1. menstrual disorder menstrual disorder can be said to be the most typical manifestation of early menopause. There may be several situations at this time; For example, the cycle is prolonged, the amount of bleeding is gradually reduced, and finally menopause; Or increase the amount of bleeding or even massive bleeding, and then slowly reduce the amount of bleeding, and finally menopause; Some people may suddenly stop menstruating.
2. Decline in fertility The ovarian function of early menopause will not completely disappear, but as the ovulation cycle begins to become chaotic, fertility will decline.
3. Urinary tract infection At this time, the urethra will reduce mucosal secretion due to the reduction of estrogen. The decrease of mucosa is easy for bacteria to invade, which may lead to urethritis or hematuria, and may even lead to repeated infections.
4.*** Reducing the decrease of estrogen will make the mucosa of * * * shrink, become thin and inelastic, and feel dry and painful when making love, which will reduce * * * and affect the relationship between husband and wife.
5. Appearance aging Due to the decrease of estrogen secretion, the ability of collagen synthesis decreases, and the skin becomes thinner, wrinkles appear, and it is dry and itchy.
6. Hot flashes This is a comprehensive symptom caused by vasoconstriction. In addition to skin flushing, it will be accompanied by sweating, palpitations and dizziness. It lasts for a few seconds to a few minutes and occurs regularly.
7. Osteoporosis Estrogen can help the body absorb and store calcium. The decrease of estrogen will make bones unable to absorb enough calcium. At this time, the joints will feel pain because of calcium deficiency. If calcium is not supplemented in time, it will develop into osteoporosis over time.
8. Emotional changes menopausal women usually have symptoms such as headache, tinnitus, insomnia, memory loss, inattention, and emotional changes such as irritability, paranoia, anxiety, depression, and moodiness.
Further reading: learn fast, and "give me back my drifting fist" depends on the 10 acupuncture point on the head of * * *!
Morning shift symptom checklist 90
0= None 1= Slight 2= Moderate 3= Severe
project
grade
project
grade
Paroxysmal skin burning sensation
lumbago
foolish
arthralgia
have a headache
Muscle pain
irritable
Increased facial fine hair
depressed
Abnormal dryness of skin
Feel lost
* * * Decrease
nervous
Decline in sexual acceptance
Suffer from insomnia
* * * drying
conk
* * * Pain
Total score:
* The total score exceeds 15, indicating that menopause has entered ahead of schedule.
The information was provided/collated by Dr. Huang/the editorial department of Maternal and Child Magazine.
The possible cause of premature ovarian failure is 1. Late-married/childless women can release a limited number of eggs in their lifetime, about 300 ~ 400. If you are not pregnant or breastfeeding, these eggs will be discharged regularly every month. In the past, women had to spend at least 10 years of pregnancy and lactation in their average life, so that their ovaries could rest (not ovulate) during this time, thus delaying menopause. Many modern women marry late or have no children, and the ovaries continue to discharge eggs, which will naturally lead to premature aging. In addition, late marriage or no survival is prone to gynecological diseases, and surgery is often needed, and once the ovaries are injured during surgery, they will age ahead of time.
2. Artificial ovulation in today's increasingly late marriage, the infertility rate has also increased. Many women either use ovulation needles to improve the "success rate" or use artificial insemination or test tubes to recover eggs in order to have children. However, due to the limited number of eggs, once a large number of eggs are discharged, the ovaries may fail early.
3. Non-organic disease of chronic ovarian inflammation Early menopause is related to chronic ovarian inflammation. Chronic inflammation of the ovary will affect the blood circulation of the ovary and lead to the accumulation of free radicals and inflammatory substances in the ovary. Free radicals will destroy eggs, reduce the inventory of eggs, so that the ovaries will consciously "fail" and enter menopause in advance.
4. Suffering from immune diseases In recent years, the rate of people suffering from immune diseases has been rising. When the immune system attacks the body, it may also attack ovarian cells, leading to premature ovarian failure.
Extended reading: immunity drops greatly after 40 years old! Are all four common diseases related to immunity?
5. Too much weight loss fat is the raw material of female hormones, and the ovaries need enough fat to make estrogen. If the body fat rate is lower than 14%, all the fat will be used to maintain life, and when there is no fat available, the ovaries will stop running. This is why when the body fat rate is lower than 14%, the human body will reduce the secretion of estrogen, and then close the reproductive function, leading to amenorrhea and infertility. Excessive weight loss will lead to low fat content and early menopause.
6. Environmental pollution Whether it is neighborhood snacks or high-end restaurants, as long as they go out to eat, they may contain plasticizers, industrial chemical dyes or environmental hormones. If you eat foreign food for a long time, these toxic substances will accumulate in the body and may cause damage to the ovaries.
High-level supervisors, late marriage, infertility ... From the above reasons, the high-risk groups of early shift include middle-level and high-level supervisors with high work pressure, factory workers who are frequently exposed to environmental hormones or industrial chemical dyes, infertile patients taking ovulation-promoting drugs, families with late marriage, and patients with immune diseases. In addition, because the body fat rate is lower than 14%, the ovaries will stop working, and women and athletes who are too thin are likely to meet menopause in advance.
