MENOPAUSAL SYNDROME
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
Etiology
- Reduced production of oestrogen and progesterone
- Less active ovaries
- It is a natural and normal phenomenon of ageing. Reduced production of sex hormones due to less active ovaries leads to menopause
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
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