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Menopause: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Menopause is the time that marks the end of a woman’s menstrual cycle. It is a natural decline in reproductive hormones. Women undergo this change at the age of 40-50 years. It is diagnosed after a woman goes one year without a menstrual period. In the time leading to menopause, you may experience vaginal drying, loss of breast fullness, irregular periods, hot flashes, mood swings, weight gain, slowed metabolism, thinning of hair or dry skin. This natural, biological period cannot be avoided or be cured to achieve the previous condition. However, there are treatments and medications available to help you get through it. Make sure that you follow a healthy lifestyle and act as soon as you feel any signs of menopause.

How is the treatment done?

You must consult a doctor if you feel the symptoms are becoming are too painful or unbearable. Hormone therapy is considered to be the most effective one to deal with menopausal hot flashes. Estrogen of the lowest dose and the shortest time frame will be administered to provide symptom relief for you. Estrogen may also be administered directly to the vagina if you seek solution to vaginal dryness. This treatment, done in the form of vaginal cream, ring or tablet, releases a small amount of estrogen that is absorbed by the vaginal tissues. Gabapentin drugs like Neurontin and Gralise can help to treat seizures as well as reduce hot flashes. Clonidine drugs like catapres and kapvay are used to treat high blood pressure as well as for providing relief from hot flashes. After considering your condition and medical history, your doctor may prescribe certain medications or Vitamin D supplements to prevent or treat osteoporosis.

Who is eligible for the treatment? (When is the treatment done?)

If you are a woman at the age of around 45-50, experiencing irregular periods, hot flashes, weight gain, vaginal drying etc. you must consult a doctor and get the appropriate treatment for you.

Who is not eligible for the treatment?

If your signs and symptoms are not painful and are not causing a hindrance in your daily activities, there is no need to go for treatment or medications.

Are there any side effects?

Long term use of hormone therapy is known to have cardiovascular and breast cancer risks. Therefore, only short term use of this therapy is recommended. Some medications may cause temporary redness, rashes and irritation in your skin.

What are the post-treatment guidelines?

The most important thing you must look after is your health. Make sure that you are consuming a healthy diet filled with fresh fruits, vegetables, rice, pulses, meat, fish, nuts, dairy products etc. Keep making regular appointments with your doctor in order to keep a check on your condition. Exercise regularly, according to your doctor’s advice, to keep your body active and healthy.

How long does it take to recover?

Menopause is a lifelong condition. It cannot be cured or be treated to regain the previous condition.

What is the price of the treatment in India?

One session of consultation with a doctor may cost between ₹1100 and ₹1700. The cost of hormone therapy will depend upon every individual’s need and condition. Gabapentin drugs may cost around ₹70 per 100mg. Clonidine may cost around ₹20 per tablet.

Are the results of the treatment permanent?

Menopause cannot be treated or cured. Medications and treatment will just help in getting through it conveniently.

What are the alternatives to the treatment?

There are no alternatives to this treatment but some practices can help you deal with your condition better. Try to remain in cool environments and dress in layers. Avoid caffeine and get enough sleep. Stay away from tobacco and illegal drugs. Consume a healthy and balanced diet and exercise regularly. Staying sexually active can help in increasing blood flow to the vagina.

Safety: Symptom Effectiveness: Medium Timeliness: Medium Relative Risk: Medium Side Effects: Medium Time For Recovery: Medium Price Range:

Rs 1,100 - Rs 1,700

Popular Health Tips

Bone Health - How Does It Affect Your Post Menopause?

