Month: April 2019

Menopause and Vaginal Atrophy

Menopause is the period that ends a woman’s reproductive phase. Menopause begins at the end of menstruation. Over time, the ovaries gradually lose the ability to produce estrogen and progesterone, hormones that regulate the menstrual cycle. As estrogen production decreases, ovulation and menstruation occur very often, and eventually stop. Menstruation can be stopped early due to illness or a hysterectomy. In these cases we speak demenopausia induced.

Symptoms of menopause The symptoms of menopause different women. Some experience symptoms that her friends never suffer. The duration and severity of symptoms varies. Lamenopausia is a natural part of life for all women suffer, some more difficult than others. But one thing that all women have in common is the ability to identify options to deal with their menopausal symptoms. Around the Western world 12% of women experience no menopausal symptoms, and about 14% experience high rate of physical or emotional problems.

Causes of vaginal atrophy The vagina is composed of an inner layer of stratified squamous epithelium, a middle wall muscle and a fibrous outer layer. Before menopause, the presence of endogenous estrogen, the vagina is characterized by thick rough surface, increased blood flow and vaginal lubrication.

Decreased estrogen levels Vaginal atrophy is commonly associated with declining estrogen levels that accompanies menopause (spontaneous or induced) and aging. The decrease of estrogen levels is also associated with atrophy of the vulva and lower urinary tract, commonly referred to as urogenital atrophy. The term describes vaginal atrophy vaginal walls as thin, pale, dry and sometimes inflamed (eg. Atrophic vaginitis). When normal levels of circulating estrogen in premenopausal decline during perimenopause or after induced menopause, the vagina shortens and narrows. The vaginal walls may show small petechiae (ie, round spots, not bulbous, red-purple bleeding caused by intradermal or submucosal) and becomes thinner (often only a few cell layers thick), less elastic, and progressively smoother in the folds fall more rugged. Vaginal blood flow decreases.

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Menopause in Diabetics

Menopause can be a challenging time for most women, but if you are diabetic you may have to surmount a few more hurdles during the transition. Since menopause and diabetes can cause similar symptoms and since uncontrolled blood glucose levels can increase your chances of having diabetes complications, it is especially important that you are aware of any new changes in your body.

Control Your Cholesterol – Having diabetes causes you to be at higher risk of developing cardiovascular disease. When you are going through menopause, your chances are even higher, according to the Mayo Clinic. Eat diet that is low in cholesterol (for example, you may eat egg whites but remove the yolks) and get plenty of exercise. If this does not sufficiently stabilize your cholesterol you may want to seek advice from your doctor. He may be able to offer tips or even prescribe medication that lowers cholesterol.

Monitor Blood Sugar Often – During menopause, your levels of estrogen and progesterone levels fluctuate. When these levels are not stable, they may also cause your blood sugar to be out of balance as well. As result, you should keep a closer eye on your blood glucose levels and record it so that your doctor knows whether he should be adjusting your diabetes treatment.
Accept Medication Changes – Since your blood glucose levels may increase or decrease with hormonal changes during menopause, you should be receptive to changing your medications if your doctor deems it necessary. Your doctor may either suggest altering doses of medications you are already taking or he may prescribe additional or different medications.

Have Healthy Habits – You surely already know that diabetes is best treated as a combined effort between your medications and your lifestyle. If you are taking recommended medicine but you are not doing your part to exercise and eat well, you may feel worse than you could be feeling. The same idea applies to menopause. Even if you end up taking hormone replacement treatments and you adjust your diabetes treatment plan to work with menopause, you will not reap the most benefits unless you have balanced diet and exercise regularly.

Get Menopause Advice – Just as your doctor can help oversee your diabetes treatment plan, he can offer advice about treating symptoms of menopause as well. He may also help determine whether certain symptomsperhaps moodiness and hot flashesare related to blood sugar or if they are related to menopause. Also, keep in mind that other professionals are available to help you. For example, if weight gain has become an issue, registered dietitian can help you to develop an appropriate diet plan and coach you to adhere to it.