The perimenopause period is from the transition period of menopause to 1 year after menopause. During this period, estrogen levels fluctuate or decrease, the sensitivity of follicles to gonadal hormones has decreased, and the corpus luteum function is insufficient. It manifests as irregular menstrual cycles, prolonged menstruation, excessive menstrual flow, or irregular vaginal bleeding, which can easily lead to pelvic bleeding. Patients generally find it difficult to get correct information and necessary guidance. Therefore, it is of vital importance for patients to understand the care during this period. The following problems may generally occur during care: Fear: Patients suffer from a series of severe anemia symptoms such as dizziness, palpitations, and general weakness due to excessive menstruation or prolonged menstruation, and even hemorrhagic shock, which affects their normal life and makes them feel fearful and uneasy. Due to the special role of female reproductive organs, patients face problems such as surgery, surgical complications, and postoperative recovery. Many perimenopausal patients with functional uterine bleeding are very uneasy about their family life after surgery, especially their sexual life. They are also worried about endocrine disorders, aging, social discrimination, cancer, etc. Symptoms of menopausal transition: hot flashes, sweating, personality changes and emotional instability, inability to control oneself, lack of patience, depression, suspicion, listlessness, and in severe cases, varying degrees of psychological disorders. (3) Lack of knowledge: Some patients find it difficult to understand the purpose of blood transfusion and worry about infection and other adverse reactions caused by blood transfusion. When vaginal bleeding stops and the use of sex hormones is gradually reduced as planned, patients will think that the disease has been cured and ask to stop treatment or be discharged from the hospital. They lack a correct understanding of the safety and necessity of surgery and are afraid of injury and pain. |
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