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Overview

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

Treating Menopause - Easy Steps To A Better Life!

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Treating Menopause - Easy Steps To A Better Life!

While menstruation is definite proof that a woman can bear children, menopause is, as the name suggests, a pause in the fact. Meaning that the woman experiences a permanent stop in her periodic cycle and will further be unable to bear children. It is a difficult time for women, apart from dealing with the fact that they will not be able to reproduce further, there also arises a variety of complications. The realisation can hit hard and women often experience depressive episodes and numerous hormonal imbalances. Keeping that in mind, menopause is also different for different individuals and there is no one magic cure for it.

Every individual experiences a series of changes and requires different treatments because there are 3 different types of menopause and all of those require separate attention. That being said, there are a few common symptoms that show up and here are a few ways that you can deal with them:

  1. Hormone Replacement Therapy (HRT): This a slightly dicey method for the complications it may or may not carry in its wake but it is quite effective for a lot of people. Basically what this procedure entails is that your body will be supplied with hormones (oestrogen) the production of which has depleted, from the outside in the form of tablets or a gel so as to counter the hormonal imbalances. There are two kinds of HRTs; one is for women who have retained their wombs, it is called “Combined HRT”. The individual is supplied with two kinds of hormones, oestrogen, and progesterone. And the other kind is the “Oestrogen only HRT” which is for women who have had a hysterectomy. This treatment should be strictly observed by your gynaecologist and any discomfort felt should be reported back immediately.
  2. Dealing with hot flushes: This is something all women suffer from as soon as menopause hits or from even before as they are reaching towards it. It is also accompanied by night sweats. To deal with both, it is advised that you wear cotton or similarly light clothes, take cool showers, rest and relax as much as possible, include an exercise regime in your daily life or even yoga, hydrate yourself, and avoid drinking, coffee, and very spicy food items. They may act as triggers.
  3. Treating vaginal discomfort: If you experience vaginal discomfort such as dryness or excessive itching, contact your doctor immediately as you may have to start HRT or lubricants-containing oestrogen. Apart from that, to fend off dryness you could also use vaginal lubricants to soothe the painful sensations.
  4. Treating osteoporosis: Due to the lowered levels of oestrogen in the body, women who have reached menopause are more prone to suffering from weak and brittle bones, also known as osteoporosis. Taking vitamin supplements as well as including different kinds of fruits and vegetables and yogurt in your diet is absolutely essential to combat this along with exercise.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3623 people found this helpful

How Menopause Can Affect Urological Health?

MBBS, MS - Urology, DNB
Urologist, Guwahati
How Menopause Can Affect Urological Health?

Menopause is a phase that every woman goes through. As a woman ages, her hormones fluctuate, and she experiences certain symptoms that she wouldn’t have experienced when younger. One cannot ignore the health issues that are caused as a result of menopause. These menopausal changes can affect urological health too. Let us look at this effect in detail.

Menopause in simple terms can be summed up as the end of a woman’s reproductive cycle. The symptoms can begin before you stop menstruating or in some cases even after. This phase usually begins after the age of 40 and in some rare cases can occur even earlier such as health conditions that might have affected the ovaries. Natural menopause does not happen overnight, and it is a gradual transition, which usually lasts for several years. The symptoms kick in when the ovaries start to produce less estrogen, and the process continues till the last eggs are produced.

Symptoms of menopause:
Some of the common symptoms of menopause are hot flashes, vaginal dryness, mood swings, irritability, and painful intercourse. Also, there could be some urological symptoms, these should be noted as they could be an indicator of other health risks or disorders.

Urological Health during Menopause:
Urological health would most often be ignored when passing through such a crucial phase as menopause. However, it is advisable to consult a doctor regarding any urological changes and symptoms that is experienced during this phase.

  • One of the most common complaints during menopause is urinary tract infections. The frequency of these infections increases during or after menopause. These infections occur due to the reduced levels of estrogen. Though the condition fades gradually, drinking plenty of fluids and eating food high in fiber will be helpful. If necessary ask your doctor to prescribe a topical estrogen cream.
  • Another common complaint is incontinence. This is also caused by the reduced levels of estrogen in the body. It can lead to urinary infections and uncontrollable bladder discharge. There are also several other factors that can result in incontinence such as lifestyle and the type of food consumed. Regularizing your diet and having a regular exercise pattern could be beneficial. Discuss any changes that you can and should make with your doctor.
  • The risk of kidney infections and diseases also increases with menopause. The chance of developing kidney stones is also greater.
  • In addition to the symptoms of infection any pain while passing urine or blood in the urine should be brought to the attention of your doctor immediately. This will ensure that you receive the medication and care you require quickly. Drinking plenty of fluids, eating nutritious food and leading a healthy lifestyle will be beneficial.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2925 people found this helpful

Women In Menopause - Prominent Changes One Goes Through!

MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Women In Menopause - Prominent Changes One Goes Through!

Menopause can be a turnaround for many women in respect to their health and body functioning. It can be disturbing and disruptive. When menstruation ends in women, various changes ranging from physical to emotional occurs which are discussed below.

  1. Perimenopause: The age of 40-45 years in women is the time when their hormones, progesterone, and estrogen start falling, as the production of these hormones from the ovaries decreases. The onset of menopause, however, begins from mid thirty’s. You can experience significant cramps while having your periods as well as heavy and irregular periods.
  2. Anxiety and Mood Swings: Mood swings are common during the days of your menstruation, but it becomes severe when you are going through the pre-menopausal and post-menopausal phase. This is a time when most of the women become more teary and emotional without much reason. They become irritated easily as well, and the best way to tackle them is to care and be kind and not flattery or insensible. The woman must understand the phase she is going through and must try to find ways to control her temper and mood swings.
  3. Night Sweats and Hot Flashes: Hot flashes and night sweats are common symptoms that you experience during menopause. Due to the fall in the levels of estrogen, the body gets heated up, and thus hot flashes are common during these days. The brain needs time to adjust to the changes estrogen level, and then this problem gets solved.
  4. Reduced Sex Drive: Due to the fall in the hormones, the sex drive or the libido in a woman falls right after having menopause.
  5. Aging: Menopause acts like the red mark on the age calendar of yours which pin point that now you are becoming old. This increases the agitation and the irritation of getting old. But talking about it in the open and being calm can reduce the irritation and also keeps you youthful all the day.
  6. Affecting Your Thoughts: Perimenopause can also be symbolized by a reduction in the thought process and the memory of the women. Most of the women complain of having less energy at work and forgetting basic things. This is because of the drop in the estrogen as it helps in keeping you active as well as alert.
  7. Calcium Deficiency or Bone Loss: With the falling estrogen level, the loss of calcium from the body and thus affecting the mass of the bones is inevitable, and this thing can get serious that it can turn into osteoporosis. You need to have calcium along with Vitamin D from the natural food as much as possible so that the bone mass doesn’t get affected.

Dealing with menopause is more a challenge to a woman. However, being aware of the changes happening in her body and accepting them is aging gracefully, indeed.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2848 people found this helpful

Vaginal Bleeding - 7 Not So Common Causes!

DGO , MBBS
Gynaecologist, Pune
Vaginal Bleeding - 7 Not So Common Causes!

It is likely for you to experience abnormal vaginal bleeding between your periods during one point in life. Vaginal bleeding is termed abnormal when you are not expecting your periods, when your menstrual flow is heavier or lighter than normal, and at times when it is not expected such as during pregnancy, or after menopause. Abnormal vaginal bleeding may result from a wide range of causes. It does not always indicate a serious or severe condition.

The different possible causes are discussed below:

  1. Bleeding during pregnancy is not very normal and it indicates some complications in pregnancy. Spotting or light bleeding is common, but it is important for you to evaluate any form of bleeding by a doctor. Heavy vaginal bleeding occurring before 12 weeks during pregnancy indicates severe problems. Heavy vaginal bleeding that occurs after 12 weeks also indicates a problem like placenta previa.
  2. Ovulation can result in mid-cycle bleeding.
  3. Polycystic ovary syndrome (PCOS) is a condition, which interferes with normal ovulation, and may result in abnormal bleeding.
  4. Certain medicines, including birth control pills may cause abnormal vaginal bleeding. Minor bleeding between your periods is likely during the first few months of using birth control pills. Bleeding may also occur, if you do not take the pills at a fixed time regularly.
  5. An intrauterine device (IUD) also increases the chances of heavy periods and spotting.
  6. Certain infections occurring in your pelvic organs such as the uterus, vagina, Fallopian tubes, cervix, and ovaries causes abnormal vaginal bleeding. The bleeding is more likely to occur after sexual intercourse and douching. These infections are commonly caused by sexually transmitted infections (STIs).
  7. Pelvic inflammatory disease (PTD) leads to infection and inflammation of your uterus, ovaries, or Fallopian tubes. This might be another cause of abnormal vaginal bleeding.

