In the life of every woman of a certain age comes a pretty difficult time, connected with the natural hormonal changes in the body. This physiological period during which the general background on age-related changes in body processes prevail in the reproductive system, characterized by the cessation of fertility first and then menstrual functions. It is called climacteric, from the Greek "stairway", "step".
At what stages divided into menopause?
Menopause is divided into three main phases.
Premenopausal — period to the last menstrual period usually begins after 40-50 years and continues on average 15-18 months. At this time, a gradual ovarian, anovulation and impregnation becomes problematic, while at the same time protect still necessary. There is a gradual increase in the intervals between periods, reducing their duration and reducing blood loss. Premenopausal lasts from the beginning of irregular menstrual periods before the last menstrual period.
The women in this period may be present symptoms of "climacteric syndrome": headache, flushing (ie, sudden reddening of the face, neck, chest, neck, accompanied by a feeling of heat, and such condition continues for 2-3 minutes, usually in the evenings), heart palpitations, mood swings, vaginal dryness of mucous membranes, frequent urination, fatigue, decreased sexual activity. Hot flashes last for an average of 1-2 years, maximum — 5 years.
In premenopausal reduced production of female sex hormones (estrogen and progesterone), and the amount of follicle-stimulating hormone (FSH) rises. The level of male sex hormones, which are also present in women, sometimes decreases more gradually, so it may be hyperandrogenism (the predominance of male hormones). This condition leads to an increase in body weight (gain may be 5-8 kg in a short time and get rid of it can be difficult).
Menopause — This is the year after the last menstruation. On average, menopause occurs between the ages 50-53 years. During this period, a high level of FSH increases the risk of osteoporosis and cardiovascular system, diabetes and obesity.
Postmenopausal begins one year from the time of the last menstrual period. FSH levels in this period still remain elevated. Increased FSH in the blood and urine laboratory serves as a sign of its occurrence. All the symptoms of menopause at this time disappear.
How can you determine the start of menopause?
Time of onset of menopause is highly dependent on the individual, so it is best to consult a gynecologist-endocrinologist. Every woman, regardless of age, should visit the gynecologist every six months.
However, women in menopause for the most part still working, and constantly to be tested, allowing to fix increase FSH uncomfortable. In order to comfortably control the onset of menopause, there is a public method to identify pre-menopausal women in the home.
Frautest menopause — a test of menopause, which is manufactured by, which is known for tests to determine pregnancy and ovulation. The principle of operation of the test at menopause based on determining the long-term increase in FSH levels in the urine.
When should the test for menopause?
Level FSH varies during the cycle, so the diagnosis should be carried out at intervals of two tests per week. The positive results of 2-3 tests indicate the occurrence of pre-menopausal.
Fluctuations in the level of FSH individual. If your menstrual cycle is regular, but there are symptoms of menopause, the first test should be carried out in the first week of the cycle (1 to 6 days). The second test — in a week.
If there are irregular menstruation for 3-5 months, the first test can be performed on any day of the month, and the second test — just a week later.
How to evaluate the results?
Positive results 2-3 of tests conducted at weekly intervals, indicate that you are in a state of pre-menopausal and you have time to go to the gynecologist-endocrinologist.
If the symptoms of menopause is, and the test results are negative, then the test should be repeated after 2 months.
If there are no symptoms of menopause and the test results are negative, then the test should be repeated after 6-12 months.
In some cases, the first test can show a positive result, and the second — negative. It is considered the norm, as FSH levels can vary significantly. Re-testing is necessary to 2 months.
Some women are afraid of menopause because of the fear of the unknown. They fear the new state during the hormonal changes the body, they do not know what was coming. Disrupted normal life. It is important at this age to understand the problems of this time period and to adjust their status using modern science — to make their own test and, if necessary, seek medical advice.