Dr. Smriti Uppal 89% (229 ratings)
DNB (Obstetrics and Gynecology), DGO, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Delhi
Bone Health - How Does It Affect Your Post Menopause?
Menopause is a condition that marks the end of the menstrual cycle. It is a normal phenomenon that women experience with age. Menopause affects the bone health adversely. Bone health is directly tied to oestrogen, the hormone responsible for reproductive cycles, pain sensitivity. As a woman moves out of her fertile years there is an internal change in the reproductive system and the consequences can be seen and felt all over the body, including the bones. The years just preceding menopause, with their hormonal fluctuations can set the stage for later health issues like bone weakening. As the oestrogen level drops, the bone density starts to decline which continues for a long period of time. The bone loss can become significant during perimenopause (the decades making up to menopause) and will speed up in the first few years of menopause. The oestrogen level directly affects the process known as bone remodelling; the constant breakdown and the remodelling of the bone in the skeleton. With less oestrogen in the body cells called osteoclasts are able to absorb bone at a faster rate than osteoblasts (bone-building cells) are able to regenerate new bone. Thus the bone remodelling equation is no longer equal and the bone density continues to decline. The osteoporosis risk after menopause is a serious one, yet so many women refuse to pay it much attention. Perhaps it s because the bone damage isn t visible, or that bone loss continues so gradually for so many years. While the bone loss cannot be completely halted, there is plenty that can be done to slow it down. Here are some ways to take care of your bone health before or after menopause. Stay active: Adopting an active lifestyle after menopause helps in protecting the bones. It's recommended that adults between 19 to 64 years of age should do moderate to intense activity. This could include activities such as cycling or brisk walking. Sitting for long hours should be avoided. Weight-bearing exercises and resistance exercises are particularly important for improving bone strength and helping to prevent osteoporosis. A balanced healthy diet: A healthy, balanced diet that includes calcium and vitamin D will help maintain healthy bones after the menopause. Good sources of calcium include green, leafy vegetables (but not spinach), nuts, seeds, dried fruit, tinned fish with the bones in, and dairy products like milk, yoghurt and cheese. Good food sources of vitamin D include oily fish, eggs, and fat spreads or breakfast cereals Hormone replacement therapy: HRT can be an effective treatment for common menopausal symptoms like night sweats, sleep disturbance and achy joints. It works by replacing oestrogen, which naturally begins to lower post menopause. HRT can also help to maintain bone density and reduce the risk of osteoporosis.

Post Menopause - Why Women Are Prone to Heart Diseases?

Dr. Siddhant Jain Cardiologist 86% (13 ratings)
DM - Cardiology, MD - General Medicine, MBBS
Cardiologist, Indore
Post Menopause - Why Women Are Prone to Heart Diseases?
Menopause brings about a lot of changes in a woman's body. It not only signifies the end of her fertility and child bearing days but is a sign of growing age and the body progressing in a new direction of aches, pains and vulnerability. While some of these are natural, others can prove to be dangerous as it significantly increases the risk of heart disease (unlike common myths, women do get heart attacks). The risk factor is also goes up if the woman suffers from diabetes, obesity and high blood pressure. One of the widely known but well ignored fact remains that women with a sedentary lifestyle increase their risk and vulnerability to all of these diseases. A family history in heart disease can also turn into a risk factor when menopause sets in. The natural age of menopause is considered to be around 50 and when a woman reaches this age, the estrogen levels in her body experience a sharp drop. This hormone is partly responsible in maintaining heart health in women. Other factors that are triggered during menopause include changes in body fat distribution from a gynoid to an android pattern, reduced glucose tolerance, abnormal plasma lipids, increased blood pressure, increased sympathetic tone, endothelial dysfunction and vascular inflammation. Experiencing menopause? Here's how you can lower your risk of heart disease A healthy lifestyle never comes by accident, only by choice. And this is an essential key in controlling diseases that come as a side effect of menopause too. Here are some thing you can do: 1. Walk / Exercise: This isn't a 5-day week practice. You need to exercise throughout the week in order to maintain heart health. It helps your heart to pump blood through your body and also reduces risks to other diseases like high blood pressure and cholesterol. One key benefit is that it helps keeps the weight off - that should be good reason to walk an extra mile. 2. Choose a healthy diet: Most people mistake a diet to be about not eating the things you really like. A good diet can be made very tasty and can also be portioned in such a way that it leaves less room for craving. As always avoid the junk, deep fries and extra helping of cheese. 3. Hormonal therapy: There has been contradicting evidence on hormonal replacement therapy for estrogen can lower the risk of heart disease. Some women continue to be advised this treatment based on their particular case history, especially for women who undergo surgical menopause (when the uterus and other reproductive organs many have to be removed due to life threatening conditions like cancer).

