Premenopausal women : pregnancy or contraception

Premenopausal women : pregnancy or contraception
hormonal menopausal pose particular challenges doctors.

Everyone is familiar with the term "menopause" or "climax", but not everyone knows that he is only part of a much broader concept of health - perimenopause.

Perimenopause - it is a very special period in a woman's life, which may be diametrically opposed meaningfully challenges - from the restoration of reproductive function to contraception.

Perimenopause: hormonal features

Perimenopause - the period that includes one year of pre-menopausal and post-menopausal (or two years after the last spontaneous menstruation).At this time in a woman's body there is a decrease ovarian hormone production - estradiol and progesterone, leading to progressive depletion of ovarian.The frequency of ovulatory cycles is also reduced, causing reduced fertility.

These changes are reflected in the menstruation, which can be scheduled up to the menopause, but more regular cycles alternate with prolonged, delayed menstruation happen from one week to several mont

hs, there may be uterine bleedings - metrorrhagia.All women perimenopause can proceed quite differently.Accordingly, the therapy will be significantly different.

therapy early menopausal symptoms in perimenopausal

Due to changes in hormone function during perimenopause may manifest early symptoms of climacteric syndrome (flushing, increased sweating, mood swings), as well as urogenital and sexual disorders, which tend to require the appointment of hormone replacement therapy(HRT).

HRT is also important for the prevention of later metabolic disorders - atherosclerosis and osteopoproza.

Maintaining reproductive function

But there are women who are in whatever was necessary to delay the onset of menopause.Most often it is the patient with unrealized reproductive function, interested in maintaining ovulation and hormonal levels sufficient for the carrying of a pregnancy.

In the last decade due to the success of in vitro fertilization cases, treatment to restore fertility in perimenopausal getting bigger.

Treatment of dysfunctional disorders in perimenopausal

Another serious problem that is often experienced by women in this period are dysfunctional uterine disorders.The reason they are in most cases anovulatory cycles and hormone deficiency leading to endometrial hyperplasia.

This is quite serious and anxiety, for the treatment which is necessary as soon as possible to see a doctor, and only after a thorough examination can reliably identify the cause and prescribe appropriate therapy.

Contraception in perimenopause

But hormonal dysfunction occurs not all.In some women ovulatory cycles persist, against the background of rising sexuality often significantly increases the risk of unwanted pregnancy.In such cases, it is important to forget about contraception.

choice of drugs and methods are often complicated by the fact that in some extragenital diseases of hormonal contraception is contraindicated.Contraception must be used until 6-12 months after the onset of menopause.

All changes occurring with the body in the perimenopausal period, quite difficult to read, and significantly affects not only the physical but also the mental state of the woman.So do not put off a visit to the doctor - the sooner treatment is started, the more successful it is and the lower the long-term effects!

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