What is Menopause?

Menopause or cessation of menstrual bleeding means the completion of the woman’s reproductive cycle. The term is derived from the Greek words menos (moon) and pausa (termination), which signifies the last physiological bleeding from the uterus.

The term menopause is often used to describe the whole period: premenopausal, perimenopause, and postmenopausal.

We can talk about the permanent cessation of the menstrual cycle only retrograde when there is no bleeding in a year. The age of menopause is already the same for centuries, as opposed to the age of menarche that decreases over time.

If menstruation stopped 40 years ago, we are talking about premature menopause, and the end of menstruation after the 55th is called late menopause. It is usually considered that this period lasts for fifteen years, from the forties to the fifties or forties to the sixties, and is related to the transition from reproductive abilities to reproductive disability.

Menopause is not a disease, but a naturally occurring transition period in a woman’s life as a result of reduced production of sex hormones in the ovaries – estrogen, progesterone, and testosterone. These hormonal changes have diverse consequences for women’s health. Menopause is sometimes called a “change of life” because it marks the end of the groom of the reproductive period.

Life with itself brings up growing up, maturing, getting to know, and discovering true living values and wisdom. Health and a good feeling in our own body are becoming more important to us every year more and more. The health disorders and disorders that aging brings are inevitable, so it is good to help alleviate and eliminate the problems and beautify our life by making them more quality.

To pass through a period of menopause is an experience that relates to the process from the first irregularities of the menstrual cycle to the complete cessation of menstruation and the adaptation of the female body to the changes that result from changes in the secretion of estrogen.

Sometimes women struggle against these changes as if they can stop them. Those who accept them much easier go through them.


Menopause stops generative function, and the ovary becomes a gland that produces only androgen. The lack of estradiol very quickly, in most women, causes a change in the function of some regions in the brain.

Hormone changes also contribute to changes in mood, anxiety, nervousness, forgetfulness, and concentration problems or making decisions. Low levels of estrogen are associated with lower levels of serotonin, a chemical that regulates moods, headaches, and sleep. These symptoms do not bother any woman, but about 60% of women experience mild symptoms in the period of about 5 – 8 years. 20% of women will not have any symptoms, while 20% will be seriously affected, and symptoms will take up to 60 years, and longer. However, most of the therapeutic options for menopausal complaints are focused on alleviating wave waves and indigestible sweats as the main symptoms.

The domino effect of this disturbance can deepen mood swings, anxiety, sensitivity, and depression. In the further lack of estrogen, changes in the skin, joints, and quality of connective tissue and muscle follow.

The symptoms commonly occur in menopause include waves of wrinkles and sweating. Other symptoms include pain in the body, dry skin, vaginal dryness, loss of libido, frequent urination, and sleep difficulties. In some women, there is also unwanted hairiness, hair and hair thinning in the genital area, and changes in the skin. Hormonal changes also contribute to changes in mood, anxiety, nervousness, forgetfulness, and concentration or decision-making. Low levels of estrogen are associated with lower levels of serotonin, a chemical substance that regulates mood, emotion, and sleep.


What are the wave waves and nodal sweating (vasomotor symptoms)?

The heat of the heat is the heat that spreads through the whole body, and it can be accompanied by redness and sweating. Night sweats are episodes of heavy sweating at night, and they appear themselves or immediately after the heat of the heat.

Heat attacks usually begin as a sudden feeling of heat on the skin, concentrating on the face and upper chest that quickly swallows the whole body. The feeling lasts for two to four minutes and is often associated with abnormal sweating and the occasional feeling of heart pounding.

They occur in 80% of women, but only 10% describe them as unpleasant. Often, before or after the value, anger occurs. Values vary in severity, duration, and frequency.

One explanation is that they occur due to a hormonal imbalance at the level of the ovary and pituitary gland. Valances occur while menstruation still lasts or at the very beginning of changes in the menstrual cycle and can last until the menstruation completely stops.

