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By Dr Zulfikar BuxAssistant Professor of Emergency MedicineWHAT IS MENOPAUSE?I am often bombarded with questions from women who are going through menopause and are confused.Dr Zulfikar BuxToday, I hope we can address some of these questions and shed some light on this menacing phase of life for women. Menopause is the time in a woman鈥檚 life when she stops having monthly periods. At this time, her ovaries stop releasing eggs and stop making the hormones estrogen and progesterone. Menopause usually occurs between the ages of 45 and 55. The average age is 51.HOW DO I KNOW IF I AM GOING THROUGH MENOPAUSE?Most women start to wonder about menopause when their periods start to change. If you are going through menopause, you might:*Have periods more or less often than usual (for example, every five to six weeks instead of every four)*Have bleeding that lasts for fewer days than before*Skip 1 or more periods*Have symptoms of menopause,Cheap NFL Jerseys China Wholesale, such as hot flashes (described below)If your uterus (womb) has been removed, but you still have your ovaries,Jerseys China Wholesale, it might be tough to tell when you are going through menopause. Still, women who do not have a uterus can have menopause symptoms. If your ovaries were removed before the usual age of menopause, you had what doctors call 鈥渟urgical menopause.鈥� That just means that you went through it early,China Jerseys, because your ovaries were removed.WHAT ARE THE SYMPTOMS OF MENOPAUSE?Some women go through menopause without symptoms. But most have one or more of these symptoms:*Hot flashes聽鈥� Hot flashes feel like a wave of heat that starts in your chest and face and then moves through your body. Hot flashes usually start happening before you stop having periods.*Night sweats聽鈥� When hot flashes happen during sleep, they are called 鈥渘ight sweats.鈥� They can make it hard to get a good night鈥檚 sleep.*Sleep problems聽鈥� During the transition to menopause,Cheap Jerseys Online, some women have trouble falling or staying asleep. This can happen even if night sweats are not a problem.*Vaginal dryness聽鈥� Menopause can cause the vagina and tissues near the vagina to become dry and thin. This can be uncomfortable or make sex painful.*Depression聽鈥� During the transition to menopause, some women start having symptoms of depression. That鈥檚 especially true for women who have been depressed before. Depression symptoms include:鈥adness鈥osing interest in doing things鈥leeping too much or too little*Trouble concentrating or remembering things聽鈥� This might be caused by lack of sleep that often happens at menopause, or by the lack of estrogen. Some experts suspect that estrogen is important for good brain function.SHOULD I SEE A DOCTOR?If your periods start changing and you are 45 or older, you do not need to see your doctor. But you should see your doctor if you have symptoms that really bother you. For instance, you should see your doctor if you cannot sleep because of night sweats, or if you start to feel sad or blue and don鈥檛 seem to enjoy things anymore.You should also see your doctor if you:*Have your period more often than every three weeks*Have very heavy bleeding during your period*Have spotting between your periods*Have been through menopause (have gone 12 months without a period) and start bleeding again, even if it鈥檚 just a spot of bloodHOW ARE THE SYMPTOMS OF MENOPAUSE TREATED?Treatments include:*Hormones聽(estrogen)聽鈥� The hormone estrogen is the most effective treatment for menopause symptoms. Women who no longer have a uterus can take estrogen by itself. Women with a uterus must take estrogen with another hormone, called progesterone. Experts think these hormones are effective and safe for many women in their 40s and 50s with symptoms of menopause. If you want to take hormones, ask your doctor if it is an option. You should not take hormones if you have had breast cancer, a heart attack, a stroke, or a blood clot.*Antidepressants 鈥撀燗ntidepressants can ease hot flashes and depression. Even women who are not depressed can take them to help with hot flashes.*Anti-seizure medicine聽鈥� One of the medicines used to prevent seizures seems to help some women with hot flashes 鈥� even if they do not have seizures.CAN I DO ANYTHING ON MY OWN TO REDUCE THE SYMPTOMS OF MENOPAUSE?Yes. There are some steps you can try. But ask your doctor before you take any 鈥渘atural remedies.鈥� Some natural remedies might not be safe,Wholesale Jerseys From China, especially for women who have a history of breast cancer.WHAT CAN I DO TO PROTECT MY BONES?You can:*Take calcium and vitamin D supplements*Be active (exercise helps keep bones strong)*Ask your doctor when you should start having bone density testsIf needed,NFL Cheap Jerseys, your doctor can prescribe medicines to help keep your bones strong.Menopause is a challenging time in a woman鈥檚 life. Just know that there are options that can help to make these challenges less menacing.