Improving ovarian function begins with conditioning the body. When the symptoms of morning shift appear in the body, we should actively adjust our work and rest, change our diet, cultivate exercise habits, and help the ovarian function return to normal. The doctor suggested the following methods for conditioning:
1. Dietotherapy does not necessarily require early medication. Some people with mild symptoms can return to normal physique as long as they adjust their diet. Shi, an attending physician in the Department of Traditional Chinese Medicine of Zhenxing Hospital, pointed out that if you want to improve the skin's moisture, you can supplement foods rich in gum, such as plant-based auricularia auricula, konjac, kelp, seaweed, love jade, or animal fish skin, pig's trotters, chicken feet, sea cucumbers and so on. If you want to prevent osteoporosis and supplement phytoestrogens, you can take tofu, dried tofu, soybean milk and other soy products rich in soy isoflavones. Foods with high calcium content such as milk and bone soup are also good choices. As long as we grasp the principle of balanced and light diet, reduce the intake of sugar, salt, meat and oil, and drink less coffee and strong tea, we can effectively improve our physique and regain our youthful brilliance.
2. Exercise can prevent premature deterioration of the body due to ovarian failure. It is suggested that mothers should follow the exercise principle issued by the national health agency "3.3.3": exercise for 30 minutes three days a week, and the heartbeat is per minute 130. Walking, jogging and mountain climbing are all good choices. In addition, you can also do muscle strength training to improve muscle endurance, stretching training and improve the fluency of joint activities; If there is pain in the joints of the back or lower limbs, it is recommended to try swimming or Tai Ji Chuan with a relatively small burden.
People who go to work early as mentioned above usually have more work pressure. At ordinary times, we should cultivate positive thoughts, find opportunities to relieve stress (such as listening to music, fitness or * * *), take part in outdoor activities and get in touch with people more during holidays, and don't concentrate on work, so as to avoid pressure accumulating and aggravating symptoms. Since 165438+ 0: 00 p.m. to 3: 00 a.m. is the time for the liver and gallbladder to run, it is necessary to let the liver and gallbladder have a full rest and discharge toxins at this time. It is best not to stay up late, and the sleep time should be controlled at 6-8 hours.
Prevention is the healthiest way, eat early!
Eat more than 30 different foods every day to increase the source of nutrition. Take 2 cups of low-fat or skim milk and 1 serving of low-fat cheese every day to supplement calcium. Eat 5 servings of fruits and vegetables every day, and get enough vitamin C, beta carotene and fiber. Eat whole grains or unrefined cereals at least three times a week. Meat intake is less than 4 Liang per day, which can be replaced by fish or bean products. Don't overeat, eat more soy products to supplement phytoestrogens. Restrain oil intake, try to use vegetable oil as the main cooking food, no more than 2 tablespoons per day. Reduce sugar intake and stay away from sweets such as drinks, biscuits, cakes and ice products. Control the intake of sodium, and the daily salt content should be less than 6 grams. Restrict drinking. Consulting/Dr. Huang finishing/maternal and infant magazine editorial department
Intake of synthetic estrogen may lead to myoma hyperplasia. In order to slow down the aging of the body, many patients in the morning shift will apply a lot of skin care products or supplement health food. However, Dr. Huang pointed out that most of these products, which flaunt the efficacy of rejuvenation, contain synthetic estrogen, which is easy to affect the liver and kidney, and the synthetic estrogen is usually in a large dose, which may lead to the proliferation of the original tumor in the body. If you have liver and kidney diseases, adenomyosis, hysteromyoma, fibrocyst or a history of breast cancer, it is best to avoid using these products that focus on "rejuvenating you" to avoid losing more.
On the other hand, the popular "soybean milk therapy" in recent years (that is, supplementing phytoestrogens by ingesting a large amount of soybean milk) has made many people flock to it, but some people think that drinking soybean milk will make the uterus grow fibroids. In response to this statement, Dr. Huang said that according to the research, soybean milk will not make uterine fibroids "out of nothing", but will make uterine fibroids bigger, but only if you drink 1 0,000 every day for 30 days. Therefore, as long as you don't drink soybean milk as water and control your intake, soybean milk can still be used as a good food source for conditioning your ovaries.
Hormone therapy helps to reduce the risk of osteoporosis. Because it belongs to a "syndrome" with multiple symptoms, if only one symptom or several symptoms appear, it may be a medical disease. For example, headache may be high blood pressure, back pain may be a side effect of unbalanced diet or medication, and depression may be depression. Dr. Huang said that if it is determined that these symptoms are not medical diseases, as long as the symptoms are not serious (mild), there is no need to seek medical treatment; If the symptoms become more and more serious, it is better to go to the hospital for an estrogen concentration test to determine whether it is "early shift", which is the most accurate and direct way to judge early shift.
In addition to the physical conditioning mentioned in the previous paragraph, the treatment of morning shift can also be supplemented by traditional Chinese medicine according to personal needs. If improving diet, exercise and taking traditional Chinese medicine are ineffective, hormone therapy must be used. Usually, doctors will give patients some low-dose estrogen and lutein to protect the endometrium to avoid the uterine wall from being too thick or pathological changes. The average course of treatment is about 1 ~ 2 years. After the symptoms are relieved, the dosage is gradually reduced or replaced by botanical drugs. Dr. Huang pointed out that because the risk of cardiovascular disease and osteoporosis in early-onset menopausal patients is higher than that of ordinary women, if hormone therapy can be used to normal menopausal age (about 50 years old), the risk of cardiovascular disease and osteoporosis can be effectively reduced.
How to take the exam in the morning shift?
First of all, after estrogen < 20 is determined, hormone therapy must be carried out for 1 month. If 1 month hormone therapy can improve all the symptoms of suspected morning shift, it can be determined that it is morning shift.