We can not eliminate them, but by changing certain habits and lifestyles, we will be able to significantly influence them and alleviate them. It is known that stress, alcohol, caffeine, spicy food, and nicotine cause and stimulate them.

Heat attacks are most often completely unnoticeable for the environment and are only seen in a slight redness. This phenomenon is less burdensome if it is discussed with other women.


What causes wave waves and nodal sweating?

Lack of estrogen. The cause of the waves of waves has not yet been fully clarified but is associated with a decline in estrogen levels. It is thought that there is destabilization in the part of the brain (hypothalamus)  that regulates body temperature. Wave rinses can occur as a result of lowering the sweating threshold. It is believed that noradrenaline and serotonin, neurotransmitters with central action, play a role in this mechanism.

Other disorders. Not all wave waves are the result of menopause. Other disorders associated with this symptom include thyroid disease, diabetes, hyperhidrosis (excessive sweating that occurs in 1% of the population), anxiety and panic disorder, obesity, hormone-active tumors, chronic infections, and neurological disorders.


Mood change

Disagreement can be caused by bad sleep or night and day sweats that disrupt your day-to-day work. Sometimes, the cause may lie in thyroid disorder, so if the symptoms do not decrease with the change of bad habits, the taking of natural supplements and increased physical activity in the air, we advise you to consult with a doctor who will, if necessary, refer you to additional searches. It’s not easy to get used to the new rhythm of our body, give ourselves time, and be determined and consistent in sound decisions.

Some women in menopause are more likely to cry, occasionally feeling nervous, less patient, and feel unharmed. Some of these changes are the result of hormonal instability.

In menopause, there is not only a decrease in estrogen levels but also progesterone. Progesterone is a hormone that has an important effect on the central nervous system, it binds to GABA receptors and in that way acts as a relaxing one. Unbalanced ovarian function and decreased progesterone production cause mood changes, irritability, and sometimes even depressive conditions.


Sleep problems

Some women in menopause have problems with sleep. Although you sleep all night, you do not feel relaxed. Sleep in menopause may be interrupted by values, sweating, a bad mood, and ugly dreams.

Sleep problems are also affected by the rapid effect of blood glucose decomposition as well as the presence of serotonin hormones in the blood. A woman’s body needs to provide enough physical activity and avoid nicotine, caffeine, alcohol, and spicy food in the evening. Doctors recommend 8 hours of sleep a day if you are in the morning type lying in the evening before and allow for enough sleep. Good sleep is the beginning of every day.



Due to the weakening of the ligaments and muscles of the bottom of the small pelvis, lower urogenital organs, and the weakness of the urinary bladder and urinary tract, which may result in incontinence, or the inability to retain urine.

The loss of estrogen during menopause can lead to changes in the vagina and urethra. Vertigo and urethra are sensitive to estrogen, and when the level of this hormone drops, the cells in the mucous membranes become thin, lose elasticity, and receive less blood. The consequence of this is the loss of vagina moisture and higher susceptibility to infections and the onset of pain during sexual intercourse.

Problems also occur with urinating. Urinating is painful with a burning sensation. Incontinence occurs, i.e., sudden urinalysis occurs in sudden movement such as coughing and sneezing.

Physicians recommend a lot of fluids, physical activity, extra exercises for muscles of the bladder and the crotch. Choose some kind of physical activity you love. It is enough to walk faster 30 minutes a day or to ride a bike, to swim in the summer if you have opportunities. Everyone can find an activity for themselves.



Today there are wide therapeutic options for treating these symptoms – from natural hormones, through homeopathy to hormone replacement therapy.

The ideal way through perimenopause is to choose and use the best that modern medical science provides for the metabolism of hormones, bone density, and heart health combined with complementary methods.

The medical approach “protects” the woman from natural discomfort due to changes in the outward appearance accompanying menopause and the aging process. Doctors act ahead to prevent the real-life experience contained in these changes.


