Menopause: Experts refute myths and explain doubts about this period

Menopause: Experts refute myths and explain doubts about this period

If your direct associations to the topic of menopause are bad period, horrible symptoms, and risky treatments, it’s time to reconsider. Experts explain that this is just another natural stage of women’s lives, and that treatments have been developed that, in addition to working against symptoms, ensure a quality of life after the age of 40.

“The most common idea regarding menopause is a negative one. It is seen as death, as if the sky was falling on a woman’s head. Nothing like that. Menopause is a natural phenomenon. Just as in puberty, a woman will have On her menstrual period, at another point in her life her period will stop. It is a completely normal phenomenon, but it can have unpleasant effects,” highlights Dr. Abdallah Diop, an obstetrician-gynecologist at Bellevue Clinic in Dakar, Senegal.

One of the first clarifications the specialist proposes is to distinguish amenorrhea – the final interruption of menstrual cycles – from perimenopause, a transitional period that marks the end of a woman’s reproductive life, when the most well-known symptoms, such as loss, appear. of libido, memory loss, vaginal dryness, migraine headache, sleep disturbance, weight gain, depression and osteoporosis.

“Menopause itself is not a problem. Perimenopause means, after the age of 40, not having a period for more than 12 months. What causes the problem is perimenopause, or the so-called menopause. And menopause is a time when there are many It is a disturbing symptom for a woman,” explains Diop.

But if this transitional period can present a disturbing symptom for some women, menopause can be synonymous with a better quality of life for others. The end of menstrual cycles also puts an end to all the problems associated with them, such as cramps and headaches.

“Menopause is good news, for example, for women with endometriosis. Because the mechanisms of endometriosis are closely related to the menstrual cycle. During menopause there is no menstrual cycle, so most of the lesions and endometriosis pain will go away,” the doctor recalls.

no answers

Some questions related to this stage of a woman’s life, unfortunately, remain unanswered. Science still doesn’t explain why some women have more severe symptoms than others, or why some call menopause early, before or before 40, or late, after 50.

The doctor adds that there is no relationship between the onset and end of the menstrual cycle — a woman who starts menstruating early won’t necessarily enter menopause early — nor will there be genetic or genetic evidence in cases of early or late menopause. Just as sexual lifestyle will not affect in this context either.

But the lack of explanations does not prevent some situations from reaching a solution. And again, those who think that menopausal treatments are applied only to combat symptoms are wrong. Gynecologist Lorena Motta, partner at Clínica Barufaldi, in Ribeirão Preto, São Paulo, is emphatic, and sees hormone replacement as an important ally for improving the quality of life for women over 40.

The doctor admits that doubts about hormone replacement therapies remain in the female imagination, including some of the patients she receives in her clinic. They wonder about their cancer risks or why they should take hormone replacements if some women don’t do so during menopause.

“The hormone is life”

The gynecologist emphasizes that in addition to fighting the symptoms of menopause, which can be very annoying, the replacement of hormones can also mean the prevention of many health problems that arise at this stage, such as osteoporosis. “The life expectancy is increasing more and more, and the ideal is that we maintain the quality of life with longevity, and that is why we are talking about replacement. The hormone is life,” emphasizes the doctor.

The specialist explains that many of the myths surrounding hormone therapy are due to studies that are already considered outdated, some dating back to 2002. The best antidote to misinformation is the gynecologist’s instructions and tests that attest to the truth. The health status of these women, to reach the most appropriate treatment for each of them.

“There are types of hormonal replacement so there is one that is prescribed by a doctor and we buy at the pharmacy and it is the same for everyone, whether for that woman who is healthy or not, but there is also a hormonal alternative which is called bioidentical or isoenzyme, which is a hormone replacement that is more similar in molecular structure For a woman’s body.In this way, we can replace the three hormones [progesterona, testosterona e estradiol] With better benefits and fewer side effects,” the gynecologist defends.

She explains that, unlike oral hormone replacement therapy, which is available in pharmacies, the isomolecular method can be found in topical presentation, in a gel for application to the skin, or in two types of implants, absorbable, with an effect of 6 to 8 months, or that last for a period of time. generic but should be removed.

Regardless of treatments, experts unanimously agree that the main thing during menopause is the follow-up of the patient by a gynecologist, in addition to a healthy lifestyle, which is ensured by a balanced diet and regular physical activities.

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