Menopause Treatment - Managing with Heart

'We all get old right? Lets age gracefully and in the healthiest way possible'.


This is Dr. Manu, consultant one of the  best gynecologist in Chennai, and in this article, I am going to tell you everything under the sun about Menopause & menopause treatment.

So, the one thing we should accept, none of use going to look evergreen forever, our fertility declines way faster than we can imagine!. Most women (indian origin) achieve menopause by 50 years.

Menopause signals the end of our menstrual cycles. Menopause is usually diagnosed if you have not had any periods for a full 12-month time frame.

Menopause is a very natural process though but is generally accompanied by certain common symptoms as below

1. Lack of sleep
2. Hot flashes
3. Lower Energy levels

Menopause Signs

In the preceding few months or years before your cycle actually stop, you might experience a range of signs and symptoms as listed below

A. Vaginal dryness and general discomfort during sexual intercourse

B. Cycles that are irregular

C. Hot disturbing flashes

D. Chills

E. Rampant Mood Swings

F. Increase in body weight and general fatigue

G. Thinning of the body hair and dryness of skin

An important point to bear in mind is that, different women, experience different symptoms in different ways

Different combinations of the aforementioned symptoms may also be present in women. 

You may find that your periods are skipped a few months before your actual menopause.  Sometimes, you may find your cycles have returned for a short time frame before completely stopping off. 

Should you see a gynecologist for menopause treatment?

The most sensible thing to do, if you have doubts about your menopausal transition is to visit a gynecologist. 

With menopause, it is very important to periodically get your health assessed and checked. Some common blood tests your gynecologist will prescribe for you include

1. Assessment of your blood sugars
2. Assessment of your cholesterol
3. Checking your breast with a mammogram 
4. Ultrasound scans when necessary in case you have severe heavy bleeds
5. Checking your thyroid hormone levels

What if my cycles stop when I am 40?

A small proportion of patients (1%) experience menopause before 40 years of age. These patients are said to have primary ovarian insufficiency and is associated with certain unknown genetic factors. Most of the time no cause is found

For these women, hormonal therapy is usually the norm and should be recommended until the age of natural menopause. 

Complications of Menopause

Menopause if left unmanaged is associated with certain complications as outlined below

A. Heart disease and elevated blood cholesterol

B. Excessive weight gain

C. Pain during sex

D. Loss of control over urine flow

E. Bones become weak and brittle (osteoporosis)

Menopause Treatment Strategies

Interestingly, treatment strategies for menopause are all aimed at relieving your signs and symptoms

Treatments include

1. Estrogen therapy with a very low dose and for the shortest possible period of time. This is given only after a thorough medical evaluation. Estrogen helps prevent bone loss.

2. Vaginal estrogen can improve and relieve your vaginal dryness thereby reducing pain during sex

3. Gabapentin or Clonidine, either one of these drugs can be used to relieve hot flashes if excessive

4. Calcium and Vit D3 supplementation to prevent bone loss

Other natural treatment strategies include

—>Staying well hydrated
—>Exercising regularly
—>Pelvic floor  therapy
—>Eating a balanced diet
—>Getting 8 hours of sleep

That about summates this short read on menopause treatment. Do share this article with all your friends and loved ones!

Oh and stay healthy and stay happy!


1. Menopause management strategies

2. McKinlay SM, Brambilla DJ, Posner JG. The normal menopause transition. Maturitas. 1992 Jan 1;14(2):103-15.

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