Climacteric neurosis: Symptoms and Treatment

Often during the menopause is complicated climacteric neurosis that manifests VSD and panic attacks. Symptoms of this condition significantly degrade the quality of a woman's life and the need for timely treatment of sedatives and antidepressants. No treatment that includes receiving antidepressants, sedative medicines, can cause complications.

Climacteric neurosis and its causes

The reproductive function of women in menopause begins to fade. It is a natural stage in the development of the female body, which is the gradual termination of the synthesis of sex hormones by the ovaries.

Despite the fact that menopause itself includes changes in the functioning of the ovaries, this process affects the entire body of women. This is due to the fact that the hormones produced by the ovaries, provide and regulate the operation of various internal organs.

For the functioning of the female body are extremely important estrogens. These hormones are produced by follicular unit are women. It is noteworthy that estrogens are capable of samoprevrascheniyu in various tissues. For example, oestrone is converted to oestradiol.

At birth, the female body contains about 2-3 million eggs. A minor part of the egg is lost in the process of ovulation. In the first phase of growth hormones provide several follicles, which also synthesize the necessary hormones. By the middle of the cycle remains the most targeted follicles with a viable egg. The remaining follicles are rejected. During ovulation, the follicle coat ruptures, releasing the ability to fertilize an egg. The egg is viable for two days. In place of the follicle is formed cystic corpus luteum which produces progesterone. On the eve of menses in the absence of conception corpus luteum regresses.

Before the onset of menopause is still about 10,000 follicles. After the cessation of menstruation observed individual follicles, which will soon also disappear. The ovaries decrease in size.

When there is a sharp drop in estrogen enhanced production of FSH and LH. This mechanism is needed to increase the level of estrogens. However, when menopause synthesis of sex hormones continues to decline.

When menopause is decreasing estrogen synthesis to its total cessation. The female body reacts negatively to estrogen deficiency, as these sex hormones:

• regulate the activity of the cardiovascular, nervous and endocrine systems, musculoskeletal system, gastrointestinal tract;
• providing intake of calcium and phosphorus in the bone;
• strengthen nails, hair;
• affect the processes of thermoregulation and metabolism;
• effect on vascular tone, skin elasticity;
• responsible for women's body type.

At menopause a woman's body initially adapts to the lack of hormones and then to their total absence. Every woman's menopause occurs in many ways, it has its own set of symptoms.

Gynecologists note that menopause is a lengthy process required for complete adaptation to fading hormonal function. The slower stops the synthesis of hormones, the less there is of consequences and complications.

Several distinct phases of menopause, unequal in duration.

1. premenopausal starts in about 45 years. Perhaps more before or after menopause, which may be either normal or pathological. At this stage, a decrease in estrogen synthesis that affects primarily on the menstrual cycle. Spin at monthly becoming heavy or scanty, and the cycle can be lengthened or shortened. In the presence of spontaneous ovulation may occur pregnancy. The main symptoms in premenopausal become hot flushes, pressure drops, heart pain, tachycardia, headache, IRR.
2. Menopause It observed after 4-5 years after the onset of pre-menopausal. Menopause is the last menstrual period include a date after which there should be no bleeding during the year. In the foreground of urogenital disorders, which include the processes of mucosal atrophy, changes in the quality of cervical mucus.
3. postmenopause It is the longest period that runs until 65-69 years. During menopause may be a variety of disorders of the exchange character. Significantly increases the risk of atherosclerosis, stroke, heart attack and Alzheimer's disease.

The start of menopause conventionally considered the age of 45 years. Pinpoint the onset of menopause is not possible due to elusion of the first symptoms. In women with no serious abnormalities observed during menopause easy. Significantly worsen symptoms of menopause gynecological and extragenital pathology, which can lead to climacteric neurosis.

Age of menopause depends on the following factors:

• heredity;
• working conditions and the environment;
• accompanying illnesses;
• bad habits.

Menopause occurs earlier in women living in mountainous areas. Smokers representatives noted earlier onset of menopause. To some extent, this factor reduces the risk of developing uterine cancer.

The onset of menopause can be:

• saline;
• early;
• late.

Early and late menopause are not always favors the disease. In 3-5% of women menopause develops earlier due to a genetic predisposition. Women who smoke menopause occurs three years earlier. At representatives with a history of fibroids menopause occurs later due to the influence estrogenprodutsiruyuschey tumor. Also in this category is usually climacteric syndrome usually does not develop.

Late menopause deserves attention from both the doctors and the woman. Often a late menopause hormone producing masked malignant tumors, the risk of which increases with age. In particular, breast cancer and endometrial occupy a leading position on the prevalence.

