What are the symptoms of menopause?

What are the pathological symptoms of pathological menopause? In addition to some congenital factors, the phenomenon of menopause in women is also caused by disease factors in clinical practice, which is called pathological menopause. Below, experts summarize the symptoms of pathological menopause, which mainly include the following aspects:

First, the imperforate hymen

Clinically, the patient may initially feel periodic lower abdominal distension and pain, which progressively worsens. The hematoma compresses the urethra and rectum, which may cause difficulty in urination and defecation, spasmodic pain above the pubic bone, anal distension, frequent urination, urgency, pain when urinating, and even drip-like urination. When a large amount of blood accumulates in the uterine cavity, it may cause ureteral displacement, distortion, hydronephrosis, and even hydronephrosis. When menstrual blood flows back into the pelvic cavity, it may stimulate the peritoneum and cause severe abdominal pain.

Second, congenital absence of vagina

The condition was found during the examination due to the absence of menstruation during adolescence, or the occurrence of cyclical lower abdominal pain, or difficulty in sexual intercourse after marriage, or infertility. The breasts, secondary sexual characteristics and external genitalia developed normally, and the ovarian function was normal; the basal body temperature was biphasic, and the blood reproductive hormone test showed cyclical changes in women of childbearing age. If accompanied by an absent uterus or a primordial uterus, there may be no symptoms; if there is a functional endometrium in the uterus, there may be progressive and aggravated cyclical lower abdominal pain due to intrauterine blood accumulation.

Third, vaginal septum

Incomplete transverse septa do not experience menopause because menstrual blood can flow out through the small holes. Complete transverse septa experience primary menopause and periodic lower abdominal pain due to menstrual blood discharge disorder. During gynecological examination, patients with complete transverse septa in the middle and upper vagina can find a lower vagina of a certain length and width, with a closed top and a fluctuating diaphragm. The vagina above it is dilated and seems to have a cystic feeling.

Fourth, vaginal atresia

Clinical manifestations include primary menopause, cyclical lower abdominal pain, etc. Gynecological examination shows that the vulva is hypoplastic, the hymen has no holes, but the surface color is normal, and there is no outward bulging sign. During anal examination, a vaginal cystic mass protruding toward the rectum can be found about 3 cm above the vulva. The mass has great tension during abdominal pain. Gynecological examination shows a mass with a diameter of 4 to 8 cm on one side or higher in the pelvic cavity, which is a deformed uterus or adnexal tumor.

Fifth, cervical atresia

If the patient has no endometrium, she will only experience primary menopause. If she has endometrium, her clinical manifestations are similar to those of congenital absence of vagina.