Dr Himani Gupta
Consulting Gynecologist in Kharghar, Navi Mumbai
As this topic ‘Menopausal Transition’ is a vast topic and we want to bring understanding to this topic in as simple a language as possible such that it can be easily understood by everyone, we are starting an article series.The introductory article will give you a glimpse about how will we go about it.
-The menopausal transition is a progressive endocrinological continuum that takes reproductive aged women from regular cyclic and predictable menses that are characteristic of ovulatory cycles to a final menstrual period associated with ovarian senescence.
-The term menopause refers to a point in time that follows one year after the cessation of menstruation.
– The post menopause describes those years following this point. The average age of women experiencing their final menstrual period is 51-52 years.
– The hormonal changes begin to happen a few years earlier to cessation of menses and extend to one year after that. These years are referred to as menopausal transition.
– We will discuss the changes that happen during this period that will include: –
– Physiological changes- under this head we will discuss hormonal changes that occur in hypothalamus, pituitary, ovary and adrenal glands.
– Endometrium is the lining of the uterus, that sheds with menses. We will discuss menstrual disturbance patterns and fertility potential during menopausal transition
-The woman experiences thermoregulatory changes or vasomotor symptoms such as hot flushes. We will discuss what causes it and its treatment part.
– Female hormones – Especially estrogen is very essential for maintaining strength of bones. When estrogen levels fall with menopause, skeletal disorders like osteopenia and osteoporosis may set in.
-We will discuss pathophysiology, diagnosis, prevention and treatment of these disorders.
– Menopausal transition and hormonal changes associated with it for changes in other systems too like, cardiovascular system, weight gain and fat distribution, skin changes, breasts changes, sleep disorder, psychosocial changes and sexual dysfunction.
-Along with this we will also discuss physical examination and lab testing for these disorders.
-So, friends you do get an idea of what all things we will cover under this topic ‘Menopausal Transition’
-In next update of article of this series we will take one of the above listed topics and bring more clarity on that
-Keep a watch on this article itself as a dated update will arrive soon.