Menopause - the word on everyone's lips, and the majority of women are what it is. But with such concepts as premenopausal and menopause, not all familiar. But it turns out that they are part of menopause or just menopause.
From what period is the climax
The climax consists of premenopause, menopause and postmenopause
Postmenopause - is it possible to control it?
and is a physiological period in the life of a woman when there is fading menstrual function and fertility, and then age-related changes occur in metabolism and in all organs and body systems.
Premenopause begins mainly after 45 years and ends with the last menstruation, that is, with the onset of menopause. Postmenopause - this time after the last menstrual period.
Moment of menopause is determined retrospectively, that is, only a year after the last menstrual period. It is necessary to be sure that this is really the last menstrual period, because menstrual cycle during premenopause becomes irregular with a tendency to elongation.
Premenopausal
During premenopause is a gradual decrease in the secretion of ovarian estrogen female hormone. Estrogen is the main hormone of the first half of the menstrual cycle, under their influence oocyte maturation takes place in the ovary. It stimulates the secretion of estrogen pituitary follicle-stimulating hormone (FSH), which also contributes to the maturation of the egg. The greater the estrogen is released, the lower FSH and vice versa with a decrease in estrogen secretion, an increase FSH secretion that occurs during premenopause.
Estrogens contribute to the widening of the mucous membrane of the uterus. If estrogen is not enough, the egg is not fully mature and are not released from the ovary that is not ovulation
Ovulation - How to determine as accurately as possible?
and the second half of the menstrual cycle, at which locally ruptured follicle must form a temporary endocrine gland and corpus luteum secrete hormone second half of the menstrual cycle, progesterone
Progesterone - norm and pathology
. Thus, most menstrual cycles are single or anovulatory. Thus the egg in the ovary is gradually begins to atrophy (decrease in volume), and reduces the production of estrogen. When estrogen becomes very small, and they are not able to support the development of uterine lining, it is rejected and menstruation occurs.
The danger of this period is prolonged menstrual bleeding, accompanied by the loss of a large amount of blood. This occurs because the non-uniform sustained release of estrogen contributes to the slow rejection of the mucous membrane of the uterus.
Many women premenopause condition goes unnoticed. But because estrogen affects virtually all functions of the body, it is often a so-called climacteric syndrome - a set of changes in metabolism, central and autonomic nervous system, which is a complication of physiological decline in sexual function.
When menopause syndrome appears irritable weakness, decreased performance, depression
Depression - a little more than a bad mood
, Severe headache (including migraine), sudden changes in blood pressure (the low, high), palpitations, sweating, flushing and heat in the head and upper body, and so on.
Menopause and postmenopause
After menopause, the fore expressed metabolic changes that lead to the emergence of many diseases. Metabolic disturbances during this period are known as metabolic syndrome.
Metabolic syndrome occurs due to a significant reduction in the amount of estrogen in the blood, which play an important role in metabolism. As a result of violations of protein metabolism cells are aging, and with them the tissue - the skin becomes dry and wrinkled, hair and nails - dull and brittle.
Disorders of fat metabolism, while reducing metabolism in general lead to the fact that the woman begins to gain weight, while the fat is stored not in the traditional areas (in the hips and buttocks) and male pattern (under the influence of male sex hormones) in abdomen and abdominal organs. This oil has a higher biological activity and contributes to disorders of carbohydrate metabolism.
Disturbances of carbohydrate metabolism appear to change the resistance of cells to insulin - cells lose the ability to grab the insulin, which means that the cells are not absorbed by the main source of energy - glucose (insulin helps metabolize it). It is a vicious cycle that contributes to even greater disruption of fat metabolism and the development of type 2 diabetes (when the insulin much, but still tissue glucose is not absorbed).
Metabolic lead to changes in the autonomic nervous system: a large amount of adrenaline, which constricts blood vessels. Insulin deficiency promotes vasoconstriction - all contributing to the formation of resistant hypertension - high blood pressure.
To overcome the difficulty of menopause can only be a healthy lifestyle, proper diet, moderate exercise and timely recourse to the doctor.
Galina Romanenko