There are several other less common causes, which may result in abnormal vaginal bleeding. They include the following:

  1. An object present or inserted in the vagina
  2. Sexual abuse
  3. Uterine fibroids, which cause abnormally heavy periods
  4. Several structural problems like polyps and urethral prolapse
  5. Occurrence of cancer in your uterus, ovaries, vagina, or cervix
  6. Intense mental or emotional stress, and exercising in excess
  7. Several other health conditions and diseases such as diabetes or hyperthyroidism

It is important for you to consult a doctor on experiencing abnormal vaginal bleeding. It is very important to diagnose the condition properly and start with management measures at the earliest. In case you have a concern or query you can always consult an expert & get answers to your questions!

4971 people found this helpful

Hot Flashes Post Menopause - How To Treat Them?

PGP In Diabetologist, Fellowship in Non-Invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
Hot Flashes Post Menopause - How To Treat Them?

How to treat hot flashes after menopause?
A hot flash, at times called a hot flush, is a speedy sensation of heat and once in a while a red, flushed face accompanied by sweating. The exact reason for hot flashes is not known, but rather might be associated with changes in circulation. Hot flashes happen when the blood vessels close to the skin's surface widen to cool. A woman may likewise sweat to chill off her body. What is more, a few ladies have a fast heart rate or chills. Hot flashes are the most common symptom of menopause.

Hot flashes differ among women experiencing menopause. A few of them have hot flashes for a brief span during menopause. Other ladies may have hot flashes forever. For the most part, hot flashes are less extreme over time. You most likely cannot maintain a strategic distance from hot flashes during menopause, yet there are things that might make them more serious. To prevent hot flashes, keep away from these triggers:

  1. Stress
  2. Caffeine
  3. Liquor
  4. Spicy nourishments
  5. Tight clothing
  6. Heat
  7. Tobacco or smoke

Different things you can do to keep hot flashes under control include:

  1. Stay cool: Keep your room cool during the evening. Use fans during the day. Wear light layers of garments with regular strands, for example, cotton. Using cooling pads to lay your head on during the evening may be useful.
  2. Breathing: Try deep and moderate stomach breathing (six to eight breaths for each moment). Try to relax for fifteen minutes in the morning, fifteen minutes at night and at the onset of hot flashes.
  3. Exercise: Exercise every day. Walking, swimming, moving, and bicycling are all great ways to keep fit and keep hot flashes at bay.
  4. Hormone substitution treatment: Talk to your specialist about taking hormone substitution treatment, or HRT, for a brief span – less than 5 years. This treatment prevents hot flashes from occurring in numerous women. In addition, it can help different symptoms of menopause, including vaginal dryness and mood issue. Remember that when you quit taking HRT, the hot flashes may return. Short-term HRT has a few dangers, including blood clots and gallbladder aggravation. In case that HRT is not a good fit for you, there are different medicines that may offer help.
  5. Botanicals and herbs: Some herbs can help soothe the hot flashes. These are:
    • Soy items: Plant estrogens, found in soy items, are thought to have weak estrogen-like impacts that may decrease hot flashes. Soy food and not supplements are prescribed.
    • Dark cohosh: A few studies propose that dark cohosh might be useful in the short-term (six months or less) to treat hot flashes and night sweats. Symptoms include gastrointestinal problems.
    • Evening primrose: This oil is another plant that is regularly used to treat hot flashes. Symptoms include queasiness and loose bowels. Ladies taking certain medicines, for example, blood thinners, should not take evening primrose oil.
    • Flaxseed: This is thought to diminish the side effects of menopause, especially hot flashes. It's otherwise called linseed. If you wish to discuss about any specific problem, you can consult an Endocrinologist.
3347 people found this helpful

Popular Questions & Answers

My ultra sound scanning shows 15-20 follicles of 3-6 dia arranged in the periphery of the ovary. And central stroma is hyperechogenic. Is there any hope that I am not included in the premature ovarian failure. I am 25 years old and not married and having irregular period.

MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Your ultrasound findings are suggestive of polycystic ovarian disease. You're not having premature ovarian failure in premature ovarian failure ovaries are atrophic and smooth ,no follicle or very few follicles are seen. You're having pcod,
1 person found this helpful

Hi my LMP was 2 sep 2017 my 9 month going to start I think its 35 or 36 week get started. I having 5 stone 4 in left side kidney and 1 in right side. I have lots of pain in abdomen and in urine area.In every 2 /3 day my urine also get stopped. My baby also having swelling on his both kidney. Dr. Has given me betnesol injections to make my baby to ready to come out. She is telling we can do delivery after 5 may any time is it safe to do delivery now. My baby weight 1775 gms on 19/4/2018 so it will not cause any harm to my baby na if I do delivery after 5 may.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
It is not just one factor like period or weeks or stone or pain which can decide when is good time for your delivery. All factors have to be taken in account and comparision have to be made for possible problems of delivering earlier against allowing pregnancy to proceed. That is why leaqve to examining specialists.

