - especially hot flashes - may be a great nuisance and sometimes disabling.

However, smoking may cause premature menopause. Some types of surgery may bring on menopause. For example, the removal of the uterus (hysterectomy) before menopause will be their periods stop, but her ovaries will still be that women's hormones. This means that she could still have symptoms of menopause such as hot flashes when her ovaries begin to do less estrogen. But in situations where both ovaries (oophorectomy) removed, menopausal symptoms may begin immediately, regardless of what might be his age, because your body has lost its main source of estrogen.

Physical changes associated with menopause

Women may have different signs or symptoms in menopause. This is because estrogen is used by many parts of his body. Thus, changes in how much estrogen has a woman can cause various symptoms. But that doesn't mean she will have all or even most of them. In fact, some of the signs that occur in the time of menopause can really be a result of aging, there is no change in estrogen.

Ovarian estrogen production

During perimenopause, production of estrogen by the ovaries reduces to approximately 10% of the level of estrogens produced before to perimenopause. In menopause, the ovaries are ignored signals to produce estrogen. The body shape that indicates that women's reproductive time is coming to an end. Produced ovarian estrogen is called estradiol; only in this way of estrogen reduces dramatically at menopause. Estrogens estrone, manufactured by and stored in the cells of fat from the body and other tissues, is still present in the bloodstream because its production is not controlled by the ovarian function.

Hot flashes

The most common symptom of menopause is hot flashes. Hot flashes or casts, have been sometimes called "overload." A hot Flash is a sudden feeling of heat in the upper part or all of a woman's body. His face and neck become lava. Red spots on his chest, back and arms may appear. You can follow heavy sweating and shivering from cold. Flashes can be as smooth as a light blush or severe enough to wake up from a sound sleep (called night sweats). Most hot flashes take between 30 seconds and 10 minutes.

Although not fully understood, hot flashes are often triggered by a stimulus, such as sitting in a room uncomfortably hot or affected stress and pressure. These are very common at the time of menopause because they are related to changes in estrogen levels. They can also last a few years after the menopause.

Changes in the Vulva, Vagina and bladder

The vulva and vagina are very sensitive to estrogen levels. Lubrication and elasticity and thickness of the vaginal walls are affected by the decline of estrogen, and tissues of the lips and children become less capacity during sexual arousal. The lining of the lining of the vagina is particularly susceptible to infection, irritation and minor injuries reduces the production capacity of lubrication. Usually thick and cushiony, the vaginal walls can be thin during menopause and beyond. Reduces the size of the vagina, as does the uterus. The cervix may atrophy (twitching) and attach to the wall of the vagina. The mound of Venus, or mons, loses plumpness and definition.

Changes in the lining of the urethra and bladder can cause irritation, leading to an uncomfortable need to urinate often. Support to internal organs muscles lose elasticity due to decreased blood flow to the pelvis. This is particularly worrying if it leads to involuntary loss of urine (urinary incontinence) in the exercise, sneezing, coughing, laughing, execute or have sexual intercourse. Some women experience thinning of the hair, pubic hair, and this can be so distressing as it is for a man to a woman.

Changes of the body

A woman might begin to think that your body is changing. His waist could get larger; She could lose muscle and gain fat; his skin could get thinner; She could have memory problems; and your joints and muscles may feel stiff and achy. It is clear if these changes as a result of a woman having less estrogen or only connected with their age.

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