Early menopause often indicates premature ovarian failure syndrome, which can occur in 38 years. Hormone levels plummeted, causing shock in a young body, followed by serious symptoms. It is in this case can develop menopausal neurosis. If ovarian depletion occurs in the form of an all-out, fully follicles undergo adhesion. When a lighter during ovulation may occur spontaneously.

Developing early menopause by removing ovaries or as a result of damage to the follicular unit. The synthesis of hormones abruptly stopped, causing the appearance of climacteric neurosis. Usually in such cases, hormone replacement therapy and sedatives.

Climacteric neurosis often occurs in women, whose body can not adapt to hormonal extinction. Climacteric neurosis is usually seen in women with different somatic pathology in history.

Climacteric neurosis is a serious complication in which there is a need in the diagnosis and treatment. If untreated, develop dangerous consequences, such as changing the individual woman.

About 60% of women in varying degrees of experience symptoms of climacteric neurosis. More recently, experts attributed the symptoms which are characteristic of climacteric neurosis, for example, VSD and panic attacks, with estrogen deficiency. Currently, it proved the role of age-related changes in hypothalamic function.

Symptoms of menopause influence on the psychological state of a woman, especially if there are panic attacks. However, they are a kind of amplifier symptoms in menopausal neurosis, but not its cause.

The development of the symptoms of menopausal neurosis may be due to the following factors:

• genetic predisposition;
• the individual characteristics of the person;
• Prolonged stress;
• weakened immunity;
• long-term mental and physical stress;
• unhealthy lifestyle;
• deficiency of vitamins and minerals;
• disorders associated with sleep.

It is known that menopausal neurosis It may be called as one or more factors. Determine the cause and prescribe sedatives can only physician after the examination.

It should be borne in mind that under the climacteric symptoms of neurosis can hide a variety of metabolic disorders, vegetative-vascular disorders, such as IRR. In addition to panic attacks when menopause syndrome, sometimes identify serious mental disorders that require treatment.

Stages of development and symptoms

Climacteric neurosis characterized by the following features:

• chronic fatigue and irritability;
• increased sweating;
• sleep disorders;
• hypertension;
• pressure peaks;
• heart pain, and tachycardia;
• mood lability;
• noise in ears;
• emotional instability;
• apathy;
• critical attitude to their appearance;
• dizziness;
• loss of appetite.

Climax and neurosis not always interconnected. For some women, menopause is not a neurosis develops.

Climacteric neurosis includes several types of mental disorders:

• asthenic: memory loss, fatigue, decreased performance;
• depression: long bad mood, depression;
• hypochondriacal: excessive worry about their health, attributing themselves symptoms of various diseases;
• hysterical: instability to stress, resentment, tearfulness, moodiness.

Symptoms of the climacteric neurosis must be treated promptly. It is known that the treatment of climacteric symptoms neurosis, e.g., VSD and panic attacks is the prevention of many complications.

Hypothalamus for the functioning of the autonomic nervous system. The hypothalamus affects the stable flow of metabolism, the violation of which may cause osteoporosis.

Climacteric neurosis takes place in three stages.

1. There are harbingers of neurosis. Woman watching the first irregular symptoms. That is why women usually ignore the symptoms, writing off their fatigue.
2. Increased severity of symptoms occurs. Typically, at this stage, women visit the doctor. If untreated climacteric neurosis transition occurs to the next stage.
3. There are major changes that affect the structure of personality. Chosen treatment is not effective.

Panic attacks

In 15% of cases are detected in menopause symptoms of panic attacks. Women experiencing uncontrollable feelings of fear, which significantly reduces their quality of life.

Fear is a natural feeling associated with self-preservation instinct. However, climacteric neurosis, fear arises unreasonably and unjustly.

Panic attacks appear causeless anxiety and fear. Uncontrolled symptoms of panic attacks are the result of failure of the nervous system. The female body while under stress, which causes increased production of cortisol and adrenaline.

In addition to the fear and anxiety in women following symptoms are panic attacks:

• heart palpitations;
• difficulties associated with the act of breathing;
• pressure peaks;
• fainting;
• dizziness and headache;
• rapid pulse;
• nausea;
• chills;
• numbness in hands and feet;
• tides.

Climacteric neurosis Panic attacks occur on the background of failures in the work of the autonomic nervous system, vascular spasm.

Panic attacks are like heart attacks pain. Duration panic attack ranging from a few minutes to several hours.

By the mental manifestations of a panic attack include:

• sense of danger;
• fear of death and madness;
• lump in the throat;
• distortion of reality;
• brain fog;
• lack of control over his own actions.