Burning Sensation On Skin - Can It Be A Sign Of Contact Dermatitis?

Dr. Deepti Shrivastava 88% (693 ratings)
PG Dip Dermatology (London), Fellow Aesthetic Medicine (Germany) , D.M.C.H, MBBS
Dermatologist, Delhi
Burning Sensation On Skin - Can It Be A Sign Of Contact Dermatitis?
Some people use the same soap for a lifetime not because they are loyal to the soap brand, but because they fear the reaction their skin would have to other soaps. Similarly, people across the world often see rashes erupt after using a new perfume, cosmetics, jewellery or after coming in contact with plants, such as poison ivy or poison oak. This condition is known as Contact Dermatitis. This can be described as skin condition where the skin is inflamed, red and itchy as a result of exposure to a foreign substance. Most cases of contact dermatitis are not serious, but can be quite unpleasant. There are three types of contact dermatitis. These are: Allergic Contact Dermatitis: This condition occurs when the skin is exposed to an irritant it may be allergic to. Common triggers are jewellery, perfumes and latex. Irritant Contact Dermatitis: This is the most common form of this skin condition. This condition is triggered by toxic materials, such as bleach, battery acid, detergents, drain cleaners and kerosene. It is also known as hand eczema as it often occurs as a reaction to soaps or over exposure to water. Photo Contact Dermatitis: This is the rarest form of contact dermatitis. It occurs when the active ingredients in sunscreen are exposed to sunlight. Inflamed skin is one of the first symptoms of contact dermatitis. Some of the other symptoms are: Dry, flaky skin Redness of the skin Blisters that may be dry or oozing Burning sensation on the skin Itchiness Sun sensitivity Contact Dermatitis on its own rarely requires anything more than medication. Most cases often subside on their own. Avoid scratching the infected skin as it can make the condition worse. Wash the affected area as often as possible with cool water and soap. Over the counter anti itch treatment like calamine lotion and hydrocortisone cream can help ease the itchiness and inflammation. An anti histamine drug could also be beneficial. If the rash covers a large expanse of skin, consult a doctor who may prescribe a stronger steroid cream. With contact dermatitis, prevention is better than cure. Three easy tips to follow to protect yourselves against the skin condition are: Only use those products that are labeled hypoallergenic or unscented. Use vinyl gloves instead of latex gloves Cover all exposed skin when working outdoors, hiking etc.
2983 people found this helpful

Best Homeopathic Remedies For Painful Menses & Menopause!

