Author -Dr Preety Aggarwal

MBBS, DGO, DNB,

Medical Director (Gurgaon)- Obstetrics and Gynaecology

5 Treatment Modalities to Manage Menopause 

Introduction:

Menopause refers to the cessation of periods or menses. It is a natural process of ageing caused by the depletion of ovarian reserves as well as the fall of hormones including oestrogen and progesterone. According to Dr Preety Aggarwal, MBBS, DGO, DNB, Medical Director (Gurgaon)- Obstetrics and Gynaecology,  the average age of menopause is between 40-45 years. Some women, however, may experience menopause even before the age of 40. In such cases, you should consult a doctor and get yourself treated as soon as possible.  

What Causes Menopause? 

Menopause occurring before the age of 40 refers to premature menopause. It is caused by premature ovarian failure and occurs in rare cases close to 2%. In some cases, it might also be caused by:

1. Surgery: Hysterectomy (removal of the uterus) or Oophorectomy (removal of uterus and ovaries). 

2. Radiation: Certain radiations can also cause your ovarian reserves to deplete and lead to menopause. 

What is Perimenopause? 

Perimenopause refers to the transition years of menopause. It is a time before and after the date of the final episode of menstrual flow. According to the best laparoscopic gynaecology doctors in Gurgaon, the transition is of 3 phases, that is, pre-menopause, menopause, and post-menopause. This transition in total can last for 4 to 8 years and even up to 12 years In some people.  

What are the Symptoms of Menopause? 

Perimenopause and menopause may cause various physical, emotional, and psychological changes in women. Dr. Shweta Wazir tells us that the period between perimenopause and menopause can lead to varying degrees of signs and symptoms. The common problems include: 

1. Hot flashes. 

2. Vaginal dryness. 

3. Night sweats. 

4. Irregular periods. 

5. Weight gain. 

6. Mood changes. 

7. Decreased metabolism. 

8. Thinning of hair. 

9. Dry skin. 

Periods are often skipped during perimenopause. If you, however, experience irregular periods during this time, a pregnancy may be suspected.  

What are the Treatment Modalities for Menopause? 

According to the best laparoscopic gynaecology doctors in Gurgaon, the treatment modalities for menopausal symptoms include: 

1. Hormonal Therapy: 

Since menopause is caused by the depletion of the oestrogen hormone. Hence, oestrogen therapy remains the cornerstone of menopause treatment. Depending on your condition, your doctor may also add progesterone to the therapy for effective results. 

2. Vaginal Oestrogen: 

Oestrogen can also be administered directly to the vagina in the form of cream, tablet, or ring to relieve vaginal dryness. The oestrogen released from these is absorbed directly into the vaginal tissues and helps in dealing with urinary symptoms. 

3. Selective Oestrogen Receptor Modulators (SERMS): 

SERMs include a separate category of drugs that act directly on the oestrogen receptors in the body. These drugs not only reduce the chances of breast cancer but also prevent osteoporosis in post-menopausal women. 

4. Antidepressants: 

A low dose of antidepressants can also be prescribed in some cases to deal with hot flashes. These are usually prescribed for women who cannot take oestrogen due to other medical conditions. These are also prescribed for women with a history of depression or a mood disorder. 

5. Gabapentin 

Another drug, gabapentin may be prescribed to reduce hot flashes. This drug is also indicated only for women who cannot take oestrogen or who also have migraines. 

Apart from treatment modalities, certain lifestyle modifications can also help you in dealing with menopausal symptoms. A balanced diet, regular exercise, enough sleep, and relaxation techniques also improve your health.  

If you are on the verge of menopause and are experiencing any of such symptoms, visit Dr Preety Aggarwal at the Motherhood Hospitals for expert guidance.