According to statistics menopause occurs in women an average in the age of 52 years old. However, there are cases when menstruation ceases in 38-40 years. This phenomenon is called premature menopause. What causes this disease?

Question number 1. What could be the cause of early menopause?

Early menopause has many causes. Early termination of menstruation in most women is bound to some stress factor – family bereavement, job loss, a hard operation. It may also be a consequence of genetically determined lack of activity of the ovaries, infectious diseases during puberty, immunologic diseases of the thyroid gland, obstructed labor, sepsis, severe surgical operations, and trauma.

Question number 2. What problems are women faced in early menopause? How it affects their health?

If the climacteric came early, accordingly, all negative aspects inherent in menopause also begin early. The skin structure changes, it becomes less elastic, and hair, nails change too. A woman can begin to gain weight, or conversely, to lose weight. The biochemical parameters of blood change too that contributes to the development of atherosclerosis, coronary heart disease, myocardial infarction. The state of bone tissue also changes: the process of reducing its density is accelerating.

Question number 3. What treatments are used in such cases?

Given the variety of changes in the body, treatment of early menopause – is a multidisciplinary problem and requires the participation of different specialists – a neurologist, endocrinologist, cardiologist, or others. However, the most effective method of treatment is hormone replacement therapy, when the woman is prescribed the drugs, containing the ovarian hormones, which the body lost. Hormone therapy removes the climacteric syndrome: tides, hot flashes, mood instability, and warns all metabolic disorders that are associated with menopause – atherosclerosis, osteoporosis, urogenital disorders.

Previously, such a woman was prescribed symptomatic therapy for each item on each complaint, and the result it is a list of medicines.

With the help of hormone replacement it is offset the function the violation of which led to all this set of problems. That is this method treats not the symptoms, but the damaged mechanism.

Question number 4. What are the preventative measures of early menopause?

With regard to prevention, it would have to begin with the period of childbearing. All stressful external factors should be excluded; lifestyle of pregnant should be the most favorable.

We must try to ensure that the number of infectious diseases, which accounts for a year of life of a girl, will be minimal. To do this, you should temper the child, feed her properly. It is important to get up in time, go to sleep, eat rightly. It is extremely important the period of puberty. During this period, there is a hard work hard to establish links between the centers that regulate the function of a woman’s ovaries. Therefore it is necessary to minimize the possibility of stress.

Stress – is a state when a teenager, for example, is in a state of chronic fatigue, psychological tension from excessive loads.

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Every woman is afraid to do “it” the first time. And if this is not the first? If already in the thousandth time, the fear of pain, embarrassment, discomfort persist, forcing to compress internally and bring almost to swoon? Here, according to specialists, there are all the reasons to speak about the disease, which currently affects about 3% of women.

The subconscious mind has on our lives far more influence than we think. Sometimes the person does not realize how much it can be strong impression left by some event. And it is unclear how this perception will affect his psyche in the future. “The skeleton in the closet”, carefully fostered by own fears and self-doubt, can turn into this monster that prevents a full, healthy and happy life.

“I madly fear intimacy with a man, because when attempting intercourse I feel terrible pain, reaching the cramps in my legs and even a brief loss of consciousness. The very idea of sex is unbearable for me. What is happening to me? Why cannot I feel like a complete woman? ”

The woman suffering from vaginismus describes her state in such a way.

The problem of vaginismus, according to experts, is psychological. Sometimes, of course, this reaction of the female body is caused by an improper structure of genital organs, various diseases of the reproductive system. But then the doctors classify it as pseudo vaginismus.

Most often vaginismus occurs in women with increased excitability, are prone to neurasthenia, obsessive-compulsive, suspicious, emotionally unstable. It was a woman who lived for 6 years in “virgin marriage” and did not have sexual intercourse with her husband. The woman told that when trying to commit a sexual act, she was hit by panic, accompanied by painful cramps. Either tranquilizers or alcohol do not help. There was no question about to refer to a specialist. In the end, her husband persuaded her to seek to the doctor. In a couple of months of psychotherapy and special methods of relaxation woman lost her fear.

Forms of vaginismus.

Sexologists distinguish several forms of female vaginismus.

The form of vaginismus, in which a woman experiences an insurmountable fear of sexual intimacy, is phobic one. A woman can aware perfectly well of the invalidity of her fear, could set herself to the positive, but, nevertheless, she cannot overcome it. Impatience and the demand of the partner “to relax and have fun” in this case only exacerbate her situation. The feeling of inferiority brings a woman to desperation and accelerated into new complexes.

The base of phobic vaginismus is a very strong link between fear and sexual intercourse. The ladies, in principle, prone to phobias tend to suffer this form of vaginismus. This is not only their fear. They may also be afraid of the dark, the sight of blood, and stories about the “nightmares” of defloration can cause them a real scare.

Another common form of vaginismus – is hysterical. Typically, hysterical vaginismus has directed nature reluctant to sexual intimacy with a particular partner. It can manifest itself consciously and unconsciously.

