coping up with changes of menopause
TRANSCRIPT
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COPING UP
WITH CHANGES OF
MENOPAUSE
Dr. MAMTA SHARMA
Addl Chief Health Director
(OB & GYN deptt )
Jagjivan Ram Hospital, Mumbai
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Nothing
is
PERMANENT
in
Life
except
…CHANGE !!
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Part of the normal life cycle of women.
Begins in a woman’s 40’s or early 50’s.
Average age being 51 yrs.
Period of life when a woman ceases
to have her menstrual period for one full
year.
Perimenopausal Period :- Period leading
up to menopause
WHAT IS MENOPAUSE ..?
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Women fear growing old.
They think negative about
menopause.
Increased life expectancy
Changed social scenario
WHY ONE SHOULD KNOW
ABOUT MENOPAUSE…..?
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AGE GRACEFULLY
Education & awareness
help women to
understand what to
expect and how to
cope successfully with
this normal stage of
life and age
gracefully………..!!!!!!
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Female Reproductive Tract
Ovaries are
the organs
that produce
eggs and
hormones :-
Estrogen
and
Progesteron
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• Maintain regular menstrual cycles.
• Keep the skin moist, soft and supple.
• Keep the bones healthy.
• Protect the heart by maintaining
cholesterol levels.
HARMONES PRODUCED BY
OVARIES HELP TO:
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Changes begin when ovarian function
decline, ovaries eventually stop
producing eggs and no longer produce
hormones.
CHANGES OF MENOPAUSE
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SHORT TERM :
Menstrual changes
Hot flushes and disturbed sleep.
Irritability, mood changes.
Depression, lack of well being.
Lack of interest in sexual relations.
CONSEQUENCES OF MENOPAUSE
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Dryness in vagina, irritation, itching.
Sudden and frequent urination.
Dysparunia.
Increased risk of vaginal and urinary tract infections.
CONSEQUENCES…..
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Brittle bones :- More risk of # of bones.Increased risk of cardiac ailments.Thinner, Wrinkled skin with blemishes.Problems with concentration and memory
LONG TERM CONSEQUENCES
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In YOUTH, we havetime and energy butNO MONEY
In MIDDLEAge, we havemoney & energybut NO TIME
In OLD age, wehave moneytime but NOENERGY
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LIFE STYLE
MODIFICATIONS
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Balanced diet• Major nutrients for the body are
protein, carbohydrate, and fat.
• Body also needs vitamins and minerals for optimal functioning.
• It is important to choose foods from all food groups like cereals, pulses, poultry and meat, milk and milk products, fruits and vegetables to form a balanced diet.
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Balanced diet
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HEALTHY DIET IN MENOPAUSE
• High fiber
• low fat
• calcium rich
• plenty of water
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REGULAR EXERCISES
• WALKING
• CYCLING
• SWIMMING - 30 Minutes daily
• DANCING - 5 times a week
• PLAYING
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YOGA AND MEDITATION
• Increases flexibility
• Reduces stress
• Maintains mobility of joints
• Maintains optimum weight
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WEIGHT MANAGEMENT
Optimum weight for height should be maintained
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POSITIVE ATTITUDE
• Positive attitude towards life
• Acceptance of changes in life
• Avoid stress
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Hot Flush :
•Try sleeping in a cool room.
•When hot flush starts, go
somewhere cool.
•Have a cold drink at the
beginning of flush.
SPECIFIC MANAGEMENT
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SPECIFIC
MANAGEMENTVaginal discomfort :
•Use a water based lubricant or
estrogen cream.
Urinary Complaint :
Not able to hold urine.
•Learn pelvic Exercises.
•Bladder training Exercises.
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Unusually prolonged and heavy menstrual period.
Bleeding between menstrual period.
Renewed bleeding after having no period for 6 months or more.
Symptoms like hot flushes, disturbed sleep, mood swings that start interfering with daily life.
Vaginal pain, dryness. Signs of Urinary tract infection.
WHEN TO CALL YOUR DOCTOR!
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•Breast cancer
•Cancer cervix
•Cancer ovary
CANCER SCREENING
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DO NOT IGNORE
• Non tender lump in breast
• Change in shape or size of breast
• Retracted nipple
• Discharge from nipple -blood stained or greenish
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• Self Breast examination
• Clinical breast examination
• Mammography
SCREENING
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• Females should start SBE by the age of 20 yrs
• Should be done every month to be breast aware.
• Best time to do SBE is with in one week after period.
• Advantage of BSE is early detection of tumor
• There are 5 steps in the examination of breast
SELF BREAST EXAMINATION
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• Should be done by a Clinician once in 3 yrs till the age of 40 yrs
• After 40 yrs CBE should be done every year
CLINICAL BREAST EXAMINATION
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• Mammography is a specific type of imaging that uses a low-dose x-ray system to examine breasts.
• Should be done annually after the age of 40 yrs
The best time for a mammogram is one week following period
MAMMOGRAPHY
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CANCER CERVIX
• DO NOT IGNORE
• Post coital bleeding
• Irregular bleeding
• Foul smelling discharge p/v
• Post menopausal bleeding
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• Pap test
• Colposcopy
• Cervical biopsy
SCREENING
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WORD OF CAUTION !!!!
Ovarian cancer can be hard to detect early. symptoms may be vague and quite mild. Most usual SYMPTOMS are :
Feeling bloatedA dull, dragging pain in theabdomenConstipation or diarrhoeaFeeling sick and loss of apettite
.
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• As yet no screening tests are available.
• Women with strong family history can undergo--
Annual ultra sonography.
• Serum CA-125 levels.
SCREENING
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TAKE HOME MESSAGE
• Be positive
• Remain vigilant
• Do not ignore your health
• Give sufficient time to yourself
• Get preventive clinical checkup done at least once a year after 40 years of age.
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