Dr. Gunjan Kumar 92% (40 ratings)
Homeopath, Ludhiana
Best Homeopathic Remedies For Painful Menses & Menopause!
Abdominal cramps accompanied by painful thighs and calves are commonly faced by many women just before the onset of their periods. Instead of popping a painkiller, here are a few homeopathic medications that can effectively cure this problem. Belladonna: Belladonna acts on the nervous system to treat sudden intense abdominal cramps and congested dysmenorrhea. If the blood in your periods is bright red and flows at a high rate, belladonna may be the solution to your problems. Other associated symptoms belladonna can help treat are red, flushed skin and temperature spikes. Magnesium phosphoricum: Every woman has a different type of menstrual pain. If the pain you feel is soothed by heat packs and application of pressure but aggravated by any type of movement, you could try to treat it with magnesium phosphoricum. This is also effective for period pains that increase in the night and early menses. Nux vomica: Nux vomica is made from the seed of a plant. This is particularly effective in cases of menstruation accompanied by diarrhea. Nux vomica also helps treat irregular and prolonged menses. It also helps deal with abdominal cramps and heartburn. Nux vomica should ideally be taken in low potency doses as it can have a number of side effects when taken regularly in high potency doses. Mostly, menstrual pain during menses is due to hormonal irregularities and cysts of ovaries or uterus. So, in case of complaints, we need to access these also while selecting remedies. Constitutionally and symptomatically selected medicine in homeopathy will help the patients get relief. The disruption of the normal female cycles of menstruation and ovulation after the age of 45 and the loss of her ability to conceive naturally is known as menopause. The associated symptoms of menopause are heat flushes, insomnia, weight gain, depression, nausea and fatigue. The following homeopathic medicines and remedies can be used to treat menopause: 1. Phosphorus can help with migraines, extreme sweating, numb hands, fast pulse, memory problems and dry and itchy skin. Foods high in phosphorus content are meat, fish, cheese, nuts and seeds of pumpkins, sunflowers etc. 2. Excessive deposition of fat can interfere with the hormonal cycles and cause imbalances in the level of estrogen and progesterone. So, regular yoga and exercise can be helpful. 3. A balanced diet which provides you with optimal nutrition can be helpful in treating menopausal symptoms. When you get enough vitamins and minerals, the physical discomfort caused by the symptoms can be reduced greatly 4. Amylenum nitrosum can provide relief from profuse sweating, shortness of breath and palpitations. 5. Phytoestrogen or dietary estrogen is a compound found in foods such as soybeans, oats, barley, carrots, fenugreek, rice etc. Phytoestrogen can provide natural relief from menopausal symptoms. 6. Aurum metallicum is used to get the tissues and organs to function normally again and control feelings of anxiety and claustrophobia.

Pause The Menopause Syndrome With Ayurveda!