This could be a marriage with the unloved man, some qualities in the partner, which repel disgust and prevent a normal sexual life. Since the selectivity is the main motivation, hysterical vaginismus goes away with the change of sexual partner.

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“Tides” are called a sudden feeling of heat in the upper body, which is one of the major symptoms of menopause. To reduce the frequency and strength of tides doctors recommend correct the lifestyle and not too nervous about menopausal changes in the body, as well as undergo the course of hormonal or non-hormonal therapy.

Changing the lifestyle and habits.

To reduce the frequency and intensity of tides, doctors recommend a few lifestyle changes. First of all, you need to determine the factors affecting the frequency and force of the tides, and where possible try to exclude them. Such factors may include consumption of alcoholic beverages, coffee and beverages containing caffeine, sunbathes etc. Try to wear light and loose clothing and to eliminate from a diet fatty foods. Eat more fresh fruits and vegetables. Stress at work and at home exacerbate the tides, so women of menopausal age should practice relaxation techniques such as yoga and meditation designed to help relieve the stress.

Deep breath.

According to some studies, deep abdominal (diaphragmatic) breathing helps regulate the intensity of tides. Doctors recommend doing such breathing exercise: at least twice a day for fifteen- twenty minutes you must breathe at a frequency of six to eight breaths per minute.

Fitness.

Regular exercises (a half-hour workouts at least five times a week) help effectively control the frequency and intensity of tides. Rational physical activity lowers blood levels of certain hormones that affect the production by ovarian estrogen and progesterone.

If, despite all your efforts to lead a healthy lifestyle, not smoking and drinking, frequency and strength of the tides is not reduced, they interfere with your work and communicate normally with others, refer to a gynecologist – he always selects the appropriate treatment. Perhaps, in this case you should undergo the course of hormonal therapy. It is important to remember that the existing drugs do not cure tides, but only give temporary relief and reduce the unpleasant symptoms, reducing the frequency of the tides or their duration.

In some cases, the tides disappear during the process of treatment and reappear when you stop taking medication. This is explained by the fact that it is difficult to predict the duration of the tides and their intensity. To avoid the recurrence of the tides after the cessation of drug administration, a gynecologist may recommend a gradual reduction in dose that cease taking the medicine will be less noticeable to the organism.

Hormone therapy (estrogen reception).

In the absence of contraindications it is the most preferred form of treatment of tides. Hormone therapy does not give immediate effect; its effect appears only in a few months. There are several drugs on the basis of estrogen, from which a gynecologist will choose the most suitable for you, given into consideration the symptoms of menopause, other diseases and general health. Estrogen also reduces other symptoms and signs of menopause, including insomnia, dryness of the vagina, forgetfulness or inability to concentrate, and also helps eliminate the problems of the genitourinary system.

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Nowadays the problem of menopause is very relevant than ever. If in the distant past a woman lived an average of 45 years, this issue simply not had time to occur. Now the average life expectancy of women is about 80 years. Typically, menopause occurs at 48-50 years, it means that one third of her life a woman spends in menopause.

The topic of menopause hardly rises: an aging woman – is not the most interesting subject for conversation. Women do not want to recognize the approaching age; it is too boring for men to talk about it. Curiously, that any illness in our society – high blood pressure, osteoporosis, diabetes … is perceived as a disease. Climax is perceived as an offense.

The neurologists even have such a joke: if you want a woman to be cured of neurosis, tell her that she has menopause, and she will stop complaining. And then there is the socio-psychological part of the problem: menopause – it’s shameful, indecent. So the problem of menopause is called tactfully the problems of adolescence.

The evolution of menopause.

Today almost everyone knows that the climax – it is tides, tearfulness, irritability, night sweats, palpitations … This group of disorders occurs when the formation of menopause is only just beginning.

This occurs most often in 45 years, when a woman simply fells bad, and according to her gynecological indicators she is healthy. Later it is developed sexual dysfunctions, urinary incontinence, dryness of skin, mucous membranes, hair loss … then hypertension, atherosclerosis, osteoporosis… And in such a way the condition deteriorates until deep memory impairment and even deeper psychological disorders. However, menopause may develop somewhat differently.

Nature protection.

If you look at the woman from the perspective of nature, the nature cherishes her, as woman fulfills her main mission – to bear children. By the way, it is noted that if a woman is mentally focused on the family, pays more attention in the soul it, she gets ill less. This is the main protection of nature, which is ensured by hormones. Estrogens – are hormones of the first phase of the cycle – provide the appearance of women, an emotional outburst, the brightness, colorful life. Women who have not enough these hormones, enjoy life less, they are less emotional, they have worse skin, hair. The main task of another hormone – progesterone – is providing of pregnancy. With its predominance in the organism, a woman feels peacefulness, tranquility, harmony. Before menopause, estrogens usually remain, but progesterone is low.

As a consequence – emotional outbursts, irritability, emotional imbalance, insufferable character … It is not difficult to imagine what happens if this woman – is a public person or a leader. Then, it is much easier to cure one person from the menopause, than a team from neurosis. But it is treated quite effectively. It is necessary to therapy in time that will help ovaries to work for additional five years.

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