Dr.Sudhir Shah -Rajkot - All issues after the age of 40 in Women and how to manage it

1. LIFE AFTER 40
Dr.Sudhir Shah
Manan Hospital – 25,New Jagnath Road – RAJKOT -Gujarat

3. Time is like a
River.
One can not
touch the same
water again as it
It always flow.
Time will never
come back,
so enjoy every
MOMENT of LIFE

4. Life before 40’s
• Childhood- obey the parents
• School life
• Career oriented
• Marriage – obey the in-laws
obey the husband
• Caring for children
• Economical stress
• Social stress
• No time to think about yourself.

5. Life after FORTYS
Changes in the life is mainly due to irregular
HORMONAL balance or Diminishing HORMONE
levels…mainly
The ESTROGENS
Ovary Adrenals
70-75% 25-30%
ESTROGENS

6. IT IS THE STAGE WHEN NO
OVULATION TAKES PLACE
WHICH IS RELATED TO HER
REPRODUCTIVE CYCLE & NOT
HER SEX DRIVE.
BEING ATTRACTIVE OR NOT IS
NOT AT ALL RELATED TO HER
SEX DRIVE.
Estrogen Brings FEMINITY
to a WOMAN

7. When estrogen is LESS
MOOD CHANGES: IT INCLUDES
IRRITABILITY,LONELINESS &
DEPRESSION.
LIBIDO
IRREGULAR MENSES
URINARY TRACT INFECTION
INCONTINENCE OF URINE
OBESITY
VAGINITIS
INCREASE CHOLESTEROL LEVEL
HOT FLUSHES
BREAST MALIGNANCY
CERVICAL CANCER
POST-MENOPAUSAL BLEEDING
OSTEOPOROSIS

8. Mood Changes

9. Mood Changes
Irritability Loneliness Depression

10. Loss of libido
Because of dryness
of vagina, intercourse
become more painful
Sex become more
Painful but certain
creams are
available
For that.

11. Irregular menses
• IRREGULAR HORMONES CAUSES IRREGULAR MENSES.
• MOST OF THE WOMEN WORRIED ABOUT PREGNANCY AT THAT TIME.
• ONE CAN CHECK WITH STRIP TEST.
• CONTRACEPTION ALSO CAN USE AFTER AGE OF 40’S.
 CU-T
 T.L.
WEIGHT INCREASED DUE TO SEDENTARY LIFE, NOT DUE TO CU-T.
MENORRHAGIA ALSO OCCUR AFTER T.L., ITS BECAUSE OF SOME OF
ARTERIES & VEINS ARE TIED UP & MORE ENGORGEMENT
OCCUR IN UTERUS WHEN COLLATERAL ARE NOT WORKING,
SO SIZE OF UTERUS INCREASE, & MORE BLEEDING OCCURS.
MENORRHAGIA IS OCCASSIONALY OCCUR
DUE TO CU-T.

12. Urinary Tract Infection
• SKIN BECOMES DRIES & VAGINAL ORIFICE
BECOMES NARROW, MAINLY IT
CAUSES URINARY TRACT INFECTION.

13. Stress/Urge Incontinence
• PAINFUL BURNING MICTURITION, STRESS INCONTINENCE, URGE
INCONTINENCE OCCUR.
• ITS ALL DUE TO LAXITY OF CYSTOCELE & RECTOCELE- WHEN INTRA-
ABDOMINAL MUSCLES RELAXED, ONE CAN’T CONTROL THE URINE.
• MOST COMMON SYMPTOMS ARE: UNCONTROLLED URINE DURING
COUGHING & LAUGHING.
• FEMALES CAN USE LARGE DIAPERS FOR THAT.
• EXERCISE IS THE MAIN TREATMENT FOR THAT.
• GENERALLY FEMALES HAVE HABIT TO RESTRICT URINATION DURING
TRAVELLING OR DURING THEIR JOB HOURS, IT INCREASES THE CHANCES
OF UTI.

14. Obesity
• DECREASING OESTROGEN LEVEL INCREASES
LIPID METABOISM, CHOLESTEROL
• LEVEL & SUGAR LEVEL – IT CAUSES OBESITY.
• EXERCISE PLAY THE LEAD ROLE
TO COVER-UP OBESITY &
FRESHEN THE STATE OF
MIND.