Two Treatment Modes;

The number of women who sue on wave waves and nodal sweating as part of menopause symptoms is very diverse. A meta-analysis of randomized controlled trials showed that estrogen reduces the frequency of wave waves by 80%, or 2.5-3 times the wave of the daily ratio, indicating that hormone replacement therapy (HNL) is the most effective way of treating waves of heat and nodal sweating.



Hormone replacement therapy is a procedure that replaces female sex hormones whose production in the ovaries gradually begins to decline. Hormone Replacement Treatment (HNL) plays an important role for all women with estrogen deficiency. Most of the negative events are associated with a serum estradiol level of less than 50 pg/ml. The goal of HNL is to prevent wounds and mid-term symptoms of menopause, and the late effects of endocrine function.

HNL implies the use of estrogen hormones orally (to the mouth), transdermally (over the skin), vaginally (in women who do not have a uterus – surgically removed for various medical reasons) or the combined use of estrogens and progestagen, either individually in the aforementioned ways, or in a fixed combination in women who have a uterus.


There are four main types of HNL:

  1. Hormone replacement therapy (HNL) containing estrogen and progestogen is recommended to women who have not had a hysterectomy, as progestogen protects against the development of endometrial cancer (mucous membrane).
  2. Women who do not have a uterus because they had a hysterectomy should prescribe HNL containing only estrogen.
  3. Young women who have both ovaries and uterus removed can either receive the estrogen alone or with additional testosterone therapy. If the ovaries and uterus are removed due to endometriosis, estrogen and progestagen are sometimes prescribed to prevent the reactivation of endometriosis.
  4. Women who have symptoms of dry carotid, itching, or painful intercourse can alleviate vaginal estrogens.

Benefits of HNL;

  • Mitigating the symptoms of menopause, estrogen, and HNL can improve concentration and quality of life.
  • Estrogen and combined HNL reduce the risk of postmenopausal bone fractures, including hip fractures. Estrogen elevates bone density.
  • Estrogen and combined HNL can alleviate mild symptoms of depression, but moderate to severe depression requires a different treatment next to the hormonal.
  • HNL reduces the risk of colon cancer.

Risks HNL;

  • All drug therapies have potential side effects; Every medicine should be taken for health benefit.
  • It is recommended that HNL taken to relieve symptoms is short-term – it is not recommended to take HNL exclusively as a long-term preventive therapy.
  • A study conducted by the Women’s Health Initiative (WHI) in the United States showed that the risk for breast cancer increased for women who took a specific combined HNL for more than five years, in cases where the menopause occurred in the usual average age of 50 years. This risk is not necessarily valid for other types of combined hormone replacement therapy, a younger woman or woman in whom the menopause occurred earlier.
  • The WHI test also showed a small increase in the incidence of stroke in the HNL user.
  • The use of oral estrogen and HNL is associated with a stated risk of blood clots, especially with a woman’s age.
  • In elderly women, the use of HNL is associated with a reported risk of gall bladder inflammation (cholecystitis) and the formation of gallstones.


What can a woman do to help herself?

Menopause is not a disease, but a developmental period in every woman’s life. Let us make her brave and determined to do the best for ourselves and our health, not only in the moment of these emerging changes but also for all the years to come.

A good starting point is an information about menopause and everything that is associated with it. Women should be encouraged to look after their health, including smoking cessation, healthy eating, and regular physical activity along with some relaxation techniques.

A healthy diet and a healthy lifestyle that involves exercise reduces the risk of many health problems associated with aging, and gives you more energy, and improves your quality of life. A healthy lifestyle can reduce menopausal symptoms, including waves and sleep disorders.

Vitamins such as C, D, A, B, E, and minerals should also be taken with calcium, magnesium, selenium, and the like. Herbal teas can be very helpful in plentiful bleeding, sore throats, and headaches. Relaxation exercises such as meditation, massage, and yoga protect against stress and depression. Exercising sex, including masturbation, also allows a woman to relax. Moderate daily physical exercises are of great value.

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