Perimenopause and menopause -postmenopause
What might be some causes of heavy bleeding during perimenopause?
- The estrogen-progesterone imbalance - Polyps (small, non-cancerous tissue growths that can occur in the lining of the uterus) can incr. dur perimen. - Fibroid growth
What are three ways to reduce urinary incontinence?
1.) Kegel exercises 2.) Bladder training: teach yourself to go longer without urinating 3.) Medications: 4.) Vaginal estrogen in the form of tablets, creams, or rings:
What are the two types of urinary incontinence?
1.) Urge incontinence: a sudden strong urge followed by an involuntary flow. 2.) Stress incontinence: involuntary leaking when coughing, sneezing, laughing, doing strenuous activity, etc.
Give the nine changes common to early perimenopause that endocrinologist Jerilynn Prior found?
1.) heavy and/or longer flow 2.) shorter menstrual cycles 3.) Newly swollen or lumpy breasts 4.) New midsleep wakening 5.) Increased cramps 6.) Onset of night sweats, especially around menstrual flow 7.) New or markedly increased migraine headaches 8.) New or increased premenstrual mood swings 9.) Weight gain without changes in exercise or eating
What percentage of women Never have hotflashes?
20-30%
What percentage of women have heavy bleeding(hypermenorrhea) during perimenopause?
25%
What is the recommended age for beginning periodic bone density tests?
65
When is menopause assuredly known to be final?
After 12 months with no periods.
When does the transition of perimenopause begin?
Anywhere from the late 30s to age 60.
Why is it difficult to know when you have entered oerimenopause?
Because the hormonal fluctuations of that transition begin while menstrual periods are still regular.
What benefits can excercise bring for perimenopause and postmenopause.
Exercise can lower blood pressure and reduce the risks of heart attack and stroke, arthritis, emphysema, and osteoporosis.
True or false: Women who smoke tend to reach menopause later than nonsmoking women.
False
True/False: Once your periods become irregular you can't get pregnant any more.
False
What can iron pills do for those women who experience abnormaly heavy bleeding?
Iron pills can replace losses and help avoid or treat anemia.
What about memory and the mind?
Many women report memory gaps or lowered ability to concentrate during perimenopause and postmenopause.
What is menopause marked by?
The final menstrual period.
What is perimenopause?
The one to ten year stretch during which the ovaries function erratically and hormonal fluctuations bring changes such as hot flashes, night sweats, and sleep disturbances.
What is recently occurring concerning the postmenopausal life stage and our reproductive years?
The postmenopausal stage may be nearly as long as our reproductive years.
What happens to estrogen and progesterone gradually after menopause?
They have declined to low steady levels.
What urinary changes happen during perimenopause?
Urinary incontinence
What two diseases occur during midlife for women
bone loss and osteoporosis.
What can happen in during hot flashes?
haert palpitations, panicky feelings, hot and sweaty followed by cold chill.
What is one common change in menstrual cycle in early perimenopause?
shorter cycles, averaging two or three days less than usual. Sometimes lasting only 2 or 3 weeks.
What vaginal changes happen early in perimenopause?
vaginal dryness
Is there usually a decrease in sexual desire for many women in perimenopause?
yes