மாதவிடாய் நிறுத்தம் (Menopause) | தெரிந்து கொள்ள வேண்டியது என்ன? | Dr. SreDevi | Tamil

Menopause
Complete cessation of menses is called as Menopause!
When the levels of estrogen hormone drops , menopause happens.
Average age of menopause is 51 years.
What is Perimenopause?
When the hormones starts fluctuating a few years before menopause,there are certain symptoms that happens...that is called as "Perimenopausal transition" period.
Symptoms of perimenopause transition period:
1. Short menstrual cycles or infrequent menses.
2.Decreased or increased blood flow.
Check with your Gynecologist to know whether these symptoms are normal perimenopause symptoms or is a consequence of serious health concern.
Health concerns in Perimenopause:
1. Hot flashes
Excessive sweating and heat spikes can happen.
It can happen just once a month or it can happen several times in a day itself!!
Can cause sleep 😴💤 disturbances as well!!
2. Insomnia or sleep disturbances in Perimenopause.
3.Vaginal skin becomes dry because of lack of estrogen hormone nad can become less elastic !!
So it is common to have vaginal infections in Perimenopause!!
4. Urinary tract also becomes dry because of lack of estrogen.. so can cause burning urination, increased frequency of urination and also chances of urinary tract infection increases!!
Bone changes in menopause:
1.Osteoporosis or thinning of bone starts happening for both male and female after the age of 35 years!
Within 4-8 years of menopause, there is a sharp decline in bone mass!
This can lead to pathological fractures.. especially in hip, elbow and back bones.
Menopause increases the risk of following diseases:
1. Heart disease:
Estrogen protects heart health. Thus after menopause , those with risk factors ( high blood pressure , high sugars and cholesterol , obesity,lack of Physical activity etc .)can have increased risk of Heart attacks!
2. Stroke- Those with risk factors are highly susceptible to get stroke after menopause!
Treatment for Menopausal symptoms:
Hormone replacement therapy:( HRT)
Two types of HRT are available:
✅Combined HRT( estrogen + progesterone hormone treatment)
✅ Estrogen only treatment
Combined HRT given to women who have an intact uterus.. because just giving estrogen can cause the tissue inside the uterus to grow and increases the risk of cancer. So to counteract, progesterone is given along with estrogen.
2. If the uterus is already surgically removed for some other reason, just giving estrogen is enough.
HRT can be given as
✅Oral pills
✅ Patches
✅ Hormone sprays
✅ Hormone gels
✅ Hormone releasing Vaginal ring
Problems treated by HRT
1. Hot flashes
2. Night 💦 sweats
HRT reduces the risk of
1. Fractures
2.Colon cancer
Risk associated with HRT:
All women are not eligible for HRT
HRT should be given for shortest possible duration in smallest effective dose definitely under the guidance of a Gynecologist!!
1. There is a slight increased risk of endometrial cancer
2. Combined pills increases risk of blood clot formation ( Deep vein thrombosis).. so local treatment is given in the form of patches,gels or spray in certain women.
3. Slightly increased risk of breast cancer when given for long periods!!
4. Increased risk of gall bladder disease
So what else can be given other than HRT to reduce menopausal symptoms??
1. Sometimes anti depressants to reduce hot flashes
2. Difficulty in sexual intercourse can be tackled with testosterone gels!
Black cohosh , soy products,. Chinese herbal remedies are also tried to treat menopausal symptoms. But we don't know about the safety concerns of these 🌿 herbal products!!
How can we protect against the symptoms of menopause in a natural way??
Going with nature gives natural cure from menopause!!
👩‍🦰Eat a well balanced diet
👩‍🦰Take calcium supplements atleast 1000- 1500 mg / day
👩‍🦰Take vitamin D 400IU / day for bone health
👩‍🦰 Exercise regularly!!
Cardio exercises like
Walking💪🏃🏻‍♀️
Jogging
Strength training💪
and Yoga helps in increasing muscle mass and to reduce bone loss!!
👩‍🦰Annual check up is very important
Annual mammogram
Regular gynec examination and Pelvic scan can help in diagnosing health problems earlier and to get relief from it early!
Prevention is better than cure!
So BE PROACTIVE!
Win over Menopause!!

[@prabharavichandran7563]

Super 👌 mam me having all the doubts regarding menopause. You cleared all the doubts. Thank you very much mam

[@shankarraj3433]

Nice Explanation about Menopause. Thanks Doctor.