Dr. Aarti Kulkarni 92% (109 ratings)
MS - Obstetrics and Gynaecology, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Thane
Pause The Menopause Syndrome With Ayurveda!
Menopause is the stage in a woman s life when the menstrual cycle stops. When a woman is not menstruating for twelve consecutive months, then she has entered into the phase of menopause. Menses is called as Raja in Ayurveda. For this reason, the stoppage of the menses flow permanently, i.e. menopause is called as Raja Nivrutti, which literally means retirement of menses. According to Ayurveda, this is not a disease; rather it is a natural process in a woman s life that occurs at the age of 45-55 years. With aging, out of three Doshas, Vata dosh increases significantly with considerable decline in pitta and kapha dosha, so menopausal symptoms occurring due to the vitiation of mainly Vata dosha. Every woman is born with definite number of oocytes (ovarian reserve). The natural depletion of the reserve and aging of ovaries cause decrease in feminine hormones and hence menopause occurs. Premature ovarian Failure: Premature ovarian failure (POF) is the cessation of the ovarian function before the age of 40 year. It is confirmed by high blood levels of follicle stimulating hormone (FSH) and luteinizing hormone (LH). Causes of premature ovarian failure Unknown cause Autoimmune disorders, Thyroid disease Women who have a functional disorder affecting the reproductive system (e.g., endometriosis, polycystic ovary syndrome, cancer of the reproductive organs) can go into menopause at a younger age. Cigarette smoking Higher body mass index Racial and ethnic factors Illnesses Surgical Menopause Stoppage of menses as a result of removal of the ovaries is called "surgical menopause". Symptoms of Menopausal Syndrome Gynaecological Mood swings Dry skin or mucous membranes (including the vagina) Scanty bleeding during perimenopause Heavy bleeding during perimenopause Irregular bleeding Vaginal dryness Painful Intercourse Physical Constipation or irritable bowel Insomnia Bone loss (Osteoporosis) Hot flashes High blood pressure and heart disease Weight gain Overweight Fluid retention, edema High cholesterol or triglycerides lack of energy, joint soreness stiffness back pain breast pain heart palpitations headache dizziness dry itchy skin urinary incontinence, increased urgency heavy night sweats Psychological Irritability Anxiety. worry, fear Reduced libido Anger, irritation, jealousy, criticism, competitiveness Depression, sadness, greed Decreased concentration due to dullness An Ayurvedic approach for managing Menopause: Ayurvedic Management consist of mainly Rasayana (rejuvenation) therapy, Specific dietary guidelines, Lifestyle modification, Medicinal supplements, Panchakarma (detoxification) and Yoga. Rasayana (rejuvenation) therapy: It is an Important therapy for this period which leads to an overall improvement in the formation and maintenance of the living tissues and helps in the prevention of aging, improving resistance against diseases, bodily strength and mental health. It can be done in 4 ways : Achar rasayan (lifestyle modification) Ahar Rasayan (Diet Modification) Dravya Rasayan (Medicine) Panchakarma. Lifestyle modification (Achar Rasayana): According to Ayurveda, by following Dinacharya, Ritucharya and Ratricharya aging process can be delayed and symptoms related to menopause can be minimized. Exercise should be inevitable part of lifestyle. Yoga and Pranayama for specific condition like backache/ knee pain/ stress/ obesity should be learned from an experienced teacher and should be followed REGULARLY. Dietary Guidelines: Diet can be a crucial tool in menopause management. If you are prone to Pitta-based problems, such as hot flashes or excessive irritability, follow a Pitta-pacifying diet: avoid foods that are spicy, such as chilies, black mustard seed. Salty foods and sour foods such as ketchup,chips etc. Favor foods that are bitter, astringent and sweet, as these are cooling to Pitta dosha. Bitter and astringent foods include most vegetables. Sweet foods include rice, milk and Ghee pacify Pitta dosha. Cook with Pitta-reducing spices, such as cinnamon, coriander, cardamom, and small amounts of cumin seed. If you experience Vata-related symptoms of menopause such as bloating or vaginal dryness, then eat foods that are sweet, sour and salty as this balances Vata dosha. Avoid Processed sweet food as cakes Pastries, tetrapack juices and processed salty food like chips and biscuits Apana Vata, which governs the genitourinary tract, elimination, and menstruation, is a key area to attend to when preparing for menopause. Drink plenty of warm water throughout the day. For both Pitta and Vata imbalances Milk and Ghee plays important role. It is also important to keep your digestion strong and free of ama(Prduct of indigestion). Avoid eating foods that are packaged, processed, frozen, canned or left over. Eat organic foods that are cooked fresh. Your diet should consist of whole grains, fresh fruits and vegetables, and legumes Avoid heavy foods such as meat, cheese and ice cream and curd especially at night. Medicinal Suppliments: Shatavari, Ashwagandha, Chandrashur, Shankhkpushpi, Bala, Ardrak, Shatapushpa , Black grams etc can be taken under proper guidance Panchkarma Therapies: Basti: As menopausal period is under influence of Vata dosha and Mainly Apan Vayu, Basti is the best treatment for vitiated Apan vayu and eventually for disturbed menstrual cycle or heavy bleeding. Depending upon body constitution and severity of symptom Vaidya can advise Basti treatment. Basti can also be helpful in the gynecological conditions like painful menses and heavy bleeding. Intrauterine instillation (Uttarbasti) of sterile medicine (oil or Ghee) is helpful in heavy bleeding. Panchtikta KshirBasti is also helpful in the condition of osteoporosis. Local Treatments Like Janubasti, Manyabasti and Katibasti (Holding Oil over Knee, neck and back respectively) for Knee, neck and back pain are also helpful. Recurrent vaginitis, dryness or inflammatory conditions in Pap s smear can be treated by local irrigation of lukewarm herbal decoctions (Yoni Prakshalan) and keeping oil soaked tampoon in vagina is also helpful in the conditions of vaginal dryness, cervicitis and first degree uterine prolapse. Shirodhara: Shirodhara is continuous pouring of lukewarm oil or decoction or milk or buttermilk on forehead (in between both eyebrows). Medicine to be used can be decided upon the symptoms. This procedure helps to reduce stress, sleeplessness, anxiety, irritability, hypertension, hair problems etc. It relaxes body and mind as well. Abhyang: Abhyang and Swedan (whole body massage and steam) are one of the traditional measures to relieve stress. This procedure helps to get rid of vitiated vata and hence we get pain relief and relaxation. According to Ayurveda we should practice Abhyang routinely on head, ear and foot/sole. Oletion by medicinal leaves pack (Patra Pind Swedan) is also helpful in knee/back/neck pain.
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Popular Questions & Answers

I have menopause at very early age in my 34 what should be adverse effect of these on my health?

