Menopause history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
The most common [[symptoms]] of [[menopause]] include [[hot flashes]], [[night sweats]], [[Headache|headach]], [[palpitations]], [[dyspareunia]], [[stress incontinence]], [[urgency]], [[frequency]], [[dysuria]], [[Anxiety Disorder|anxiety]], [[sleep disturbance]], [[depression]]. In addition to some less common [[symptoms]] of [[menopause]] include loss of [[Concentrations|concentration]], and loss of self confidence. | The most common [[symptoms]] of [[menopause]] include [[hot flashes]], [[night sweats]], [[Headache|headach]], [[palpitations]], [[dyspareunia]], [[stress incontinence]], [[urgency]], [[frequency]], [[dysuria]], [[Anxiety Disorder|anxiety]], [[sleep disturbance]], [[depression]]. In addition to some less common [[symptoms]] of [[menopause]] include loss of [[Concentrations|concentration]], and loss of self confidence. | ||
== History == | |||
Obtaining a patient's history is an important aspect of making the [[diagnosis]] of [[menopause]]. It provides an insight into precipitating factors and associated comorbid [[conditions]]. A complete history will help determine the correct [[therapy]] and helps in determining the [[prognosis]]. Specific histories about the [[symptoms]] (duration, onset, progression), associated [[symptoms]]. Specific areas of focus when obtaining the history, are outlined below: | |||
* Onset, duration, and progression of [[symptoms]] especially ( [[Hot flashes]], [[urinary symptoms]], [[joint pain]]). | |||
* History of the [[menstrual cycle]] | |||
* Associated symptoms such as [[depression]], [[sleep disturbance]]. | |||
* history of Co-morbid conditions such as [[Hypertension]], [[Heart disease]], [[Diabetes mellitus|Diabetes Mellitus]]. | |||
* [[Medications]] | |||
* History of [[smoking]] | |||
==Symptoms of Menopause== | ==Symptoms of Menopause== | ||
The | The menopausal symptom happens in the menopausal transition period. The most common symptom is the increasingly erratic menstrual period together with these symptoms the woman may also have | ||
'''Vasomotor symptoms:''' | '''Vasomotor symptoms:''' | ||
*[[Hot flashes]] are a sudden feeling of heat in [[face]] and [[neck]] may with red blotches on the [[chest]], [[back]], and [[arm]]<ref>https://www.womenshealth.gov/menopause/menopause-symptoms-and-relief</ref> that are happened three to four minutes,<ref>https://www.ncbi.nlm.nih.gov/books/NBK507826/#!po=10.0000</ref> associated with [[sweating]]. [[Hot flash|Hot flashes]] are the most common [[symptom]] and most women have [[hot flashes]] for 6 months to 2 years, but some [[women]] may experience them for 10 years or longer.<ref>http://www.menopause.org/docs/default-source/2014/nams-recomm-for-clinical-care.pdf</ref> | *[[Hot flashes]] are a sudden feeling of heat in [[face]] and [[neck]] may with red blotches on the [[chest]], [[back]], and [[arm]]<ref>https://www.womenshealth.gov/menopause/menopause-symptoms-and-relief</ref> that are happened three to four minutes,<ref>https://www.ncbi.nlm.nih.gov/books/NBK507826/#!po=10.0000</ref> associated with [[sweating]]. [[Hot flash|Hot flashes]] are the most common [[symptom]] and most women have [[hot flashes]] for 6 months to 2 years, but some [[women]] may experience them for 10 years or longer.<ref>http://www.menopause.org/docs/default-source/2014/nams-recomm-for-clinical-care.pdf</ref> | ||
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*[[Vaginal bleeding|Irregular bleeding]] | *[[Vaginal bleeding|Irregular bleeding]] | ||
*[[Dyspareunia]] ([[painful intercourse]]) | *[[Dyspareunia]] ([[painful intercourse]]) | ||
Urinary symptoms | Urinary symptoms | ||
Revision as of 12:09, 14 February 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Rahmah Al-Edresi, M.D.[2]
Overview
The most common symptoms of menopause include hot flashes, night sweats, headach, palpitations, dyspareunia, stress incontinence, urgency, frequency, dysuria, anxiety, sleep disturbance, depression. In addition to some less common symptoms of menopause include loss of concentration, and loss of self confidence.
History
Obtaining a patient's history is an important aspect of making the diagnosis of menopause. It provides an insight into precipitating factors and associated comorbid conditions. A complete history will help determine the correct therapy and helps in determining the prognosis. Specific histories about the symptoms (duration, onset, progression), associated symptoms. Specific areas of focus when obtaining the history, are outlined below:
- Onset, duration, and progression of symptoms especially ( Hot flashes, urinary symptoms, joint pain).
- History of the menstrual cycle
- Associated symptoms such as depression, sleep disturbance.
- history of Co-morbid conditions such as Hypertension, Heart disease, Diabetes Mellitus.
- Medications
- History of smoking
Symptoms of Menopause
The menopausal symptom happens in the menopausal transition period. The most common symptom is the increasingly erratic menstrual period together with these symptoms the woman may also have
Vasomotor symptoms:
- Hot flashes are a sudden feeling of heat in face and neck may with red blotches on the chest, back, and arm[1] that are happened three to four minutes,[2] associated with sweating. Hot flashes are the most common symptom and most women have hot flashes for 6 months to 2 years, but some women may experience them for 10 years or longer.[3]
- night sweats
- palpitations
- migraines
Urogenital symptoms: Approximately 60% of women have a positive history of urogenital symptoms include vaginal symptoms because of vaginal atrophy and urinary symptoms because of urethral atrophy as well as sexual dysfunction symptom.
Vaginal symptoms
Urinary symptoms
Sexual dysfunction symptom
- Decreased libido
- Problems reaching orgasm
Skeletal [4]
- Osteoporosis gradually developing over timeInvalid
<ref>tag; refs with no name must have content - Joint pain, muscle pain
- Back pain
Skin, soft tissue
- Breast atrophy
- Skin thinning
- Decreased elasticity
Psychological: Approximately 45% of women have a positive history of psychogenic symptoms.
- Mood disturbance
- Sleep disturbance
- Irritability
- Anxiety
- Poor Memory: as a result of depression and loss of sleep but not due to deficiency of estrogen hormone.
- Depression
- Loss of concentration
- Loss of self-confidence
A cohort study found that menopause was associated with hot flushes; joint pain and muscle pain; and depressed mood.[5] Menopause was not associated with poor sleep, decreased libido, and vaginal dryness, and happens of these symptoms in the late menopausal transition years.
References
- ↑ https://www.womenshealth.gov/menopause/menopause-symptoms-and-relief
- ↑ https://www.ncbi.nlm.nih.gov/books/NBK507826/#!po=10.0000
- ↑ http://www.menopause.org/docs/default-source/2014/nams-recomm-for-clinical-care.pdf
- ↑ https://pubmed.ncbi.nlm.nih.gov/17666595/
- ↑ Freeman EW, Sammel MD, Lin H; et al. (2007). "Symptoms associated with menopausal transition and reproductive hormones in midlife women". Obstetrics and gynecology. 110 (2 Pt 1): 230–40. doi:10.1097/01.AOG.0000270153.59102.40. PMID 17666595.