Menopause nine by sanjana

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Menopause nine by sanjana

  1. 1. Presented by:- Sanjana Murya Bsc. Nsg IIIrd yr Roll No. 74
  2. 2.  Menopause :- Permanent cessation of menstruation caused by failure of ovarian follicular development in the presence of adequate gonadotrophin stimulation. Derived from the Greek words “men” (month) and “pausis” (cessation)  Climacteric :- The physiologic period in a women's life during which there is regression of ovarian function.  Premature ovarian failure :- Cessation of menstruation due to depletion of ovarian follicles before the age of 40y.
  3. 3. Typically between 42 and 56 years of age Median - 51.4, range of 48-55 yrs Median for perimenopause - 47.5 years, median length of 4 years
  4. 4.  Physiologic menopause  Iatrogenic menopause :- Surgical, radiation therapy ,chemotherapy, infection and tumor
  5. 5.  Degeneration of granulosa & thica cells Failure to react to endogenous gonadotrophine ↓ Estrogen ↑ FSH & LH
  6. 6. Postmenopausal yearsPremenopausal years * Monthly cycle begins to change. * Number of stored eggs in the ovaries decreases. * Hormone levels fluctuate
  7. 7.  Androgens :-  ↑ androgen level due to stromal cell stimulation by endogenous gonadotrophins  ↓ Androstenedion (adrenal)  ↑ Testosterone level  Estrogen :  In preimenpausal women ,the main Estrogen is E2  In post menopause is E1(from the peripheral conversion of Androstenadione)
  8. 8. Brain Helps maintain body temperature mood, cognition, sexual health Ovaries Stimulates maturation and start of woman’s menstrual cycle Vagina Stimulates maturation and helps maintain lubricated and thick vaginal lining Heart and liver Regulates production of cholesterol / decreases plaque in coronary arteries Bones Helps to preserve bone density Breast Stimulates development at puberty and prepares glands for future milk production Uterus Stimulates maturation and helps to prepare the uterus to nourish a developing fetus
  9. 9.  Hot flushes / night sweats  Irregular periods  Change in cholesterol / blood vessels  Mental function  Sexuality  Sleep disturbances  Joint discomfort  Vaginal / vulvar / bladder changes  Loss of bone / osteoporosis  Mood changes No two women experience menopause in the same way
  10. 10.  Lifestyle changes  Alternative & complementary therapies  Traditional hormonal therapy  Non-hormonal prescription therapies  Avoid triggers (hot drinks, alcohol)  Breathing techniques  Ceiling/bedside fan  Cool evening shower or bath  Dress in layers - dry wicking clothing  Turn down thermostat
  11. 11.  How Can We Maximize Our Health As We Get Older?
  12. 12.  94% of risks are things you  can change:  1. Obesity  2. High blood pressure  3. Smoking  4. Stress  5. Diet (fruits and vegetables)  6. Alcohol  7. Blood lipid levels
  13. 13.  Balanced diet  Reduce total fat intake / cholesterol intake  Control weight  Calcium 1000 – 1500 mg / day  Vitamin D at least 400-800 IU / day  Limit alcohol intake  Limit caffeine intake
  14. 14. 1 in 4 women over 50 has osteoporosis Estrogen helps maintain bone strength Crucial time: 2 to 4 years around the last menstrual period
  15. 15.  Essential for good bone health  Average Canadian diet – only 500 mg per day  Recommended intakes (from diet and supplements): ◦ Peri-menopause - 1000 mg/d ◦ Post-menopause - 1500 mg/d ◦ Should be taken in divided doses  Calcium therapy alone is not enough to prevent fracture
  16. 16.  Important to maintain bone health  Most recommend intake of 1000 IU/day  Deficiency due to limited sun exposure / use of sunscreen  Food sources not adequate  May be more important than calcium
  17. 17.  Risk to your health: ◦ Diabetes ◦ Hypertension ◦ Cancer ◦ Stroke  Will happen if you don’t maintain an active lifestyle  Average weight gain 5-10 lbs
  18. 18.  •Estrogens and progestogens prescribed to treat symptoms of menopause (e.g., hot flashes, vaginal dryness) not to treat or to achieve a specific blood hormone level  •Also effective for prevention of osteoporosis and urogenital atrophy.  •Detailed scientific studies have evaluated efficacy and safety (including endometrial safety)
  19. 19.  •Monitor BP, glucose, lipid profile, thyroid function  •Regular Pap smear  •Regular breast exam (personal & provincial mammogram screening program)  •Bowel cancer screening  •Flu shot  •Safe sex  •Selective bone density testing  •Fracture risk assessment  •Cautionary recommendations concerning accidents such as falls or slips
  20. 20. Above ALL….. Be The Heroine Of Your Life…Classy & Fabulous….!!    As UsuaL…. There Is A Great Women Behind Every Interesting Idiot…..!!   

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