Dr. Surbhi Agrawal 88% (19135 ratings)
General Physician, Nashik
These include: infertility: most women going through early or premature menopause cannot get pregnant. stress, anxiety, and depression: often results from infertility and other early menopause health issues. bone loss (osteoporosis): caused by low estrogen levels and leaves women more at-risk of bone fractures.

My wife's monthly cycle stopped about 3 months ago, I gave her misoprost tablet. After few days her cycle started but next month again it stopped. I tried again with misoprost but this time it didn't work. Please let me know what to do.

Dr. Girish Dani 89% (3159 ratings)
MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Misoprost is for termination of pregnancy if pregnancy is confirmed. It does not help if period has not come because of other reasons. It needs detailed medical history, clinical examination, looking at old reports and may be take out some new reports before you can be advised so meet Gynecologist.

I am undergoing menopause problem, having fibroid and excessive bleeding after an irregular interval. My Doctor advised me to take Novex DS twice a week for 3 months. Will this help to stop my menopause, will this have any side effects? Please advice.

Gynaecologist, Mumbai
Hi lybrate-user any kind of bleeding must be thoroughly investigated since you are 52 years old. A meticulous ultrasound will tell us about the thickness of the endometrial lining. And if possible please mention the size of the fibroids. The fibroids sometimes delay the menopause and cause heavy bleeding. Till then you can take the symptomatic treatment. Wish you the best of luck.
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I am 49 years old female, diabetic, going through menopause, my last period came on October 2017. But now since last few days small blood stains are seen. Kindly let me know whether it is period or something else. Should I go to doctor? Kindly suggest.

Dr. Girish Dani 89% (3159 ratings)
MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Any elderly woman nearing menopause if gets less bleeding or delayed bleeding or no period need not go to doctor, but if some complaints are there or routine examination has not been for long then should go.
1 person found this helpful

Hello, I am 34 years old now. 6 years ago due to overy cyst, I lost my both ovaries which creates MENOPOZE. From last 4 years, I take 1 renorma tab n 1 rocal D each day. Now I am 53 kgs. And height is 4" 11"i have some problems such as. 1.Sometimes I feel back pain, knee pain, finger joint pain etc. 2. Suddenly my belly has increased. Regarding these issues, I have 2 questions such as. 1.Should I walk or run or do some exercise? (Will it be harmful for my bone as I have shortage of calcium) 2. I need a proper diet chart to fulfil the calcium shortage. Thanks.

Dr. Julie Mercy J David Raja 92% (7010 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
This is a general low back ache and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try which will help you relax as well will reduce the pain. It looks like you are anaemic. If you have back pain after you sit for long hours then it is due to your haemoglobin levels as it is important to check that. Anaemia always leads to the symptoms of being tired and also having back / leg pain though there may not be any pathological reasons for back pain.If you have low back pain and sciatica you can undergo intermittent pelvic traction where in your half of your body weight will be added in the electronic traction so that that would help you to reduce the pain, along with Interfrential therapy stimulations which would help you to get relieved from the radiating pain. Apply ice for the pain to get subsided immediately. If you cannot go immediately for the physiotherapy treatment. Ice can be kept in the low back where you have back pain. It is suggestible to wear Lumbo sacral belt which would help you to build the abdominal muscle tone which itself would make you feel better. You can also wear MCR chappals which would help you to have less weight falling in the painful back. If your knee is paining since 2 weeks, then you have to rethink whether you had any injury in the previous years. I also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. As arthritis is very common if anyone would've neglected any injury in the previous years. You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Ice therapy would definitely help to reduce the inflammation.

