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Menopause

Transcript: Presentation by: Sushma menstrual period stops permanently body goes through changes that no longer allow woman to get pregnant 3 stages of Menopause irregular periods hot flashes: upper body heat, heavy sweating and cold shivering sleeping problems, mood changes vaginal and urinary problem decreased interest in sex night sweats,headaches, skin flushing osteoporosis, other changes Treatments Menopause Menstruation starts between the ages 8-13 in girls continue until menopause, at about age 45-51 hormone therapy diet and lifestyle changes exercise and relaxation Common Symptoms Perimenopause: slow changes that leads into menopause, stop and start again anywhere between a few months or a few years. Menopause: occurs at last period, ovaries stop releasing eggs Post menopause: time after menopause; results health concerns

Menopause

Transcript: Treatment Signs and Symptoms Menopause By: Erielle Cook November 12, 2014 Menopause is a natural part of a woman's development. It does not need to be prevented but you can reduce the long term problems by doing the following: Control your blood pressure, cholesterol, and other risk factors for heart disease. Do NOT smoke. Cigarette use can cause early menopause Eat a low-fat diet Get regular exercise Talk to your doctor about medicines Take calcium and vitamin D. Prevention & Control In 1998, there were more than 477 million postmenopausal women in the world, and approximately 9% were expected to live to age 80. By 2025, the number of postmenopausal women is expected to rise to 1.1 billion. Epidemiology Organism (what is it ?) Menopause is time in a woman's life when her periods (menstruation) eventually stop and the body goes through changes that no longer allow her to get pregnant. It is a natural event that normally occurs in women age 45 - 55. Lifestyle changes Hormone therapy References Signs & Symptoms Menstrual cycle change( they occur less) Heart pounding Hot flashes Night sweats Sleeping problems Headaches http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001896/#adam_000894.disease.treatment http://www.mayoclinic.org/diseases-conditions/menopause/basics/definition/con-20019726 http://www.medicinenet.com/menopause/article.htm http://www.webmd.com/menopause/guide/menopause-basics

Menopause

Transcript: Complications HRT - medications containing female hormones to replace the ones the body no longer makes after menopause There are two types of HRT: Systematic Hormone Therapy (Premarin) Low Dose Vaginal Products Bioidentical Hormone Replacement Therapy (BHRT) Risks of HRT Menopause increases the risk of the following medical conditions: cardiovascular disease osteoporosis urinary incontinence Menopause may also affect sexual function and cause weight gain. Sources Symptoms Menopause and HRT natural decline of reproductive hormones (estrogen, progesterone) total hysterectomy and bilateral oophorectomy results in immediate menopause with no transition period chemotherapy and radiation therapy may induce menopause Hormone Replacement Therapy (HRT) Menopause hot flashes and night sweats mood changes weight gain thinning hair irregular periods vaginal symptoms By Holly Vassaras Treatment Hormone Replacement Therapy increases the risk of: heart disease stroke blood clots breast cancer http://www.mayoclinic.com/health/menopause/DS00119 http://www.premarin.com/index the permanent end of menstruation and fertility common during 40 and 50 years of age 51 is the average age may last up to several years Causes Menopause requires no medical treatment. Treatment may be used to relieve symptoms. Hormone Therapy is the most effective.

Menopause

Transcript: Dosage: Take 250 mg in tablet or capsule form, two to four times daily. Or take 1/2 teaspoon of tincture, twice daily. Insomnia This herb is high in natural plant estrogens called phytosterols Menopause used to alleviate depression at menopause. Dosage: group 13 This is a good estrogenic herb that acts specifically on the uterus to reduce cramps and congestion Vaginal Dryness and Pain with Intercourse It is also good for relieving hot flashes. Black Cohosh contains two anti-rheumatic agents. It is an excellent herb for relieving muscular pain and cramping. It may also help to reduce cholesterol levels and blood pressure. Vaginal Atrophy This herb is a hormone balancer helps to reduce the symptoms of estrogen deficiency. This typically occurs between 45 and 55 years Black cohosh Premature ovarian failure Part Used: Dried fruit MOA MOA Frequent Urination Dong quai ,Menopause also known as climacteric, is the time in a woman's life when her menstrual periods stop and she is no longer able to have children. It is said to have occurred when a woman has not had a period for a year. This typically occurs between 45 and 55 years of age Menopause occurs in all women. Part Used: Dried roots and rhizomes Surgical menopause Menopause Part Used: Roots USES Depression and Mood Swings Hot Flashes Thank you Take 300-600 mg in tablet or capsule form daily. Or take 1/2 teaspoon of tincture, twice daily. Chaste tree Take 500 mg in tablet or capsule form, twice daily. Or take 1/2 teaspoon of tincture, twice daily Signs and symptoms Uses USES Age Urinary Tract Infections MOA Dosage Cause