[@RAJULINM]

சூப்பர் மேடம் தெளிவாக சொன்னீங்க👍👍👍💐

[@shanthidhananjayan5923]

மேடம் அனைவரும் புரிந்து கொள்ளக்கூடிய வகையில் பேசிய விதம் அருமை மிக்க நன்றி

[@annalakshmi9513]

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[@jayachandran2215]

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[@vincymolmol9692]

@@annalakshmi9513 just

[@sumithram4720]

Excellent explanation doctor. Thank you

[@rkharinisre3074]

Arumaiyana tamzial vilikam, good very happy understanding the causes and further a tions. Very thanks dr amma

[@achukutty3031]

Use fulla soldringa excellent madam God bless u madam

[@helenesther311]

Really no word to thank you doctor.. You cleared it in a simple way.. .. May the Lord Bless you more and more. We need people like you. God bless you

[@gynecologist-answers]

Thank you 😊

[@mals94433]

E

[@nalluslifestyle2420]

Very useful information thanks mam🙏🙂

[@vanithavanitha9697]

Useful information and explained very well Tq mam

[@ajemi5240]

Useful information mam

[@Padma871]

Helpfull mam!!!....I'm 37 yrs endometriosis thickness 10mm..heavy bleeding ,really very tired,periods flow heavy,nw my dr prescribed 21days hormone tbs...bayama eruku mam...family kids nalla pathukanum.....female kids erukanga

[@thilakavathialagarsamy937]

Nice explanation 👌

[@mykathaikavithaikatturai8277]

Nice explanation thankyou mam

[@suki0venkat]

Perfectly clear and professional explanations.

[@gynecologist-answers]

Glad it was helpful!

[@ManjuManju-nu6mb]

Thankyou.dr.nalla..pathivu.use.fulla..erunthsthu

[@meenakshimeena7353]

Thanks doctor. Super advice.

[@srideviyashwini1942]

நன்றி அம்மா 🙏🙏

[@fathimamary8596]

Thank you Doctor

[@shankarraj3433]

Thanks for the information Doctor.

[@tsmani9296]

Very fine definition madam

[@kalaivanim2229]

Thank you so much mam I am 42 years old Now starting the symptoms Helpful guidelines mam

[@gynecologist-answers]

Thank you ❣️

[@ahamednasar2486]

Very good understand madam, thank you for your information 👍

[@philominas7482]

Thank you so much Madam.

[@jasminariz]

Thanks for your useful information 👍

[@user-nf6nk6qq1z]

Mam 50 years aachu bleeding stop aagi 1 year aachu but ippo thirumba bleeding aaguthu hospital ponathukku karppa pai punu irukunu solluranga karpapai irungirukunu sollirunga yean ipdi iruku bleeding ninna thirumba varuma

[@amuthajohnson1139]

Super mam good explanation and correct time i got correct news mam

[@arajeshwari287]

Thank you Dr

[@anurose9378]

Thank you doctor 👩‍⚕️

[@jayanthiinba7565]

Thank you mam🙏

[@meenakshi9341]

Thank you very much mam.fine good explain and good advise mam.👌👌👌👌🙋🙋🙋👌👌👌

[@gynecologist-answers]

Most welcome 😊

[@venkatesan3605]

அருமை அருமை

[@koteeswarir202]

Thank u mam really u cleared my confusion mam 👌

[@priscilla5777]

Thank you madam for good information 👍❤

[@annaisumathi5831]

Super thank you Madam

[@navamanignanaraj193]

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[@illinprinceillinprince3535]

Mam, useful instructions. 🙏

[@rajalakshmilakshmi709]

🌺 Thanks a lots Dr 💐💐🙏

[@saradhagopinathan8638]

Super doctor thank u very much

[@divakaranr4306]

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[@kalaiselvi388]

நன்றி டாக்டர்

[@vijivenki4070]

Thank you so much for the information mam 🙏

[@vennilad2874]

Thanks Dr u explain very clearly thank u God bless

[@gynecologist-answers]

Thank you 😊😊

[@pascalinleema2822]

Thank you dr.

[@sameeantro8337]

நன்றி

[@parvink3583]

Very useful thank u

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Thank you doctor

[@chandramurali7713]

Thank you madem

[@nalinichinnadurai9035]

Thank you mam

[@sivakumarchokkalingam3848]

Thank you very much Doctor

[@gynecologist-answers]

You are welcome

[@revan7699]

Very nice mam

[@vennilad2874]

Thank u Dr very clear and a good explain fa al women's

[@gynecologist-answers]

Thank you 😊

[@mangalam927]

Dr. Iam lakshmi enaku kuzhanthai pirakkala husbund pirnthu irukaru ennoda age 43 .ippa enaku Periods 6 months ha varala. Sumtimes vierkum muttivali varum ana konjanaala entha simtoms u illa ana silatime vellai padum sila neram soodu padum anthatimela mattum aripu varum Marbagam perusa iruka mathiri oru feel varuthu. Enaku romba naal munnadiye karumuttai problem irunthu treetment eduthuruken.ippa vanthu ithanaala ethuvum problum iruka Dr.

