What to do after menopause

What to do after menopause?

Amenorrhea is a common symptom of gynecological diseases and can be caused by various reasons. Amenorrhea is usually divided into primary and secondary. Primary amenorrhea is when a person is over 18 years old and still has no menstruation. Secondary amenorrhea is when the person has no menstruation for more than 6 months after menarche and before normal menopause, except during pregnancy or lactation.

Treatment of amenorrhea:

Etiological treatment: Find the organic disease that causes amenorrhea and treat it appropriately. For example, tuberculous endometritis is treated with anti-tuberculosis. Patients with uterine adhesions should dilate the uterine cavity and place an IUD to prevent adhesions again. After the diagnosis of pituitary or ovarian tumors is clear, the treatment plan is determined according to the location, size and nature of the tumor, and comprehensive measures such as surgery, radiotherapy, and chemotherapy are selected.

Sex hormone replacement therapy: Hormone replacement therapy can be used for patients with congenital ovarian dysplasia, impaired ovarian function or premature failure. Generally, sex hormone artificial cycle therapy is used. After using sex hormones, menstrual-like cyclical bleeding can correct the patient's physiological and psychological state on the one hand, and promote the development of reproductive organs and secondary sexual characteristics on the other hand.

Low-dose estrogen cyclic therapy: promotes pituitary function, secretes luteinizing hormone, increases ovarian estrogen secretion, and promotes ovulation.

Sequential estrogen and progesterone therapy: Its function is to inhibit the hypothalamic pituitary axis. Menstruation can resume and ovulation can occur after discontinuation of the drug.