Menopause

Transcript: Meno= Mens Pause= Stop Definitions Changes Dx Managements A . Menopause 1. Permanent cessation of menses occurs because of loss of ovarian activity. 2. Menses usually cease between 50 and 52 years of age. 3. Premature menopause the permanent cessation of menses occurring before 40 years of age. B . Perimenopause 1.The period just before and after the menopause, 45 to 55 years of age. 2.Menstrual cycle irregularity C . Climacteric 1.Broad term encompassing the transitional years ,the menopause , and the post menopausal years. 2.Reflects the decline and loss of ovarian function and the long term consequences of reduced estrogen levels Changes Rannevik G.Maturitus, 1995 IDEFINITIONS Serum E1, E2 levels at menopause Definition MENOPAUSE IDEFINITIONS IDEFINITIONS

Menopause

Transcript: Protects from endometrial cancer Natural anti-depressant Assists thyroid function Reduces blood clots Utilizes FAT for energy Restores sex drive Eman What is menopause? Cardiovascular disease. Osteoporosis. 骨質疏鬆 Urinary incontinence Weight gain. Uterine prolapse子宮脫垂 ? Menopause Foods that increase/trigger menopausal symptoms: Integrated course ->care of adults ->care of older persons ->care of patients with long term illness, ) Menopause is when woman stops having period for 12 months Foods that can accelerate bone loss: Caffeine Alcohol Phosphorus Progesterone ? Estrogen Foods to Avoid Elly Menopause Non-natural Hysterectomy ? Primary ovarian insufficiency. 原发性卵巢功能不全 Sugar Caffeine Alcohol ? Chemotherapy and radiation therapy Vicky Menopause Ovaries production of: Estrogen: lowered to 40% Progesterone: lowered to 0% Heavily processed foods Spicy foods Natural natural menopause-hormones?? what cause menopause? Natural decline of reproductive hormones. Common signs and symptoms sleeping problems (Sleep disturbances?) Irregular heartbeat Joint aches and pains Decrease in bone density complication AND Changes in periods Vaginal changes (dryness?) Hot flashes Night sweats Regulates calcium Maintain cholesterol Thickens lining of uterus Saida