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.

M.D.D.G.O.
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.
3 people found this helpful

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.

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

I'm 46 years of age. I got myself chek up recently at CMC. The doc says im going thru perimenopause. Depression. Anxiety. Weight gain. I m bloated due to water retention. Medicines given to me r Daxid 50 mg Dytor-5 Petril-MD 0.25 please help me im also a hypothyroid patient but it is under control. Free T4 18.0 fast g sugar is 87 mg.

M.S. Counselling and Psychotherapy
Psychologist, Bangalore
Dear Lybrate User, At your age, because of hormonal changes, it is likely that you will feel little anxious. Please check with your Doctor if the medicines have any side effects and what can you do to keep it to the minimum. In my opinion, it will be very helpful for you, if you talk to a Counsellor. It appears that you are having some suppressed emotions. You will get a healthy outlet for your suppressed emotions when you will talk to a Counsellor. The Counsellor will also help you to manage your this phase (menopause) in life. All the best and take care.
3 people found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Postmenopausal Bleeding
Postmenopausal bleeding refers to bleeding 12 months or more after the last menstrual period. Any bleeding, even spotting, should trigger a visit to your doctor as soon as possible.
Play video
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.
Play video
Menopause
Symptoms of Menopause and its adverse effects and preventions

I am Dr Rita Bakshi. Chairman of National Infertility Centre, Gynecologist and obstetrician. Today I will talk about menopause.

The word itself means meno and pause means pause of menses. And that means stoppage of menstrual cycle of a woman. Now all of us women are in doubt with a certain quantity of eggs at beginning. At puberty we start our menses you know which is usually around 11-12 years. And this menses continues every month the cycle happens for three to five days every 28 to 35 days for everybody. It could be 28 days for some it could be 35 for the other. It could be 3 days for some and 5 days for other. So this is how the cycle happens every single month day in day out every month till we reach around age of 45 to 52 you know which is the usual age of menopause. That means the menses stop completely. Now the period before the menopause also called the perimenopause When your cycle start going a little long you know and there is a long period of gap with the cycles are about to stop. This is called the period of perimenopause.

Lot of changes one starts expecting at perimenopause. Now it is normal for women at this time to feel fatigued, to feel urinary symptoms. They do have you know pain during sex because of excessive dryness in vagina. You start losing your hair, losing your eyebrows and there are skin changes as the wrinkles and hot flushes. Hot flushes in something which many women have. Suddenly will get up at night. They are drenched in sweat. And even in winters their time to have the AC on. This what is hot flashes which happen? Some people have and some people don't have. You will have heard some of the people would just say that I just went into menopause I didn't even realize. There was not even a single change. While some women have very painful end to menses that means they have a huge heavy periods and they have all these symptoms and they have severe mood changes. One is so irritable one doesn't want to talk. And you are fighting you are frustrated. So all the things have to be taken in your stride. Because menopause is a very natural normal phenomena. And what do you do so, that your hormone estrogen is the one which is the problem. Because there are no eggs anymore so there is no estrogen that is why all these changes are happening.

One way is to have hormone replacement therapy. So if the symptoms are so strong that means hot flashing and this is really so disturbing then one can take hormones that is estrogen Progesterone replacement therapy or the HRT as it is called. Now if a person is on HRT one should keep getting investigated and see you know it doesn't cause cancer.

What are the things that should know in Menopause and after Menopause? In Menopause after Menopause male female nearly become equal. You know you are prone to heart disease Lipid profile changes So it is important when you are going into Menopause to get your lipid profile done to get your ECG done, to get your ultrasound done, to get your Pap smear done and get your mammo graphy done. All these tests should be done so that you know you are normal and there is nothing wrong in all that. Keep a good Lifestyle, must exercise. You know 40 minutes of exercise and especially weight bearing exercises are important. Be stress free, exercise, go out in the sun, enjoy your life, and if required take the help of hormones otherwise lot of tender loving care with lot of people around will just bite you through that period.

Dr. Rita Bakshi I am available either through lybrate or you can contact me at International Fertility Center H-6 Green Park, New Delhi-16. Thank you.
Play video
Your Health After Menopause
Hello, everyone. I am Dr Ashwini Mulye. I practise in CBD in Preheladpur. I am running an Ayurvedic Panchakarma centre since 15 years.

In the last video, we saw that how Basti helps in detoxification and the removal of waste from the body. Today I will speak about menopause, degenerative changes in the body and how Basti helps in it.