[@sahanamurugesan9448]

Thanks Madam 🙏🏻🙏🏻🙏🏻🙏🏻

[@kalilakshmi3564]

Dr very useful information thanks for your video

[@gynecologist-answers]

So nice of you

[@lakshmipriya8966]

Very clear explanation

[@gynecologist-answers]

Glad you think so!

[@thaniasinniah1716]

Thank you dear doctor

[@TPVS-yo4fo]

Thanku doctor 👍

[@premakumarikanchikumar9819]

Very useful video Dr 😍😍

[@gynecologist-answers]

Glad you liked it

[@chairmanselvi1631]

Thank u doctor

[@jeyanthymoses9621]

Dear Doctor! Good evening! Do the menopausal women need to take calcium supplements? I was diagnosed with early OA and advised to take calcium with vitamin D.After I reduced myweight knee pain is very less.I am no longer taking the medication.

[@gynecologist-answers]

Check your calcium levels.. if normal and no symptoms u can skip medications and continue with calcium rich food. But since u had OA it would be better if u can take calcium.

[@jeyanthymoses9621]

Thank you so much Doctor!!

[@sumadhi1159]

Thank.you.madam..my.name.is.sumthie..im.from.sri.lanka

[@christinashantha8194]

May God continue to use you mightily, Doctor🙏Truly blessed to hear your explanation👍 Love from Malaysia 💐😘

[@gynecologist-answers]

Thank you so much ❤️

[@prabalatha106]

Very good information... Thank you Dr ❤

[@shanthishanthi8020]

Mam anku 41yearlaya stopachu neenga sonathupola payngrasovding as ieruku ena. Panrthu please solunga

[@user-fs2zm2iv2p]

Mam enaku nenjumuliyil padapadappu varthu 1 years irku first periots timele tha varum but ippo adikkadi varthu night timele vantha thoongave mudile bayama irku nanum ECG echo ellam test panni athute ellam normal but enaku antha padapadappu mattum kuraiyave illa periots ninnapiragu ethavathu heart problem varuma mam please vilakkam kudunga madam

[@shanthichandran2276]

Thank you mam.

[@lakshmiarivazhagan4020]

Thankyou for your information

[@jananijanani3806]

Thank u mam

[@jamunak1596]

Tku,so much mam

[@dhanadhana5052]

👌👌👌

[@sivaselvimurhuramalingam1797]

Hi mam, My mom experienced menopause at her age of 39. Now she is 43. Postmenopause, she becomes Tired quickly even for short travel / task and takes one complete day sleep. She often gets headache and vomit too.Does menopause has anything to deal with this.?. Is it mandatory to have Checkup postmenopause.?

[@gynecologist-answers]

Yes definitely. She has attained premature menopause and needs further investigation

[@sivaselvimurhuramalingam1797]

@@gynecologist-answers okay.. thankyou mam

[@narmadhakrishnakumar7906]

Rombho nantri mam

[@fathima.......1134]

Tankeyou

[@deepasen14]

Dr so nicely explained I am in 40 + both delivery is cserian and now I feel like carving raw rice ,snuff, zeera seeds everything raw like that often I am tempted is that reasons for menopause or hemoglobin please let know mam tq

[@gynecologist-answers]

Thank you.Please check your Haemoglobin levels 😊

[@gynecologist-answers]

Thank you 😊.Please check your Haemoglobin levels.

[@deepasen14]

@@gynecologist-answers thanku mam if possible I will try to connect you

[@shanthidakshinamurthy4285]

J

[@sandhyasriram4214]

Thank you so much Doctor 🙏

[@gynecologist-answers]

So nice of you

[@user-pz2qz5sw2s]

Super mam

[@srivani3077]

Mam yennaku 44 age regular periods normal erunthathu entha month yennaku 4 athigama eruku doctor kitta ponnen Stop panna trapic 500 mg 2 days koduthu erukaanga 3 days mudinthu varasollierukaanga scan pandrathuku yennapandrathu theriyala 🙏 sollunga

[@rajakumarimohan6995]

Madam my daughter in law says that she realises some pain in abdomen region before two days of periods my doubt is if she is concieved also the pain occurs or not

[@chitramurugappan5673]

Clear explanation Dr... Thanks for sharing 😊👍

[@FreeFire-re1sv]

tq man

[@achukutty3031]

Madam na kinathukadavu la tha iruntha epa enga sontha ooruku vanta health la ethavathu na unga. Kita tha varuva ninga sema ah papinga happy ah irukum epavum na varanunu asa padra madam

[@vijayag420]

Thank you

[@priyakannan2624]

Excellent Mam.... Very informative to all the Women's... May baba shower his blessings to u an ur 👪 always....

