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Climatério E Menopusa: Myths And Truths

Climatério e Menopusa: Myths and Truths

You who are beginning one of these stages of life, the Climatério and then the Menopause, need to know that there are some myths and truths regarding these phases.

What does each phase mean?

• Climatério:is the phase of your life, where they begin to decrease hormone levels and start some symptoms, such as hot flashes, numbness in hands and feet, depression, insomnia, irritability, headache, decreased libido, dryness of the vagina, incontinence recurrent cystitis.

Do not think you will exhibit any symptoms. Each organism reacts in a way, presenting symptoms or not.

• Menopause: is its physiological period, in which menstruation ceases, the reproductive period ends.
It is said that you are in menopause, when it has been 12 months without menstruating.

Myths and Truths

The biggest myth is to say that your sexuality comes to an end...


The great truth is that you are entering a new physiological phase of life, where some changes occur in your body because your ovary is losing its function of producing the hormones estrogen and progesterone.

The fall of these hormones leads to the symptoms already discussed previously. You start a new phase of life, which should be harnessed and lived in the best way possible.

The climacteric is the beginning of the symptomatology, mainly the menstrual irregularity and the hot flushes.
Menopause usually starts between the ages of 45 and 55. It can occur before the age of 40, being called precocious or after 60 years, being called late.

Myth: menopause gets old.
The truth is that aging comes with passing age regardless of menopause.

Myth: the menopause leaves sequels.
Menopause has some symptoms, already mentioned, that are present in most women, being severe in only 10% of women.
There are no sequels and no symptoms.

It is good to remind you woman that the date of first menstruation has no influence on the end date of the menstrual period.
And that the age that other women in the family have entered the menopause also does not influence and can not be used as a parameter to know when you will stop menstruating.
And today, world menopause day is celebrated on October 18.

Treatment of climacteric and menopause.

When you experience any of the above symptoms, seek your gynecologist. Write down and ask all your questions.

Remember that your gynecologist is the first person who can help you by giving you all the information regarding this phase of life.

You can do the hormone replacement therapy, guided by your gynecologist, who will evaluate your case, knowing to inform whether or not the therapy of replacement. Never take any hormones without medical advice.

Hormone replacement:

Hormonal replacement can be done in several ways: oral (tablets), through the skin (transdermal patches and creams), intramuscular injections or vaginal creams.

Oral replacement is the method that first appeared and gradually has been replaced by the transdermal route.

The tablets have a daily dose of hormones.

The adhesives gradually release the hormones, which are absorbed through the skin and go to the bloodstream in a gradual and steady way.
This method uses a very reduced hormonal dosage because there is no absorption of the hormones by the liver.

Vaginal creams are used to improve local symptoms, such as vaginal dryness.
Injection methods are no longer used.

physical assessment

Do all the exams recommended by your doctor.

Do not forget that the best method of hormonal replacement will be indicated by your gynecologist.

A complete evaluation is required through physical and laboratory examination.

And follow-up is also necessary through routine exams: clinical examination, breasts and gynecological examination.

Contraindications to hormone treatment

There are two types of contraindications: relative and absolute.


The relative contraindications:

- women with fibroids, endometriosis;

- endometrial cancer and biliary lithiasis.

Absolute contraindications:

- women who have suspected breast cancer or lesion without diagnosis;

- recurrent ischemic cerebral or heart disease;

Recent thromboembolic disease;

- severe or recent liver disease;

- vaginal bleeding of unknown cause;

- carriers of meningioma or melanoma;

- acute liver or kidney disease;

- severe hepatic or renal impairment;

- severe and uncontrolled hypertension and decompensated diabetes mellitus.

Indications of hormonal treatment

Hormone therapy is indicated for a short time and at low hormonal doses. It aims to minimize the symptoms and changes resulting from the fall of the estrogen hormone.

The indication of the therapy is individual, evaluating the clinical and laboratory examination and the history of diseases that can contraindicate its use.

Routine exams for use of hormone therapy

- Clinical examination: you will be evaluated as a whole. Cardiovascular evaluation, blood pressure, blood glucose (diabetes research), cholesterol, triglycerides, oncotic cytology examination (Papanicolau).

- Mammography: diagnose lesions that may not have appeared before or that already existed and that may increase with the use of the hormone.

- Transvaginal pelvic ultrasound: evaluation of the uterus (size, texture and measurement of the endometrium) and ovaries.

- Bone Densitometry: evaluation of the bony part, lumbar spine and femur, trying to diagnose a possible loss of bone mass or even osteoporosis.


If you do not want to use hormone therapy, you can opt for a diet rich in foods that contain estrogen, such as:

soy products, whole grains, seeds, some fruits and legumes, grains (beans, lentils) herbs, vitamin E and B complex.

What is the best treatment?

The best treatment is the one indicated by your gynecologist after your complete evaluation. Your doctor will try to provide you with a better quality of life.

You will be evaluated by the clinic, laboratory tests, pelvic ultrasound examinations, mammography, and bone densitometry.

Your doctor will explain your tests, the risks, and the benefits for you to decide if you want to use hormone therapy. Hormone therapy is individual.

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