Menopause

Transcript: Irregular periods Hot flashes Trouble sleeping Vaginal and urinary problems Mood changes Changing feelings about sex Osteoporosis: a condition in which your bones get thin and weak Women can use menopausal hormone therapy (MHT) to help control the symptoms of menopause. MHT, which used to be called hormone replacement therapy (HRT), involves taking the hormones estrogen and progesterone. MHT can be very good at helping with moderate to severe symptoms of the menopausal transition and preventing bone loss. MHT also has some risks, especially if used for a long time. What is Menopause? Menopause is the point in time when a woman's menstrual periods stop. Menopause happens because the ovaries stop producing the hormones estrogen and progesterone. Once you have gone through menopause, you can't get pregnant anymore. Some people call the years leading up to a woman's last period menopause, but that time actually is the menopausal transition, or perimenopause. Menopausal Hormone Therapy Medical treatments that may cause early menopause include: Chemotherapy or pelvic radiation treatments for cancer. Surgery to remove the ovaries. Surgery to remove the uterus. Sometimes menopause happens early on its own. Some possible causes include: Chromosome defects. Genetics Autoimmune diseases Research Article #1 Menopause that happens before the age of 40 is called early or premature menopause Early menopause can be caused by certain medical treatments, or it can just happen on its own. MHT can help with menopause by: Reducing hot flashes, night sweats, and related problems such as poor sleep and irritability Treating vaginal symptoms, such as dryness and discomfort, and related effects, such as pain during sex Slowing bone loss Possibly easing mood swings and mild depressive symptoms For some women, MHT may increase their chances of: Blood clots Heart attack Stroke Breast cancer Gall bladder disease Women who enter menopause early can have symptoms similar to those of regular menopause. Hot flashes, mood changes, vaginal dryness, and decreased sex drive. For some women with early menopause, these symptoms are quite severe. In addition, women who go through menopause early may have a higher risk of certain health problems, such as heart disease and osteoporosis. Risk of Breast Cancer in Relation to Use of Combined Oral Contraceptives near the Age of Menopause Research Article #2 Perimenopause, or the menopausal transition, is the time leading up to a woman's last period. Periods can stop and then start again, so you are in perimenopause until a year has passed since you've had a period. During perimenopause a woman will have changes in her levels of estrogen and progesterone, two female hormones made in the ovaries. These changes may lead to symptoms like hot flashes. Some symptoms can last for months or years after a woman's period stops. Early Menopause Age at Menopause, Cause-Specific Mortality and Total Life Expectancy http://www.jstor.org.navigator-millersville.passhe.edu/stable/info/3553024?&Search=yes&searchText=menopause&searchUri=%2Faction%2FdoAdvancedSearch%3Fq0%3Dmenopause%26f0%3Dall%26c1%3DAND%26q1%3D%26f1%3Dall%26acc%3Don%26wc%3Don%26fc%3Doff%26Search%3DSearch%26sd%3D%26ed%3D%26la%3D%26pt%3D%26isbn%3D http://www.jstor.org.navigator-millersville.passhe.edu/stable/info/20486095?&Search=yes&searchText=menopause&searchUri=%2Faction%2FdoAdvancedSearch%3Fq0%3Dmenopause%26f0%3Dall%26c1%3DAND%26q1%3D%26f1%3Dall%26acc%3Don%26wc%3Don%26fc%3Doff%26Search%3DSearch%26sd%3D%26ed%3D%26la%3D%26pt%3D%26isbn%3D http://www.jstor.org.navigator-millersville.passhe.edu/stable/info/4036942?&Search=yes&searchText=menopause&searchUri=%2Faction%2FdoAdvancedSearch%3Fq0%3Dmenopause%26f0%3Dall%26c1%3DAND%26q1%3D%26f1%3Dall%26acc%3Don%26wc%3Don%26fc%3Doff%26Search%3DSearch%26sd%3D%26ed%3D%26la%3D%26pt%3D%26isbn%3D https://www.womenshealth.gov/menopause/menopause-basics/index.html http://www.nia.nih.gov/health/publication/menopause http://www.menopause.org/for-women http://www.medicinenet.com/menopause/article.htm http://www.webmd.com/menopause/guide/menopause-symptoms-types Abstract: A later menopause has been associated with a decreased cardiovascular risk but with an increased risk for breast and endometrial cancer. The net effect on mortality is unclear. We determined the association of age at menopause with longevity and with the balance between cardiovascular and cancer mortality. What is perimenopause? Abstract: Data from a multinational, hospital-based, case-control study were analyzed to determine whether use of combined oral contraceptives (OC) around the time of menopause preferentially increases risk of breast cancer. Results show that the relative risk (RR) of breast cancer was increased in women of all ages who had used oral contraceptives within the past year, but not to a greater extent in women near the age of menopause than in younger women. RRs did not increase with duration of OC use after age 45 in either pre- or

Menopause

Transcript: The Wonderful History of Menopause. The Door to Old Age Treatments Risk and Benefits The expected date to get menopause is through your 40s- 50s. Signs of changes include: Irregular or missed period Getting hot flashes Your vagina tissue becomes thin and dried Start to have problems urination Get dried skin, eyes, and mouth and your hair starts to thin out Insomnia (waking up and night and sweating) Start gaining weight Go through a lot of mood changes Greek thought this was a diseases and was caused by imbalance of "humors" and that the period helped it balance. Early religions thought that the period meant agreeing with the Devil, but others saw it as cleansing. When females reached the menopause stage they will put leeches on their legs to bleed out excess blood. Later on people thought when reach menopause they have reached their life expectancies and have lived their purpose in life. No one really knew a lot about hormones. 1821 - The word "Menopause" was by French physician de Grandanne and changed science forever. In 1902 they discovered hormones. In 1952, they found that human hormonal make up and able to differentiate between estrogen and progesterone. Estrogen helps a female deal with physical and emotional symptoms caused by menopause. 2005 - Discovered that it was something natural not a disease. Go from "Babe" to "Crone" Some women try herbs or other products that come from plants to relieve hot flashes. Soy is an example. The best source would be foods such as tofu,soy milk and soy nuts. There's also (MHT) known as hormone replacement therapy it can be good at relieving symptoms and preventing bone loss.But it cam also have some risks if used for a long time, it can cause serious blood clots,heart attacks,strokes or gall bladder disease. Risk: More Strokes Serious Blood Clot More Heart Attacks Breast Cancer Benefits: Less Fractures Less likely to get Colon and Rectum Cancer

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