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更年期

Overview

更年期 is a normal phase of a woman's life, one that more than 4,000 women enter each day. It is defined as the period in time when the ovaries cease functioning and menstrual periods stop. The production of hormones in a woman's body begins to decline, 然而, several years before the onset of menopause. You may also hear the term perimenopause or climacteric, which means the time from when menstrual periods start to diminish up to a year after the final menstrual period. In the United States the average age of menopause is 51.

在过去, menopause was often treated as an illness, a subject only talked about behind exam room doors. Today, women want to understand the physical changes that are happening to their bodies. They are seeking immediate relief for their menopausal 症状, including hot flashes and vaginal dryness. They are also considering the impact of menopause on their risk of chronic disease and their long-term health.

我们对更年期的看法

There is a lot of information available about menopause, but it can be confusing and difficult to interpret, especially with regard to hormone replacement therapy. UCSF offers consultations to address women's questions and help them manage any bothersome 症状. Our goal is to provide all women with the best care possible as well as the knowledge they need to make informed decisions on their own health.

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迹象 & 症状

Common 症状 of menopause include:

  • 生育能力下降
  • 月经周期的变化
  • 潮热
  • 阴道干涩
  • 失眠
  • 情绪变化
  • 性欲改变

Most of these 症状 will stop after menopause is completed.

However, menopause also increases the risk of contracting heart disease or 骨质疏松症, which continue after menopause is completed. Although not associated with menopause, cancer is associated with advancing age in women.

诊断

更年期 usually is diagnosed by reviewing a woman's medical history, 症状 and ruling out other causes for the 症状. In most cases, hormone tests aren't necessary. If there is a question about hormone levels, a blood test can be performed to measure the amount of follicle-stimulating hormone (FSH) in the blood.

Other testing also may be done to ensure that a particular symptom is a result of menopause and not some other underlying causes.

治疗

Most treatment is aimed at treating 症状 rather than altering menopause, which is a natural and healthy phase of life for most women. 治疗方法包括:

  • 生活方式的改变
  • 非处方药物
  • 处方疗法
  • 治疗 for specific 症状, such as lubricants for vaginal dryness or antidepressants for emotional changes
  • Preventive medications or supplements for chronic post-menopausal conditions such as 骨质疏松症 and heart disease

加州大学旧金山分校健康 medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.

推荐阅读

月经周期

Hormones secreted by the hypothalamus, the pituitary and the ovary are the messengers that regulate the menstrual cycle. 点击这里了解更多.

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