Climacteric neurosis sometimes appear unusual symptoms of panic attacks:

• loss of voice;
• gait disturbance;
• problems of speech character;
• impairment of hearing and vision.

Panic attacks often develop in the following pathologies:

• migraine;
• diseases of the cardiovascular system;
• disease of the adrenal glands and the thyroid gland;
• allergy;
• smoking and excessive alcohol consumption.

Treatment includes panic attacks reception sedatives, antidepressants, tranquilizers, hormonal therapy, massage, breathing exercises, psychotherapy. Treatment of panic attacks is long and not always is efficient.

During an attack of panic attack, experts recommend to perform breathing exercises. Female gaining air for three seconds, holds his breath, exhale. The technique involves 15 repetitions. Some women may help to think about something pleasant, to escape from negative thoughts and ignore the feelings of fear. If you experience serious symptoms should call an ambulance.

Prevention of a panic attack include:

• restful sleep, which should not be less than 8 hours;
• rejection of bad habits;
• absence of stress;
• compliance with work and rest;
• breathing exercises and light exercise;
• proper balanced diet;
• drinking regime.

Panic attacks should be treated by a specialist. Self-treatment may cause progression of panic attacks.

IRR

Symptoms of the climacteric neurosis often associated with HDR. This pathology has the following reasons for its occurrence:

• the effect of estrogen deficiency in the functioning of the central nervous system and the brain;
• poor circulation and changes in vascular tone;
• cholesterol deposits on the walls of blood vessels;
• metabolic disorders;
• obesity;
• improper diet;
• lack of exercise;
• stress state;
• smoking.

IRR climacteric neurosis manifested by the following symptoms:

• weakness and fatigue;
• asthenic syndrome;
• pressure drop and rapid pulse;
• panic attacks;
• violation of thermoregulation;
• severe headaches;
• mood lability;
• bitter taste in the mouth;
• heartaches;
• nausea and vomiting;
• frequent urination;
• increasing nervousness.

Climacteric neurosis can develop four forms of ESP.

1. Cardiology. You experience the following symptoms: pain in the heart, heartbeat, pressure surges.
2. Hypertensive. Increased symptoms associated with high blood pressure: hot flushes, sweating, palpitations, headache, panic attacks.
3. Hypotonic. Pressure drops occur asthenic syndrome, dizziness and fatigue. Symptoms include: nausea and vomiting, mood lability, panic attacks, bitter taste in the lie.
4. Mixed. Symptoms are varied and do not belong to any of the above forms.

When IRR is important to make a differential diagnosis with pathologies of the cardiovascular system. Treatment includes normalization of sleep, work and rest, correct nutrition, physical activity, reception vitamins, hormones and homeopathic medicines, sedatives, antidepressants and methods of folk medicine.

Treatment

Assigned treatment depends on the severity of climacteric neurosis. In the early stages, doctors are advised to pay attention to the following components.

1. Restful sleep. It is important to go to bed on time. Duration of night sleep to be at least eight hours. You must also observe the regime of work and rest. While working, you should periodically take appropriate breaks.
2. Balanced diet. During menopause nutrition plays an important role. Diet helps prevent many diseases, in particular, climacteric neurosis and panic attacks. Excludes fatty, spicy and salty foods, strong tea, coffee and alcohol.
3. Walking in the fresh air and physical activity. Stay outdoors and exercise a beneficial influence on the psychological state and health.

Treatment of climacteric neurosis selected individually. Often appointed sedatives, antidepressants, panic attacks and IRR.

hormonal treatments

Often, neurosis and menopause are linked. Estrogen deficiency affects the cardiovascular and nervous system, especially the autonomic. In addition, all centers of the brain are located in close proximity, which leads to the occurrence of characteristic symptoms.

In some cases, it is advisable the appointment of drugs that affect hormones. Hormonal treatments are:

• synthetic;
• homeopathic.

Hormone therapy is used to treat menopausal neurosis, in particular panic attacks. HRT involves the use of estrogen, progesterone and androgens. As part of a combined treatment of low-dose drugs are most effective. In the initial stages of the hormonal treatment is applied courses, while in advanced forms - continuously.

Hormone therapy can cause an increased risk of heart attack and stroke. Furthermore, the treatment has a lot of side effects. In some cases, hormone therapy is contraindicated:

• swelling;
• kidney disease and liver;
• endometriosis;
• hypertension;
• diabetes;
• thrombosis.

Hormonal drugs are used in the form of:

• tablets and capsules;
• suppositories;
• ointments, gels and creams;
• patches.

Estrogen-progesterone preparations include:

• klimonorma;
• Divina;
• Trisekvens.

