Endocrinology: Menopause hormonal Imbalance in women — Diagnosis and conservative therapy. Treatment
Menopause is the cessation of menstruation due to ovarian failure. According to statistics, this process is accompanied by development of adverse symptoms caused by hormonal changes in about 80% women. The combination of these disorders is termed the "climacteric syndrome". The treatment program is developed individually in each case after a thorough examination of the patient.
The diagnostics begins with consultation of the gynecologist-endocrinologist. The physician clarifies complaints, examines the case history and conducts a pelvic examination. Additionally, he prescribes:
- A set of laboratory tests (blood count, urinalysis, hormonal examination)
- Ultrasound (thyroid, abdomen, pelvic organs, adrenal glands).
On the basis of information obtained, the professional makes up an accurate picture of hormonal disorders.
To correct the condition, an adequate medical therapy is selected for the woman. In mild or moderate symptoms, the antidepressants are usually prescribed. Simultaneously, the bisphosphonates and calcium supplementation is recommended for osteoporosis prevention.
In severe menopause, the hormone replacement therapy (HRT) is considered effective. This treatment helps to improve the quality of life and reduce the risk of diseases associated with hormonal imbalances (osteoporosis, stroke, myocardial infarction). The patient is recommended to take estrogen monotherapies or combined drugs based on estrogen and progestogen. The duration of therapy is determined by the attending physician, but it usually takes at least 5 years.Hide