Health Quizzes

Post Menopausal Life - What To Expect

MBBS, DNB - Obstetrics & Gynecology, DGO
Gynaecologist, Pune
Menopause can cause vaginal atrophy. True or false? Take this quiz to find out.
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6 people took this quiz

How to Stay Healthy After Menopause?

Dr. Shakuntla Kumar 88% (145 ratings)
Diploma In Endoscopic Surgery, DGO, MBBS
Gynaecologist, Delhi
If you get your periods at a later age, your menopause will also be at a later age. True or False? Take the quiz to find out.
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284 people took this quiz

Post Menopausal Bleeding - Is It Normal?

Dr. Papolu Rama Devi 87% (33 ratings)
Advanced Infertility, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Hyderabad
Irregular bleeding during Perimenopause (the years preceding menopause) is normal. True or False. Take this quiz to know now!
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165 people took this quiz

Groin Pain After Menopause!

Dr. Sidharth Verma 90% (36 ratings)
MBBS, MD - Anaesthesiology, DNB Anaesthesiology, PDCC - Pain Management
Pain Management Specialist, Mumbai
Groin pain does not occur to women after menopause. True or False? Take this quiz to know now.
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7 people took this quiz

Menopause - Can Hormone Replacement Therapy Help You?

Dr. Savita Gupta 87% (74 ratings)
Royal College of Obstetricians and Gynaecologists (MRCOG)
Gynaecologist, Alwar
Hormone Replacement Therapy should not be administered to women who have blood clots. True or false? Take this quiz to know more.
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74 people took this quiz

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Know more about Menopause
Symptoms and preventions for Menopause Symptoms and preventions for Menopause Hi Good morning! I am doctor Aparna Jain, senior consultant obstetrics and gynaecology. Today we are discussing problems related to menopause. Average age of menopause in an average Indian woman is 48 years. 2/3 years beyond that and before that is the period of perimenopause. Lot of women suffer from problems related to menopause first of which is hot flashes, another is urinary problem and sometimes menstrual disorder. Then there can be joint pains as well. 1. Hot Flashes. In hot flashes women usually feel lot of sweating and nervousness. Deficiency of hormones lead to hot flashes, for that we need to supplement the woman with hormones and usually we ask to avoid taking hot drinks and advice to take natural isoflavones to avoid hot flashes. 2. Menstrual Disorder. Menstrual disorder usually happens in the form of either irregular periods or heavy menses and irregular period usually occur in the initial six months to one year time then the period usually stops. If the period continues to be irregular then we need to do investigation to find out whether this woman is having any benign disorder in the uterus or malignant disorder in uterus. For that we need to do an ultrasound of lower abdomen and if required a D&C Hysteroscopy to find out whether there is any growth inside the uterus and we send this tissue for histopathology to rule out malignancy. If the bleeding till persists then the woman may need hysterectomy in that age. 3. Urinary Problem. It is quite common. Usually women do not come out with this problem because they feel shy about disclosing it. The most common problems are either frequency or dysuria which means burning during urination. Another is stress incontinence. Whenever they sneeze or cough they pass small amount of urine. It is all because of hormonal deficiency. Because of which the lining of the urinary bladder as well as the lining of the vagina becomes thin so there is chances of recurrent infection and women suffer from this problem. For this we need to supplement the women with hormones as well as ask them to take natural sources of oestrogens like soya isoflavones. 4. Joint Pain. Usually this is because of the deficiency of Vitamin D and Calcium. For this we need to address and tell them to do lot of exercises and to take Calcium as well as Vitamin D Usually we subject every woman with health package during menopausal period in which we include a pap smear, and ultrasound routine, blood test like CBC, blood count, as well as lipid profile and kidney function test, sugar, urine routine culture, ultrasound of lower abdomen and if required mammography and if we find any problem one can go for a cardiac check up also. And, usually we tell every post menopausal woman to do some amount of exercise and take calcium and vitamin d and plenty of liquids to avoid any problem related to postmenopausal. Thank you very much. If you have any problem related to this you can consult me either on Lybrate or you can come down to my clinic.
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