Pre-menopausal women's health care

Perimenopause is when the body makes less and less of the hormones that control menstruation - estrogen and progesterone. Perimenopause is considered the transitional period before menopause, which begins several years before menopause. That's when the ovaries gradually make less and less estrogen. Therefore, health care of perimenopausal women should be paid more attention, because women face many problems during this period.

1. How long does perimenopause last?


Perimenopause lasts until menopause, when the ovaries stop ovulating completely. During the last 1 to 2 years of perimenopause, this drop in estrogen will accelerate. At this stage, many women experience menopausal symptoms.
In fact, according to the Cleveland Clinic, hormonal changes are seen 8 to 10 years before menopause actually. This happens in your 30s or 40s even before perimenopause begins. Perimenopause is marked by a drop in estrogen, the main female sex hormone produced by the ovaries. Estrogen levels can also fluctuate greatly during a cycle. This can cause irregular periods and other symptoms.
During the final stages of perimenopause, a woman's body will produce less and less estrogen. Despite the drastic drop in estrogen levels, there is still a chance of pregnancy. The average length of perimenopause is 4 years, but for some women it can last only a few months or continue for 10 years.
kinh nguyệt không đều
Kinh nguyệt không đều có thể là dấu hiệu của tiền mãn kinh

Menopause officially begins when the ovaries produce so little estrogen that an egg cannot be released, which occurs after perimenopause ends. A doctor will diagnose menopause when a woman has not had a period in a year. Besides perimenopause, health care for menopausal women also plays an important role and needs more attention.
Some women may enter menopause earlier than usual if:
Have a family history of early menopause Smokes Have had a hysterectomy or oophorectomy Has undergone cancer treatments letters

2. What are the signs of perimenopause?

2.1 Changes in the menstrual cycle


Irregular periods are common and normal during perimenopause. Premenopausal women will experience irregular menstrual cycles, either longer or shorter. But if the following other symptoms occur to you, see your doctor to rule out other causes:
Heavy bleeding or blood clots. Your period lasts a few days longer than usual. Bleeding after sex. Menstrual periods appear closer together. Causes of abnormal bleeding include hormone problems, birth control pills, pregnancy, fibroids, blood clotting problems, or rarely cancer. For example, menorrhagia is also a manifestation of other gynecological conditions such as uterine fibroids. If the interval between the two cycles is more than 60 days, perimenopause is probably coming to an end.

2.2 Hot flashes

A perimenopausal woman may suddenly experience flushing and sweating for 5 to 10 minutes. This symptom affects women's quality of life, causing them to often wake up in the middle of the night in a sweaty state. In addition, women should also limit triggers such as high temperature, hot drinks, spicy foods. Add soy to your daily diet to supplement it as a natural source of estrogen. If the symptoms are moderate or severe, you should see a doctor specializing in menopausal women's health for timely examination and treatment.

2.3 Vaginal dryness


Because during perimenopause, estrogen levels in the body become less, your vaginal epithelium may become thinner and drier. This can cause itching, pain, and pain during sex.

2.4 Sleep problems


Hormonal changes and night sweats can wreak havoc on a premenopausal woman's sleep and lifestyle regimen. Insomnia and waking up in the middle of the night are common sleep-related problems. Establishing a regular schedule and giving yourself time to fall asleep can help. Talk to your doctor for treatment options if symptoms are more severe.

2.5 Change of mood

During perimenopause, the levels of female sex hormones drop dramatically and cause many consequences. One of them is the change in personality, being more irritable and angry during this period. Therefore, when taking care of pre-menopausal women's health, psychology is an issue that should not be ignored.

2.6 Forgetful

Changes in your hormones, along with other symptoms of perimenopause (mood swings and sleep problems), can make it harder for premenopausal women to remember things and work out. more central. However, these symptoms can gradually disappear once you go through the actual menopause.

2.7 Decline in bone density


During perimenopause, estrogen levels in the body are dropping, and that means a woman's body can lose bone faster. Your doctor may use a special type of X-ray to examine and detect this condition. To stay as healthy as possible, get plenty of calcium and vitamin D, and walk or lift weights for 20 minutes a day. Your doctor may also prescribe medication to improve bone quality.
Some other symptoms in perimenopausal women include:
Breast engorgement
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Tiền mãn kinh có thể gây căng tức vùng ngực

Premenstrual syndrome worse Lower libido Fatigue Leakage of urine when coughing or sneezing Urgent urination

3. How to take care of premenopausal women's health?


Pre-menopausal women need more attention and medical services. The aim is to improve symptoms and provide a better quality of life.
Hormone therapy is one of the most commonly prescribed for premenopausal women. Female sex hormones are added to the body to replace them when they are no longer produced. Hormone replacement therapy can ease symptoms and help prevent osteoporosis.
Benefits of hormone replacement therapy may include reduced hot flashes and sweating, increased vaginal moisture, fewer mood swings, and prevention of fractures.
Many perimenopausal women experience relief from hot flashes after taking low-dose oral contraceptives for a short time. Other options that can control hot flashes include the birth control skin patch, vaginal ring, and progesterone injections. Some women shouldn't use hormonal birth control, so talk to your doctor to see if they're right for you.
Obviously, nothing can stop the natural aging process. However, perimenopausal women can also feel better if they follow things that improve their general health, such as:
Exercise Quit smoking . Sleep more and try to go to bed and wake up at the same time every day. Drink less alcohol. Lose weight and maintain a healthy weight. Get enough calcium in your diet. Drink enough water Stay connected and see friends often
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Phụ nữ tiền mãn kinh nên có một cuộc sống cân bằng

Ask your doctor if you should take a multivitamin. Talk to your doctor if you are having problems with your sex drive. Your doctor can recommend a counselor or therapist to help you and your partner work through this problem. Vaginal lubricants may also be recommended if the problem is only related to vaginal dryness.
For women with a family history of osteoporosis or cardiovascular disease, seeing a doctor for examination and advice is indispensable. Protecting heart and bone health is one of the best ways to take care of the health of premenopausal women.
Currently, Vinmec International General Hospital has a package of pre-menopausal health examination and counseling. When registering for an examination package, customers will be examined and consulted with a specialist in Gynecology; Perform tests to evaluate hormonal status such as:
Gynecological examination Gynecological examination, breast examination Transabdominal ultrasound of the uterus and ovaries Taking samples for cervical-vaginal cytology Mammogram (2 sides) Osteoporosis Measurement Perform other tests to detect premenopausal conditions, if any. The health check at this stage is considered the key to help women solve common problems in the best way.

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