Post menopausal age lot of women come to me with the back ache, lumbar pain, weight gain, leg pain and hot flushes with a lot of debility, weakness etc. As they cross menopausal there are a lot of degenerative changes in the body due to lack of estrogen hormone. And there is 90% female we see nowadays in the age of 33-35 years we find the degenerative changes, the vit-D deficiency and osteoporotic changes.

What can be the reason for this problem?

The reasons are;

Lack of nutritious food
Lack of proper exercise
Lack of exposure to sunlight
Improper sitting posture
Improper way of eating
Irregular eating habits
Improper sleep
Eating lot of junk food with preservatives
There are a lot of reasons. All these produce degenerative changes early. Earlier the degenerative changes were found at the age of approximately 60 years but now such changes occur at the age of 33-35 years. So, for such cases, we have options in Ayurveda.

We give Ksheera Vasthi. It is a type of enema in which the medical decoction is made of five bitter and Madhur vipaaki dravyas. This can be selected according to the patient. Now, this can be mixed with the milk. The decoction is again reduced to half, it is processed in milk and additional ghee is added according to disorder. This is administered rectal ruffle around 14-21 or more days, according to what disorder patient is having. This helps in increasing the bone density and reducing the effects of degeneration in the body. You have to give them in large numbers.

Benefits- It is observed that after giving such type of Vasthi if there is any reduction in pain or pain related to the degeneration of the back pain, neck pain, joint pain or the lumbar area. As well as it helps in increasing the volume of the hair, reducing your hairfall, increases the strength of the teeth, increases your bone strength many other things like Vit-D deficiency, a lot of sweat, weakness etc . All these problems will be fine if you take this Ksheera Vasthi atleast once a year or depending on the degre of your osteoporosis, twice or thrice a year. It depends on what condition you are going through.

This type of Vasthi is given after the dinner. It is continuously provided to clean bowel habits and rest of the conditions are normal. So, if you are going through such type of disorder, I would suggest to contact us and get an idea about the treatments.

If you have any query, you can contact me through Lybrate for text, audio and video consultation.
Play video
Improve the Estrogen Hormones After Menopause
Dietary tips to stay fit after Menopause
Dietary tips to stay fit after MenopauselL

Hi, myself Kanchan Patvardhan, I am a clinical nutritionist and dietician, working in this field from the last 19 years. Today I am going to speak about menopause. Lovely ladies if you are 45 plus, having depression, mood swings, lots of hot flashes, muscle cramps and such kind of problems, definitely you are going towards the menopausal stage. This is the time when you really require to take care of yourself and your health too. If you eat healthy diet you can easily overcome these problems, because poor diet worsens the symptoms.

In menopause stage generally estrogen hormone which is very essential for the ladies decreases and this is the root cause of your problem, proper diet and exercise definitely keeps you fit after menopause. So follow proper diet, include lots of complex carbohydrates, proteins, fats and minerals in your diet. Eat complex carbohydrates such as Jawar, Bajra, Raagi, brown rice etc. These will not only give you complex carbohydrate but also give you lots of fiber. So instead of just wheat you can try these cereals also. For protein, you must consume plant based proteins specially soya bean, soya protein because it contains phytoestrogen which act as an estrogen hormone and protects you from osteoporosis and heart diseases, so eat proper proteins in your diet. Your every meal should contain some or other proteins, such as legumes, beans, pulses, nuts. If you are non vegetarian you can take eggs or lean meat, but avoid red meat in such cases.

Now lets talk about fiber. Fiber is very essential in this stage not only in this stage but in every stages because if you eat proper fiber your digestion system will be proper your metabolism will be high and you will not face any weight gain problem which is one of the main issues during this period. For fibers you must consume lots of vegetables, salads, fruits, fruits will not only give you fibers but lots of antioxidants, micro-nutrients which will not only help you for your health but it will protect your skin too, because if you eat proper vitamin c it will give elasticity to your skin and if your skin is elastic then you wont have any wrinkles problem, protein will do the same work as well. Eat enough proteins, eat enough carbohydrates, keep your gut clean.

Last but not the least, drink plenty of water. Make sure you should do some or other exercises every day. Walking is the best exercise because it is self weight bearing exercise , you must walk 45 to 60 minutes everyday. You can do certain weight bearing exercises too because that will protect you from osteoporosis. Drink enough milk and calcium rich food because in this stage you really require good amount of calcium. 1200ml of calcium is required at this stage to keep your bones healthy.

So my dear ladies keep fit, eat healthy and stay healthy. For further information you can contact me on Lybrate.
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