When women reach menopause, their bodies will show many symptoms, such as changes in the menstrual cycle, frequent menstrual irregularities, and long-term hot flashes and sweating, or sometimes accompanied by dizziness, fatigue, palpitations and other adverse symptoms. 1. Menstrual changes: Menopause means the cessation of menstruation, but there are often changes in the menstrual cycle and menstrual volume during the perimenopause period, which are manifested by shortened menstrual cycle, mainly shortened follicular phase, anovulation and increased menstrual volume. For example, the rate of anovulatory menstruation in people aged 26 to 40 is 3% to 7%, and that in people aged 41 to 50 is 12% to 15%. Many people have prolonged cycles, 2 to 3 months or longer, with normal menstrual period and blood volume. A few people have loss of menstrual cycle, irregular vaginal bleeding, increased menstrual volume, and even secondary anemia. 2. Hot flashes and sweating: Hot flashes and sweating are the most important and most specific symptoms of perimenopausal women, with an incidence rate of 70% to 80%, and 25% to 50% can last for more than 5 years. They manifest as bursts of fever, starting from the chest, rushing to the head and neck, and can spread to the whole body, followed by sudden sweating, accompanied by dizziness, palpitations, and fatigue, lasting from tens of seconds to several minutes. The number of attacks ranges from more than 20 times a day to 1 to 2 times a week. In the past, some people have measured that the skin temperature will rise during the attack and return to normal after the attack, which may be related to the accelerated blood flow during the attack and has no more clinical significance. Although there is vasodilation during hot flashes, there is no change in blood pressure. Hot flashes are often a sign of ovarian failure. Many women do not have menstrual disorders, but may have hot flashes, indicating a decline in ovarian function; there are also a few women who do not have hot flashes during menopause, and they only appear 10 to 20 years after menopause; most of them are synchronized with menstrual changes, and their degree also fluctuates. 3. Psychoneural symptoms: The main manifestations are emotional instability, uncontrollable irritability, self-blame, neurosis, stubbornness, inattention, insomnia, headache, memory loss, neurasthenia, depression and other symptoms after losing temper. In severe cases, the symptoms are similar to those of mental illness. Its occurrence may be related to neurotransmitters such as serotonin and endorphins, as well as to the individual's personality, occupation and cultural background. Sudden events in the family, such as the death of relatives, divorce, retirement, children leaving home, etc., may aggravate the symptoms. |
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