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Risks of HRT (NHMRC-3/2005)
Jean Hailes foundation www.managingmenopause.org.au/ - also troches
MENOPAUSE
Menopause is when a woman has her last period. The average age
in Australia is 51 years, with a normal range of 40-60 years.
Around the menopause many women experience irregular periods and
troublesome menopausal symptoms.
Menopause is a natural occurrence but only in the last 200
years has it been experienced by most of the adult female
population. Menopause occurs because the ovaries gradually stop
producing oestrogen.
CYCLE IRREGULARITY
Cycles often initially become shorter - from 28 to 21 days a
few years prior to irregular or missed periods. If there is doubt
about the normality of the periods it is best to talk to your
doctor, as there may be cause for concern. Some women choose
hormonal treatment, eg. O.C. pill to regulate cycles.
MENOPAUSAL SYMPTOMS
Menopausal symptoms, largely attributable to low and
fluctuating oestrogen levels, include hot flushes, feeling low
for no reason, irritability, crawling feeling under the skin,
vaginal dryness, tiredness, insomnia, palpitations, poor memory,
poor concentration, muscle and joint aches.
Some women vary enormously in their experience of these
symptoms. For some women hormone replacement therapy is a
suitable way of controlling menopausal symptoms. Other measures
are often worthwhile trying. Hot flushes may be reduced by
reducing stress, limiting alcohol, hot drinks and food, and spicy
foods. Medications other than oestrogen may help.
Leading a healthy lifestyle may make the menopause less
uncomfortable. Reduce obesity, smoking, caffeine, and alcohol and
ensure sufficient exercise, relaxation and a balanced diet.
There are forms of oestrogens in some plant food, eg.
phytoestrogens in soy products, but their benefit in the
menopause is unclear.
It is often worthwhile discussing menopausal symptoms and
related issues with your doctor. Some topics which are relevant
include:
- breast examinations and mammography - 2 yearly
- continuing 2 yearly pap smears
- sexual functions - vaginal dryness and loss of libido
(simple medication is available)
- contraception required until 12 months after last period
- risk of osteoporosis
- weight and blood pressure check
- risk of heart disease, (smoking)
- cholesterol check
- immunisations - tetanus, diphtheria, flu.
For further information:
North
East Valley Division General Practice, Victoria,
Australia, Disclaimer
Level 1, Pathology Building, Repatriation Campus, A&RMC,
Heidelberg West VIC 3081. .. map
Phone: 03 9496 4333, Fax: 03 9496 4349, Email: nevdgp@nevdgp.org.au,
Please note: NEVDGP does not provide
an on-line consultation
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