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Women’s Health
 Menopause



  Dr.Ashraf Sabry
   WWW.ASHRAFSABRY.COM
Female Reproductive System
      Fallopian           Uterus
         Tubes



     Vulva




                      Ovary



                        Cervix




                                 Vagina   Lower Abdomen
www.ashrafsabry.com                         Dr.Ashraf Sabry
Female Reproductive system
                       Estrogen Produced from eggs while growing each cycle




                      An ovary full with eggs at different growth stages
www.ashrafsabry.com                                            Dr.Ashraf Sabry
Estrogen effect on a Women’s Body
                                                        Brain
                                helps adjust body temperature
Heart
                                            Increases memory
Protects from cholesterol
                                                 Adjusts libido

                                                    Breast
Liver                             Grows and shapes breast
Reduces cholesterol in blood     Prepare breast for feeding

                                                        Skin
Ovary                                       Makes skin young
Produced from growing eggs

 Uterus
 Monthly preparation for
 pregnancy or menstrual cycle
                                                       Bone
                                     Strengthens bone and
    Vagina                               Increase its density
    Makes it moist
    Protect from infection
www.ashrafsabry.com                             Dr.Ashraf Sabry
Stages of Egg Depletion from the ovary

      Reproductive age : The ovary is full
      with eggs at different stages and
      producing eggs




       Just before menopause : the ovary
       has less eggs than before and is
       producing less estrogen




          Menopause : ovary has no eggs and
          is not producing estrogen

www.ashrafsabry.com                           Dr.Ashraf Sabry
Estrogen deficiency effects on a
Women’s Body              Brain
                          Disturbed body temperature
    Heart                                 and hot flushes
    Vulnerable to diseases                Decreased memory functions
                                          Decreased libido

                                          Breast
Liver                                     It decrease in size and shape
It does not decrease cholesterol

                                                                  Skin
  Ovary
                                                               Dry skin
  No eggs for pregnancy

 Uterus
 Menstrual irregularities or
 even no menses                               Bones
                                              It weakens due to
 Vagina                                       decreased density
 Dry vagina and pain during intercourse
 No protection from infection
www.ashrafsabry.com                                       Dr.Ashraf Sabry
Menopause Checks
              Heart
              Blood lipids
              E.C.G
                             Breast
                             Annual breast exam for
                             masses/tumors
Liver
Blood Lipids
Complete blood picture


Ovary and Uterus
Pelvic exam
Ultrasound examination


                                Bone
Vagina and cervix               Bone densometry
Pelvic exam
PAP Smear

www.ashrafsabry.com                   Dr.Ashraf Sabry
Solutions for Menopause
 Heart and liver                  Brain
 Walking and exercise             An estrogen containing drug to
                                  decrease hot flushes.
 Good diet with less fats
 and control weight               A drug to increase libido

 A drug containing estrogen
 for protection                      Skin
                                     An estrogen containing drug
                                     to improve skin quality
  Uterus
  A drug to adjust
  menstrual cycles

Vagina                          Bone
A cream with estrogen to make   An estrogen containing drug to
vagina moist and protects        increase bone density
 from infections
                                Calcium
General Hygiene
                                A drug to deposit calcium in bone
www.ashrafsabry.com                                 Dr.Ashraf Sabry
WWW.ASHRAFSABRY.COM