Preparations containing estrogen:

• Divigel;
• estrofem;
• sigetin;
• Kliogest;
• Divitren.

Medications, including melatonin:

• melaxen;
• Epithalamin;
• Tsirkadin.

Drugs with sedative effect:

• Grandaxinum;
• Ovestin.

Hormone therapy is often replaced by a homeopathic, under which use of phytoestrogens, which are plant analogs of female sex hormones. Such treatment has a minimum of side effects and includes the following formulations:

• Estrovel;
• Feminal;
• Klimadinon;
• Inoklym;
• Remens;
• Klimaktoplan.

Psychotherapy

Often climacteric neurosis recommended not primarily sedatives and antidepressants and psychotherapy. Moreover, many experts believe that without psychotherapy technique soothing and hormonal methods, as well as other drugs, will be ineffective. This is due to the fact that the basis of climacteric neurosis are often serious psychological problems that must be resolved.

Psychotherapy are both individual and group. Typically, psychotherapy has a long-term nature, especially panic attacks.

The use of antidepressants

The use of sedatives and antidepressants justified by the fact that in 40% of cases, the symptoms of climacteric neurosis, such as panic attacks, have psychosomatic basis. Physicians may assign antidepressants as sedative in the treatment. Unlike hormonal drugs, antidepressants have contraindications minor amount during treatment.

Sedatives, such as antidepressants, prevent disturbances in the nervous system and prevent neuroses, stress and depression, panic attacks. Sedatives or antidepressants have both analgesic and tonic effect.

Experts identify the main benefits of antidepressant.

1. The combined effects. Antidepressants cropped unpleasant symptoms by acting on nerve receptors. Sedatives or antidepressants are the prevention of cardiovascular disease.
2. Normalization process thermoregulation. As a result, you can eliminate the symptoms of hot flushes and sweating. Antidepressants have a soothing, antispasmodic and analgesic effect.
3. Various dosage forms. Antidepressants can be used in the form of tablets, coated tablets, drops, syrups and tinctures.

Like all medicines, antidepressants have a number of disadvantages. Sedatives or antidepressants may be addictive, drugs after discontinuation symptoms intensity can be increased. Treatment with antidepressants and sedatives are sometimes accompanied by lethargy.

Natural antidepressants are represented by the following sedatives.

1. Valerian. Sedative effective in the initial stages. Valerian stabilizes pressure, eliminates anxiety, insomnia, reduces pain.
2. Motherwort. Sedatives normalize sleep, eliminates seizures, irritability and increased excitability.
3. Oregano. Natural antidepressant relieves hot flashes and cope with various neurological disorders. Most often used in the form of herbal teas.

Sedatives are often used in the form of herbal teas and fees.

Medication sedatives represented by the following preparations.

1. Grandaxinum. Sedative has a minimum of contraindications and side effects. Grandaxinum eliminates the asthenic disorders.
2. New Pass. This tranquilizer, which is available as tablets and medicine. Due to the action of estrogen-soothing formulation stabilizes sleep pressure processes and thermoregulation. The tool also eliminates the pain, anxiety and irritability.
3. Persen. It is a natural anti-depressant, which includes valerian, motherwort and mint. Has a soothing effect, eliminates the symptoms of hot flushes, sleep disturbances, neuroses.

Homeopathic sedatives:

• Remens;
• Inoklym;
• Klimaton.

Selective serotonin reuptake inhibitor antidepressants are most popular, which are often prescribed for menopause, particularly menopausal neurosis, panic attacks. One of these antidepressants is considered Coaxil. Antidepressant possesses analgesic activity and eliminates disorders of the nervous system. Prescription of antidepressants and other sedatives should be administered after the test.

anticonvulsant drugs

Formulations given dosage group relax muscles, improve blood flow. Anticonvulsants reduce the frequency of hot flashes, which are accompanied by reddening of the skin and fever. During treatment, you may experience the following side effects: dizziness, insomnia, allergies.

Antihypertensives and spasmolytics

Menopause causes an increase in the load of the receptacles due to loss of elasticity of the walls. As a result, often the pressure is increased. jumps in blood pressure may occur. hypertension elimination improves thermoregulation, removes the heat, sweating, headache. Antispasmodics relax vascular spasms, reduce pressure, improve heart function.

When resistant hypertension It needs constant treatment with antihypertensive drugs.

Treatment of sedatives and antidepressants should be prescribed by a doctor. Self-treatment is unacceptable sedation. Antidepressants, like many sedatives, available exclusively from pharmacies by prescription. Admission antidepressants long and not less than six months.