[@chennaiexpress2012]

Super👍👍👍

[@sriram2209]

Mam very well explained.. can yoga helps to reduce fibroids?????? Kindly reply

[@gynecologist-answers]

Not proven. But can relieve symptoms to some extent

[@kaverisubbaiah6797]

Thank you madam

[@gynecologist-answers]

You’re welcome 😊

[@vasanthyprasath3280]

Thanku mam

[@prabhasaravana8928]

Madam I'm 22 .. age atten panni. 3,4 time tha Achu... Ipo varayum endha sytems ila ..

[@thanthan1151]

🙏🙏

[@geethas2560]

Superb👍👏👏

[@Gowtham0909]

thanks dr

[@gynecologist-answers]

Welcome 😊

[@ishwaryakumutha2551]

Apoo white discharge agumaa docter

[@vsd3133]

Mam my age 47 I don't have any of these symptoms. Once or twice got late periods . Some nights I don't get good sleep. The only problem is I have the temptation of eating uncooked rice.. I know it is unhealthy. But couldn't stop eating uncooked rice. Please help me to come out of this . Is there any medicine to stop this habit?

[@gynecologist-answers]

Check your Haemoglobin levels. You might be anemic

[@vsd3133]

@@gynecologist-answers sure mam .. thank you so much🙏

[@durgadevi9117]

Mam enga ammaku 1 yr apram ipo last 4 month ah continues ah bleeding poitruku over flow aitiruku so avangalala normal ah Iruka mudiyala doctor la pathutom tablet kuduthurukanga podumbothu nalla iruku again start aiduthu nerambula injection potanga 3 days nalla iruku again start aiduthu pls help pannunga mam

[@gynecologist-answers]

She needs to get a scan done to look for endometrial thickness or any mass in the uterus. Also check her Hb, thyroid levels

[@helensujatha4326]

Very useful Doctor my daughter age 21 has irregular periods so she takes Modus tablets is it advice able tk

[@gynecologist-answers]

Treatment of the cause should be done. Although modus can be taken occasionally.

[@subramanianrakiappan3195]

👌👌👌🙏🙏🙏🙏🙏♥️

[@user-nf6nk6qq1z]

Mam bleeding stop aaguna thiruma varuma

[@anithakarthic6272]

Mam... I'm 42 now. Because of ENDOMETRIOSIS CYST in BOTH OVARIES I'm taking DIENOGEST for the past one and half years. I'm not getting periods from the past one year. Is there any side effects for having this tablet?. Pls reply for this question

[@gynecologist-answers]

Dienogest is the best option for long term treatment of endometriosis. Usually well tolerated.

[@anithakarthic6272]

@@gynecologist-answers Thank you for your immediate reply mam

[@bhaskaranns4987]

Hello Anitha,I am also suffering from Endometriosis cyst in the uterus not ovaries,Which doctor r u consulting now? Tell me please

[@anithakarthic6272]

@@bhaskaranns4987 Dr.Radhakumari,Anandhapuri hospital.,Trivandrum. Where r u from?

[@bhaskaranns4987]

@@anithakarthic6272 I am in Bangalore.Thnku for ur concern.

[@evs917]

Vanakkam I am aged 52 diabetic My endometrium thickness is 9mm No cyst doctor Please suggest me 🙏

[@gynecologist-answers]

If you are postmenopausal, then 9 mm is thick endometrium. For online consultation contact:9566704045

[@divyaa1427]

Mam pls can u reply me, My mom is having this problem more than 1 and half month she is having bleeding , how many days maximum it will happen mam .

[@gynecologist-answers]

Please visit a Gynecologist nearby. She needs complete evaluation with scan and hormone analysis.

[@shanthirengaraj4935]

Good evening Dr My name is shanthi. 53 years old after menopause neeria proplem like thyroid ,migraine with vomiting,,cholesterol, constipation ,consult a doctor will take tab thyorixn50mg Neuro dr lnderal20mg,trypomer 25mg every day at night each 1tab Atorvastin 10mg.all tests are taken in multi spscial ,hospital authorization lab ,Doctor, notice lab report but 30 min regular walking Controldiet Weight 50kg Ennaku body .etthavathu proplem iruthu itka iruku pls advice docter

[@gynecologist-answers]

Please also make sure you are not having stress. Stress can aggravate all issues. Consult a clinical dietitian and have a proper meal plan to combat high cholesterol,and constipation. Migraine can also be tackled by avoiding migraine triggering food. Take the medicines also. Best wishes