Menstrual disorders in 40-45 years: monthly treatment failure, the reasons

After forty a woman can manifest changes in the menstrual cycle. Most often they provoke physiological changes that are considered the norm and represent the extinction function of the reproductive system because of age, hormonal shifts.

Treatment of menstrual disorders in 40 years, is mainly aimed at reducing the activity manifested symptoms of perimenopause.

The physiology of women after 40

The majority of women of childbearing period ends in 40-45 years. This is due to the age of the body are activated processes of aging of the reproductive system, beginning with ovarian failure, reducing their sensitivity to the effects of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) hormones produced the pituitary gland. The ovaries stop producing estradiol, which is why its level in the blood falls.

Anterior lobe of the pituitary begins to actively produce HCG, FSH levels in the blood increases, LH, and why there is a violation of hormonal background, the menstrual cycle after 40 years.

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Gonadotropins provoke strong ovarian failure, the critical days can occur, but their duration may vary. Gradually, under the influence of such violations menstruatsionnogo cycle in 45 years of its duration increases. The result is a complete cessation of menstruation.

In addition to these processes in the pituitary triggered by disruptions in the cyclical release of gonadotropins. Gradually, they cease to have effect on the ovaries, which are in the active stage of exhaustion. These causes of violations of the cycle after 40 years provoke inhibition of ovarian function, and this is associated with the occurrence in these structural changes, such as:

• intensification of the process of destruction of the oocytes;
• atrophic processes in primordial follicles;
• thinning granulosa, stroma;
• hyalinosis sclerosis.

These factors provoke breach of recurrence of menstruation after 45 years due to lack of ovulation may not be enough of the luteal phase. This affects what happens to a woman's body: develop oligomenorrhea or amenorrhea.

Women of all ages are dependent on female sex hormones after 40-45 years of hormonal imbalance causes exhaustion and uterine endometrium. diffuse, focal hyperplastic changes - as opposed processes can occur during this period. Gradually, the size of the uterus is reduced to 4-5 centimeters.

These causes menstruatsionnogo cycle of failure and impact on the overall condition of the woman. This is because many tissues and organs have receptors that receive the estrogen level, and during menopause or pre-menopause is considerably reduced.

Most often, these changes are reduced by adaptive mechanisms of the organism by blocking processes appearance unpleasant symptoms. But in some women the activity of these functions is not sufficient, because of what appears menopausal syndrome.

periods of life of women after 40

After forty years, many women begin childbearing depression. The process of irregular menstrual cycle is divided into several stages:

1. stage premenopausal.
2. Menopause.
3. Postmenopause.

Perimenopause combines pre-menopausal, menopausal, 2 years after the last normal menstrual period.

Menopausal transition

The main reason for violations of menstruation cycle after 40 years is premenopausal. It starts at the age of 40-45 years and lasts until the end of menstruation. Characterized by the beginning decrease of hormonal activity of ovarian function and the appearance of the primary symptoms of menopause. This period goes unnoticed only 5-10% of women.

Menopause

In 45 years, menstrual disorders caused by premenopause, moves to the next stage - the menopause, which comes from the last normal menstruation after 45 years, last year.

Menopause in a woman's life is premature if it started in the 37-40 years old, early - in 41-45. This step may occur earlier in the couple of years while smoking, fasting, alcohol dependence.

perimenopause

It begins at 40-45 years, and the end to 55 years of age. This age is characterized by a decrease in ovarian function associated with the aging of the reproductive system. perimenopausal phase includes pre-menopausal, menopausal, and 2 consecutive years.

postmenopause

This stage begins from menopause, ie, after the onset of the last normal menstrual period and for 1 year thereafter. there postmenopausal stage 65-70 years, gradually flowing into the senile period.

symptoms of menopause

symptoms of menopause divided into 3 groups:

• early - appear before the termination of menses (during the transition to menopause);
• time average - start 2-4 years after menopause;
• later - manifest themselves in 4-5 years after menopause.

Almost 50% of women menopause is a difficult character with pronounced symptoms. Mild form of transition is observed only in a fully healthy the fairer sex, with menstrual disorders have been later.

early

Failure monthly cycle forties appears vasomotor symptoms and psycho.

Irregular and having a short duration of menstruation provoke the appearance of vasomotor symptoms, such as:

• feeling of heart rate;
• sense of temperature increase;
• increased sweating;
• hypertension.

At physiological delay menses marked change in the psycho-emotional state, and the appearance of such symptoms:

• memory impairment;
• insomnia;
• irritability;
• decreased libido;
• depression;
• headaches and dizziness.

Time average symptoms of menstrual disorders is the appearance of dryness, itching, burning sensation in the vagina, pain during intercourse, urinary incontinence, wrinkles on the skin, strengthening the nail plates brittleness, hair loss and attenuation.

All listed symptoms can occur within five years after the violation menstruatsionnogo cycle of 45 years.

late

These symptoms of menopause are associated with the development of diseases of vital organs and systems. The reasons for the failure of the menstrual cycle after 40 years, give rise to problems such as:

• cardiovascular disease;
• postmenopausal osteoporosis;
• Alzheimer's disease.

To avoid the development of dangerous abnormalities should be promptly begin treatment of climacteric syndrome. The only effective method is considered to be hormone replacement therapy. It should begin with the appearance of early signs of menopause. On average, it takes 1-3 years, but the duration may be increased to 5 years.