Description

• Menopause is the permanent cessation of menstruation at the end of reproductive life due to the loss of ovarian follicular activity
• Menopausal syndrome includes symptoms associated with the physiological changes that take place in a women’s body as the period of fertility ends
• The age of menopause ranges between 45-55 yrs, the average being 50 yrs

Types

• Irregular periods with scanty or excessive bleeding
• Hot flushes
• Night sweats
• Vaginal dryness and itching
• Mood swings
• Joint pain
• Oedema
• Insomnia, anxiety, irritability, dysphasia, depression
• Excessive hair fall
• Anaemia and weakness
• Stress incontinence 
• Loss of sexual desire
• Breast tissue atrophy

Complications

• Risk of ischaemic heart disease, coronary artery disease, and strokes
• Fractures due to osteoporosis

Investigation

• Haemogram
• Pap smear
• Serum FSH, LH, and Estradiol levels
• USG abdomen 
• Bone mineral densitometry
• Mammogram

Treatments

• Treatment is required only if symptoms are severe or affecting the quality of life

Non-hormonal treatment

• Lifestyle modification
• Nutritious diet
• Supplementary calcium (1-1.5gm/day)
• Exercise
• Vitamin D3 supplementation (1500-2000 IU/day)

 Hormonal therapy 

• Oral oestrogen regime
• Oestrogen and cyclic progestin
• Subdermal implants
• Percutaneous oestrogen gel 

 Ayurvedic Treatment

Ahara

• Food containing phytoestrogens like Rice, Wheat, Oats, Flax Seeds
• Potato, Legumes, Soyabean, Peas, and Nuts

Vihara

• Atapasevana, Regular exercise, Maintain a normal weight, Avoid stress and strain, Practice Yogasanas

Internal Medicines

• Sathavaryadi Kashaya
• Guduchyadi Kashaya
• Sathavari Ksheera Paka
• Sankha Pushpi Choorna
• Phala Sarpis
• Manasamithra Vataka
• Chandraprabha Vati 
• Dhanwanthara Gutika

 Procedures

• Abhyanga - Chandanadi or Baladi taila
• Virechanam - Avipathi Choorna 
• Nasya - Anu taila
• Vasthi 
• Sirodhara - Chandanadi Taila or Thakra
• Yoni Pichu - Dhanwanthara Taila

Department

Prasoothi & Stree Roga