16. Vaginitis
• VAGINITIS: AS SUCH WHITE DISCHARGE IS NORMAL, IT
KEEPS VAGINAL WET, BUT WHENEVER THERE IS
INFECTION, FOUL SMELLING DISCHARGE ASSOCIATED
WITH ITCHING. AT THAT TIME CONSULTATION OF
GYNECOLOGIST IS VERY NECESSARY.
• TO PREVENT THIS, USE SANITARY NAPKINS
• CLEANLINESS OF GENITAL AREA.
• LIQUIDS LIKE CLEAN SHAVE IS ALSO AVAILABLE
FOR FEMALES,IT REDUCES CHANCES OF ITCHING
& PURULENT SKIN ERUPTION AFTER
CLEANING OF GENITAL ORGAN.

17. Lubic gel, with
betadine or
xylocaine jelly are
other lubricant-
which can use to
Prevent dryness
of vagina

18. Hot flushes
• Flushes are mainly due to inappropriate heat
loss by cutaneous vasodilatation, blood flow in
the skin is impaired in women.
• Due to hot flushes Disturbed sleep
Memory loss Irritability Insomnia
Due to
Lack of concentration

20. OSTEOPOROSIS
• IN ABSENCE OF ESTROGEN, CALCIUM & VIT D3 REVERSE
TRANSFER FROM BONES TO BLOOD, IT INCREASES
CHANCES OF OSTEOPOROSIS.
• LEG PAIN, PAIN IN KNEE JOINT ARE DEVELOP DUE TO THIS
ONLY.
• REGULAR EXERCISE , WALKING, SWIMMING, GYMNETICS
ARE USEFUL .
• DURING WALKING SPORTS SHOES ARE MORE
PREFERRABLE.
• REGULAR CHECK UP OF CALCIUM LEVEL IS NECESSARY.

21. PSYCHOLOGICAL CHANGES
• LIFE SHOULD REMAIN HAPPY. AVOID STRESS BY
DEVELOPING COMPANY WITH MODERNAISE
THINGS.
Facebook learning
Computer games

22. LEARN FACEBOOK, TWITTER, DEVELOP
SOCIAL RELATION THROUGH INTERNET.

23. Hobby of singing
Group meeting
Listen music

24. Learn new things in classes
Picnic with friends
Hobby like swimming

25. Menopause
• It is a normal, natural event-defined as
the final menstrual period.
• It represents the permanent cessation
of menstrual period, due to loss of
ovarian follicular function usually
due to aging.

26. • It is occurred after 12 months of
amenorrhea with no obvious cause-&
reflects loss of ovarian follicular activity.
• Ovary is the only gland in the body that
stops acting before the
life ends.

27. AIM OF MENOPAUSE CLINIC : TO
GIVE WOMEN THE OPPORTUNITY TO
SHARE & RECEIVE EXPERIENCES OF
HER MIDLIFE TRANSITION.

29. Diet
Avoid
tea/coffe
e, cakes,
chocolate
s, mithai
Avoid oily food

30. Pulses

31. NON-HORMONE BASED:
ALTERNATIVE MEDICINES

34. EXERCISE
• EXERCISE IS THE MOST IMPROTANT
BETWEEN THE AGE OF 40-50 YEARS.
• BY EXERCISE, ONE CAN REMAIN HAPPY
ALWAYS.
• MORNING WALK IS THE BEST EXERCISE
TO REMAIN FRESH BECAUSE IT GIVES
FRESH AIR & CONNECTION WITH
NATURE.

36. EXERCISE I

37. EXERCISE II

38. EXERCISE III

39. WITHOUT EXERCISE WITH EXERCISE

41. SURYA-NAMASKAR IS
BEST EXERCISE FOR VIT
D3 ABSORBTION
ANOTHER VERY GOOD EXERCISE
FOR WHOLE BODY MUSCLES IS
SWIMMING

42. TRAVELLING IS THE BEST SOURCE FOR MOOD CHANGES
FROM ROUTINE HOUSE HOLD WORK.

43. Actually life begins at any
age

44. Thank You Very
Much
DR.Sudhir Shah