DISEASE OF THE ENDOCRINE GLANDS : CLIMACTERIC (CLIMAX) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Menopause occurs in women when the cessation of menstrual periods, mostly between the ages of 40 and 50 years, but can occur at a younger age due to premature aging of the ovaries, surgical removal or x-ray irradiation. The basis of menopausal phenomena is the loss of internal secretion of the ovary and the associated violation of the functional state of the autonomic-endocrine system.
Symptoms for recognition. The ovaries and uterus atrophy. Sometimes menopause is complicated by the metro and menorrhagia. Most women much fullness, especially in the hips, buttocks and lower abdomen. On the chin and upper lip hair sometimes appear. Often upset the function of other endocrine glands, especially the thyroid; frequent phenomenon besedovsky and hypothyroidism. Significant neuro-vegetative, especially vasomotor disorders. Tides of blood to the face and upper body with heavy sweating, lightheadedness, dizziness, feeling of weakness. Paresthesias in the form of sensations of crawling, cold hands and feet, leg cramps. Pain in occiput, noise in the ears, flashing in his eyes. Palpitation, pain in the heart area. Arterial blood pressure varies widely, there is a tendency to hypertension. Appetite deteriorates, sometimes diarrhea, back pain, frequent urge to urinate (pollakiuriya), occasionally incontinence of urine. Insomnia, nightmares, sudden mood swings, mostly depression. Sometimes there are so-called menopausal psychosis. Pain and itching in the vulva. On skin pigmentation in the form of chloasma. Frequent changes of the joints, acute gout, arthritis deformans, heberdens nodes. At physiological menopause all these symptoms are mild and disappear within 1 - 1½ years after the cessation of menstruation.